In documentaries, if the journalists behind them are worth their salt, they typically mean, “top neurosurgeon” as in, “this person is recognized in this community as a reliable and trustworthy doctor because their patients have consistently good outcomes.”
But you may see in magazines those silly “Top Doctors” or “Best Doctors” lists. Be aware those are a total scam. The docs on those lists [literally pay to be on them, and they are not required to offer any real proof that they actually produce good patient outcomes](https://www.propublica.org/article/top-doctors-award-journalist).
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