Cargando…

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...

Descripción completa

Detalles Bibliográficos
Autores principales: 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.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2020
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
_version_ 1783597486330347520
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
work_keys_str_mv AT robertsonfaithc theworldfederationofneurosurgicalsocietiesyoungneurosurgeonssurveypartiibarrierstoprofessionaldevelopmentandservicedeliveryinneurosurgery
AT gnanakumarsujit theworldfederationofneurosurgicalsocietiesyoungneurosurgeonssurveypartiibarrierstoprofessionaldevelopmentandservicedeliveryinneurosurgery
AT karekeziclaire theworldfederationofneurosurgicalsocietiesyoungneurosurgeonssurveypartiibarrierstoprofessionaldevelopmentandservicedeliveryinneurosurgery
AT vaughankerry theworldfederationofneurosurgicalsocietiesyoungneurosurgeonssurveypartiibarrierstoprofessionaldevelopmentandservicedeliveryinneurosurgery
AT garciaroxannam theworldfederationofneurosurgicalsocietiesyoungneurosurgeonssurveypartiibarrierstoprofessionaldevelopmentandservicedeliveryinneurosurgery
AT abouelelabourquinbilal theworldfederationofneurosurgicalsocietiesyoungneurosurgeonssurveypartiibarrierstoprofessionaldevelopmentandservicedeliveryinneurosurgery
AT derkaouihassanifahd theworldfederationofneurosurgicalsocietiesyoungneurosurgeonssurveypartiibarrierstoprofessionaldevelopmentandservicedeliveryinneurosurgery
AT alamrialexander theworldfederationofneurosurgicalsocietiesyoungneurosurgeonssurveypartiibarrierstoprofessionaldevelopmentandservicedeliveryinneurosurgery
AT mentrinesrine theworldfederationofneurosurgicalsocietiesyoungneurosurgeonssurveypartiibarrierstoprofessionaldevelopmentandservicedeliveryinneurosurgery
AT hohnejulius theworldfederationofneurosurgicalsocietiesyoungneurosurgeonssurveypartiibarrierstoprofessionaldevelopmentandservicedeliveryinneurosurgery
AT laeketsegazeab theworldfederationofneurosurgicalsocietiesyoungneurosurgeonssurveypartiibarrierstoprofessionaldevelopmentandservicedeliveryinneurosurgery
AT aljehanihosam theworldfederationofneurosurgicalsocietiesyoungneurosurgeonssurveypartiibarrierstoprofessionaldevelopmentandservicedeliveryinneurosurgery
AT moscotesalazarluisrafael theworldfederationofneurosurgicalsocietiesyoungneurosurgeonssurveypartiibarrierstoprofessionaldevelopmentandservicedeliveryinneurosurgery
AT alahmariahmednasser theworldfederationofneurosurgicalsocietiesyoungneurosurgeonssurveypartiibarrierstoprofessionaldevelopmentandservicedeliveryinneurosurgery
AT sampronnicolas theworldfederationofneurosurgicalsocietiesyoungneurosurgeonssurveypartiibarrierstoprofessionaldevelopmentandservicedeliveryinneurosurgery
AT stienenmartinn theworldfederationofneurosurgicalsocietiesyoungneurosurgeonssurveypartiibarrierstoprofessionaldevelopmentandservicedeliveryinneurosurgery
AT nicolosifederico theworldfederationofneurosurgicalsocietiesyoungneurosurgeonssurveypartiibarrierstoprofessionaldevelopmentandservicedeliveryinneurosurgery
AT fontourasolladavij theworldfederationofneurosurgicalsocietiesyoungneurosurgeonssurveypartiibarrierstoprofessionaldevelopmentandservicedeliveryinneurosurgery
AT adelsonpdavid theworldfederationofneurosurgicalsocietiesyoungneurosurgeonssurveypartiibarrierstoprofessionaldevelopmentandservicedeliveryinneurosurgery
AT servadeifranco theworldfederationofneurosurgicalsocietiesyoungneurosurgeonssurveypartiibarrierstoprofessionaldevelopmentandservicedeliveryinneurosurgery
AT alhabibamro theworldfederationofneurosurgicalsocietiesyoungneurosurgeonssurveypartiibarrierstoprofessionaldevelopmentandservicedeliveryinneurosurgery
AT eseneignatius theworldfederationofneurosurgicalsocietiesyoungneurosurgeonssurveypartiibarrierstoprofessionaldevelopmentandservicedeliveryinneurosurgery
