{"title":"Letter to the Editor regarding medical students’ perception toward neurosurgery as a career: a cross-sectional study","authors":"Krish Kuhar, Bipin Chaurasia","doi":"10.1186/s41984-024-00293-6","DOIUrl":null,"url":null,"abstract":"<p>Kaleem et al. [1] in this engrossing article presented an overview of perception of medical students toward the field of neurosurgery and enrolling in neurosurgical training programs. This article provides an insight into the mindset of undergraduates and may guide the institutions to meet the demands of aspirants. The study also attempts to fill the knowledge gap and motivate the young minds to pursue an influential career in neurosurgery.</p><p>In a similar context, the study conducted by Mokhtari et al. [2] described the perspective of medical students in Iran to opt for residency in neurosurgery and indicated that female decisions were particularly influenced by duration of residency, number of on-calls and stress levels. Chan et al. [3] in his research in the Philippines concluded that merely 18.7% students were interested in pursuing neurosurgery as a career. Balogun et al. [4] in his study appreciated the willingness of final year medical students of Nigeria to enroll in neurosurgery and concluded that the number of interested candidates is low and sex disparity profoundly exists.</p><p>These studies recognize the extensive efforts by the world neurosurgery community to comprehend the outlook and inclination of medical students toward opting neurosurgery as a career branch and imply that paramount changes are required to draw more students and increase workforce in neurosurgery.</p><p>The fundamental objective of this article is to assess the status of perception and apprehension of contemporary medical undergraduates regarding neurosurgery as a branch and to highlight the necessity of exposure to neurosurgery before graduation.</p><p>However, we do not completely agree with the results of the study as it majorly involves some of students leaving out more than half of the total medical student’s population and thus deviating the study from yielding effective conclusions. Further, even if the database was collected after face and content validation, being an online questionnaire survey, renders the source passive for reliable results.</p><p>One of the similar study done by Shah et al. [5] concluded that almost 60% of the respondents are willing to consider neurosurgery as a career option, but in our opinion this cannot be held entirely true. It can be understood from an analogy that when students are questioned about opting a stream after high school, a vast majority of students prefers to select the branch which seems alluring among their peers, but eventually they may end up choosing another branch after achieving proper exposure and assessing their personal requirements. Thus, compatibility of a branch can only be concluded after its adequate exposure.</p><p>We completely agree with the author that exposure to neurosurgery is negligible in the medical curriculum of undergraduates. Zukerman et al. [6] in his study also elucidated the crucially of neurosurgery electives for preclinical medical students.</p><p>Further, it is adequately highlighted that less number of participants see themselves involved in research in future in India. This indicates it is high time to warrant mandatory exposure to research experience and neurosurgery during medical school. It can be executed in the form of research symposiums, clinical electives, hands-on workshops, didactic lectures or seminars and panel discussion during undergraduate period [7,8,9,10,11,12].</p><p>Indeed, it is a matter of honor and gratification that neurosurgeons from multiple corners of the world are coming together to analyze and understand the frame of mind of students concerning neurosurgery to attract the attention of stakeholders to take obligatory actions and establish better balance of patient doctor ratio by increasing human resource in neurosurgery.</p><p>We embrace such gestures by the neurosurgical community and its commitment toward the development of the field to provide outstanding patient care.</p><p>Not applicable.</p><ol data-track-component=\"outbound reference\" data-track-context=\"references section\"><li data-counter=\"1.