Demographics, Interests, and Quality of Life of Canadian Neurosurgery Residents

Iorio-Morin, Christian; Ahmed, Syed Uzair; Bigder, Mark; Dakson, Ayoub; Elliott, Cameron; Guha, Daipayan; Kameda-Smith, Michelle; Lavergne, Pascal; Makarenko, Serge; Taccone, Michael S.; Tso, Michael K; Wang, Bill; Winkler-Schwartz, Alexander; Fortin, David

doi:10.1017/cjn.2017.263

Cited by 13 publications

(7 citation statements)

References 31 publications

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“…The number of neurosurgical trainees pursuing PhDs is steadily increasing, from 10% to 26% over the past two decades at high ranking academic centers in the United States 11 . A recent Canadian survey similarly found 25% of trainees obtaining PhDs and 33% obtaining a Masters 1,15 . There is no doubt that pursuing a graduate degree confers benefits useful to an academic neurosurgeon in general.…”

Section: Discussionmentioning

confidence: 97%

“…There is no doubt that pursuing a graduate degree confers benefits useful to an academic neurosurgeon in general. In the United States, having a Masters or PhD has been associated with obtaining an academic position and advancement in academic rank 15 . Interestingly, among those with a Masters, only a Masters of Science (and not MBA or MPH) has been associated with hiring to an academic practice in the United States 12 .…”

Section: Discussionmentioning

confidence: 99%

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Association between Graduate Degrees and Publication Productivity in Academic Neurosurgery

Keough

Newell

Rheaume

et al. 2020

Can. J. Neurol. Sci.

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Object: Many neurosurgeons pursue graduate degrees as part of their training. In some jurisdictions, graduate degrees are considered a necessary condition of employment in academic neurosurgery. However, the relationship between possession of a graduate degree and eventual research productivity is not well established. We used bibliometric methods to analyze publications from academic Canadian neurosurgeons, with an emphasis on level of graduate training. Methods: All neurosurgeons holding academic appointments at Canadian institutions from 2012–2016 were included. Over that time frame, Scopus was used to quantify the number of papers, number of citations, 5-year h-index and 5-year r-index, CiteScore, authorship position, and paper type (clinical or basic science). Publication output was compared between neurosurgeons grouped as MD-only, MD-Masters, or MD-PhD. Results: In total, 2557 abstracts from 131 Canadian neurosurgeons were analyzed. We found that MD-Masters neurosurgeons published significantly more total papers, clinical papers, and first/last author papers than MD-only neurosurgeons. MD-PhD neurosurgeons had the same findings, in addition to more basic science papers, in journals with a higher CiteScore, 5-year h-index, and 5-year r-index than both other groups. These results were preserved even with significant outliers removed. There was no difference if graduate degrees were obtained before or after starting residency. There was no correlation with career length and number of recent papers published. Conclusion: The attainment of a graduate degree has an important association with future publication productivity for academic neurosurgeons. These data should be useful for hiring committees considering the value of graduate degrees from applicants for positions in academic neurosurgery.

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Section: Discussionmentioning

confidence: 97%

Section: Discussionmentioning

confidence: 99%

Association between Graduate Degrees and Publication Productivity in Academic Neurosurgery

Keough

Newell

Rheaume

et al. 2020

Can. J. Neurol. Sci.

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“…ACGME has proposed an 80-h/week duty time limitation. [ 14 15 ] A study done in Canada revealed that 58% residents were satisfied with 80–89 h of duty per week[ 16 ] though this may be exhausting and leaves little time for consolidation of the knowledge and skills. [ 17 ] Sixty-one percent of the private setups have three or more than three OPDs per week, with approximately 150 patients seen in a day.…”

Section: Discussionmentioning

confidence: 99%

Benchmarking of neurosurgery training in Pakistan

Ali

Sharif

et al. 2021

Asian J Neurosurg

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Introduction: Neurosurgery is a challenging field of surgery. A neurosurgeon has to be trained with the finest skills, knowledge, and competencies necessary to provide high-quality patient care. Maintaining postgraduate training standards is a challenge in Pakistan due to low budget allocation to the health sector. This study aims to assess the difference in parameters among different institutes in different sectors and provinces offering neurosurgery training in Pakistan. Methods: A nationwide survey was conducted by the Neurosurgery Department at Liaquat National Hospital Karachi, from November 2019 to February 2020. Data were collected through a questionnaire from neurosurgery trainees from all over the country. The questionnaire was divided into the following sections: Sociodemographics and infrastructure of training site, clinical skills training and exposure, knowledge-based education, and workload. The data were kept confidential and institutional names were not inquired or disclosed. Results: The response rate was 85.3% (151/177), with more males (80%) than females. The total number of trainees was higher in government than private institutions ( P < 0.005). The frequency ( P = 0.030) and number of trainees ( P < 0.005) inducted per cycle was more among government institutions. Participation in international conferences was higher among trainees in private sector ( P = 0.006). The frequency of clinics was significantly higher in private institutions ( P < 0.005), though the number of patients seen per clinic was lower than in government sector ( P < 0.005). At a provincial level, there was a significant difference in gender distribution ( P = 0.020), total number of trainees ( P < 0.005), number of residents per induction ( P < 0.005), frequency of mortality and morbidity meetings ( P < 0.005), morning meetings ( P < 0.005), number of calls per week ( P < 0.005), number of workshops attended ( P < 0.005), exposure to radiation ( P = 0.003), frequency of outpatient departments (OPDs) attended per week ( P = 0.002), and number of patients seen per OPD ( P 0.02). Conclusion: This study reported variability in the quality of neurosurgery training programs within public and private sector with even greater differences between the four provinces of Pakistan. We recommend continuous assessments and re-accreditation of these training programs through subject experts and health-care educationists to improve the quality of training programs; hence the quality of service and patient care. ...

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“…Neurosurgeons and neurosurgery residents frequently report elevated levels of stress reaching up to 53% in some reports. [ 12 ] A recent US national survey on stress and burnout in the neurosurgical community found that more than one-half of the respondents showed signs of burnout, reporting a higher level of burnout when compared with other medical specialties and that only one-third of respondents would recommend a career in neurosurgery. [ 17 , 20 ] It is likely that during their clinical rotations, medical students sense the stress that neurosurgeons experience during their day-to-day life, which in our study showed to be significantly important factor in deviation away from applying to this specialty.…”

Section: Discussionmentioning

confidence: 99%