The Continuing Impact of Coronavirus Disease 2019 on Neurosurgical Training at the 1-Year Mark: Results of a Nationwide Survey of Neurosurgery Residents in Turkey

Şahin, Balkan; Hanalıoğlu, Şahin

doi:10.1016/j.wneu.2021.04.137

Cited by 10 publications

(8 citation statements)

References 47 publications

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“…After removing duplicates, 935 articles were left; their titles and abstracts were screened, and 78 relevant articles were identified for full-text review. Overall, this study collated data and information from 49 articles, [ 11 , 12 , 17 , [21] , [22] , [23] , [24] , [25] , [26] , [27] , [28] , [29] , [30] , [31] , [32] , [33] , [34] , [35] , [36] , [37] , [38] , [39] , [40] , [41] , [42] , [43] , [44] , [45] , [46] , [47] , [48] , [49] , [50] , [51] , [52] , [53] , [54] , [55] , [56] , [57] , [58] , [59] , [60] , [61] , [62] , [63] , [64] , [65] ] with 25 of them included in the quantitative synthesis ( Figure 1 ). Twenty-two of these articles were retrospective in nature, two had data collected both retrospectively and prospectively, one was both a retrospective cohort study and a survey.…”

Section: Resultsmentioning

confidence: 99%

“…Majority of the included studies observed a significant decrease in overall caseloads, both surgical and non-surgical, resulting in diminished clinical exposure for residents. [ 12 , [21] , [22] , [23] , [24] , [25] , [26] , [27] , [28] , [30] , [31] , [32] , [33] , 35 , [37] , [38] , [39] , [40] , [41] , [42] , [43] , [44] , [45] , [46] , [47] , [48] , [49] , [50] , [51] , [52] , [53] , [54] , [56] , [57] , [58] , [59] , [60] , [61] , [62] , [63] , [64] , [65] ] Ashry et al found that 56% of the residents had a reduction in their actual role in the surgical steps and the number of residents scrubbing in the same procedure had been decreased to the minimum for preservation of personal protective equipment (PPE). [21] A survey completed by El-Ghandour and colleagues revealed that elective surgery/clinic cancellation occurred more frequently in African countries and that theyr were utilizing PPE significantly less commonly in LMICs (OR=0.441, 95% CI 0.216-0.900, p <0.05).…”

Section: Resultsmentioning

confidence: 99%

“…[ 12 , 57 ] It is worth noting that surveys conducted in HICs reported a higher percentage of technological shift in comparison to LMICs (87.5% vs. 61.5%, respectively). [ 17 , 26 , 53 ] Furthermore, the decrease in case volumes and working hours at the neurosurgical department allowed more time for preparation of board examination and research activities. [ 17 , 22 , 33 , 59 ] In Italy, for instance, 71.9% of responders affirmed increased time spent for studying and 55.7% reported an increase in research productivity.…”

Section: Resultsmentioning

confidence: 99%

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A look at the global impact of COVID-19 pandemic on neurosurgical services and residency training

et al. 2023

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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A look at the global impact of COVID-19 pandemic on neurosurgical services and residency training

et al. 2023

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“…The COVID-19 pandemic further accelerated this trend. In fact, distant (i.e., remote) learning has become the mainstay of education during the pandemic ( 34 ). As a result, we believe now is the most opportune time to supplement neurosurgical training worldwide with 3D virtual reality.…”

Section: Discussionmentioning

confidence: 99%

Development and Validation of a Novel Methodological Pipeline to Integrate Neuroimaging and Photogrammetry for Immersive 3D Cadaveric Neurosurgical Simulation

