Operative Landscape at Canadian Neurosurgery Residency Programs

Tso, Michael K; Dakson, Ayoub; Ahmed, Syed Uzair; Bigder, Mark; Elliott, Cameron; Guha, Daipayan; Iorio-Morin, Christian; Kameda-Smith, Michelle; Lavergne, Pascal; Makarenko, Serge; Taccone, Michael S.; Wang, Bill; Winkler-Schwartz, Alexander; Sankar, Tejas; Christie, Sean

doi:10.1017/cjn.2017.30

Cited by 9 publications

(3 citation statements)

References 22 publications

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“…Overall, the binational, multiinstitutional training scheme has been very successful in improving the diversity, strength, and breadth of training for Australasian neurosurgeons. This success is evidenced by the caseload and casemix shown in Table 5, and the scheme is comparable or superior to programs in Canada, 16 the United Kingdom, 10 and Europe, 13 many of which do not have similar constraints related to vast distances and a small, separated population. However, with the widely agreed upon benefits come challenges, as exemplified by the current trainee experience outlined in Results.…”

Section: Discussionmentioning

confidence: 99%

Challenges in the Australasian neurosurgery training program: who should be trained and where should they train?

Drummond

Hunn

McAlpine

et al. 2020

Neurosurgical Focus

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OBJECTIVENeurosurgical training poses particular challenges in Australia and New Zealand, given the large landmass, small population, and widely separated, often small, neurosurgical units. Such factors have necessitated a move away from autonomous, single-institution–based training to the selection of trainees by a centralized binational process. The success of this system is based on rigorous standardized evaluation of candidates’ academic achievements, anatomical knowledge, references, and interview performance. Similarly, the accreditation of hospitals to train successful candidates has been standardized. The authors review the evolution of trainee selection and the accreditation of training posts in Australia and New Zealand.METHODSThe records of the Neurosurgical Society of Australasia Surgical Education and Training Board were reviewed for documents pertaining to the selection of neurosurgical trainees and the accreditation of training posts. Application records and referee scores from 2014 to the present were reviewed to encompass process changes, in particular the change from written referee reports to standardized interviews of referees. Surgical logbook case numbers for 23 trainees completing training in 2016, 2017, and 2018 were collated and presented in an aggregated, de-identified form as a measure of adherence to accreditation standards. Written evaluations of the training experience were also sought from two trainees reflecting on the selection process, the quality of training posts, and training limitations.RESULTSWhile a time-consuming process, the method of obtaining referee reports by interview has resulted in a wider spread of scores, more able to separate high- and low-scoring applicants than other components of the selection process. Review of the training post accreditation records for the last 2 years showed that adherence to standards has resulted in loss of accreditation for one unit and shortened periods of review for units with more minor deficiencies. Two applications for accreditation have been denied. Examination of caseload data showed that trainees more than fulfill minimum requirements in accredited training posts, confirming the robust nature of this aspect of unit accreditation.CONCLUSIONSA key factor determining the success of neurosurgical training in Australia and New Zealand has been a willingness to evolve selection and other processes to overcome challenges as they become apparent. According to available analyses, the revised referee process and strict accreditation standards appear effective. The benefits and challenges of the current training system are discussed in the context of a paucity of international literature.

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Section: Discussionmentioning

confidence: 99%

Challenges in the Australasian neurosurgery training program: who should be trained and where should they train?

Drummond

Hunn

McAlpine

et al. 2020

Neurosurgical Focus

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“…As the first of its kind in the global neurosurgical community, the BNTRC has played a pivotal role in setting an example to trainee neurosurgeons around the world. The collaborative has served as an inspiration and has provided support to a number of other collaboratives, including the Canadian Neurosurgical Research Collaborative (CNRC) [ 24 ], the Dutch Neurosurgical Trainee Research Network (DNTRN) and a new Scandinavian collaborative that is at its inception.…”

Section: Impact: Benefits For All Stakeholdersmentioning

confidence: 99%

The British Neurosurgical Trainee Research Collaborative: Five years on

et al. 2017

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“…1 Apesar do Ministério da Saúde procurar por vezes enquadrar os recursos médicos existentes com as necessidades populacionais, 1 não existem estudos que visem caracterizar o internato médico de Neurocirurgia propriamente dito, a sua qualidade e a satisfação com o mesmo, à semelhança de outros países. [2][3][4][5]…”

Section: Introductionunclassified

O Internato de Formação Especializada em Neurocirurgia: Qual o Atual Panorama Nacional?

Dias¹,

Leite

Reizinho³

et al. 2022

Acta Med Port

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Introduction: In Portugal, the number of neurosurgery residents has been rising steadily. However, there are no robust studies assessing the level of satisfaction and quality of the current training programs. The aim of this study was to describe and quantify the level of satisfaction about Neurosurgery residency in 2019, in Portugal.Material and Methods: Quantitative observational cross-sectional study based on an original questionnaire about the level of satisfaction of neurosurgical training in Portugal in 2019, sent electronically to residents and young consultants between October and December 2019.Results: A total of 37 responses were obtained from physicians aged around 29.0 (± 4.0) years old, of which 78.4% were men and 54.1% from centers in the center/south of the country/islands. Overall, 51.4% of the answers came from first three years’ residents. As for the theoretical training, there was dissatisfaction with the morbidity and mortality meetings (59.5%), existence of sessions/anatomical lab (89.2%), participation in medical education (64.9%) and in research (64.9%). As for practical training, there was dissatisfaction only towards outpatient clinics (56.8%). There is a tendency for the first surgery to occur in the first month of residency and, in ascending order, firstly a cranial trauma surgery (5.09 ± 4.59 months), then for cerebrospinal fluid diseases (5.95 ± 4.3 months), peripheral nerves (6.0 ± 7.0 months), craniotomy (6.59 ± 3.88 months) and lumbar spine diseases (11.41 ± 1.5 months). Pediatric surgery was the last type of surgery to begin (19.36 ± 20.0 months). There seems to be a generalized satisfaction with the annual (59.5%) but not with thefinal examination (37.8%).Conclusion: This study has succeed at being a better description of the Portuguese neurosurgical centers and of the level of satisfaction about neurosurgical training in Portugal.

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Operative Landscape at Canadian Neurosurgery Residency Programs

Cited by 9 publications

References 22 publications

Challenges in the Australasian neurosurgery training program: who should be trained and where should they train?

Challenges in the Australasian neurosurgery training program: who should be trained and where should they train?

The British Neurosurgical Trainee Research Collaborative: Five years on

O Internato de Formação Especializada em Neurocirurgia: Qual o Atual Panorama Nacional?

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