Neurosurgical procedures performed during residency in Europe—preliminary numbers and time trends
Background Differences in the postgraduate training programs of neurosurgical residents are suspected throughout Europe. The influence of working hour restrictions by the European Working Time Directive (WTD) 2003/88/EC on the number of surgical procedures remains unclear. We designed a survey to co...
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| Veröffentlicht in: | Acta neurochirurgica 2019-05, Vol.161 (5), p.843-853 |
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| creator | Stienen, Martin N. Bartek, Jiri Czabanka, Marcus A. Freyschlag, Christian F. Kolias, Angelos Krieg, Sandro M. Moojen, Wouter Renovanz, Mirjam Sampron, Nicolas Adib, Sasan D. Schubert, Gerrit A. Demetriades, Andreas K. Ringel, Florian Regli, Luca Schaller, Karl Meling, Torstein R. |
| description | Background
Differences in the postgraduate training programs of neurosurgical residents are suspected throughout Europe. The influence of working hour restrictions by the European Working Time Directive (WTD) 2003/88/EC on the number of surgical procedures remains unclear. We designed a survey to collect information on the number of surgical procedures, performed by European neurosurgical trainees during residency. This article reports preliminary data.
Methods
An electronic survey was distributed among the European Association of Neurosurgical Societies (EANS) member countries by national delegates of the training committee, as well as by members of the Young Neurosurgeons’ committee. The EANS mailing list of individual members was also used for distribution. All responses received between 04/2018 and 12/2018 were considered.
Results
From
n
= 180 responses received, 42 were omitted as responders were still in residency and for 58 relevant information was missing. The final sample was
n
= 80, with a mean responder’s age of 43.0 years (SD 8.6) and 88.8% being male. Responses came from 16 European countries; board certification was received between the years of 1976–2018. The numbers of surgical procedures performed independently were 511 (mean, 95% confidence interval (CI) 413–610), supervised were 514 (95%CI 360–668) and assisted were 752 (95%CI 485–1019) throughout residency. More detailed numbers for specific procedure types are reported in the article. Independently performed cranial procedures outnumbered spinal procedures (
p
|
| doi_str_mv | 10.1007/s00701-019-03888-3 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_hal_p</sourceid><recordid>TN_cdi_hal_primary_oai_HAL_hal_03706818v1</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2199612704</sourcerecordid><originalsourceid>FETCH-LOGICAL-c3683-3227f1deac9bc6a79c56593296aa8f4df98019fb7b0c0660a4541071f1fd11a13</originalsourceid><addsrcrecordid>eNp9Uctu1TAQtRAVLRd-gAWyxAYWKWM7149lVRWKdNVuYG05jl1cJU6wbyp1x0fwhXwJc0kpEgsWHnvsM-M55xDyisEpA1DvKwZgDTDTgNBaN-IJOQHT8gYDPMUz4LPkUh-T57XeYsZVK56RYwGGK7ZVJ8RfhaVMdSk3ybuBzmXyoV9KqHQOJU5lDD3FPOUbipepD9nf05TpBVbN4ef3H3MJQxpTduWe5mXsQqnU5Z7u0xjovoTc1xfkKLqhhpcP-4Z8-XDx-fyy2V1__HR-tmu8kFo0gnMVWR-cN52XThm_lVsjuJHO6dj20WikGjvVgQcpwbXbloFikcWeMcfEhrxb-351g51LGnEmO7lkL8929nAHQoHUTN8dsG9XLDL-toS6t2OqPgyDy2FaquUcxdVC4NqQN_9Ab6elZGRiOTNGoqjQIoqvKI9y1hLi4wQM7MEuu9plkYP9bZcVWPT6ofXSodKPJX_8QYBYAXU-eBDK37__0_YXMj2gqw</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2199612704</pqid></control><display><type>article</type><title>Neurosurgical