Department of Neurosurgery, Weill Cornell, New York, New York, USA; Department of Neurosurgery, Aga Khan University Hospital, Nairobi, Kenya.
Department of Neurosurgery, University of Bamenda, Bamenda, Cameroon.
World Neurosurg. 2021 Mar;147:e8-e15. doi: 10.1016/j.wneu.2020.11.008. Epub 2020 Nov 10.
Containment measures for COVID-19 have affected surgical training globally. We sought to assess how neurosurgical training has been affected across Africa in April 2020.
A cross-sectional survey was distributed to African Neurosurgical trainees seeking to review demographics and effects of COVID on training.
A total of 123 neurosurgery trainees responded from 23 African countries and a further 6 were abroad. A total of 91.80% were men, and 96.70% were training in public institutions. Only 41% had received training in COVID-19 with 61.79% worried that they would contract COVID-19 while performing their clinical duties. There was a marked reduction in clinical activities including a median reduction of elective surgery (-80%), clinics (-83%), and emergency surgery (-38.50%). A total of 23.58% of residents did not receive a formal salary, with 50% on less than $1000 USD gross per month.
This is the first continental survey of neurosurgery trainees in Africa. COVID-19 has significantly affected clinical and learning opportunities. There are concerns of the long-term effects on their training activities for an uncertain period of time during this pandemic. Although there has been a global increase in e-learning, there is need to evaluate if this is accessible to all trainees.
COVID-19 的遏制措施已对全球的外科培训产生影响。我们试图评估 2020 年 4 月非洲神经外科培训受到的影响。
我们向非洲神经外科受训者分发了一份横断面调查，以审查 COVID 对培训的影响。
共有来自 23 个非洲国家的 123 名神经外科受训者做出了回应，另有 6 人在国外。男性受训者占 91.80%，96.70%在公立机构接受培训。只有 41%的人接受过 COVID-19 培训，61.79%的人担心在执行临床任务时会感染 COVID-19。临床活动明显减少，包括择期手术中位数减少了 80%，门诊减少了 83%，急诊手术减少了 38.50%。共有 23.58%的住院医师没有正式工资，50%的人每月收入不足 1000 美元。
这是非洲神经外科受训者的首次大陆范围调查。COVID-19 对临床和学习机会产生了重大影响。他们对在这一流行期间培训活动的长期影响感到担忧，而且这段时间是不确定的。虽然全球范围内电子学习有所增加，但有必要评估这对所有受训者是否都可获得。
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