Neurosurgical Residency Training in Latin America: Current Status, Challenges, and Future Opportunities
Por:
Murguia-Fuentes R., Husein N., Vega A., Rangel-Castilla L., Rotta J.M., Quinones-Hinojosa A., Guinto G., Esquenazi Y.
Publicada:
1 dic 2018
Ahead of Print:
1 ene 2018
Resumen:
BACKGROUND: This analysis provides an overview of neurosurgery residency
programs in Latin America; it evaluates strengths, weaknesses, and
limitations within the Latin American Federation for Societies in
Neurosurgery countries. Considering the shared cultural background
between these neighboring countries and globalization of neurosurgical
education, similarities in training characteristics and equal
opportunities are expected. However, program differences are inevitable
and should be investigated to promote collaboration and homogenization
of training.
METHODS: A 39-item survey was distributed to 970 neurosurgeons and
residents in Latin America to assess aspects including working
conditions, teaching, research, training, educational opportunities, and
socioeconomics.
RESULTS: In total, 276 neurosurgeons (28%) from 16 countries completed
the survey. The average participant's age was 37 +/- 7 years, and the
average duration of residency programs was 5 +/- 1 years. Trainees
participated in around 5-10 cases during the typical 80-100 work hour
week. Only 5% of survey respondents had a day off after a night shift,
and 60% worked at least 3 night shifts per week. Only 34% had a
mentorship program, Morbidity and mortality conferences were reported by
57% and research activities were compulsory in 45%. Satisfaction with
evaluation methods was reported in 29%, although 96% reported
satisfaction with their training programs overall.
CONCLUSIONS: This study is the first of its kind to review neurosurgical
training in Latin America's. Suggested areas of improvement include
regulation of working hours, implementation of mentorship programs and
standardized examinations, protected research time, increased support
for conferences, and more opportunities for exchange rotations that will
potentially bolster collaboration between programs.
Filiaciones:
Vivian L. Smith Department of Neurological Surgery, The University of Texas at Houston, Houston, TX, United States
Universidad Nacional Autónoma de México, Mexico City, Mexico
Department of Neurosurgery, Centro Médico Naval, Secretaria de Marina, Armada de México, Mexico
Department of Neurosurgery, Mayo Clinic, Rochester, MN, United States
Department of Neurosurgery, Hospital do Servidor Publico Estadual, Sao Paulo, Brazil
Department of Neurosurgery, Mayo Clinic, Jacksonville, FL, United States
Department of Neurosurgery, Centro Médico Nacional Siglo XXI, Mexico City, Mexico
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