• World Neurosurg · Oct 2022

    Future Directions for Global Clinical Neurosurgical Training: Challenges and Opportunities.

    • Caitlin Hoffman, Roger Härtl, Nathan A Shlobin, Tshibambe N Tshimbombu, Samer K Elbabaa, Michael M Haglund, Andrés M Rubiano, Michael C Dewan, Martina Stippler, Muhammad Raji Mahmud, Ernest J Barthélemy, Dylan P Griswold, Richard Wohns, Hamisi K Shabani, Brandon Rocque, David I Sandberg, Jesús Lafuente, Robert Dempsey, and Gail Rosseau.
    • Department of Neurological Surgery, Weill Cornell Medicine, New York, New York, USA.
    • World Neurosurg. 2022 Oct 1; 166: e404e418e404-e418.

    ObjectiveExpanded access to training opportunities is necessary to address 5 million essential neurosurgical cases not performed annually, nearly all in low- and middle-income countries. To target this critical neurosurgical workforce issue and advance positive collaborations, a summit (Global Neurosurgery 2019: A Practical Symposium) was designed to assemble stakeholders in global neurosurgical clinical education to discuss innovative platforms for clinical neurosurgery fellowships.MethodsThe Global Neurosurgery Education Summit was held in November 2021, with 30 presentations from directors and trainees in existing global neurosurgical clinical fellowships. Presenters were selected based on chain referral sampling from suggestions made primarily from young neurosurgeons in low- and middle-income countries. Presentations focused on the perspectives of hosts, local champions, and trainees on clinical global neurosurgery fellowships and virtual learning resources. This conference sought to identify factors for success in overcoming barriers to improving access, equity, throughput, and quality of clinical global neurosurgery fellowships. A preconference survey was disseminated to attendees.ResultsPresentations included in-country training courses, twinning programs, provision of surgical laboratories and resources, existing virtual educational resources, and virtual teaching technologies, with reference to their applicability to hybrid training fellowships. Virtual learning resources developed during the coronavirus disease 2019 pandemic and high-fidelity surgical simulators were presented, some for the first time to this audience.ConclusionsThe summit provided a forum for discussion of challenges and opportunities for developing a collaborative consortium capable of designing a pilot program for efficient, sustainable, accessible, and affordable clinical neurosurgery fellowship models for the future.Copyright © 2022 Elsevier Inc. All rights reserved.

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