Publication year: 2012
Source: World Neurosurgery, Available online 10 February 2012
Abhishek Agrawal, Yoko Kato, Hirotoshi Sano, Tetsuo Kanno
Once considered a domain of the otolaryngologists, the endoscope is now a common armamentarium of a neurosurgeon. Neuro-endoscopy or endoscope assisted microsurgery is now being used in almost all routine procedures performed in the Neurosurgical operating room. The hands-on training has become essential to learn the basis of Neuroendoscopy even to those well accustomed to the use of microscopes. To decrease the slope of the learning curve of the residents during their training, and therefore reduce the complications; most of the Neurosurgery training programs across the globe have now incorporated laboratory or dissection programs in their curriculum.The pre-conference workshops held during annual meetings is also an excellent tool for the transition of residents from being a 'resident' under the umbrella of an attending; to being an 'neurosurgeon' and be able to operate independently and with confidence in the operating room. In this tech-savvy era; various cadaver or synthetic models are readily available for training of endoscopy in a virtually simulated environment.Agreeing with the results of the survey conducted by individual groups and societies, we also firmly believe that incorporation of endoscopy in the neurosurgical curriculum will add a new dimension to the existing protocol. There is an urgent need for dedicated 'endoscopic' training programs like the post-residency fellowships; along with encouragement of translational research and establishment of dedicated societies which can lay the guidelines and monitor its progress.
Júlio Leonardo B. Pereira
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