Structured Online Neurosurgical Education as a Novel Method of Education Delivery in the Developing World

Blankstein, Udi; Dakurah, Thomas; Bagan, Merwyn; Hodaie, Mojgan

doi:10.1016/j.wneu.2011.02.041

Cited by 43 publications

(35 citation statements)

References 14 publications

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“…Table 2 contains eLearning resources for neurosurgical postgraduate training that were identified, sorted for the level of complexity. [5,7] Identified eLearning platforms with didactic modules and clear learning objectives are briefly presented in the following. ebrain ebrain is a non-profit initiative, largely supported by the Joint Neurosciences Council (JNC) and The European Academy of Neurology (EAN).…”

Section: Resultsmentioning

confidence: 99%

“…These libraries today provide an important method for medical personnel to improve access to all kinds of multimedia resources. easily accessible courses in the core cognitive curriculum of neurosurgery" [7].…”

Section: Different Types Of Elearning: Pros and Consmentioning

confidence: 99%

“…Structured online courses deliver education directly, using the layout of a formal course with defined faculty and trainee participants, start and end times, as well as curriculum. Geographic barriers are removed, and physical classrooms replaced by simulated "face-to-face" classrooms using sophisticated software solutions (course management systems) [7]. Despite being a promising concept, especially for regions with less educational infrastructure in neurosurgery, some of the present systems are still in their infancy.…”

Section: Different Types Of Elearning: Pros and Consmentioning

confidence: 99%

“…eLearning has the potential to lessen the educational resource gap between the developing and developed worlds and to help fulfil the longstanding hope of improved neurosurgical knowledge and care, regardless of place of citizenship [7]. Challenges that remain, however, are the availability of free or affordable high-quality eLearning resources (AIIMS NETS is free; ebrain is free to World Bank low income/HINARI countries), the lack of computers and stable internet connections [21] and the difficulties of offering hands-on courses complementing theoretical eLearning modules.…”

Section: Global Potential Of Elearningmentioning

confidence: 99%

“…Most eLearning resources are in English, but not all learners in developing countries have sufficient English skills. Additional barriers are due to cultural differences with ethical, moral and religious issues that may arise [7].…”

Section: Global Potential Of Elearningmentioning

confidence: 99%

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eLearning resources to supplement postgraduate neurosurgery training

et al. 2016

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Section: Resultsmentioning

confidence: 99%

Section: Different Types Of Elearning: Pros and Consmentioning

confidence: 99%

Section: Different Types Of Elearning: Pros and Consmentioning

confidence: 99%

Section: Global Potential Of Elearningmentioning

confidence: 99%

Section: Global Potential Of Elearningmentioning

confidence: 99%

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eLearning resources to supplement postgraduate neurosurgery training

et al. 2016

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Current trends and challenges: The landscape of perioperative mortality in intracranial surgeries in low‐ and middle‐income settings: A narrative review

Roy,

Awuah,

Ahluwalia

et al. 2024

Health Science Reports

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Background and AimsIntracranial surgeries are pivotal in treating cerebral pathologies, particularly in resource‐limited contexts, utilizing techniques such as craniotomy, transsphenoidal approaches, and endoscopy. However, challenges in low and middle income countries (LMICs), including resource scarcity, diagnostic delays, and a lack of skilled neurosurgeons, lead to elevated perioperative mortality (POM). This review seeks to identify major contributors to these challenges and recommend solutions for improved patient outcomes in neurosurgical care within LMICs.MethodsThis review examines POM in LMICs using a detailed literature search, focusing on studies from these regions. Databases like PubMed, EMBASE, and Google Scholar were utilized using specific terms related to “intracranial surgery,” “perioperative mortality,” “traumatic brain injuries,” and “LMICs.” Inclusion criteria covered various study designs and both pediatric and adult populations while excluding stand‐alone abstracts and case reports.ResultsPOM rates for intracranial surgeries differ widely across many low and middle‐income regions: Africa sees rates from 2.5% to 39.1%, Asia between 3.6% and 34.8%, and Latin America and the Caribbean have figures ranging from 1.3% to 12%. The POM rates in LMICs were relatively higher compared to most first‐world countries. The high POM rates in LMICs can be attributed to considerable delays and compromises in neurosurgical care delivery, exacerbated by late diagnoses and presentations of neurosurgical pathologies. This, coupled with limited resources, underdeveloped infrastructure, and training gaps, complicates intracranial disease management, leading to elevated POM.ConclusionIntracranial POM is a pronounced disparity within the neurosurgical field in LMICs. To mitigate intracranial POM, it is imperative to bolster healthcare infrastructure, amplify personnel training, foster global partnerships, and harness technologies like telemedicine. Tackling socioeconomic obstacles and prioritizing early detection through sustained funding and policy shifts can substantially enhance patient outcomes.

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