et al. 2022

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BackgroundVisualizing and comprehending 3-dimensional (3D) neuroanatomy is challenging. Cadaver dissection is limited by low availability, high cost, and the need for specialized facilities. New technologies, including 3D rendering of neuroimaging, 3D pictures, and 3D videos, are filling this gap and facilitating learning, but they also have limitations. This proof-of-concept study explored the feasibility of combining the spatial accuracy of 3D reconstructed neuroimaging data with realistic texture and fine anatomical details from 3D photogrammetry to create high-fidelity cadaveric neurosurgical simulations.MethodsFour fixed and injected cadaver heads underwent neuroimaging. To create 3D virtual models, surfaces were rendered using magnetic resonance imaging (MRI) and computed tomography (CT) scans, and segmented anatomical structures were created. A stepwise pterional craniotomy procedure was performed with synchronous neuronavigation and photogrammetry data collection. All points acquired in 3D navigational space were imported and registered in a 3D virtual model space. A novel machine learning-assisted monocular-depth estimation tool was used to create 3D reconstructions of 2-dimensional (2D) photographs. Depth maps were converted into 3D mesh geometry, which was merged with the 3D virtual model’s brain surface anatomy to test its accuracy. Quantitative measurements were used to validate the spatial accuracy of 3D reconstructions of different techniques.ResultsSuccessful multilayered 3D virtual models were created using volumetric neuroimaging data. The monocular-depth estimation technique created qualitatively accurate 3D representations of photographs. When 2 models were merged, 63% of surface maps were perfectly matched (mean [SD] deviation 0.7 ± 1.9 mm; range −7 to 7 mm). Maximal distortions were observed at the epicenter and toward the edges of the imaged surfaces. Virtual 3D models provided accurate virtual measurements (margin of error <1.5 mm) as validated by cross-measurements performed in a real-world setting.ConclusionThe novel technique of co-registering neuroimaging and photogrammetry-based 3D models can (1) substantially supplement anatomical knowledge by adding detail and texture to 3D virtual models, (2) meaningfully improve the spatial accuracy of 3D photogrammetry, (3) allow for accurate quantitative measurements without the need for actual dissection, (4) digitalize the complete surface anatomy of a cadaver, and (5) be used in realistic surgical simulations to improve neurosurgical education.

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“…More than half of the respondents (58.3%) indicated that the online sessions were at least as valuable as in-person educational experiences. 2 Similarly, in Italy, the reduction in time spent in surgical practice was translated into increased educational and scientific activities. With the increasing availability of seminars and webinars, most trainees (64.4%) noted an increase in theoretical educational activity.…”

Section: Shift To Virtual Teachingmentioning

confidence: 99%

Virtual learning in Neurosurgery During the COVID-19 Pandemic, A Systematic Literature Review.

Hussein

Bauer

Cavagnaro

et al. 2022

Pan Arab Journal of Neurosurgery

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BACKGROUND:The coronavirus disease 2019 (COVID-19) pandemic is considered one of our time's most significant global health crises, and its sequel is expected to be long-lasting. The shutdown of institutions, social distancing requirements, and decreased elective surgical exposure have disturbed neurosurgical training and education worldwide. REVIEW:This review examines initiatives adopted to provide continued medical education for surgeons, trainees, and medical students during the pandemic. A systematic review was conducted using the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) protocol; quiring PubMed, Cochrane COVID-19 Study Register, Scopus, and Google Scholar for ("COVID-19" AND "Education" AND "Neurosurgery"). Out of 598 studies, 21 articles met the inclusion criteria. Studies showed that many institutions and societies worldwide adopted virtual learning for continuing medical education during the pandemic.CONCLUSION: Data showed that online educational methods added educational value that can be considered an adjunct or replacement for traditional learning methods. It proved effective and carried a high satisfaction and engagement rate between surgeons, trainees, and medical students in neurosurgery.

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The Continuing Impact of Coronavirus Disease 2019 on Neurosurgical Training at the 1-Year Mark: Results of a Nationwide Survey of Neurosurgery Residents in Turkey

Cited by 10 publications

References 47 publications

A look at the global impact of COVID-19 pandemic on neurosurgical services and residency training

A look at the global impact of COVID-19 pandemic on neurosurgical services and residency training

Development and Validation of a Novel Methodological Pipeline to Integrate Neuroimaging and Photogrammetry for Immersive 3D Cadaveric Neurosurgical Simulation

Virtual learning in Neurosurgery During the COVID-19 Pandemic, A Systematic Literature Review.

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