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The World Federation of Neurosurgical Societies Young Neurosurgeons Survey (Part II): Barriers to Professional Development and Service Delivery in Neurosurgery
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 tr...
Autores principales: | , , , , , , , , , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7573643/ https://www.ncbi.nlm.nih.gov/pubmed/33103110 http://dx.doi.org/10.1016/j.wnsx.2020.100084 |
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author | Robertson, Faith C. Gnanakumar, Sujit Karekezi, Claire Vaughan, Kerry Garcia, Roxanna M. Abou El Ela Bourquin, Bilal Derkaoui Hassani, Fahd Alamri, Alexander Mentri, Nesrine Höhne, Julius Laeke, Tsegazeab Al-Jehani, Hosam Moscote-Salazar, Luis Rafael Al-Ahmari, Ahmed Nasser Samprón, Nicolás Stienen, Martin N. Nicolosi, Federico Fontoura Solla, Davi J. Adelson, P. David Servadei, Franco Al-Habib, Amro Esene, Ignatius Kolias, Angelos G. |
author_facet | Robertson, Faith C. Gnanakumar, Sujit Karekezi, Claire Vaughan, Kerry Garcia, Roxanna M. Abou El Ela Bourquin, Bilal Derkaoui Hassani, Fahd Alamri, Alexander Mentri, Nesrine Höhne, Julius Laeke, Tsegazeab Al-Jehani, Hosam Moscote-Salazar, Luis Rafael Al-Ahmari, Ahmed Nasser Samprón, Nicolás Stienen, Martin N. Nicolosi, Federico Fontoura Solla, Davi J. Adelson, P. David Servadei, Franco Al-Habib, Amro Esene, Ignatius Kolias, Angelos G. |
author_sort | Robertson, Faith C. |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-7573643 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-75736432020-10-23 The World Federation of Neurosurgical Societies Young Neurosurgeons Survey (Part II): Barriers to Professional Development and Service Delivery in Neurosurgery Robertson, Faith C. Gnanakumar, Sujit Karekezi, Claire Vaughan, Kerry Garcia, Roxanna M. Abou El Ela Bourquin, Bilal Derkaoui Hassani, Fahd Alamri, Alexander Mentri, Nesrine Höhne, Julius Laeke, Tsegazeab Al-Jehani, Hosam Moscote-Salazar, Luis Rafael Al-Ahmari, Ahmed Nasser Samprón, Nicolás Stienen, Martin N. Nicolosi, Federico Fontoura Solla, Davi J. Adelson, P. David Servadei, Franco Al-Habib, Amro Esene, Ignatius Kolias, Angelos G. World Neurosurg X Original Article 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. Elsevier 2020-05-11 /pmc/articles/PMC7573643/ /pubmed/33103110 http://dx.doi.org/10.1016/j.wnsx.2020.100084 Text en © 2020 The Author(s) http://creativecommons.org/licenses/by/4.0/ This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Original Article Robertson, Faith C. Gnanakumar, Sujit Karekezi, Claire Vaughan, Kerry Garcia, Roxanna M. Abou El Ela Bourquin, Bilal Derkaoui Hassani, Fahd Alamri, Alexander Mentri, Nesrine Höhne, Julius Laeke, Tsegazeab Al-Jehani, Hosam Moscote-Salazar, Luis Rafael Al-Ahmari, Ahmed Nasser Samprón, Nicolás Stienen, Martin N. Nicolosi, Federico Fontoura Solla, Davi J. Adelson, P. David Servadei, Franco Al-Habib, Amro Esene, Ignatius Kolias, Angelos G. The World Federation of Neurosurgical Societies Young Neurosurgeons Survey (Part II): Barriers to Professional Development and Service Delivery in Neurosurgery |
title | The World Federation of Neurosurgical Societies Young Neurosurgeons Survey (Part II): Barriers to Professional Development and Service Delivery in Neurosurgery |
title_full | The World Federation of Neurosurgical Societies Young Neurosurgeons Survey (Part II): Barriers to Professional Development and Service Delivery in Neurosurgery |
title_fullStr | The World Federation of Neurosurgical Societies Young Neurosurgeons Survey (Part II): Barriers to Professional Development and Service Delivery in Neurosurgery |
title_full_unstemmed | The World Federation of Neurosurgical Societies Young Neurosurgeons Survey (Part II): Barriers to Professional Development and Service Delivery in Neurosurgery |
title_short | The World Federation of Neurosurgical Societies Young Neurosurgeons Survey (Part II): Barriers to Professional Development and Service Delivery in Neurosurgery |
title_sort | world federation of neurosurgical societies young neurosurgeons survey (part ii): barriers to professional development and service delivery in neurosurgery |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7573643/ https://www.ncbi.nlm.nih.gov/pubmed/33103110 http://dx.doi.org/10.1016/j.wnsx.2020.100084 |
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