Assessment of the adequacy of neurosurgery teaching methods among medical students in Enugu State, Nigeria

Abstract

Background: Various educational neurosurgery teaching methods are employed across few Nigerian universities, especially Enugu state. Aim(s): To determine the adequacy of current neurosurgery teaching methods, factors influencing eventual choice of neurosurgery amongst final year medical students in Enugu state, Nigeria and suggest improvement methods towards best global standards. Materials and Methods: This was an online cross-sectional study conducted among final year medical students currently on Neurosurgery rotation in Enugu state, Nigeria using a validated questionnaire. Data was analyzed (inferential and deferential) using SPSS; chi-squares values were calculated. Significance was set at p value <0.05 and measures were put in place to limit bias. Results: 106 students filled and submitted the form with a response rate of 72.60%. Most respondents revealed that their universities had mandatory neurosurgery rotations. Majority affirmed that a general poor learning environment (75%) was the major obstacle to standard teaching. About 49% had interest in specializing in surgery but only 18% have interest in neurosurgery as a future sub-specialty choice. Positively, majority (90.6%) alluded to having qualified teachers, with 43.4% of them advocating for improved training of the teachers. There was a significant correlation between choice of specialty and the students’ monthly income (less than N10, 000 had a p: 0.003). Other factors that were positively correlated in eventual choice as their future desired subspecialty include poor exposure to clinical neurosurgery cases (p: 0.020) and little or no exposure of students to neurosurgery research opportunities (p: 0.024). Conclusion/Recommendations: The current neurosurgical teaching methods in Enugu state are not fully optimal yet. There is a need for some improvement in current learning environment and teaching methods to improve the students’ understanding of neurosurgery and eventual increased interest in final choice of neurosurgery as their desired subspecialty.