AT koliasangelosg theworldfederationofneurosurgicalsocietiesyoungneurosurgeonssurveypartiibarrierstoprofessionaldevelopmentandservicedeliveryinneurosurgery
AT theworldfederationofneurosurgicalsocietiesyoungneurosurgeonssurveypartiibarrierstoprofessionaldevelopmentandservicedeliveryinneurosurgery
AT robertsonfaithc worldfederationofneurosurgicalsocietiesyoungneurosurgeonssurveypartiibarrierstoprofessionaldevelopmentandservicedeliveryinneurosurgery
AT gnanakumarsujit worldfederationofneurosurgicalsocietiesyoungneurosurgeonssurveypartiibarrierstoprofessionaldevelopmentandservicedeliveryinneurosurgery
AT karekeziclaire worldfederationofneurosurgicalsocietiesyoungneurosurgeonssurveypartiibarrierstoprofessionaldevelopmentandservicedeliveryinneurosurgery
AT vaughankerry worldfederationofneurosurgicalsocietiesyoungneurosurgeonssurveypartiibarrierstoprofessionaldevelopmentandservicedeliveryinneurosurgery
AT garciaroxannam worldfederationofneurosurgicalsocietiesyoungneurosurgeonssurveypartiibarrierstoprofessionaldevelopmentandservicedeliveryinneurosurgery
AT abouelelabourquinbilal worldfederationofneurosurgicalsocietiesyoungneurosurgeonssurveypartiibarrierstoprofessionaldevelopmentandservicedeliveryinneurosurgery
AT derkaouihassanifahd worldfederationofneurosurgicalsocietiesyoungneurosurgeonssurveypartiibarrierstoprofessionaldevelopmentandservicedeliveryinneurosurgery
AT alamrialexander worldfederationofneurosurgicalsocietiesyoungneurosurgeonssurveypartiibarrierstoprofessionaldevelopmentandservicedeliveryinneurosurgery
AT mentrinesrine worldfederationofneurosurgicalsocietiesyoungneurosurgeonssurveypartiibarrierstoprofessionaldevelopmentandservicedeliveryinneurosurgery
AT hohnejulius worldfederationofneurosurgicalsocietiesyoungneurosurgeonssurveypartiibarrierstoprofessionaldevelopmentandservicedeliveryinneurosurgery
AT laeketsegazeab worldfederationofneurosurgicalsocietiesyoungneurosurgeonssurveypartiibarrierstoprofessionaldevelopmentandservicedeliveryinneurosurgery
AT aljehanihosam worldfederationofneurosurgicalsocietiesyoungneurosurgeonssurveypartiibarrierstoprofessionaldevelopmentandservicedeliveryinneurosurgery
AT moscotesalazarluisrafael worldfederationofneurosurgicalsocietiesyoungneurosurgeonssurveypartiibarrierstoprofessionaldevelopmentandservicedeliveryinneurosurgery
AT alahmariahmednasser worldfederationofneurosurgicalsocietiesyoungneurosurgeonssurveypartiibarrierstoprofessionaldevelopmentandservicedeliveryinneurosurgery
AT sampronnicolas worldfederationofneurosurgicalsocietiesyoungneurosurgeonssurveypartiibarrierstoprofessionaldevelopmentandservicedeliveryinneurosurgery
AT stienenmartinn worldfederationofneurosurgicalsocietiesyoungneurosurgeonssurveypartiibarrierstoprofessionaldevelopmentandservicedeliveryinneurosurgery
AT nicolosifederico worldfederationofneurosurgicalsocietiesyoungneurosurgeonssurveypartiibarrierstoprofessionaldevelopmentandservicedeliveryinneurosurgery
AT fontourasolladavij worldfederationofneurosurgicalsocietiesyoungneurosurgeonssurveypartiibarrierstoprofessionaldevelopmentandservicedeliveryinneurosurgery
AT adelsonpdavid worldfederationofneurosurgicalsocietiesyoungneurosurgeonssurveypartiibarrierstoprofessionaldevelopmentandservicedeliveryinneurosurgery
AT servadeifranco worldfederationofneurosurgicalsocietiesyoungneurosurgeonssurveypartiibarrierstoprofessionaldevelopmentandservicedeliveryinneurosurgery
AT alhabibamro worldfederationofneurosurgicalsocietiesyoungneurosurgeonssurveypartiibarrierstoprofessionaldevelopmentandservicedeliveryinneurosurgery
AT eseneignatius worldfederationofneurosurgicalsocietiesyoungneurosurgeonssurveypartiibarrierstoprofessionaldevelopmentandservicedeliveryinneurosurgery
AT koliasangelosg worldfederationofneurosurgicalsocietiesyoungneurosurgeonssurveypartiibarrierstoprofessionaldevelopmentandservicedeliveryinneurosurgery
AT worldfederationofneurosurgicalsocietiesyoungneurosurgeonssurveypartiibarrierstoprofessionaldevelopmentandservicedeliveryinneurosurgery