Jinnah Postgraduate Medical Center, Department of Neurosurgery, Karachi, Pakistan.
Turk Neurosurg. 2022;32(4):555-559. doi: 10.5137/1019-5149.JTN.32860-20.2.
To assess the real challenges faced by neurosurgery residents in developing countries with limited resources and massive workload.
This is a cross-sectional study based on the questionnaire filled by the neurosurgery trainees in Pakistan directed at their training, stress factors, surgical competency, research interest, job satisfaction, and future endeavors.
A total of 75 neurosurgery residents participated in study; 73.3% were male. About 61.3% were working for more than 72 hours per week. Average sleeping hours per day were less than 7 hours for 92% of trainees. Only 78.6% were able to receive teaching sessions for at least once a week or more. Practical handling of neurosurgical gadgets like microscope and endoscope was never experienced by 26.7% and 18.7%, respectively. Even the senior most residents were able to perform only 41.08% of their surgeries independently. Financial support was only acceptable to 21.3%, and 60.9% want to leave the country upon training completion.
The training programs in the developing countries need critical changes to provide favorable learning conditions with availability of appropriate surgical tools, structural changes of training programs, development of research interest, and improvement on the socioeconomic needs of the trainee.
评估资源有限、工作量巨大的发展中国家神经外科住院医师面临的实际挑战。
这是一项基于巴基斯坦神经外科受训者填写的问卷的横断面研究，旨在评估他们的培训、压力因素、手术能力、研究兴趣、工作满意度和未来规划。
共有 75 名神经外科住院医师参与了这项研究，其中 73.3%为男性。约 61.3%的人每周工作超过 72 小时。92%的受训者平均每天睡眠时间不足 7 小时。只有 78.6%的人能够每周至少接受一次或更多次的教学课程。分别有 26.7%和 18.7%的受训者从未实际操作过神经外科器械，如显微镜和内窥镜。即使是最高级别的住院医师，也只能独立完成 41.08%的手术。仅有 21.3%的人对经济支持表示满意，60.9%的人希望在培训结束后离开这个国家。
发展中国家的培训计划需要进行重大改革，以提供有利的学习条件，包括提供适当的手术工具、调整培训计划的结构、培养研究兴趣，以及改善受训者的社会经济需求。
