Challenges for Neurosurgical Trainees

Neurosurgery is a new subspeciality of surgery with a very little progress in terms of clinical outcome despite of lot of technological advancements in last few decades. Neurosurgical management  has greatly been helped by advancements in neuroradiology like CT scan, MRI, and angiography. Very little progress has been witnessed over the innovative surgical skills and clinical outcome as reported during the period of Victor Horsley, Harvey Cushing and Walter Dandy about a century ago. As a trainee there is a need to have a bird eye view of the whole gamut of neurosurgery including Gamma knife, functional neurosurgery, neuro intervention, apart from learning skills of skull base neurosurgery, vascular neurosurgery , spinal instrumentation, repair of nerve injuries, surgery for craniosynostosis, spinal dysraphism, encephaloceles and neuroendoscopy. Some neurosurgical centers  may not have expertise and facilities for providing comprehensive teaching and training in neurosurgery.