1Department of Neurosurgery, University of Miami.
3Department of Neurosurgery, Mt. Sinai Hospital, New York, New York.
Neurosurg Focus. 2018 Oct;45(4):E4. doi: 10.3171/2018.7.FOCUS18279.
Given Haiti's longstanding socioeconomic burden and recent environmental and epidemiological catastrophes, the capacity for neurosurgery within Haiti has been limited, and outcomes for patients with neurosurgical conditions have remained poor. With few formally trained neurosurgeons (4) in a country of 10.5 million inhabitants, there is a significant need for the development of formal structured neurosurgical training. To mitigate the lack of neurosurgical care within Haiti, the authors established the first neurosurgical residency program within the country by creating an integrated model that uniquely fortifies existing Haitian neurosurgery with government sponsorship (Haitian Ministry of Health and National Medical School) and continual foreign support. By incorporating web-based learning modules, online assessments, teleconferences, and visiting professorships, the residency aims to train neurosurgeons over the course of 3-5 years to meet the healthcare needs of the nation. Although in its infancy, this model aims to facilitate neurosurgical capacity building by ultimately creating a self-sustaining residency program.
鉴于海地长期存在的社会经济负担以及最近的环境和流行病学灾难，海地的神经外科学能力有限，神经外科疾病患者的治疗效果仍然很差。在拥有 1050 万居民的国家中，仅有少数经过正规培训的神经外科医生（4 名），因此非常需要开展正规的结构化神经外科培训。为了缓解海地缺乏神经外科护理的问题，作者通过创建一个独特的模式，利用政府（海地卫生部和国家医学院）的赞助以及持续的外国支持，在该国建立了第一个神经外科住院医师培训计划，从而加强现有的海地神经外科。该模式将网络学习模块、在线评估、远程会议和客座教授授课相结合，旨在通过 3-5 年的时间培训神经外科医生，以满足国家的医疗保健需求。尽管处于起步阶段，但该模式旨在通过最终创建一个可持续的住院医师培训计划来促进神经外科能力建设。
