Letter to the Editor. Creating the conditions for gender equality to end sexual harassment in neurosurgery

Abstract

We thank Dr. Herrera-Martinez and colleagues for their thoughtful Letter to the Editor following the publication of our article. Their letter further highlights critical aspects of the problem of sexual harassment in neurosurgery as well as the negative impact on individuals and the healthcare system. We are in full agreement with this statement: "Because harassment is a problem that is rarely discussed, we should encourage the medical community to foster education among students, trainees, and surgeons about each phase of harassment to be able to identify it and to have clear protocols when harassment occurs." The published data will certainly help to make all aware of the extent of this issue. Already, new policies have been written to address the issue, and organized neurosurgery has clearly shown they will face the problem and find effective solutions.

A step-by-step guide to creating an academic surgery interest group: Review article

“…It will be necessary to create an educational environment in which teacher and student coordinators maintain permanent contact, to ensure the continuous development of the research attitude [ 30 , 31 ]. Accompaniment will be crucial to make improvements, correct mistakes, support new ideas and clarify doubts.…”

Acute phase of traumatic brain injury

“…The investment in robotic neurosurgery and the deepening of neurosurgical education during undergraduate, are objectives to be reinforced in low-and middleincome countries, in order to promote in-hospital care of patients with neurosurgical pathology and, in particular, patients with neurotrauma [39][40][41]. Translational research in neurosurgery, through the search for biomarkers and gene expression (currently known as neurogenomics and neuroimaging genomics), can substantially improve the diagnosis, management and prognosis of this type of patients, by improving the diagnostic accuracy and management of intervention times [41][42][43]. It is necessary to continue working from the global neurosurgery, to the approach of strategies that help the technological and academic development of neurosurgery in third world countries [37].…”

Tumefactive multiple sclerosis

“…In low-and middle-income countries, where there are limitations with respect to the availability of high-cost technology and access to specialized health services, it is necessary to design strategies to facilitate the early diagnosis and management of these patients (26)(27)(28). The theoretical training of primary care physicians and medical students is a low-cost strategy that allows those who, due to policies and agreements, must go to provide health care in marginalized areas, to suspect this condition and refer the patient to high complexity hospitals (29,30). The implementation of robotic neurosurgery and translational research are other aspects that would improve patient prognosis (31).…”