Review of global neurosurgery education: Horizon of Neurosurgery in the Developing Countries

Kato, Yōkō; Liew, B S; Sufianov, Albert; Rasulić, Lukas; Arnautović, Kenan I.; Dong, Vanessa; Florian, Ioan Ştefan; Olldashi, Fatos; Makhambetov, Yerbol; Isam, B.; Thu, Myat; Enkhbayar, Ts.; Kumarasinghe, N.; Bajamal, Abdul Hafid; Nair, Suresh; Sharif, Salman; Sharma, Mohan Raj; Landeiro, José Alberto; Yampolsky, Claudio; El-Ghandour, Nasser M F; Hossain, Amjad; Sim, Sang Gyo; Chemate, Sachin; Burhan, Hira; Feng, Li; Andrade, H Hurtado; Germano, Isabelle M.

doi:10.1186/s41016-020-00194-1

Cited by 53 publications

(40 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…A paper published in 2007 reports one neurosurgeon per 5.5 million population in Pakistan,[ 9 ] while in 2019 the ratio improved to 1:1 million with 212 neurosurgeons for 212 million people. [ 10 ] This was nowhere near to that of developed countries (i.e., 1 neurosurgeon per 80,000 people). Although the total number of neurosurgeons has increased but so has the population.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Benchmarking of neurosurgery training in Pakistan

Ali

Sharif

et al. 2021

Asian J Neurosurg

View full text Add to dashboard Cite

Introduction: Neurosurgery is a challenging field of surgery. A neurosurgeon has to be trained with the finest skills, knowledge, and competencies necessary to provide high-quality patient care. Maintaining postgraduate training standards is a challenge in Pakistan due to low budget allocation to the health sector. This study aims to assess the difference in parameters among different institutes in different sectors and provinces offering neurosurgery training in Pakistan. Methods: A nationwide survey was conducted by the Neurosurgery Department at Liaquat National Hospital Karachi, from November 2019 to February 2020. Data were collected through a questionnaire from neurosurgery trainees from all over the country. The questionnaire was divided into the following sections: Sociodemographics and infrastructure of training site, clinical skills training and exposure, knowledge-based education, and workload. The data were kept confidential and institutional names were not inquired or disclosed. Results: The response rate was 85.3% (151/177), with more males (80%) than females. The total number of trainees was higher in government than private institutions ( P < 0.005). The frequency ( P = 0.030) and number of trainees ( P < 0.005) inducted per cycle was more among government institutions. Participation in international conferences was higher among trainees in private sector ( P = 0.006). The frequency of clinics was significantly higher in private institutions ( P < 0.005), though the number of patients seen per clinic was lower than in government sector ( P < 0.005). At a provincial level, there was a significant difference in gender distribution ( P = 0.020), total number of trainees ( P < 0.005), number of residents per induction ( P < 0.005), frequency of mortality and morbidity meetings ( P < 0.005), morning meetings ( P < 0.005), number of calls per week ( P < 0.005), number of workshops attended ( P < 0.005), exposure to radiation ( P = 0.003), frequency of outpatient departments (OPDs) attended per week ( P = 0.002), and number of patients seen per OPD ( P 0.02). Conclusion: This study reported variability in the quality of neurosurgery training programs within public and private sector with even greater differences between the four provinces of Pakistan. We recommend continuous assessments and re-accreditation of these training programs through subject experts and health-care educationists to improve the quality of training programs; hence the quality of service and patient care. ...

show abstract

Section: Discussionmentioning

confidence: 99%

“…[ 13 ] The neurosurgeons to patient ratio in Pakistan is way below par. [ 10 ] This increases the workload on trainees both in public and private sector. On the one hand, 73% of trainees reported two or less calls per week (50–80 h).…”