procedures performed during residency in Europe—preliminary numbers and time trends</title><source>MEDLINE</source><source>Springer Online Journals</source><creator>Stienen, Martin N. ; Bartek, Jiri ; Czabanka, Marcus A. ; Freyschlag, Christian F. ; Kolias, Angelos ; Krieg, Sandro M. ; Moojen, Wouter ; Renovanz, Mirjam ; Sampron, Nicolas ; Adib, Sasan D. ; Schubert, Gerrit A. ; Demetriades, Andreas K. ; Ringel, Florian ; Regli, Luca ; Schaller, Karl ; Meling, Torstein R.</creator><creatorcontrib>Stienen, Martin N. ; Bartek, Jiri ; Czabanka, Marcus A. ; Freyschlag, Christian F. ; Kolias, Angelos ; Krieg, Sandro M. ; Moojen, Wouter ; Renovanz, Mirjam ; Sampron, Nicolas ; Adib, Sasan D. ; Schubert, Gerrit A. ; Demetriades, Andreas K. ; Ringel, Florian ; Regli, Luca ; Schaller, Karl ; Meling, Torstein R. ; EANS Young Neurosurgeons and EANS Training Committee ; for the EANS Young Neurosurgeons and EANS Training Committee</creatorcontrib><description>Background
Differences in the postgraduate training programs of neurosurgical residents are suspected throughout Europe. The influence of working hour restrictions by the European Working Time Directive (WTD) 2003/88/EC on the number of surgical procedures remains unclear. We designed a survey to collect information on the number of surgical procedures, performed by European neurosurgical trainees during residency. This article reports preliminary data.
Methods
An electronic survey was distributed among the European Association of Neurosurgical Societies (EANS) member countries by national delegates of the training committee, as well as by members of the Young Neurosurgeons’ committee. The EANS mailing list of individual members was also used for distribution. All responses received between 04/2018 and 12/2018 were considered.
Results
From
n
= 180 responses received, 42 were omitted as responders were still in residency and for 58 relevant information was missing. The final sample was
n
= 80, with a mean responder’s age of 43.0 years (SD 8.6) and 88.8% being male. Responses came from 16 European countries; board certification was received between the years of 1976–2018. The numbers of surgical procedures performed independently were 511 (mean, 95% confidence interval (CI) 413–610), supervised were 514 (95%CI 360–668) and assisted were 752 (95%CI 485–1019) throughout residency. More detailed numbers for specific procedure types are reported in the article. Independently performed cranial procedures outnumbered spinal procedures (
p
< 0.006), and adult procedures outnumbered pediatric procedures (
p
< 0.001). There was a strong decrease in caseload between 1976 and 2018, with trainees performing on average 65 cases less throughout residency for each calendar year increase in board certification (95% CI − 116 to − 15,
p
= 0.012). Trainees graduating residency before introduction of the European WTD 2003/88/EC participated in more procedures than those graduating afterwards (mean 2797 vs. 1418,
p
= 0.005).
