TY - JOUR
T1 - The World Federation of Neurosurgical Societies Young Neurosurgeons Survey (Part I)
T2 - Demographics, Resources, and Education
AU - World Federation of Neurosurgical Societies Young Neurosurgeons Committee
AU - Gnanakumar, Sujit
AU - Abou El Ela Bourquin, Bilal
AU - Robertson, Faith C.
AU - Solla, Davi J.Fontoura
AU - Karekezi, Claire
AU - Vaughan, Kerry
AU - Garcia, Roxanna M.
AU - Hassani, Fahd Derkaoui
AU - Alamri, Alexander
AU - Höhne, Julius
AU - Mentri, Nesrine
AU - Stienen, Martin
AU - Laeke, Tsegazeab
AU - Moscote-Salazar, Luis Rafael
AU - Al-Ahmari, Ahmed Nasser
AU - Al-Jehani, Hosam
AU - Nicolosi, Federico
AU - Samprón, Nicolás
AU - Adelson, P. David
AU - Servadei, Franco
AU - Esene, Ignatius N.
AU - Al-Habib, Amro
AU - Kolias, Angelos G.
N1 - Funding Information:
A.G.K. is supported by the National Institute for Health Research (NIHR) Global Health Research Group on Neurotrauma. The Group was commissioned by the NIHR using UK aid from the UK Government (project 16/137/105). The views expressed in this article are those of the authors and are not necessarily those of the United Kingdom National Health Service, NIHR, or the United Kingdom Department of Health. F.N. is Founder and Chief Executive Officer of UpSurgeOn, viale Monza 347, 20126 Milan, Italy. R.M.G. serves as a National Institutes of Health Fogarty Global Health Fellow and Scholar. Research reported in this publication was supported by the Fogarty International Center and National Institute of Mental Health, of the National Institutes of Health under Award Number D43 TW010543. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health.
Funding Information:
A.G.K. is supported by the National Institute for Health Research (NIHR) Global Health Research Group on Neurotrauma . The Group was commissioned by the NIHR using UK aid from the UK Government (project 16/137/105). The views expressed in this article are those of the authors and are not necessarily those of the United Kingdom National Health Service, NIHR, or the United Kingdom Department of Health. F.N. is Founder and Chief Executive Officer of UpSurgeOn, viale Monza 347, 20126 Milan, Italy. R.M.G. serves as a National Institutes of Health Fogarty Global Health Fellow and Scholar. Research reported in this publication was supported by the Fogarty International Center and National Institute of Mental Health , of the National Institutes of Health under Award Number D43 TW010543. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health.
Publisher Copyright:
© 2020 The Author(s)
PY - 2020/10
Y1 - 2020/10
N2 - Background: Providing a comprehensive and effective neurosurgical service requires adequate numbers of well-trained, resourced, and motivated neurosurgeons. The survey aims to better understand 1) the demographics of young neurosurgeons worldwide; 2) the challenges in training and resources that they face; 3) perceived barriers; and 4) needs for development. Methods: This was a cross-sectional study in which a widely disseminated online survey (April 2018–November 2019) was used to procure a nonprobabilistic sample from current neurosurgical trainees and those within 10 years of training. Data were grouped by World Bank income classifications and analyzed using χ2 tests because of its categorical nature. Results: There were 1294 respondents, with 953 completed responses included in the analysis. Of respondents, 45.2% were from high-income countries (HICs), 23.2% from upper-middle-income countries, 26.8% lower-middle-income countries, and 4.1% from low-income countries. Most respondents (79.8%) were male, a figure more pronounced in lower-income groups. Neuro-oncology was the most popular in HICs and spinal surgery in all other groups. Although access to computed tomography scanning was near universal (98.64%), magnetic resonance imaging access decreased to 66.67% in low-income countries, compared with 98.61% in HICs. Similar patterns were noted with access to operating microscopes, image guidance systems, and high-speed drills. Of respondents, 71.4% had dedicated time for neurosurgical education. Conclusions: These data confirm and quantify disparities in the equipment and training opportunities among young neurosurgeons practicing in different income groups. We hope that this study will act as a guide to further understand these differences and target resources to remedy them.
AB - Background: Providing a comprehensive and effective neurosurgical service requires adequate numbers of well-trained, resourced, and motivated neurosurgeons. The survey aims to better understand 1) the demographics of young neurosurgeons worldwide; 2) the challenges in training and resources that they face; 3) perceived barriers; and 4) needs for development. Methods: This was a cross-sectional study in which a widely disseminated online survey (April 2018–November 2019) was used to procure a nonprobabilistic sample from current neurosurgical trainees and those within 10 years of training. Data were grouped by World Bank income classifications and analyzed using χ2 tests because of its categorical nature. Results: There were 1294 respondents, with 953 completed responses included in the analysis. Of respondents, 45.2% were from high-income countries (HICs), 23.2% from upper-middle-income countries, 26.8% lower-middle-income countries, and 4.1% from low-income countries. Most respondents (79.8%) were male, a figure more pronounced in lower-income groups. Neuro-oncology was the most popular in HICs and spinal surgery in all other groups. Although access to computed tomography scanning was near universal (98.64%), magnetic resonance imaging access decreased to 66.67% in low-income countries, compared with 98.61% in HICs. Similar patterns were noted with access to operating microscopes, image guidance systems, and high-speed drills. Of respondents, 71.4% had dedicated time for neurosurgical education. Conclusions: These data confirm and quantify disparities in the equipment and training opportunities among young neurosurgeons practicing in different income groups. We hope that this study will act as a guide to further understand these differences and target resources to remedy them.
KW - Demographics
KW - Education
KW - Global health
KW - Global neurosurgery
KW - Neurosurgery
KW - Resources
KW - Training
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U2 - 10.1016/j.wnsx.2020.100083
DO - 10.1016/j.wnsx.2020.100083
M3 - Article
AN - SCOPUS:85086919632
SN - 2590-1397
VL - 8
JO - World Neurosurgery: X
JF - World Neurosurgery: X
M1 - 100083
ER -