\"><p>Kaleem M, Kaleem M, Anwar A, Anis S, Zafar Y, Alam MT. Medical students’ perception toward neurosurgery as a career: a cross-sectional study. Egypt J Neurosurg. 2023;38(1):58. https://doi.org/10.1186/s41984-023-00227-8.</p><p>Article Google Scholar </p></li><li data-counter=\"2.\"><p>Mokhtari A, Haddadi M, Mokhtari A, Tehrani DS. Factors affecting the choice of neurosurgery: medical student’s perspective. Interdiscip Neurosurg. 2024. https://doi.org/10.1016/j.inat.2024.101961.</p><p>Article Google Scholar </p></li><li data-counter=\"3.\"><p>Chan KI, Khu KJ, Brillante EM, Flores GP, Nakpil AS, Go DA, Dantes JK, Manlapid JM, Legaspi GD. Perceptions and likelihood of medical students to pursue a career in neurosurgery: findings from the Philippines. World Neurosurg. 2022;164:e590–8. https://doi.org/10.1016/j.wneu.2022.05.020.</p><p>Article PubMed Google Scholar </p></li><li data-counter=\"4.\"><p>Balogun JA, Adebayo AM. Perception (of) and willingness to choose a neurosurgery career among final-year medical students in Ibadan, Nigeria. World Neurosurg. 2019;126:e998-1004. https://doi.org/10.1016/j.wneu.2019.03.020.</p><p>Article PubMed Google Scholar </p></li><li data-counter=\"5.\"><p>Shah H, Pandey K, Raheja A, Garg K, Singla R, Mishra S, Tandon V, Servadei F, Kale S. Neurosurgery as a top-drawer choice for residency in India: reality or Myth? World Neurosurg. 2024. https://doi.org/10.1016/j.wneu.2023.12.133.</p><p>Article PubMed Google Scholar </p></li><li data-counter=\"6.\"><p>Zuckerman SL, Mistry AM, Hanif R, Chambless LB, Neimat JS, Wellons JC III, Mocco J, Sills AK, McGirt MJ, Thompson RC. Neurosurgery elective for preclinical medical students: early exposure and changing attitudes. World Neurosurg. 2016;86:120–6. https://doi.org/10.1016/j.wneu.2015.08.081.</p><p>Article PubMed Google Scholar </p></li><li data-counter=\"7.\"><p>Farooq M, Tariq S, Zahra SG, Atallah O, Chaurasia B. Neurosurgery abroad? Medical graduate’s perspective from LMIC. Brain Spine. 2023. https://doi.org/10.1016/j.bas.2023.102710.</p><p>Article PubMed PubMed Central Google Scholar </p></li><li data-counter=\"8.\"><p>Pahwa B, Chaurasia B, Garg K, Bozkurt I, Deora H. Factors affecting the choice of neurosurgery subspecialty: a geographic and gender-wise analysis. World Neurosurg. 2023;171:e864–73. https://doi.org/10.1016/j.wneu.2023.01.012.</p><p>Article PubMed Google Scholar </p></li><li data-counter=\"9.\"><p>Idrees A, Rehman AU, Mehmood MA, Pahwa B, Mohsin A, Shaikh T, Jesrani EK, Chaurasia B. Perception of neurosurgery as a career choice among early career doctors in Pakistan: a nationwide cross sectional survey. World Neurosurg. 2024. https://doi.org/10.1016/j.wneu.2023.12.151.</p><p>Article PubMed Google Scholar </p></li><li data-counter=\"10.\"><p>Deora H, Garg K, Tripathi M, Mishra S, Chaurasia B. Residency perception survey among neurosurgery residents in lower-middle-income countries: grassroots evaluation of neurosurgery education. Neurosurg Focus. 2020;48(3):E11. https://doi.org/10.3171/2019.12.FOCUS19852.</p><p>Article PubMed Google Scholar </p></li><li data-counter=\"11.\"><p>Javed S, Shabbir RK, Khan T, Yaqoob E, Park KB, Chaurasia B. Global neurosurgery: the Pakistani perspective. Neurosurgery. 2023;92(2):e31–2. https://doi.org/10.1227/neu.0000000000002265.</p><p>Article PubMed Google Scholar </p></li><li data-counter=\"12.\"><p>Chaurasia B, Raut R, Chaurasia R, Thapa A. Neurosurgery training in Nepal: then and now. Front Surg. 2023. 10.3389%2Ffsurg.2023.1211722.</p></li></ol><p>Download references<svg aria-hidden=\"true\" focusable=\"false\" height=\"16\" role=\"img\" width=\"16\"><use xlink:href=\"#icon-eds-i-download-medium\" xmlns:xlink=\"http://www.w3.org/1999/xlink\"></use></svg></p><p>Not applicable.</p><p>Not applicable.</p><span>Author notes</span><ol><li><p>Both authors have contributed equally in formation of all forms of manuscript</p></li></ol><h3>Authors and Affiliations</h3><ol><li><p>Dr. Baba Saheb Ambedkar Medical College and Hospital, Delhi, India</p><p>Krish Kuhar</p></li><li><p>Department of Neurosurgery, Neurosurgery Clinic, Birgunj, Nepal</p><p>Bipin Chaurasia</p></li></ol><span>Authors</span><ol><li><span>Krish Kuhar</span>View author publications<p>You can also search for this author in <span>PubMed<span> </span>Google Scholar</span></p></li><li><span>Bipin Chaurasia</span>View author publications<p>You can also search for this author in <span>PubMed<span> </span>Google Scholar</span></p></li></ol><h3>Contributions</h3><p>Both authors read and approved the final manuscript.