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Academic neurosurgery in Nepal: Present status and future directions
Mohan Raj Sharma1, Gopal Sedain1, Prakash Kafle2
1Department of Neurosurgery, Tribhuvan University Teaching Hospital, Institute of Medicine, Kathmandu, Nepal.
Brain & Spine
|November 29, 2023
Summary
Neurosurgery training in Nepal has grown since 1999, with 10 accredited centers and 47 homegrown neurosurgeons. Continued efforts aim for self-reliance in neurosurgical education despite challenges.
Area of Science:
- Neurosurgery
- Medical Education
- Global Health
Background:
- The establishment of local neurosurgery training programs is crucial for expanding the discipline in Nepal.
- Understanding the current status and international standing of academic neurosurgery in Nepal is essential.
Purpose of the Study:
- To describe the evolution, current status, challenges, and future directions of academic neurosurgery in Nepal.
- To assess the growth and development of neurosurgical training and practice in Nepal.
Main Methods:
- Data were collected from Nepalese universities and regulatory bodies.
- Key variables included the number of neurosurgeons, accredited training centers, training models, graduates, and contributions to literature.
Main Results:
- Formal neurosurgical training began in Nepal in 1999.
- Currently, 10 out of 67 hospitals are accredited for neurosurgical training, with three existing training models (MCh, NBMS, FCPS).
- Nepal has 116 practicing neurosurgeons, 47 (40.5%) of whom were trained domestically, and has trained neurosurgeons from the Maldives.
Conclusions:
- Nepal's neurosurgery sector faces challenges but shows progress comparable to similar economies.
- Sustained efforts are necessary to achieve self-reliance in neurosurgical education and further develop the field.
