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btw, you are trained when you finish your fellowship. There is nothing I feel uncomfortable doing surgically. I will obviously improve with time and experience. But that is different than saying someone is not fully trained. I've spent 8 years training for neurosurgery after medical school. Of the common neurosurgical procedures I've done hundreds. Overall, I've done close to 3000 neurosurgical operations. I routinely do the entire surgery myself as a chief resident (previous to fellowship) and during fellowship with the attending neurosurgeon either not scrubbed at all, sitting on a chair across the room (who is watching the microscope video of my surgery) or who is scrubbed in assisting me (not me assisting him).
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