caa a22 4500 606213961 CHVBK 20210128101050.0 cr unu---uuuuu 210128e20150901xx s 000 0 eng 10.1007/s00701-015-2494-5 doi (NATIONALLICENCE)springer-10.1007/s00701-015-2494-5 International differences in the management of intracranial aneurysms: implications for the education of the next generation of neurosurgeons [Elektronische Daten] [Nabeel Alshafai, Olesya Falenchuk, Michael Cusimano] Background: The publication of the International Subarachnoid Aneurysm Trial rapidly changed the management of patients with subarachnoid hemorrhage. The present and perceived future trends of aneurysm management have significant implications for patients and how we educate future cerebrovascular specialists. Objective: To determine present perceived competencies of final-year neurosurgical residents who have just finished their residencies and to relate those to what practitioners from a variety of continents expect of these persons. The goal is to provide a basis for further discussion regarding the design of further educational programs in neurosurgery. Methods: A 55-item questionnaire with 33 questions related to competencies and expectations of competency from final-year residents who have just finished residency was completed by 229 neurosurgeons and neuro-radiologists (81% response rate) of mixed seniority from 45 countries. We used bivariate and descriptive analyses to determine future trends and geographic differences in cerebral aneurysm management as well as the educational implications on the future. Results: More North Americans than those from the rest of the world are of the opinion that graduating residents are presently competent to perform basic cerebrovascular procedures like evacuation of a hematoma and clipping a simple 7-mm middle cerebral artery aneurysm. Extremely few graduating neurosurgical residents anywhere are presently capable of performing endovascular techniques for even the most basic of aneurysms. Most of those surveyed also believe that endovascular and open surgical management of aneurysms should be a part of residency training for all residents (70.4 and 88.7%, respectively). Conclusions: Our findings have implications for the design of neurosurgical curricula for residents as well as for certification examinations and procedures. Specialty and educational organizations and those responsible for the education of future clinicians who will care for patients with cerebrovascular problems should adjust educational objectives and implement curricula and learning experiences that will ensure that cerebrovascular specialists are capable of providing the best care possible to the patient with an aneurysm, whether that be open surgery or endovascular management. These findings mean that organizations around the world will need to make these adjustments to the education of future specialists. Springer-Verlag Wien, 2015 Surgical education nationallicence Residency and fellowship nationallicence Certification nationallicence Cerebral aneurysm nationallicence Treatment nationallicence Endovascular nationallicence Objectives nationallicence Alshafai Nabeel Division of Neurosurgery, Li Ka Shing Knowledge Institute, St. Michael's Hospital, 30 Bond Street, M5B 1W8, Toronto, ON, Canada aut Falenchuk Olesya Faculty of Education, Ontario Institute for Studies in Education, University of Toronto, 252 Bloor Street West, M5S 1V6, Toronto, ON, Canada aut Cusimano Michael Division of Neurosurgery, Li Ka Shing Knowledge Institute, St. Michael's Hospital, 30 Bond Street, M5B 1W8, Toronto, ON, Canada aut Acta Neurochirurgica Springer Vienna 157/9(2015-09-01), 1467-1475 0001-6268 157:9<1467 2015 157 701 https://doi.org/10.1007/s00701-015-2494-5 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s00701-015-2494-5 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Alshafai Nabeel Division of Neurosurgery, Li Ka Shing Knowledge Institute, St. Michael's Hospital, 30 Bond Street, M5B 1W8, Toronto, ON, Canada aut NATIONALLICENCE 700 1- Falenchuk Olesya Faculty of Education, Ontario Institute for Studies in Education, University of Toronto, 252 Bloor Street West, M5S 1V6, Toronto, ON, Canada aut NATIONALLICENCE 700 1- Cusimano Michael Division of Neurosurgery, Li Ka Shing Knowledge Institute, St. Michael's Hospital, 30 Bond Street, M5B 1W8, Toronto, ON, Canada aut NATIONALLICENCE 773 0- Acta Neurochirurgica Springer Vienna 157/9(2015-09-01), 1467-1475 0001-6268 157:9<1467 2015 157 701