Sharma Mohan Raj, Sedain Gopal, Kafle Prakash, Pradhanang Amit Bahadur, Sapkota Shabal, Niyaf Ali, Farrokhi Farrokh, Garozzo Debora
Department of Neurosurgery, Tribhuvan University Teaching Hospital, Institute of Medicine, Kathmandu, Nepal.
Department of Neurosurgery, Nobel Medical College Teaching Hospital, Biratnagar, Nepal.
Brain Spine. 2023 Jul 19;3:101779. doi: 10.1016/j.bas.2023.101779. eCollection 2023.
The establishment of local neurosurgery training programs in Nepal has proven critical for the expansion of the discipline across the country. This paper aims to describe the evolution, current status, challenges, and future directions of academic neurosurgery in Nepal.
What is the current status and international standing of academic neurosurgery in Nepal?
Information related to growth and development in Nepal was obtained from universities and regulatory bodies in Nepal. Variables described are the current number of neurosurgeons, the number of neurosurgical centers and centers with accreditation for training, the description of existing training models, the number of graduates, and the contribution of Nepalese neurosurgeons to world literature.
Formal neurosurgical training started in Nepal in 1999. Of 67 hospitals with neurosurgical facilities, 10 (14.9%) are accredited. Three training models (MCh, NBMS, and FCPS) currently exist. Of 116 neurosurgeons currently practicing in the country, 47 (40.5%) are homegrown. The contribution of the Nepalese neurosurgical community to the world includes the training of the first two Maldivian neurosurgeons and an increasing presence in world neurosurgical literature.
Although comparable to other countries with similar economies, Nepal still faces some challenges to the sustainability and further developments of Neurosurgery. Continued concerted efforts will help Nepalese neurosurgeons achieve the goal of securing self-reliance in neurosurgical education.
事实证明，在尼泊尔建立当地神经外科培训项目对于该学科在全国的扩展至关重要。本文旨在描述尼泊尔学术神经外科的发展历程、现状、挑战及未来方向。
尼泊尔学术神经外科的现状及国际地位如何？
从尼泊尔的大学和监管机构获取与尼泊尔神经外科发展相关的信息。所描述的变量包括当前神经外科医生的数量、神经外科中心及具备培训资质中心的数量、现有培训模式的描述、毕业生数量以及尼泊尔神经外科医生在世界文献中的贡献。
尼泊尔于1999年开始正规的神经外科培训。在67家设有神经外科设施的医院中，有10家（14.9%）获得了认证。目前存在三种培训模式（医学硕士、尼泊尔医学委员会专科文凭和巴基斯坦医学委员会专科文凭）。在该国目前执业的116名神经外科医生中，有47名（40.5%）是本土培养的。尼泊尔神经外科界对世界的贡献包括培养了马尔代夫的首批两名神经外科医生，并且在世界神经外科文献中的影响力日益增强。
尽管与其他经济水平相似的国家相当，但尼泊尔神经外科在可持续发展和进一步发展方面仍面临一些挑战。持续的共同努力将有助于尼泊尔神经外科医生实现神经外科教育自给自足的目标。
