Journal article
The World Federation of Neurosurgical Societies Young Neurosurgeons Survey (Part II): Barriers to Professional Development and Service Delivery in Neurosurgery.
- Robertson FC Department of Neurosurgery, Massachusetts General Hospital, Boston, Massachusetts, USA.
- Gnanakumar S School of Clinical Medicine, University of Cambridge, Cambridge, United Kingdom.
- Karekezi C Department of Neurosurgery, Rwanda Military Hospital, Kigali, Rwanda.
- Vaughan K Department of Neurosurgery, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
- Garcia RM Department of Neurosurgery, Northwestern University, Chicago, Illinois, USA.
- Abou El Ela Bourquin B School of Clinical Medicine, University of Cambridge, Cambridge, United Kingdom.
- Derkaoui Hassani F Department of Neurosurgery, Cheikh Zaid International Hospital, Abulcasis International University of Health Sciences, Rabat, Morocco.
- Alamri A Department of Neurosurgery, The Royal London Hospital, London, United Kingdom.
- Mentri N Department of Neurosurgery, Bejaia University Hospital, Bejaia, Algeria.
- Höhne J Department of Neurosurgery, University Medical Center Regensburg, Regensburg, Germany.
- Laeke T National Institute for Health Research Global Health Research Group on Neurotrauma, University of Cambridge, Cambridge, United Kingdom.
- Al-Jehani H Department of Neurosurgery, King Fahad Hospital of the University, Imam Abdulrahman bin Faisal University, Al-Khobar, Saudi Arabia.
- Moscote-Salazar LR Department of Neurosurgery, University of Cartagena, Cartagena de Indias, Colombia.
- Al-Ahmari AN Division of Neurosurgery, Department of Neurosciences, King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia.
- Samprón N Servicio de Neurocirugía, Hospital Universitario Donostia, San Sebastián, Spain.
- Stienen MN Department of Neurosurgery, University Hospital Zurich & Clinical Neuroscience Center, University of Zurich, Switzerland.
- Nicolosi F Department of Neurosurgery, Humanitas University and Research Hospital, Rozzano, Milan, Italy.
- Fontoura Solla DJ Department of Neurosurgery, University of São Paulo, São Paulo, Brazil.
- Adelson PD Barrow Neurological Institute at Phoenix Children's Hospital, Phoenix, Arizona, USA.
- Servadei F Department of Neurosurgery, Humanitas University and Research Hospital, Rozzano, Milan, Italy.
- Al-Habib A Division of Neurosurgery, Department of Surgery, King Saud University, Riyadh, Saudi Arabia.
- Esene I Neurosurgery Division, Department of Surgery, University of Bamenda, Bamenda, Cameroon.
- Kolias AG National Institute for Health Research Global Health Research Group on Neurotrauma, University of Cambridge, Cambridge, United Kingdom.
- 2020-10-26
Published in:
- World neurosurgery: X. - 2020
3D, Three-dimensional
Barriers
CT, Computed tomography
Capacity
Global health
Global neurosurgery
HICs, High-income countries
LICs, Low-income countries
LMICs, Low-middle-income countries
MRI, Magnetic resonance imaging
Neurosurgery
QALYs, Quality-adjusted life years
Service delivery
Training
UMICs, Upper-middle-income countries
WFNS, World Federation of Neurosurgical Societies
English
Background
Strengthening health systems requires attention to workforce, training needs, and barriers to service delivery. The World Federation of Neurosurgical Societies Young Neurosurgeons Committee survey sought to identify challenges for residents, fellows, and consultants within 10 years of training.
Methods
An online survey was distributed to various neurosurgical societies, personal contacts, and social media platforms (April-November 2018). Responses were grouped by World Bank income classification into high-income countries (HICs), upper middle-income countries (UMICs), low-middle-income countries (LMICs), and low-income countries (LICs). Descriptive statistical analysis was performed.
Results
In total, 953 individuals completed the survey. For service delivery, the limited number of trained neurosurgeons was seen as a barrier for 12.5%, 29.8%, 69.2%, and 23.9% of respondents from HICs, UMICs, LMICs, and LICs, respectively (P < 0.0001). The most reported personal challenge was the lack of opportunities for research (HICs, 34.6%; UMICs, 57.5%; LMICs, 61.6%; and LICs, 61.5%; P = 0.03). Other differences by income class included limited access to advice from experienced/senior colleagues (P < 0.001), neurosurgical journals (P < 0.0001), and textbooks (P = 0.02). Assessing how the World Federation of Neurosurgical Societies could best help young neurosurgeons, the most frequent requests (n = 953; 1673 requests) were research (n = 384), education (n = 296), and subspecialty/fellowship training (n = 232). Skills courses and access to cadaver dissection laboratories were also heavily requested.
Conclusions
Young neurosurgeons perceived that additional neurosurgeons are needed globally, especially in LICs and LMICs, and primarily requested additional resources for research and subspecialty training.
Strengthening health systems requires attention to workforce, training needs, and barriers to service delivery. The World Federation of Neurosurgical Societies Young Neurosurgeons Committee survey sought to identify challenges for residents, fellows, and consultants within 10 years of training.
Methods
An online survey was distributed to various neurosurgical societies, personal contacts, and social media platforms (April-November 2018). Responses were grouped by World Bank income classification into high-income countries (HICs), upper middle-income countries (UMICs), low-middle-income countries (LMICs), and low-income countries (LICs). Descriptive statistical analysis was performed.
Results
In total, 953 individuals completed the survey. For service delivery, the limited number of trained neurosurgeons was seen as a barrier for 12.5%, 29.8%, 69.2%, and 23.9% of respondents from HICs, UMICs, LMICs, and LICs, respectively (P < 0.0001). The most reported personal challenge was the lack of opportunities for research (HICs, 34.6%; UMICs, 57.5%; LMICs, 61.6%; and LICs, 61.5%; P = 0.03). Other differences by income class included limited access to advice from experienced/senior colleagues (P < 0.001), neurosurgical journals (P < 0.0001), and textbooks (P = 0.02). Assessing how the World Federation of Neurosurgical Societies could best help young neurosurgeons, the most frequent requests (n = 953; 1673 requests) were research (n = 384), education (n = 296), and subspecialty/fellowship training (n = 232). Skills courses and access to cadaver dissection laboratories were also heavily requested.
Conclusions
Young neurosurgeons perceived that additional neurosurgeons are needed globally, especially in LICs and LMICs, and primarily requested additional resources for research and subspecialty training.
- Language
-
- English
- Open access status
- gold
- Identifiers
-
- DOI 10.1016/j.wnsx.2020.100084
- PMID 33103110
- Persistent URL
- https://sonar.ch/global/documents/168696
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