Formación neuroquirúrgica en África. Parte 1: Habilidades esenciales y desafíos estructurales para la equidad

IF 0.8 4区医学 Q4 NEUROSCIENCES

Neurocirugia Pub Date : 2026-01-01 Epub Date: 2025-07-09 DOI:10.1016/j.neucir.2025.500702

María J. García-Rubio , Jose Piquer-Martínez , Jose Piquer-Belloch , Ruben Rodríguez-Mena

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引用次数: 0

Abstract

Neurosurgery requires rigorous training, yet access remains limited in low-resource countries, particularly in Africa, creating a crisis in specialized care.

This paper, grounded in the principles of global neurosurgery, examines the essential competencies required in neurosurgical training, distinguishing between clinical skills—such as technical proficiency and decision-making—and non-clinical skills, including leadership, emotional management, and communication. Deliberate practice is emphasized as a key methodology for improving skill acquisition through structured repetition, continuous feedback, and expert supervision.

Additionally, the main challenges of specialization in East Africa are analyzed: inadequate infrastructure, overburdened health systems, limited and heterogeneous residency programs, and a shortage of qualified mentors. Finally, the development of innovative educational strategies is proposed to enhance training in resource-constrained settings and contribute to the sustainable advancement of the specialty.

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非洲的神经外科培训。第1部分：公平的核心技能和结构性挑战

神经外科手术需要严格的训练，但在资源匮乏的国家，特别是在非洲，获得机会仍然有限，这造成了专科护理的危机。本文以全球神经外科原则为基础，考察了神经外科培训所需的基本能力，区分了临床技能（如技术熟练程度和决策能力）和非临床技能（包括领导能力、情绪管理和沟通能力）。刻意练习是通过结构化的重复、持续的反馈和专家监督来提高技能习得的关键方法。此外，还分析了东非专业化的主要挑战：基础设施不足，卫生系统负担过重，住院医师计划有限且种类繁多，以及缺乏合格的导师。最后，提出了创新教育策略的发展，以加强资源紧张环境下的培训，促进该专业的可持续发展。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Neurocirugia 医学-神经科学

CiteScore

1.30

自引率

0.00%

发文量

审稿时长

60 days

期刊介绍： Neurocirugía is the official Journal of the Spanish Society of Neurosurgery (SENEC). It is published every 2 months (6 issues per year). Neurocirugía will consider for publication, original clinical and experimental scientific works associated with neurosurgery and other related neurological sciences. All manuscripts are submitted for review by experts in the field (peer review) and are carried out anonymously (double blind). The Journal accepts works written in Spanish or English.