Conclusions
The preliminary analysis of the first 80 responses now provides a first reference frame for caseload that can be used by current and future European residents to critically compare their own operative numbers to. There was a strong decline in surgical cases over time, and trainees graduating after introduction of the European WTD 2003/88/EC had less surgical exposure. The survey remains open, and we invite further European neurosurgeons to provide their data in order to get even more robust estimates.</description><identifier>ISSN: 0001-6268</identifier><identifier>EISSN: 0942-0940</identifier><identifier>DOI: 10.1007/s00701-019-03888-3</identifier><identifier>PMID: 30927157</identifier><language>eng</language><publisher>Vienna: Springer Vienna</publisher><subject>Accreditation ; Adult ; Back surgery ; Certification ; Certification - statistics & numerical data ; Confidence intervals ; Europe ; Graduate studies ; Humans ; Internship and Residency - statistics & numerical data ; Internship and Residency - trends ; Interventional Radiology ; Life Sciences ; Medicine ; Medicine & Public Health ; Minimally Invasive Surgery ; Neurology ; Neuroradiology ; Neurosurgery ; Neurosurgery - education ; Neurosurgical Procedures - education ; Neurosurgical Procedures - statistics & numerical data ; Original Article - Neurosurgery Training ; Pediatrics ; Surgical Orthopedics ; Surveys and Questionnaires ; Trends ; Working hours</subject><ispartof>Acta neurochirurgica, 2019-05, Vol.161 (5), p.843-853</ispartof><rights>Springer-Verlag GmbH Austria, part of Springer Nature 2019</rights><rights>Acta Neurochirurgica is a copyright of Springer, (2019). All Rights Reserved.</rights><rights>Distributed under a Creative Commons Attribution 4.0 International License</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3683-3227f1deac9bc6a79c56593296aa8f4df98019fb7b0c0660a4541071f1fd11a13</citedby><cites>FETCH-LOGICAL-c3683-3227f1deac9bc6a79c56593296aa8f4df98019fb7b0c0660a4541071f1fd11a13</cites><orcidid>0000-0002-6417-1787 ; 0000-0001-9985-3617</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00701-019-03888-3$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00701-019-03888-3$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>230,314,776,780,881,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30927157$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttps://hal.science/hal-03706818$$DView record in HAL$$Hfree_for_read</backlink></links><search><creatorcontrib>Stienen, Martin N.</creatorcontrib><creatorcontrib>Bartek, Jiri</creatorcontrib><creatorcontrib>Czabanka, Marcus A.</creatorcontrib><creatorcontrib>Freyschlag, Christian F.</creatorcontrib><creatorcontrib>Kolias, Angelos</creatorcontrib><creatorcontrib>Krieg, Sandro M.</creatorcontrib><creatorcontrib>Moojen, Wouter</creatorcontrib><creatorcontrib>Renovanz, Mirjam</creatorcontrib><creatorcontrib>Sampron, Nicolas</creatorcontrib><creatorcontrib>Adib, Sasan D.</creatorcontrib><creatorcontrib>Schubert, Gerrit A.</creatorcontrib><creatorcontrib>Demetriades, Andreas K.</creatorcontrib><creatorcontrib>Ringel, Florian</creatorcontrib><creatorcontrib>Regli, Luca</creatorcontrib><creatorcontrib>Schaller, Karl</creatorcontrib><creatorcontrib>Meling, Torstein R.</creatorcontrib><creatorcontrib>EANS Young Neurosurgeons and EANS Training Committee</creatorcontrib><creatorcontrib>for the EANS Young Neurosurgeons and EANS Training Committee</creatorcontrib><title>Neurosurgical procedures performed during residency in Europe—preliminary numbers and time trends</title><title>Acta neurochirurgica</title><addtitle>Acta Neurochir</addtitle><addtitle>Acta Neurochir (Wien)</addtitle><description>Background
Differences in the postgraduate training programs of neurosurgical residents are suspected throughout Europe. The influence of working hour restrictions by the European Working Time Directive (WTD) 2003/88/EC on the number of surgical procedures remains unclear. We designed a survey to collect information on the number of surgical procedures, performed by European neurosurgical trainees during residency. This article reports preliminary data.
Methods
An electronic survey was distributed among the European Association of Neurosurgical Societies (EANS) member countries by national delegates of the training committee, as well as by members of the Young Neurosurgeons’ committee. The EANS mailing list of individual members was also used for distribution. All responses received between 04/2018 and 12/2018 were considered.
Results
From
n
= 180 responses received, 42 were omitted as responders were still in residency and for 58 relevant information was missing. The final sample was
n
= 80, with a mean responder’s age of 43.0 years (SD 8.6) and 88.8% being male. Responses came from 16 European countries; board certification was received between the years of 1976–2018. The numbers of surgical procedures performed independently were 511 (mean, 95% confidence interval (CI) 413–610), supervised were 514 (95%CI 360–668) and assisted were 752 (95%CI 485–1019) throughout residency. More detailed numbers for specific procedure types are reported in the article. Independently performed cranial procedures outnumbered spinal procedures (
p
< 0.006), and adult procedures outnumbered pediatric procedures (
p
< 0.001). There was a strong decrease in caseload between 1976 and 2018, with trainees performing on average 65 cases less throughout residency for each calendar year increase in board certification (95% CI − 116 to − 15,
p
= 0.012). Trainees graduating residency before introduction of the European WTD 2003/88/EC participated in more procedures than those graduating afterwards (mean 2797 vs. 1418,
p
= 0.005).
