Radiation safety practices in neurosurgery: Exploring education gaps and concerns among physicians and trainees.

Background: In this study, we investigated the adequacy of radiation safety education for neurosurgical trainees and physicians, focusing on their perceptions and concerns.

Methods: A survey was distributed through the social media platforms LinkedIn, X (formerly Twitter), and Instagram, as well as through email to individuals listed on the "2023 Neurosurgery Residency Program Information and Interview Dates" document available on the Society of Neurological Surgeons website. Surveys were distributed on December 5, 2023, January 18, 2024, and February 8, 2024. The collection of responses ceased on February 26, 2024. Data collected encompassed respondent demographics, practice and training characteristics, radiation safety knowledge and practice, and radiation exposure concerns.

Results: Of the 48 total responses received, 25 (women, 22) received from neurosurgical residents, fellows, or attending physicians were analyzed. Concerns about health, fertility, and inadequate radiation safety education were evident. Notably, 68% expressed concerns about the impact of radiation exposure on fertility and 52% on pregnancy, with 60% reporting concerns about health risks of radiation exposure. In addition, 68% found radiation safety education provided throughout their neurosurgical career unsatisfactory, with 44% feeling inadequately informed. Considerable knowledge gaps were demonstrated on assessment.

Conclusion: This study reveals prevalent concerns and knowledge gaps in radiation safety education among a geographically diverse group of practicing and training neurosurgeons. Addressing these concerns requires targeted interventions to improve radiation safety education and alleviate apprehensions among neurosurgical trainees and physicians.