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Neurosurgeon is a surgeon who specializes in the treatment of disorders of the brainspine, peripheral nerves and the blood vessels surrounding these areas.  

In addition to basic medical training, neurosurgeons serve a residency of five to seven years, and then either take a senior residency or fellowship in a sub-speciality, such as pediatric neurosurgery.

Neurosurgery is the most competive and well paid medical specialty.  Less than 1% of all physicians in the United States practice in the field and the chance of even a well qualified intern getting chosen for a residency is less than 60%.  

Chase was chosen for a neurosurgery residency, but only completed one year of the program.

The lack of a neurosurgeon at the hospital led to the events in the episode Now What? when the team, while House was busy, had to treat Dr. Richardson.

Neurosurgery at Wikipedia

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