Conclusions
The preliminary analysis of the first 80 responses now provides a first reference frame for caseload that can be used by current and future European residents to critically compare their own operative numbers to. There was a strong decline in surgical cases over time, and trainees graduating after introduction of the European WTD 2003/88/EC had less surgical exposure. The survey remains open, and we invite further European neurosurgeons to provide their data in order to get even more robust estimates.</description><subject>Accreditation</subject><subject>Adult</subject><subject>Back surgery</subject><subject>Certification</subject><subject>Certification - statistics & numerical data</subject><subject>Confidence intervals</subject><subject>Europe</subject><subject>Graduate studies</subject><subject>Humans</subject><subject>Internship and Residency - statistics & numerical data</subject><subject>Internship and Residency - trends</subject><subject>Interventional Radiology</subject><subject>Life Sciences</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Minimally Invasive Surgery</subject><subject>Neurology</subject><subject>Neuroradiology</subject><subject>Neurosurgery</subject><subject>Neurosurgery - education</subject><subject>Neurosurgical Procedures - education</subject><subject>Neurosurgical Procedures - statistics & numerical data</subject><subject>Original Article - Neurosurgery Training</subject><subject>Pediatrics</subject><subject>Surgical Orthopedics</subject><subject>Surveys and Questionnaires</subject><subject>Trends</subject><subject>Working hours</subject><issn>0001-6268</issn><issn>0942-0940</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp9Uctu1TAQtRAVLRd-gAWyxAYWKWM7149lVRWKdNVuYG05jl1cJU6wbyp1x0fwhXwJc0kpEgsWHnvsM-M55xDyisEpA1DvKwZgDTDTgNBaN-IJOQHT8gYDPMUz4LPkUh-T57XeYsZVK56RYwGGK7ZVJ8RfhaVMdSk3ybuBzmXyoV9KqHQOJU5lDD3FPOUbipepD9nf05TpBVbN4ef3H3MJQxpTduWe5mXsQqnU5Z7u0xjovoTc1xfkKLqhhpcP-4Z8-XDx-fyy2V1__HR-tmu8kFo0gnMVWR-cN52XThm_lVsjuJHO6dj20WikGjvVgQcpwbXbloFikcWeMcfEhrxb-351g51LGnEmO7lkL8929nAHQoHUTN8dsG9XLDL-toS6t2OqPgyDy2FaquUcxdVC4NqQN_9Ab6elZGRiOTNGoqjQIoqvKI9y1hLi4wQM7MEuu9plkYP9bZcVWPT6ofXSodKPJX_8QYBYAXU-eBDK37__0_YXMj2gqw</recordid><startdate>20190501</startdate><enddate>20190501</enddate><creator>Stienen, Martin N.</creator><creator>Bartek, Jiri</creator><creator>Czabanka, Marcus A.</creator><creator>Freyschlag, Christian F.</creator><creator>Kolias, Angelos</creator><creator>Krieg, Sandro M.</creator><creator>Moojen, Wouter</creator><creator>Renovanz, Mirjam</creator><creator>Sampron, Nicolas</creator><creator>Adib, Sasan D.</creator><creator>Schubert, Gerrit A.</creator><creator>Demetriades, Andreas K.</creator><creator>Ringel, Florian</creator><creator>Regli, Luca</creator><creator>Schaller, Karl</creator><creator>Meling, Torstein R.</creator><general>Springer Vienna</general><general>Springer Nature B.V</general><general>Springer Verlag</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7TK</scope><scope>7U9</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>H94</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>1XC</scope><orcidid>https://orcid.org/0000-0002-6417-1787</orcidid><orcidid>https://orcid.org/0000-0001-9985-3617</orcidid></search><sort><creationdate>20190501</creationdate><title>Neurosurgical procedures performed during residency in Europe—preliminary numbers and time trends</title><author>Stienen, Martin N. ; Bartek, Jiri ; Czabanka, Marcus A. ; Freyschlag, Christian F. ; Kolias, Angelos ; Krieg, Sandro M. ; Moojen, Wouter ; Renovanz, Mirjam ; Sampron, Nicolas ; Adib, Sasan D. ; Schubert, Gerrit A. ; Demetriades, Andreas K. ; Ringel, Florian ; Regli, Luca ; Schaller, Karl ; Meling, Torstein R.