TY - JOUR
T1 - The World Federation of Neurosurgical Societies Young Neurosurgeons Survey (Part II)
T2 - Barriers to Professional Development and Service Delivery in Neurosurgery
AU - WFNS Young Neurosurgeons Committee
AU - Robertson, Faith C
AU - Gnanakumar, Sujit
AU - Karekezi, Claire
AU - Vaughan, Kerry
AU - Garcia, Roxanna M
AU - Abou El Ela Bourquin, Bilal
AU - Derkaoui Hassani, Fahd
AU - Alamri, Alexander
AU - Mentri, Nesrine
AU - Höhne, Julius
AU - Laeke, Tsegazeab
AU - Al-Jehani, Hosam
AU - Moscote-Salazar, Luis Rafael
AU - Al-Ahmari, Ahmed Nasser
AU - Samprón, Nicolás
AU - Stienen, Martin N
AU - Nicolosi, Federico
AU - Fontoura Solla, Davi J
AU - Adelson, P David
AU - Servadei, Franco
AU - Al-Habib, Amro
AU - Esene, Ignatius
AU - Kolias, Angelos G
N1 - © 2020 The Author(s).
PY - 2020/10
Y1 - 2020/10
N2 - 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.
AB - 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.
U2 - 10.1016/j.wnsx.2020.100084
DO - 10.1016/j.wnsx.2020.100084
M3 - Original Article
C2 - 33103110
SN - 2590-1397
VL - 8
SP - 100084
JO - WORLD NEUROSURGERY: X
JF - WORLD NEUROSURGERY: X
ER -