Neurosurgery.
Northgate represents neurosurgeons across spine, functional, cerebrovascular and endovascular, tumor and oncologic, pediatric, and peripheral nerve.
Your career in neurosurgery.
Neurosurgery has a smaller senior physician pool than any other specialty we work in. Call burden, OR block discipline, and ICU footprint are the day-in, day-out variables that decide whether a practice is sustainable in the second half of a career. A senior cerebrovascular surgeon evaluating an endovascular-only practice model is in a different conversation than a complex spine surgeon evaluating a robotics-heavy platform. We treat the sub-discipline and the call structure as the unit of the conversation.
The work within neurosurgery.
We are deliberate about the sub-discipline and the call structure behind it. The market for a complex spine surgeon is not the market for a functional neurosurgeon coming out of a movement-disorders fellowship. The sub-disciplines below guide our approach to neurosurgery representation.
- Spine Neurosurgery
- Cervical, thoracolumbar, deformity, and minimally invasive. The largest neurosurgery sub-discipline by volume; robotics platform, navigation, and approach training drive the conversation.
- Functional Neurosurgery
- Movement disorders, epilepsy, and pain. Almost exclusively academic and quaternary; the universe of fellowship-trained functional neurosurgeons is small.
- Cerebrovascular & Endovascular
- Open cerebrovascular and neuroendovascular. Dual training is increasingly the standard for senior moves; stroke-center accreditation and call structure decide most conversations.
- Tumor & Oncologic
- Skull base, pituitary, glioma, and metastatic disease. Tumor board leadership and clinical trial participation are often the negotiated terms.
- Pediatric Neurosurgery
- Almost exclusively children’s hospital and academic. One of the smallest senior pools in medicine; the negotiation tends to be about protected academic time more than headline base.
- Peripheral Nerve
- Brachial plexus, complex peripheral nerve reconstruction, and pain. A niche sub-discipline often sitting between neurosurgery, ortho, and plastics.
The neurosurgeon we represent.
We are most useful to neurosurgeons who are seven to twenty years into practice, board-certified, fellowship-trained in their primary sub-discipline, and at a real inflection point. A complex spine practice that has reached the limit of the local OR allocation. A cerebrovascular practice deciding whether to consolidate at a comprehensive stroke center. A program-leadership role opening at a place you have followed for a decade. A call burden that has stopped working for the household.
The conversation tends to work less well for trainees, for general neurosurgeons exploring without a sub-discipline anchor, and for engagements where the institution will not discuss OR block, ICU coverage, and call structure before the interview.
- Tenure
- Seven to twenty years post-fellowship, with at least four years at the current institution. Earlier-career neurosurgeons better served by their fellowship network.
- Sub-discipline depth
- A clear primary sub-discipline with case volume to match. Senior moves are rarely successful for true generalists.
- Call posture
- Whether your current call burden is sustainable, what the next move requires, and what the household needs. This is the single largest predictor of fit.
- OR block & ICU coverage
- The hospital’s commitment to neurosciences in scheduling, anesthesia, and critical care. We ask before we open an engagement.
- Reason for the conversation
- A specific reason this season, not general curiosity. The reason itself usually shapes the right next role.
The rooms we work in.
The settings we consider for neurosurgery career opportunities.
- Academic Medical Centers
- Quaternary Neurosciences Programs
- Comprehensive Stroke Centers
- Children’s Hospitals
- Integrated Delivery Networks
- Specialty Spine Hospitals
- Neurosurgery Private Groups
- Faculty Practice Plans