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3683-3227f1deac9bc6a79c56593296aa8f4df98019fb7b0c0660a4541071f1fd11a13</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Accreditation</topic><topic>Adult</topic><topic>Back surgery</topic><topic>Certification</topic><topic>Certification - statistics & numerical data</topic><topic>Confidence intervals</topic><topic>Europe</topic><topic>Graduate studies</topic><topic>Humans</topic><topic>Internship and Residency - statistics & numerical data</topic><topic>Internship and Residency - trends</topic><topic>Interventional Radiology</topic><topic>Life Sciences</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Minimally Invasive Surgery</topic><topic>Neurology</topic><topic>Neuroradiology</topic><topic>Neurosurgery</topic><topic>Neurosurgery - education</topic><topic>Neurosurgical Procedures - education</topic><topic>Neurosurgical Procedures - statistics & numerical data</topic><topic>Original Article - Neurosurgery Training</topic><topic>Pediatrics</topic><topic>Surgical Orthopedics</topic><topic>Surveys and Questionnaires</topic><topic>Trends</topic><topic>Working hours</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Stienen, Martin N.</creatorcontrib><creatorcontrib>Bartek, Jiri</creatorcontrib><creatorcontrib>Czabanka, Marcus A.</creatorcontrib><creatorcontrib>Freyschlag, Christian F.</creatorcontrib><creatorcontrib>Kolias, Angelos</creatorcontrib><creatorcontrib>Krieg, Sandro M.</creatorcontrib><creatorcontrib>Moojen, Wouter</creatorcontrib><creatorcontrib>Renovanz, Mirjam</creatorcontrib><creatorcontrib>Sampron, Nicolas</creatorcontrib><creatorcontrib>Adib, Sasan D.</creatorcontrib><creatorcontrib>Schubert, Gerrit A.</creatorcontrib><creatorcontrib>Demetriades, Andreas K.</creatorcontrib><creatorcontrib>Ringel, Florian</creatorcontrib><creatorcontrib>Regli, Luca</creatorcontrib><creatorcontrib>Schaller, Karl</creatorcontrib><creatorcontrib>Meling, Torstein R.</creatorcontrib><creatorcontrib>EANS Young Neurosurgeons and EANS Training Committee</creatorcontrib><creatorcontrib>for the EANS Young Neurosurgeons and EANS Training Committee</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Neurosciences Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>Hyper Article en Ligne (HAL)</collection><jtitle>Acta neurochirurgica</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Stienen, Martin N.</au><au>Bartek, Jiri</au><au>Czabanka, Marcus A.</au><au>Freyschlag, Christian F.</au><au>Kolias, Angelos</au><au>Krieg, Sandro M.</au><au>Moojen, Wouter</au><au>Renovanz, Mirjam</au><au>Sampron, Nicolas</au><au>Adib, Sasan D.</au><au>Schubert, Gerrit A.</au><au>Demetriades, Andreas K.</au><au>Ringel, Florian</au><au>Regli, Luca</au><au>Schaller, Karl</au><au>Meling, Torstein R.</au><aucorp>EANS Young Neurosurgeons and EANS Training Committee</aucorp><aucorp>for the EANS Young Neurosurgeons and EANS Training Committee</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Neurosurgical procedures performed during residency in Europe—preliminary numbers and time trends</atitle><jtitle>Acta neurochirurgica</jtitle><stitle>Acta Neurochir</stitle><addtitle>Acta Neurochir (Wien)</addtitle><date>2019-05-01</date><risdate>2019</risdate><volume>161</volume><issue>5</issue><spage>843</spage><epage>853</epage><pages>843-853</pages><issn>0001-6268</issn><eissn>0942-0940</eissn><abstract>Background
Differences in the postgraduate training programs of neurosurgical residents are suspected throughout Europe. The influence of working hour restrictions by the European Working Time Directive (WTD) 2003/88/EC on the number of surgical procedures remains unclear. We designed a survey to collect information on the number of surgical procedures, performed by European neurosurgical trainees during residency. This article reports preliminary data.
