Social Media Presence Across US Neurosurgical Residency Programs and Subspecialties

-OBJECTIVE: U.S. neurosurgery programs are increasingly using social media accounts. We performed a search and analysis of social media accounts across all U.S. neuro-surgical training programs with an attempt at understand-ing the relative utilization by various subspecialties.-METHODS: We compiled a list of all Accreditation Council for Graduate Medical EducationLaccredited U.S. neurosurgery programs and the faculty. Each faculty member was classified on the basis of their subspecialty. Next, the Twitter, Facebook, and Instagram profiles were extensively searched for the number of followers and posts.-RESULTS: We analyzed 110 programs with 1829 clinical faculty. Programs with a larger number of faculty (P = 0.035; c2 = 13.528) and residents (P = 0.003; c2 = 11.865) were more likely to have a social media account. Likewise, faculty and resident numbers had a positive correlation to Twitter (P = 0.037 for faculty size; P = 0.008 for residents' size) and Instagram followers (P = 0.003 for faculty size; P < 0.001 for residents' size). We additionally found a sig- -ificant association between subspecialty type and the presence of a Twitter and Instagram account (P = 0.001; P = 0.028) and the number of followers (P = 0.004; P = 0.013), especially the vascular and oncology subspecialties.-CONCLUSIONS: Many U.S. neurosurgical programs have social media accounts with larger programs likely to have social media accounts. While there is a larger percentage of spine faculty within individual departments, vascular and oncology subspecialties are more likely to have a Twitter account. We suggest the need for increased engagement among spine faculty across social media platforms.