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SPINE SURGEONS 13 Neurologists Top List for Highest Burnout Rate at 48% By Megan Wood M edscape asked 15,000-plus physi- cians across 29 specialties about their experiences with burnout and depression. Forty-two percent of the physicians reported they have experienced burnout. In terms of depression, 12 percent reported colloquial (feeling down) depression and 3 percent not- ed clinical (severe) depression. e survey broke down burnout rate by spe- cialty: 1. Critical care — 48 percent 2. Neurology — 48 percent 3. Family medicine — 47 percent 4. Ob/Gyn — 46 percent 5. Internal medicine — 46 percent 6. Emergency medicine — 45 percent 7. Radiology — 45 percent 8. Physical medicine and rehabilitation — 44 percent 9. Urology — 44 percent 10. Allergy and immunology — 44 percent 11. General surgery — 43 percent 12. Cardiology — 43 percent 13. Otolaryngology — 42 percent 14. Pulmonary medicine — 41 percent 15. Pediatrics — 41 percent 16. Infectious diseases — 40 percent 17. Nephrology — 40 percent 18. Oncology — 39 percent 19. Gastroenterology — 38 percent 20. Anesthesiology — 38 percent 21. Rheumatology — 38 percent 22. Psychiatry — 36 percent 23. Public health and preventive medicine — 36 percent 24. Diabetes and endocrinology — 35 percent 25. Orthopedics — 34 percent 26. Ophthalmology — 33 percent 27. Pathology — 32 percent 28. Dermatology — 32 percent 29. Plastic surgery —23 percent n Watch Out for Spinal Biologics in 2018 — 2 Key Thoughts From Dr. Roger Hartl By Laura Dyrda R oger Hartl, MD, director of spinal surgery and neurotrauma at Weill Cornell Brain and Spine Center in New York City and director of the Weill Cornell Medicine Center for Comprehensive Spine Care, offers two key thoughts on where spine surgery is headed in the future, including technolo- gy and practice trends. His thoughts are lightly edited for clarity. 1. The most important spine technology trend for 2018 is biologics, including stem cells. There is very little data on this right now, but practitioners will con- tinue to push the envelope and treat. Better trials and data are needed, however. 2. The best opportunity for spine surgeons this year will be integrating spinal surgical care in the multi- specialty practice setting. The times of solo practi- tioners are over. Targeted minimally invasive surgery has lots to offer for most spinal pathologies. This requires, however, accurate diagnosis and effective aftercare, rehab and lifestyle modification in the in- terdisciplinary setting. n Texas Medical Board Suspends Neurosurgeon's License Following Child Sexual Assault Arrest: 5 Key Notes By Mackenzie Garrity T he Texas Medical Board temporarily suspsended Amarillo, Texas-based neurosurgeon Jeffrey Cone's, MD, license Jan. 3, because of his child sexual assault arrest in December 2017, according to Amarillo Globe-News. Here are five key notes: 1. Dr. Cone was arrested on child sexual assault and indecency with a child by sexual contact charges Dec. 21, 2017. The alleged sexual assault incidents, which are being tried, took place in October 2017. 2. The parents of the child who accused the neurosurgeon are suing Dr. Cone for more than $1 million. 3. Several of Dr. Cone's other patients have come forward since the arrest accusing the neurosurgeon of similar abuse. However, statute of limitation laws prohibit them from suing Dr. Cone. 4. The Texas Medical Board noted three patients have come for- ward accusing Dr. Cone of exhibiting sexually inappropriate be- havior throughout examinations. 5. Dr. Cone's office closed Nov. 29, 2017. His medical license is un- der temporary suspension and will remain that way until the Texas Medical Board takes further action. n