OBJECTIVE The lack of access to primary neurosurgical care presents a significant burden for patients in low- and middle-income countries (LMICs). Efforts to decrease the inequities in access to surgical care have become an increasing focus of initiatives and advocacy within the international neurosurgery community. Although residents may represent highly active members of international teams, the extent of their availability for and interest in global neurosurgery opportunities remains unclear. The objectives of this study were to assess the degree of participation, the level of interest, and the perceived barriers for residents of Canadian neurosurgery programs in engaging in neurosurgery initiatives in LMICs. METHODS A cross-sectional survey was administered to 144 residents from all accredited Canadian neurosurgery residency programs. The survey was used to determine the level of participation and interest in global neurosurgery initiatives. RESULTS The survey response rate from residents at Canadian neurosurgery programs was 45/144 (31%), although not all respondents answered every question; thus, the denominator for each question is not always 45. Most neurosurgery residents (n = 30, 68%) were unaware of any global neurosurgery opportunities available during residency. Despite 64% of residents having an interest in participation (strongly agree/agree; n = 28), with most residents planning on participating as attending staff (strongly agree/agree; n = 28, 64%), only 3 residents (7%) had taken part in LMIC neurosurgery initiatives. The most cited perceived limitations for participation were lack of time (n = 37, 84%) and finances (n = 26, 59%). CONCLUSIONS Among surveyed residents from Canadian neurosurgery programs, there was a low participation rate in global neurosurgery initiatives and limited knowledge of available opportunities, despite relatively high interest. Many respondents identified time and financial constraints as barriers to participation. Many residents felt that interest could increase were there a structured program dedicated to global neurosurgery available in their residency program.
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机译：目的缺乏对原发性神经外科护理的途径为低收入和中等收入国家（LMIC）的患者提供了重大负担。减少访问外科护理的不公平的努力已成为国际神经外科界倡议和宣传的巨大焦点。虽然居民可能代表国际团队的高度活跃成员，但它们可用性和对全球神经外科机会的利益的程度尚不清楚。本研究的目标是评估参与程度，利益程度以及加拿大神经外科课程居民的感知障碍，从事LMIC中的神经外科倡议。方法将横截面调查从所有认可的加拿大神经外科居住计划施用至144名居民。该调查用于确定全球神经外科倡议的参与和兴趣水平。结果加拿大神经外科课程居民的调查响应率为45/144（31％），虽然并非所有受访者都回答了每个问题;因此，每个问题的分母并不总是45.大多数神经外科居民（n = 30,68％）不知道居住期间可用的任何全球神经外科机会。尽管有64％的居民有兴趣参与（强烈同意/同意; N = 28），大多数居民计划参加参与参加人员（强烈同意/同意; N = 28,64％），只有3名居民（7％ ）已参与Lmic神经外科倡议。参与的最引用的感知局限性缺乏时间（n = 37,84％）和财务状况（n = 26,59％）。结论来自加拿大神经外科课程的受访居民，全球神经外科倡议的参与率低，并且尽管有相对高的兴趣，但可用机会知识有限。许多受访者将时间和财务限制确定为参与的障碍。许多居民认为，有利息可能会增加，致力于在其居住计划中提供的全球神经外科的结构性方案。
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