• David W Cadotte, Cara Sedney, Hananiah Djimbaye, and Mark Bernstein.
• Division of Neurosurgery, Department of Surgery, University of Toronto, Toronto, Ontario, Canada; Toronto Western Hospital, University Health Network, Toronto, Canada.
• World Neurosurg. 2014 Dec 1;82(6):980-6.

ObjectiveTo explore the perspectives of Ethiopian and international neurosurgeons on the development of a sustainable academic neurosurgery teaching unit in Addis Ababa, Ethiopia.MethodsA qualitative case study methodology was employed.ResultsEthiopian and international surgeons describe a rewarding cross-cultural experience. Areas in need of improvement include communication, educational infrastructure, and structured morbidity and mortality discussions. Data collection that aims to understand better the burden of neurosurgical disease in Ethiopia along with rapidly expanding Ethiopian government initiatives to improve the health care system will lead to improved patient care.ConclusionsGenuine partnerships between surgeons who have trained and worked in well-developed neurosurgical centers and those that are working within the confines of limited resources have the mutual desire to improve neurosurgical care. Understanding each other's perspective is an important aspect of program development.Copyright © 2014 Elsevier Inc. All rights reserved.

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