Department of Neurosurgery, Liaquat National Hospital & Medical College, Karachi, Pakistan.
Department of Neurosurgery, Liaquat National Hospital & Medical College, Karachi, Pakistan.
World Neurosurg. 2021 Aug;152:19-23. doi: 10.1016/j.wneu.2021.04.118. Epub 2021 May 3.
Neurosurgery in Pakistan is an advanced field with significant challenges. The training program tests one's endurance, knowledge, empathy, and dedication. The training structure in Pakistan consists of 5 years, of which 2 years are spent in general surgery followed by 3 years of dedicated neurosurgery. This study aimed to conduct a survey to address the quality of neurosurgery training in Pakistan so that its strengths and deficiencies could be identified, recommendations could be made, and actions could be taken toward improvement.
A nationwide survey was conducted of neurosurgery residents from all over Pakistan. An e-mail invitation was sent to 177 neurosurgery residents certified by the College of Physicians and Surgeons Pakistan from 22 institutes in all provinces of Pakistan. The questionnaire was divided into the following sections: sociodemographics of participants, infrastructure of training site, clinical skills training and exposure, and knowledge-based education. Data were collected through Google Forms and analyzed using statistical software.
A total of 151 residents responded to the survey. More than half of the institutes had >10 neurosurgery residents in their department (59.6%). More than half of the residents did not attend any international conference during their residency (51%). More than one fourth of the residents did not participate in any hands-on workshop during their residency tenure.
The neurosurgical training program in Pakistan requires updating of the curriculum with better implementation. These data will help the College of Physicians and Surgeons Pakistan in standardizing neurosurgical training across Pakistan to improve competence among trainees.
巴基斯坦的神经外科学是一个具有重大挑战的先进领域。培训计划考验一个人的耐力、知识、同理心和奉献精神。巴基斯坦的培训结构包括 5 年，其中 2 年用于普通外科，然后是 3 年专门的神经外科。本研究旨在进行一项调查，以了解巴基斯坦神经外科学培训的质量，以便确定其优势和不足，提出建议，并采取行动加以改进。
对来自巴基斯坦各地的神经外科住院医师进行了全国范围的调查。向巴基斯坦医师和外科医生学院认证的 177 名神经外科住院医师（来自巴基斯坦所有 22 个省的 22 个研究所）发送了电子邮件邀请。问卷分为以下几部分：参与者的社会人口统计学、培训地点的基础设施、临床技能培训和暴露情况以及基于知识的教育。通过 Google Forms 收集数据，并使用统计软件进行分析。
共有 151 名住院医师对调查做出了回应。超过一半的机构（59.6%）的神经外科部门有超过 10 名住院医师。超过一半的住院医师在住院期间没有参加任何国际会议（51%）。超过四分之一的住院医师在住院期间没有参加任何实践研讨会。
巴基斯坦的神经外科学培训计划需要更新课程，更好地实施。这些数据将帮助巴基斯坦医师和外科医生学院在巴基斯坦各地规范神经外科学培训，以提高学员的能力。
