In Reply: Neurological Surgery Residency Programs in the United States: A National Cross-Sectional Survey

To the Editor: We concur with the perspective outlined in Jenkin and Detchou's Letter to the Editor1 regarding our recent analysis of neurological surgery residency training programs2 and agree that the impact of resident wellness on academic productivity remains incompletely defined. Our analysis attempted to quantify the impact of resident wellness programs on academic output, but the frequency of wellness programs alone is a poor indicator of resident well-being. Previous work has sought to define quantifiable factors associated with resident wellness, which may be used in future surveys to examine resident well-being in neurosurgery.3 Although our investigation sought to holistically examine neurological surgery residency training, future work may seek to more specifically assess the impact of resident well-being on academic productivity, job satisfaction, and clinical acumen.