Martin N Stienen1,2, David Netuka3, Andreas K Demetriades4, Florian Ringel5,6, Oliver P Gautschi7,8, Jens Gempt5, Dominique Kuhlen9, Karl Schaller7,8. 1. Department of Neurosurgery and Faculté de Médicine, University Hospital of Geneva, Geneva, Switzerland. mnstienen@gmail.com. 2. Service de Neurochirurgie, Département des Neurosciences Cliniques, Hôpitaux Universitaires de Genève, Rue Gabrielle Perret-Gentil 4, 1205, Genève, Suisse. mnstienen@gmail.com. 3. Department of Neurosurgery, Charles University, 1st Medical Faculty, Central Military Hospital, Prague, Czech Republic. 4. Department of Neurosurgery, Western General Hospital, Edinburgh, EH4 2XU, UK. 5. Department of Neurosurgery, Klinikum Rechts der Isar, Technical University Munich, Munich, Germany. 6. Department of Neurosurgery, Universitätsmedizin Mainz, Mainz, Germany. 7. Department of Neurosurgery and Faculté de Médicine, University Hospital of Geneva, Geneva, Switzerland. 8. Service de Neurochirurgie, Département des Neurosciences Cliniques, Hôpitaux Universitaires de Genève, Rue Gabrielle Perret-Gentil 4, 1205, Genève, Suisse. 9. Department of Neurosurgery, Ente Ospedaliero Cantonale, Bellinzona, Switzerland.
Abstract
INTRODUCTION: Substantial country differences in neurosurgical training throughout Europe have recently been described, ranging from subjective rating of training quality to objective working hours per week. The aim of this study was to analyse whether these differences translate into the results of the written and oral part of the European Board Examination in Neurological Surgery (EBE-NS). METHODS: Country-specific composite scores for satisfaction with quality of theoretical and practical training, as well as working hours per week, were obtained from an electronic survey distributed among European neurosurgical residents between June 2014 and March 2015. These were related to anonymous country-specific results of the EBE-NS between 2009 and 2016, using uni- and multivariate linear regression analysis. RESULTS: A total of n = 1025 written and n = 63 oral examination results were included. There was a significant linear relationship between the country-specific EBE-NS result in the written part and the country-specific composite score for satisfaction with quality of theoretical training [adjusted regression coefficient (RC) -3.80, 95 % confidence interval (CI) -5.43-7 -2.17, p < 0.001], but not with practical training or working time. For the oral part, there was a linear relationship between the country-specific EBE-NS result and the country-specific composite score for satisfaction with quality of practical training (RC 9.47, 95 % CI 1.47-17.47, p = 0.021), however neither with satisfaction with quality of theoretical training nor with working time. CONCLUSION: With every one-step improvement on the country-specific satisfaction score for theoretical training, the score in the EBE-NS Part 1 increased by 3.8 %. With every one-step improvement on the country-specific satisfaction score for practical training, the score in the EBE-NS Part 2 increased by 9.47 %. Improving training conditions is likely to have a direct positive influence on the knowledge level of trainees, as measured by the EBE-NS. The effect of the actual working time on the theoretical and practical knowledge of neurosurgical trainees appears to be insignificant.
INTRODUCTION: Substantial country differences in neurosurgical training throughout Europe have recently been described, ranging from subjective rating of training quality to objective working hours per week. The aim of this study was to analyse whether these differences translate into the results of the written and oral part of the European Board Examination in Neurological Surgery (EBE-NS). METHODS: Country-specific composite scores for satisfaction with quality of theoretical and practical training, as well as working hours per week, were obtained from an electronic survey distributed among European neurosurgical residents between June 2014 and March 2015. These were related to anonymous country-specific results of the EBE-NS between 2009 and 2016, using uni- and multivariate linear regression analysis. RESULTS: A total of n = 1025 written and n = 63 oral examination results were included. There was a significant linear relationship between the country-specific EBE-NS result in the written part and the country-specific composite score for satisfaction with quality of theoretical training [adjusted regression coefficient (RC) -3.80, 95 % confidence interval (CI) -5.43-7 -2.17, p < 0.001], but not with practical training or working time. For the oral part, there was a linear relationship between the country-specific EBE-NS result and the country-specific composite score for satisfaction with quality of practical training (RC 9.47, 95 % CI 1.47-17.47, p = 0.021), however neither with satisfaction with quality of theoretical training nor with working time. CONCLUSION: With every one-step improvement on the country-specific satisfaction score for theoretical training, the score in the EBE-NS Part 1 increased by 3.8 %. With every one-step improvement on the country-specific satisfaction score for practical training, the score in the EBE-NS Part 2 increased by 9.47 %. Improving training conditions is likely to have a direct positive influence on the knowledge level of trainees, as measured by the EBE-NS. The effect of the actual working time on the theoretical and practical knowledge of neurosurgical trainees appears to be insignificant.
Keywords:
Board examination; Country difference; EANS; European Board Examination; Neurosurgery education; Quality; Residency; Trainee satisfaction; Training
Authors: Sujit Gnanakumar; Bilal Abou El Ela Bourquin; Faith C Robertson; Davi J Fontoura Solla; Claire Karekezi; Kerry Vaughan; Roxanna M Garcia; Fahd Derkaoui Hassani; Alexander Alamri; Julius Höhne; Nesrine Mentri; Martin Stienen; Tsegazeab Laeke; Luis Rafael Moscote-Salazar; Ahmed Nasser Al-Ahmari; Hosam Al-Jehani; Federico Nicolosi; Nicolás Samprón; P David Adelson; Franco Servadei; Ignatius N Esene; Amro Al-Habib; Angelos G Kolias Journal: World Neurosurg X Date: 2020-05-19
Authors: Kwadwo Sarpong; Tarig Fadalla; Deen L Garba; Mazin Suliman; Myron Rolle; Adam Ammar; Haytham Hussen; Kee B Park Journal: Brain Spine Date: 2022-06-09
Authors: Felix C Stengel; Maria L Gandia-Gonzalez; Cristina C Aldea; Jiri Bartek; Diogo Belo; Netanel Ben-Shalom; María F De la Cerda-Vargas; Evangelos Drosos; Christian F Freyschlag; Stanislav Kaprovoy; Milan Lepic; Laura Lippa; Katrin Rabiei; Giovanni Raffa; Bayron A Sandoval-Bonilla; Michael Schwake; Toma Spiriev; Cesare Zoia; Martin N Stienen Journal: Brain Spine Date: 2022-08-15