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Procedures performed during neurosurgery residency in Europe

2020; Springer Science+Business Media; Volume: 162; Issue: 10 Linguagem: Inglês

10.1007/s00701-020-04513-4

0942-0940

Martin N. Stienen, Christian F. Freyschlag, Karl Schaller, Torstein R. Meling, Amir Al-Amin, Rafid Al-Mahfoudh, Aymeric Amelot, Lisa Arvidsson, Alkinoos Athanasiou, Cecilia I. A. Avellan, Luc Bauchet, Luka Berilažić, Ciarán Bolger, Pierre Bourdillon, Stathis Boviatsis, Oliver Bozinov, Pedro Branco, W. E. Braunsdorf, Julian Cahill, Hans Clusmann, Jens Conrad, Dominik Cordier, Nuno Cristino, Djula Djilvesi, Johnny Duerinck, Chloé Dumot, Mehmet Akif Durak, Christian Eisenring, Giuseppe Esposito, P.-J. Finiels, Theofanis Flaskas, Christian F. Freyschlag, S. Fuentès, Mario Ganau, Iordanis Georgiadis, Miltiadis Georgiopoulos, Dimitrios Giakoumettis, Nathalie Gilis, Cátia Gradil, Stefan Grau, А. А. Grin, Georgios M. Hadjigeorgiou, Marc‐Eric Halatsch, Nils Hecht, Markus Holling, Rosanda Ilić, Linda Iken, Nazaret Infante Santos, Timothée Jacquesson, Ibrahim Jalloh, Bojan Jelača, Stefanie Kaestner, Darius Kalasauskas, Assylbek Kaliyev, Jean‐Charles Kleiber, Juergen Konczalla, Karl F. Kothbauer, Vojin Kovačević, Nenad Krajcinovic, Sandro M. Krieg, Olli‐Pekka Kämäräinen, Mirko Lapcic, C Lapras, Johan Ljungqvist, William B. Lo, V. Lubrano, Martin Májovský, Romain Manet, Francesco Marchi, Yerkin Medetov, Torstein R. Meling, Ilaria Melloni, Anthony Mélot, Patrick Mertens, Stephen Metcalfe, Svein H. Moerkve, Alexa Ruiz Mora, Erion Musabelliu, M.J. Naushahi, Aitimbetov Nurzhan, Ibrahim Omerhodžić, Iddo Paldor, Johan Pallud, Vakis Papanastassiou, Vladimir Papić, Thanasis Paschalis, Michael Payer, Saskia M. Peerdeman, P Peruzzi, Jenny Pettersson Segerlind, Jussi P. Posti, F. Proust, Luca Regli, Jaako Rinne, Pièrre-Hugues Roche, Saulius Ročka, Roman Rotermund, Scott Rutherford, Tõnu Rätsep, Andreas Rüter, Ilkka M. Saarenpää, Yavuz Samancı, Marko Samardžić, Nicolás Samprón, Ulrika Sandvik, Alba Scerrati, Karl Schaller, Michel Schneider, David B. Schul, Gökşin Şengül, Émile Simon, Saurabh Sinha, Ole Solheim, Giorgio Spatola, Sergey Spektor, Martin N. Stienen, Jimmy Sundblom, Νikolaos Syrmos, Mario Teo, Simon Thomson, Nikolay Tonchev, Lazar Tosic, W. Peter Vandertop, Christian von der Brelie, Aleksić Vuk, James Walkden, Christopher S. Wendel, Mohammed Yaqout, Madina Yusupova, Gianluca Zollino,

Diversity and Career in Medicine

In a previous article ( https://doi.org/10.1007/s00701-019-03888-3 ), preliminary results of a survey, aiming to shed light on the number of surgical procedures performed and assisted during neurosurgery residency in Europe were reported. We here present the final results and extend the analyses.Board-certified neurosurgeons of European Association of Neurosurgical Societies (EANS) member countries were asked to review their residency case logs and participate in a 31-question electronic survey (SurveyMonkey Inc., San Mateo, CA). The responses received between April 25, 2018, and April 25, 2020, were considered. We excluded responses that were incomplete, from non-EANS member countries, or from respondents that have not yet completed their residency.Of 430 responses, 168 were considered for analysis after checking in- and exclusion criteria. Survey responders had a mean age of 42.7 ± 8.8 years, and 88.8% were male. Responses mainly came from surgeons employed at university/teaching hospitals (85.1%) in Germany (22.0%), France (12.5%), the United Kingdom (UK; 8.3%), Switzerland (7.7%), and Greece (7.1%). Most responders graduated in the years between 2011 and 2019 (57.7%). Thirty-eight responders (22.6%) graduated before and 130 responders (77.4%) after the European WTD 2003/88/EC came into effect. The mean number of surgical procedures performed independently, supervised or assisted throughout residency was 540 (95% CI 424-657), 482 (95% CI 398-568), and 579 (95% CI 441-717), respectively. Detailed numbers for cranial, spinal, adult, and pediatric subgroups are presented in the article. There was an annual decrease of about 33 cases in total caseload between 1976 and 2019 (coeff. - 33, 95% CI - 62 to - 4, p = 0.025). Variables associated with lesser total caseload during residency were training abroad (1210 vs. 1747, p = 0.083) and female sex by trend (947 vs. 1671, p = 0.111), whereas case numbers were comparable across the EANS countries (p = 0.443).The final results of this survey largely confirm the previously reported numbers. They provide an opportunity for current trainees to compare their own case logs with. Again, we confirm a significant decline in surgical exposure during training between 1976 and 2019. In addition, the current analysis reveals that female sex and training abroad may be variables associated with lesser case numbers during residency.