Methods
An electronic survey was distributed among the European Association of Neurosurgical Societies (EANS) member countries by national delegates of the training committee, as well as by members of the Young Neurosurgeons’ committee. The EANS mailing list of individual members was also used for distribution. All responses received between 04/2018 and 12/2018 were considered.
Results
From
n
= 180 responses received, 42 were omitted as responders were still in residency and for 58 relevant information was missing. The final sample was
n
= 80, with a mean responder’s age of 43.0 years (SD 8.6) and 88.8% being male. Responses came from 16 European countries; board certification was received between the years of 1976–2018. The numbers of surgical procedures performed independently were 511 (mean, 95% confidence interval (CI) 413–610), supervised were 514 (95%CI 360–668) and assisted were 752 (95%CI 485–1019) throughout residency. More detailed numbers for specific procedure types are reported in the article. Independently performed cranial procedures outnumbered spinal procedures (
p
< 0.006), and adult procedures outnumbered pediatric procedures (
p
< 0.001). There was a strong decrease in caseload between 1976 and 2018, with trainees performing on average 65 cases less throughout residency for each calendar year increase in board certification (95% CI − 116 to − 15,
p
= 0.012). Trainees graduating residency before introduction of the European WTD 2003/88/EC participated in more procedures than those graduating afterwards (mean 2797 vs. 1418,
p
= 0.005).
Conclusions
The preliminary analysis of the first 80 responses now provides a first reference frame for caseload that can be used by current and future European residents to critically compare their own operative numbers to. There was a strong decline in surgical cases over time, and trainees graduating after introduction of the European WTD 2003/88/EC had less surgical exposure. The survey remains open, and we invite further European neurosurgeons to provide their data in order to get even more robust estimates.</abstract><cop>Vienna</cop><pub>Springer Vienna</pub><pmid>30927157</pmid><doi>10.1007/s00701-019-03888-3</doi><tpages>11</tpages><orcidid>https://orcid.org/0000-0002-6417-1787</orcidid><orcidid>https://orcid.org/0000-0001-9985-3617</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
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| ispartof | Acta neurochirurgica, 2019-05, Vol.161 (5), p.843-853 |
| issn | 0001-6268 0942-0940 |
| language | eng |
| recordid | cdi_hal_primary_oai_HAL_hal_03706818v1 |
| source | MEDLINE; Springer Online Journals |
| subjects | Accreditation Adult Back surgery Certification Certification - statistics & numerical data Confidence intervals Europe Graduate studies Humans Internship and Residency - statistics & numerical data Internship and Residency - trends Interventional Radiology Life Sciences Medicine Medicine & Public Health Minimally Invasive Surgery Neurology Neuroradiology Neurosurgery Neurosurgery - education Neurosurgical Procedures - education Neurosurgical Procedures - statistics & numerical data Original Article - Neurosurgery Training Pediatrics Surgical Orthopedics Surveys and Questionnaires Trends Working hours |
| title | Neurosurgical procedures performed during residency in Europe—preliminary numbers and time trends |
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