</p><h3>Corresponding author</h3><p>Correspondence to Bipin Chaurasia.</p><h3>Ethics approval and consent to participate</h3>\n<p>Not applicable.</p>\n<h3>Consent for publication</h3>\n<p>Not applicable.</p>\n<h3>Competing interests</h3>\n<p>Not applicable.</p><h3>Publisher's Note</h3><p>Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.</p><p><b>Open Access</b> This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.</p>\n<p>Reprints and permissions</p><img alt=\"Check for updates. 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0-.92-.08-1.33-.25-.41-.16-.77-.4-1.08-.7-.3-.31-.54-.69-.72-1.13-.17-.44-.26-.95-.26-1.52zm4.61-.62c0-.55-.11-.98-.34-1.28-.23-.31-.58-.47-1.06-.47-.41 0-.77.15-1.08.45-.31.29-.5.73-.57 1.3zm3.01 2.23c.31.24.61.43.92.57.3.13.63.2.98.2.38 0 .65-.08.83-.23s.27-.35.27-.6c0-.14-.05-.26-.13-.37-.08-.1-.2-.2-.34-.28-.14-.09-.29-.16-.47-.23l-.53-.22c-.23-.09-.46-.18-.69-.3-.23-.11-.44-.24-.62-.4s-.33-.35-.45-.55c-.12-.21-.18-.46-.18-.75 0-.61.23-1.1.68-1.49.44-.38 1.06-.57 1.83-.57.48 0 .91.08 1.29.25s.71.36.99.57l-.74.98c-.24-.17-.49-.32-.73-.42-.25-.11-.51-.16-.78-.16-.35 0-.6.07-.76.21-.17.15-.25.33-.25.54 0 .14.04.26.12.36s.18.18.31.26c.14.07.29.14.46.21l.54.19c.23.09.47.18.7.29s.44.24.64.4c.19.16.34.35.46.58.11.23.17.5.17.82 0 .3-.06.58-.17.83-.12.26-.29.48-.51.68-.23.19-.51.34-.84.45-.34.11-.72.17-1.15.17-.48 0-.95-.09-1.41-.27-.46-.19-.86-.41-1.2-.68z" fill="#535353"/></g></svg>\" width=\"57\"/><h3>Cite this article</h3><p>Kuhar, K., Chaurasia, B. Letter to the Editor regarding medical students’ perception toward neurosurgery as a career: a cross-sectional study. <i>Egypt J Neurosurg</i> <b>39</b>, 45 (2024). https://doi.org/10.1186/s41984-024-00293-6</p><p>Download citation<svg aria-hidden=\"true\" focusable=\"false\" height=\"16\" role=\"img\" width=\"16\"><use xlink:href=\"#icon-eds-i-download-medium\" xmlns:xlink=\"http://www.w3.org/1999/xlink\"></use></svg></p><ul data-test=\"publication-history\"><li><p>Received<span>: </span><span><time datetime=\"2024-02-14\">14 February 2024</time></span></p></li><li><p>Accepted<span>: </span><span><time datetime=\"2024-02-15\">15 February 2024</time></span></p></li><li><p>Published<span>: </span><span><time datetime=\"2024-06-26\">26 June 2024</time></span></p></li><li><p>DOI</abbr><span>: </span><span>https://doi.org/10.1186/s41984-024-00293-6</span></p></li></ul><h3>Share this article</h3><p>Anyone you share the following link with will be able to read this content:</p><button data-track=\"click\" data-track-action=\"get shareable link\" data-track-external=\"\" data-track-label=\"button\" type=\"button\">Get shareable link</button><p>Sorry, a shareable link is not currently available for this article.</p><p data-track=\"click\" data-track-action=\"select share url\" data-track-label=\"button\"></p><button data-track=\"click\" data-track-action=\"copy share url\" data-track-external=\"\" data-track-label=\"button\" type=\"button\">Copy to clipboard</button><p> Provided by the Springer Nature SharedIt content-sharing initiative </p>","PeriodicalId":72881,"journal":{"name":"Egyptian journal of neurosurgery","volume":null,"pages":null},"PeriodicalIF":0.7000,"publicationDate":"2024-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Egyptian journal of neurosurgery","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1186/s41984-024-00293-6","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"CLINICAL NEUROLOGY","Score":null,"Total":0}
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Abstract
Kaleem et al. [1] in this engrossing article presented an overview of perception of medical students toward the field of neurosurgery and enrolling in neurosurgical training programs. This article provides an insight into the mindset of undergraduates and may guide the institutions to meet the demands of aspirants. The study also attempts to fill the knowledge gap and motivate the young minds to pursue an influential career in neurosurgery.
