Thango Nqobile S, Ceccato Guilherme, Baticulon Ronnie E, Garcia Roxanna, Kolias Angelos, Shlobin Nathan A, Ghotme Kemel A, Qureshi Mahmood M, Rosseau Gail, Borba Luis A
Division of Neurosurgery, Department of Surgery, University of Cape Town, Cape Town , South Africa.
Neuroscience Institute, University of Cape Town, Cape Town , South Africa.
Neurosurgery. 2024 Dec 1;95(6):1211-1222. doi: 10.1227/neu.0000000000003123. Epub 2024 Aug 26.
Education and training are essential components of global neurosurgery because they provide a sustainable solution to address the workforce deficits in the neurosurgical burden of disease. Neurosurgery training programs and opportunities exist in most areas of the world, but some countries still lack formal mechanisms to train future generations. In this special article, we review the neurosurgical workforce deficit, characterize factors influencing the absence or inadequacy of neurosurgical training, and identify strategies that could facilitate global efforts in building a stronger workforce. We summarize the key neurosurgical training models worldwide and the factors influencing the standardization of neurosurgical education by region. In addition, we evaluate the "brain drain" issue in the larger context of the healthcare workforce and propose solutions to mitigate this phenomenon in neurosurgical practice. Future generations of neurosurgical trainees depend on our efforts to intensify and expand education and training in this new virtual era. As we look to the future, we must prioritize education to strengthen the future neurosurgeons who will lead and shape the frontiers of our field.
教育与培训是全球神经外科的重要组成部分，因为它们为解决神经外科疾病负担方面的劳动力短缺问题提供了可持续的解决方案。世界上大多数地区都有神经外科培训项目和机会，但仍有一些国家缺乏培养下一代的正规机制。在这篇专题文章中，我们回顾了神经外科劳动力短缺的情况，描述了影响神经外科培训缺失或不足的因素，并确定了有助于全球努力建设更强大劳动力队伍的策略。我们总结了全球主要的神经外科培训模式以及影响各地区神经外科教育标准化的因素。此外，我们在更广泛的医疗劳动力背景下评估“人才外流”问题，并提出在神经外科实践中缓解这一现象的解决方案。未来的神经外科受训人员依赖于我们在这个新的虚拟时代加强和扩大教育与培训的努力。展望未来，我们必须将教育放在优先位置，以培养未来将引领并塑造我们领域前沿的神经外科医生。
