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Objective: To assess the frequency of physician business card utilization among neurosurgery residents and its impact on patient satisfaction, reflected in scores on the CI-CARE patient survey. The authors hypothesize that neurosurgeons hand out business cards less frequently and that this may have potential implications for patient satisfaction. Methods: A retrospective review of patient survey results was performed. Residents were divided into two groups: 1) business card use and 2) no business card use. Scores on survey questions, which pertained to overall communication, medical expertise, and quality of care delivered were compared between groups using a Mann-Whitney U test. Results: A total of 4222 surveys of 367 residents across 9 departments were collected. PGY-1 and -2 residents were most frequently evaluated (n = 1647, 39% and n = 1416, 33.5%, respectively) and handed out the most business cards (n = 398, 25.4% and n = 302, 22%, respectively). PGY-1 and -2 residents who handed out business cards were perceived by patients to be better overall communicators and have greater medical expertise (P < 0.01). Neurosurgery residents rarely handed out business cards (n = 23, 11.9%). Neurosurgery residents who handed out business cards were perceived to have better overall communication skills compared to residents who did not hand out business cards (P = 0.036). Conclusions: Our data suggests that neurosurgery residents are less inclined to hand out business cards, but those who did were viewed as having better communication skills.