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This is a limitation considering that the pandemic led to cancellation of rotations, fellowships, and physical conferences. By presenting a pre-pandemic overview of the needs and barriers faced by African trainees and neurosurgeons, our study provides data to better appreciate the impact of the pandemic. We believe this data will be informative for the WFNS, CAANS, and their partners as they determine solutions to mitigate the impact of the pandemic on African neurosurgery. ConclusionThere has been evolution in neurosurgical practice in Africa over the past two decades however neurosurgeons and residents face a myriad of difficulties in their day-to-day practice and education.
These online events have the advantage of being less expensive because they eliminate travel and visa costs but they present a unique set of challenges. Online sessions offer less face-to-face and hands-on time in comparison with physical conferences and symposia. As such, they cannot be a substitute to in-person and hands-on experiences but they are and should be complements. ResearchAfrican residents and young neurosurgeons equally face significant challenges in research. While it is true that the contribution of Africa to global neurosurgical research has increased over the past two decades, it still has a long way to go (29).
004, Phi = 0. 314), lack of organized prehospital care (P = 0. 005, Phi = 0. 309), lack of regular access to the advice of senior colleagues (P = 0. 335), lack of a mentor (P = 0. 332) and limited attendance at a neurosurgical conference (P = 0. 369). More West African respondents reported bullying and harassment than their counterparts from South, East, North, and Central Africa (43. 14. 3 vs. 13.
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