Research Department, Association of Future African Neurosurgeons, Yaounde, Cameroon; College of Medicine, University of Ibadan, Ibadan, Oyo State, Nigeria.
Research Department, Association of Future African Neurosurgeons, Yaounde, Cameroon; Case Western Reserve School of Medicine, Cleveland, Ohio, USA.
World Neurosurg. 2022 Oct;166:e808-e814. doi: 10.1016/j.wneu.2022.07.106. Epub 2022 Aug 1.
Africa bears more than 15% of the global burden of neurosurgical disease; however, it has the lowest neurosurgical workforce density worldwide. The past decade has seen an increase in neurosurgery residency programs on the continent. It is unclear how these residency programs are similar or viable. This study highlights the current status and interdepartmental and regional differences, with the main objective of offering a template for improving the provision of neurosurgical education on the continent.
PubMed and Google Scholar were searched using keywords related to "neurosurgery," "training," and "Africa" from database inception to October 13, 2021. The residency curricula were analyzed using a standardized and validated medical education curriculum viability tool.
Curricula from 14 African countries were identified. The curricula differed in resident recruitment, evaluation mode and frequency, curriculum content, and length of training. The length of training varied from 4 to 8 years, with a mean of 6 years. The Eastern African region had the highest number of examinations, with a mean of 8.5. Few curricula had correlates of viability: ensuring that the instructors are competent (64.3%), prioritization of faculty development (64.3%), faculty participation in decision making (64.3%), prioritization of resident support services (50%), creating a conducive environment for quality education (42.9%), and addressing student complaints (28.6%).
There are significant differences in the African postgraduate neurosurgical education curriculum warranting standardization. This study identifies areas of improvement for neurosurgical education in Africa.
非洲承担着全球 15%以上的神经外科学疾病负担；然而，其全球神经外科医生密度最低。过去十年，非洲大陆的神经外科住院医师培训项目有所增加。这些住院医师培训项目之间的相似之处和可行性尚不清楚。本研究强调了当前的现状和部门间及地区差异，主要目的是为改善非洲大陆神经外科学教育的提供提供模板。
使用与“神经外科学”、“培训”和“非洲”相关的关键字，从数据库创建开始到 2021 年 10 月 13 日，在 PubMed 和 Google Scholar 上进行了搜索。使用标准化和验证的医学教育课程可行性工具分析住院医师培训课程。
确定了来自 14 个非洲国家的课程。课程在住院医师招聘、评估模式和频率、课程内容以及培训长度方面存在差异。培训时间从 4 年到 8 年不等，平均为 6 年。东非地区的考试次数最多，平均为 8.5 次。很少有课程具有可行性的相关性：确保讲师有能力（64.3%）、优先发展教师（64.3%）、教师参与决策（64.3%）、优先支持服务（50%）、为优质教育创造有利环境（42.9%）和解决学生投诉（28.6%）。
非洲研究生神经外科学教育课程存在显著差异，需要标准化。本研究确定了非洲神经外科学教育的改进领域。
