Stereotactic radiosurgery training patterns across neurosurgical programs: a multi-national survey

Area of Science:

• Neurosurgery
• Radiation Oncology
• Medical Education

Background:

• Stereotactic radiosurgery (SRS) is increasingly used for cranial and spinal pathologies.
• Significant disparities exist in current SRS training programs.
• Understanding current training and practice patterns is crucial for improvement.

Purpose of the Study:

• To conduct a cross-sectional analysis of stereotactic radiosurgery (SRS) training and practice patterns in neurosurgery.
• To identify gaps in resident competency and training methodologies.
• To provide a basis for enhancing SRS education globally.

Main Methods:

• An online survey was distributed to collect data on SRS training and practice.
• Statistical analysis included two-sided t-tests for comparing frequency tables.
• Qualitative data were analyzed using modified thematic analysis with open and axial coding.

Main Results:

• A 16.4% response rate from 67 participants (predominantly neurosurgery attendings and residents).
• Most residents gain SRS exposure through non-SRS focused rotations.
• A majority of participants believe residents lack SRS competency upon residency completion.
• Tumor indications were most frequently encountered, followed by functional, vascular, and spine cases.

Conclusions:

• Multi-national analysis reveals suboptimal SRS residency training and practice.
• Respondents emphasize the critical role of SRS and the need for increased training.
• Enhanced training should encompass wider exposure to vascular, neoplastic, functional, and pediatric SRS indications.