%0 Journal Article
%T COVID-19 impact on the global neurosurgery resident training course and admission: A scoping review.
%A Dokponou YCH
%A Nyalundja AD
%A Madjoue ADO
%A Dossou MW
%A Badirou O
%A Agada N
%A Lasssissi K
%A Adjovi FM
%A Lawson LD
%A Bankole NDA
%J Surg Neurol Int
%V 14
%N 0
%D 2023
%M 37025540
暂无%R 10.25259/SNI_68_2023
%X <B>UNASSIGNED: </B>This study looks at how COVID-19 affected the admission and training of neurosurgical residents worldwide.<BR><B>UNASSIGNED: </B>From 2019 to 2021, we reviewed multiple databases (i.e., Google Scholar, Science Direct, PubMed, and Hinari) to evaluate the impact of the COVID-19 pandemic on neurosurgery resident training and admission in low middle-income countries (LMICs) and high-income countries (HICs). We then utilized a Wilcoxon signed-rank test to evaluate the difference between the two LMIC/HICs and employed Levene's test to assess the homogeneity of variances.<BR><B>UNASSIGNED: </B>There were 58 studies that met our inclusion criteria; 48 (72.4%) were conducted in HIC and 16 (27.6%) in LMIC. The admission of new residents was mostly canceled in HIC (31.7%; n = 13) and in LMIC (25%; n = 4) from 2019 to 2021 due to COVID-19. Learning modalities changed to include predominantly video conferencing (i.e., 94.7% [n = 54] of cases). Further, neurosurgery was largely restricted to emergency cases alone (79.6% [n = 39]), with only 12.2% (n = 6) elective cases. The result was a marked reduction in resident surgical training (i.e., 66.7% [n = 10] in LMIC and 62.9% [n = 22] in HIC), despite increased workloads in (i.e., LMIC [37.4%; n = 6] and HIC [35.7%; n = 15]). This was attributed to the marked reduction in the number of surgical patients allotted to each resident (i.e., LMIC [87.5%; n = 14] than HIC [83.3%; n = 35]).<BR><B>UNASSIGNED: </B>The COVID-19 pandemic markedly disrupted neurosurgical education globally. Although differences have been found between LMICs and HICs training, the reduction of neurosurgical case-loads and surgical procedures has significantly impacted neurosurgical training. The question remains, how can this "loss of experience" be redressed in the future?