In a similar context, the study conducted by Mokhtari et al. [2] described the perspective of medical students in Iran to opt for residency in neurosurgery and indicated that female decisions were particularly influenced by duration of residency, number of on-calls and stress levels. Chan et al. [3] in his research in the Philippines concluded that merely 18.7% students were interested in pursuing neurosurgery as a career. Balogun et al. [4] in his study appreciated the willingness of final year medical students of Nigeria to enroll in neurosurgery and concluded that the number of interested candidates is low and sex disparity profoundly exists.
These studies recognize the extensive efforts by the world neurosurgery community to comprehend the outlook and inclination of medical students toward opting neurosurgery as a career branch and imply that paramount changes are required to draw more students and increase workforce in neurosurgery.
The fundamental objective of this article is to assess the status of perception and apprehension of contemporary medical undergraduates regarding neurosurgery as a branch and to highlight the necessity of exposure to neurosurgery before graduation.
However, we do not completely agree with the results of the study as it majorly involves some of students leaving out more than half of the total medical student’s population and thus deviating the study from yielding effective conclusions. Further, even if the database was collected after face and content validation, being an online questionnaire survey, renders the source passive for reliable results.
One of the similar study done by Shah et al. [5] concluded that almost 60% of the respondents are willing to consider neurosurgery as a career option, but in our opinion this cannot be held entirely true. It can be understood from an analogy that when students are questioned about opting a stream after high school, a vast majority of students prefers to select the branch which seems alluring among their peers, but eventually they may end up choosing another branch after achieving proper exposure and assessing their personal requirements. Thus, compatibility of a branch can only be concluded after its adequate exposure.
We completely agree with the author that exposure to neurosurgery is negligible in the medical curriculum of undergraduates. Zukerman et al. [6] in his study also elucidated the crucially of neurosurgery electives for preclinical medical students.
Further, it is adequately highlighted that less number of participants see themselves involved in research in future in India. This indicates it is high time to warrant mandatory exposure to research experience and neurosurgery during medical school. It can be executed in the form of research symposiums, clinical electives, hands-on workshops, didactic lectures or seminars and panel discussion during undergraduate period [7,8,9,10,11,12].
Indeed, it is a matter of honor and gratification that neurosurgeons from multiple corners of the world are coming together to analyze and understand the frame of mind of students concerning neurosurgery to attract the attention of stakeholders to take obligatory actions and establish better balance of patient doctor ratio by increasing human resource in neurosurgery.
We embrace such gestures by the neurosurgical community and its commitment toward the development of the field to provide outstanding patient care.
Not applicable.