Section: Discussionmentioning

confidence: 99%

Benchmarking of neurosurgery training in Pakistan

Ali

Sharif

et al. 2021

Asian J Neurosurg

View full text Add to dashboard Cite

show abstract

“…Before COVID-19 pandemic, there has been disparities in the neurosurgical education condition among developed and developing countries, particularly in Asia and Africa in terms of educational facilities and human resources [7]. In addition, distribution inequality of neurosurgeons particularly in low-and middle-income countries (LMICs) hindered patients to receive adequate neurosurgical treatments in those areas [8].…”

Section: Discussionmentioning

confidence: 99%

Impact of COVID-19 to Neurosurgical Education: A Systematic Review

Arifin

Bunyamin²,

Bakhtiar³

et al. 2022

Open Access Maced J Med Sci

View full text Add to dashboard Cite

BACKGROUND: Coronavirus disease (COVID-19) has disrupted many aspects of healthcare and health education including medical education. Given that neurosurgical training requires direct patient contact, the social distancing policy due to COVID has impacted global neurosurgical education. AIM: We are conducting a systematic review to determine the impact of COVID-19 on global neurosurgical education. METHODS: This review adheres to the Preferred Reporting Items for Systematic Reviews and Meta-analyses. The literature search was conducted on three repositories (PubMed, MedRxiv, and bioRxiv) which subsequently screened by two independent reviewers. RESULTS: Thirteen articles were processed for the systematic review. The impact of COVID-19 has been mainly negative to academic activity due to reduced case number and physical contact hours. Residents were also deployed to provide care for COVID-19-related workload. However, several studies reported a positive impact of COVID-19 on residents’ well-being such as increased personal time. Besides current residents, prospective medical students were also affected by COVID-19. CONCLUSION: Neurosurgical program directors should initiate the introduction of a flexible policy to accommodate case reduction to meet the board standard and guard residents’ safety and well-being are required to ensure the sustainability of high-quality neurosurgical education.

show abstract

“…Approximately 23,000 neurosurgeons are required to address global deficiencies in neurosurgery, particularly in low- and middle-income countries [16] . However, training neurosurgeons is competitive, lengthy, expensive and requires highly committed mentors and advanced surgical equipment [18] – [21] . These statistics are concerning and require sustainable and thorough solutions to address global health concerns.…”

Section: Introductionmentioning

confidence: 99%

Neurosurgery and artificial intelligence

Mofatteh

2021

AIMSN

View full text Add to dashboard Cite

<abstract> <p>Neurosurgeons receive extensive and lengthy training to equip themselves with various technical skills, and neurosurgery require a great deal of pre-, intra- and postoperative clinical data collection, decision making, care and recovery. The last decade has seen a significant increase in the importance of artificial intelligence (AI) in neurosurgery. AI can provide a great promise in neurosurgery by complementing neurosurgeons' skills to provide the best possible interventional and noninterventional care for patients by enhancing diagnostic and prognostic outcomes in clinical treatment and help neurosurgeons with decision making during surgical interventions to improve patient outcomes. Furthermore, AI is playing a pivotal role in the production, processing and storage of clinical and experimental data. AI usage in neurosurgery can also reduce the costs associated with surgical care and provide high-quality healthcare to a broader population. Additionally, AI and neurosurgery can build a symbiotic relationship where AI helps to push the boundaries of neurosurgery, and neurosurgery can help AI to develop better and more robust algorithms. This review explores the role of AI in interventional and noninterventional aspects of neurosurgery during pre-, intra- and postoperative care, such as diagnosis, clinical decision making, surgical operation, prognosis, data acquisition, and research within the neurosurgical arena.</p> </abstract>

show abstract

Review of global neurosurgery education: Horizon of Neurosurgery in the Developing Countries

Cited by 53 publications

References 20 publications

Benchmarking of neurosurgery training in Pakistan

Benchmarking of neurosurgery training in Pakistan

Impact of COVID-19 to Neurosurgical Education: A Systematic Review

Neurosurgery and artificial intelligence

Contact Info

Product

Resources

About