Shamim M Shahzad, Tahir M Zubair, Godil Saniya Siraj, Kumar Rajesh, Siddiqui Arshad Ali
Section of Neurosurgery, Department of Surgery, Aga Khan University Hospital, Karachi, Pakistan.
Surg Neurol Int. 2011;2:183. doi: 10.4103/2152-7806.91138. Epub 2011 Dec 26.
To observe interdepartmental variation in the availability of resources and academic activities within the various neurosurgery programs of Pakistan.
This was a proforma-based survey of neurosurgery trainees and young neurosurgeons of Pakistan, looking at the academic infrastructure and output of their programs. The proforma was filled by 36 respondents from 11 neurosurgery centers of the country. All these centers were accredited for neurosurgery training in Pakistan.
Out of the 36 respondents, 30 were completing a Fellowship training (FCPS) and six were enrolled for a Master in Surgery (MS) program. About 80% of the participants used the Youman's Textbook of Neurosurgery as a reference book. Only 40% of the candidates had access to more than one indexed neurosurgery journal. Structured academic sessions (e.g., journal clubs and neuropathology meetings) were lacking in a majority of the training institutes, 95% of the trainees had no microsurgical laboratory experience, and modern neurosurgical tools (frameless neuronavigation system, neuroendoscopy) were in use at a few centers only.
Neurosurgery training in Pakistan is not uniform and wide variations exist between the programs at the centers evaluated. We recommend exchange programs between centers at national and international levels, to allow trainees to gain first-hand exposure to training components not available in their own center.
观察巴基斯坦各神经外科项目在资源可用性和学术活动方面的部门间差异。
这是一项基于表格的对巴基斯坦神经外科住院医师和年轻神经外科医生的调查，着眼于他们项目的学术基础设施和产出。该国11个神经外科中心的36名受访者填写了表格。所有这些中心均获得巴基斯坦神经外科培训认证。
在36名受访者中，30人正在完成专科培训（FCPS），6人参加了外科硕士（MS）项目。约80%的参与者将《尤曼神经外科学》教科书用作参考书。只有40%的候选人能够获取不止一种索引神经外科期刊。大多数培训机构缺乏结构化学术会议（如期刊俱乐部和神经病理学会议），95%的学员没有显微外科实验室经验，现代神经外科工具（无框架神经导航系统、神经内镜）仅在少数中心使用。
巴基斯坦的神经外科培训并不统一，在所评估的中心项目之间存在很大差异。我们建议在国家和国际层面开展中心间的交流项目，以使学员能够亲身接触到其所在中心没有的培训内容。
