Kuol Piel Panther, Mabwi Whitney Nicanor, Muili Abdulbasit Opeyemi, Agamy Ahmed Amaar, Jobran Afnan W M, Mustapha Mubarak Jolayemi, Phiri Emmanuel Chileshe, Edward Majani, Kiprop Alvin, Hillary Kemboi, Echengi Emmanuel Muchai, Waweru Jeremy, Adhiambo Annette
School of Medicine, Moi University, Eldoret.
Department of Research, Association of Future African Neurosurgeons, Yaounde, Cameroon.
Ann Med Surg (Lond). 2024 Aug 2;86(9):5370-5376. doi: 10.1097/MS9.0000000000002396. eCollection 2024 Sep.
Early exposure to neurosurgery has been shown to have a positive influence on students' perceptions and attitudes towards the field of neurosurgery. This review delves into the problems faced by the neurosurgery workforce in LMICs, highlighting the necessity for local and international collaborative strategies and plans to enhance the medical education curriculum, training, and retention of neurosurgeons in their home countries. Mentorship also emerges as a crucial factor in neurosurgical career progress, narrowing the gap between theoretical knowledge and real-world practical skills, and providing guidelines in career pathways. Despite numerous benefits of early exposure and mentorship, limitations such as limited resources, inadequate elective opportunities, and negative cultural influences, hinder students' interest in neurosurgery. However, initiatives such as global outreach programs and collaborations between HICs and LMICs aim to address these challenges and improve access to mentorship and training opportunities and programs. This review recommends the integration of mentorship into career development strategies, establishing well-structured mentorship programs, and strengthening neurosurgery exposure in medical education. By implementing these recommendations, the next generation of neurosurgeons can be better equipped to address the complex challenges in LMICs, ultimately, enhancing easy access to neurosurgical care and strengthening healthcare systems.
早期接触神经外科已被证明对学生对神经外科领域的认知和态度有积极影响。本综述深入探讨了低收入和中等收入国家神经外科工作人员面临的问题,强调了制定地方和国际合作战略与计划的必要性,以加强医学教育课程、培训,并留住本国的神经外科医生。导师指导也是神经外科职业发展的关键因素,它缩小了理论知识与实际操作技能之间的差距,并为职业发展道路提供指导。尽管早期接触和导师指导有诸多益处,但资源有限、选修机会不足和负面文化影响等限制因素,阻碍了学生对神经外科的兴趣。然而,全球外展项目以及高收入国家与低收入和中等收入国家之间的合作等举措,旨在应对这些挑战,并改善获得导师指导以及培训机会和项目的途径。本综述建议将导师指导纳入职业发展战略,建立结构完善的导师指导项目,并加强医学教育中的神经外科接触。通过实施这些建议,下一代神经外科医生能够更好地应对低收入和中等收入国家的复杂挑战,最终增加获得神经外科护理服务的机会,并加强医疗保健系统。