Research Department, Association of Future African Neurosurgeons, Yaounde, Cameroon; College of Medicine, University of Ibadan, Ibadan, Nigeria.
Neurosurgery Unit, Department of Surgery, Rwanda Military Hospital, Kigali, Rwanda.
World Neurosurg. 2021 Jul;151:172-181. doi: 10.1016/j.wneu.2021.05.086. Epub 2021 May 28.
There is no comprehensive report of neurosurgery postgraduate education in Africa. This narrative review aimed to map out the landscape of neurosurgery training in Africa and highlight similarities and differences in training.
The keywords "neurosurgery," "education," and "Africa" were searched on PubMed and Google Scholar from inception to January 17, 2021. Next, a complementary hand search was conducted on Google using the keywords "neurosurgery," "residency," and the individual African countries in English and official languages. The relevant data were extracted and compiled into a narrative review.
A total of 76 African training programs that recruit more than 168 trainees each year were identified. Less than half (40.7%, n = 22) of African countries have at least 1 neurosurgery training program. Egypt (n = 15), Algeria (n = 14), and Nigeria (n = 10) have the highest number of training programs, whereas Algeria (0.33), Egypt (0.15), and Libya (0.15) have the highest number of training programs per 1 million inhabitants. The College of Surgeons of East, Central, and Southern Africa has 16 programs in 8 countries, whereas the West African College of Surgeons has 17 accredited programs in 3 countries. The duration of training varies between 4 and 8 years. There is limited information available in the public domain and academic literature about subspecialty fellowships in Africa.
This review provides prospective applicants and African and global neurosurgery stakeholders with information to advocate for increased investment in African neurosurgery training programs.
目前尚无关于非洲神经外科学位后教育的综合报告。本叙述性综述旨在阐明非洲神经外科培训的概况，并突出培训中的相似点和不同点。
从建库至 2021 年 1 月 17 日，在 PubMed 和 Google Scholar 上使用“神经外科”“教育”和“非洲”这三个关键词进行检索。接下来，在 Google 上使用“神经外科”“住院医师”和以英语和官方语言表示的各个非洲国家这三个关键词进行补充性手工检索。提取相关数据并编写为叙述性综述。
共确定了 76 个每年招收 168 名以上学员的非洲培训计划。不到一半（40.7%，n=22）的非洲国家至少有 1 个神经外科培训计划。埃及（n=15）、阿尔及利亚（n=14）和尼日利亚（n=10）的培训计划数量最多，而阿尔及利亚（0.33）、埃及（0.15）和利比亚（0.15）的每百万居民培训计划数量最多。东、中非和南部非洲外科医师学会拥有 8 个国家的 16 个计划，而西非外科医师学会在 3 个国家拥有 17 个认可的计划。培训时长在 4 至 8 年之间不等。关于非洲的专科医师培训，公共领域和学术文献中提供的信息有限。
本综述为潜在的申请者以及非洲和全球神经外科学术利益相关者提供了相关信息，以倡导增加对非洲神经外科培训计划的投资。