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Dr. Baba Saheb Ambedkar Medical College and Hospital, Delhi, India
Krish Kuhar
Department of Neurosurgery, Neurosurgery Clinic, Birgunj, Nepal
Bipin Chaurasia
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Kuhar, K., Chaurasia, B. Letter to the Editor regarding medical students’ perception toward neurosurgery as a career: a cross-sectional study. Egypt J Neurosurg39, 45 (2024). https://doi.org/10.1186/s41984-024-00293-6
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文章 PubMed Google Scholar Shah H, Pandey K, Raheja A, Garg K, Singla R, Mishra S, Tandon V, Servadei F, Kale S. Neurosurgery as a top-drawer choice for residency in India: reality or Myth?https://doi.org/10.1016/j.wneu.2023.12.133.Article PubMed Google Scholar Zuckerman SL, Mistry AM, Hanif R, Chambless LB, Neimat JS, Wellons JC III, Mocco J, Sills AK, McGirt MJ, Thompson RC.临床前医学生的神经外科选修课:早期接触和态度转变。World Neurosurg. 2016;86:120-6. https://doi.org/10.1016/j.wneu.2015.08.081.Article PubMed Google Scholar Farooq M, Tariq S, Zahra SG, Atallah O, Chaurasia B. Neurosurgery abroad?来自低收入国家医学毕业生的观点。脑脊柱》。2023. https://doi.org/10.1016/j.bas.2023.102710.Article PubMed PubMed Central Google Scholar Pahwa B, Chaurasia B, Garg K, Bozkurt I, Deora H. Factors affecting the choice of neurosurgery subspecialty: a geographic and gender-wise analysis.https://doi.org/10.1016/j.wneu.2023.01.012.Article PubMed Google Scholar Idrees A, Rehman AU, Mehmood MA, Pahwa B, Mohsin A, Shaikh T, Jesrani EK, Chaurasia B. Perception of neurosurgery as a career choice among early career doctors in Pakistan: a nationwide cross sectional survey.https://doi.org/10.1016/j.wneu.2023.12.151.Article PubMed Google Scholar Deora H, Garg K, Tripathi M, Mishra S, Chaurasia B. Residency perception survey among neurosurgery residents in lower-middle-income countries: grassroots evaluation of neurosurgery education.Neurosurg Focus.https://doi.org/10.3171/2019.12.FOCUS19852.Article PubMed Google Scholar Javed S, Shabbir RK, Khan T, Yaqoob E, Park KB, Chaurasia B. Global neurosurgery: the Pakistani perspective.神经外科。2023; 92(2):e31-2. https://doi.org/10.1227/neu.0000000000002265.Article PubMed Google Scholar Chaurasia B, Raut R, Chaurasia R, Thapa A. Neurosurgery training in Nepal: then and now.Front Surg.10.3389%2Ffsurg.2023.1211722.下载参考文献不适用.不适用.作者注释两位作者对所有形式手稿的形成做出了同等贡献作者和所属单位Dr.Baba Saheb Ambedkar医学院和医院,印度德里Krish Kuhar神经外科,神经外科诊所,尼泊尔比尔根杰Bipin Chaurasia作者Krish Kuhar查看作者发表的文章您也可以在PubMed Google Scholar中搜索该作者Bipin Chaurasia查看作者发表的文章您也可以在PubMed Google Scholar中搜索该作者贡献两位作者阅读并批准了最终手稿。通讯作者通讯作者:Bipin Chaurasia。伦理批准和参与同意书不适用.出版同意书不适用.竞争利益不适用.出版者注释Springer Nature对出版地图中的管辖权主张和机构隶属关系保持中立.开放获取本文采用知识共享署名 4.0 国际许可协议进行许可,该协议允许以任何媒介或格式使用、共享、改编、分发和复制,只要您适当注明原作者和来源,提供知识共享许可协议的链接,并说明是否进行了修改。本文中的图片或其他第三方材料均包含在文章的知识共享许可协议中,除非在材料的署名栏中另有说明。如果材料未包含在文章的知识共享许可协议中,且您打算使用的材料不符合法律规定或超出许可使用范围,则您需要直接从版权所有者处获得许可。要查看该许可的副本,请访问 http://creativecommons.org/licenses/by/4.0/.Reprints and permissionsCite this articleKuhar, K., Chaurasia, B. Letter to the Editor regarding medical students' perception toward neurosurgery as a career: a crosssectional study.Egypt J Neurosurg 39, 45 (2024). https://doi.org/10.1186/s41984-024-00293-6Download citationReceived:14 February 2024Accepted:15 February 2024Published: 26 June 2024DOI: https://doi.org/10.1186/s41984-024-00293-6Share this articleAnyone you share the following link with will be able to read this content:Get shareable linkSorry, a shareable link is not currently available for this article.Copy to clipboard Provided by the Springer Nature SharedIt content-sharing initiative.