INTRODUCTION: The Muhimbili Orthopaedic Institute in collaboration with Weill Cornell Medicine organises an annual neurosurgery training course in Dar es Salaam, Tanzania. The course teaches theory and practical skills in neurotrauma, neurosurgery, and neurointensive care to attendees from across Tanzania and East Africa. This is the only neurosurgical course in Tanzania, where there are few neurosurgeons and limited access to neurosurgical care and equipment. RESEARCH QUESTION: To investigate the change in self-reported knowledge and confidence in neurosurgical topics amongst the 2022 course attendees. MATERIAL AND METHODS: Course participants completed pre and post course questionnaires about their background and self-rated their knowledge and confidence in neurosurgical topics on a five point scale from one (poor) to five (excellent). Responses after the course were compared with those before the course. RESULTS: Four hundred and seventy participants registered for the course, of whom 395(84%) practiced in Tanzania. Experience ranged from students and newly qualified professionals to nurses with more than 10 years of experience and specialist doctors. Both doctors and nurses reported improved knowledge and confidence across all neurosurgical topics following the course. Topics with lower self-ratings prior to the course showed greater improvement. These included neurovascular, neuro-oncology, and minimally invasive spine surgery topics. Suggestions for improvement were mostly related to logistics and course delivery rather than content. DISCUSSION AND CONCLUSION: The course reached a wide range of health care professionals in the region and improved neurosurgical knowledge, which should benefit patient care in this underserved region.

Charles University Prague Prague Czech Republic

Department of Neurosciences Grand Hôpital de Charleroi Charleroi Belgium

Department of Neurosurgery Arusha Lutheran Medical Center Arusha Tanzania

Department of Neurosurgery Medical University Innsbruck Innsbruck Austria

Muhimbili Orthopaedic Institute Department of Neurosurgery Dar es Salaam Tanzania

New York Presbyterian Och Spine New York USA

University of Kansas Medical Centre Kansas USA

Weill Cornell Medicine Department of Neurosurgery New York USA

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Ament J.D., Kim T., Gold-Markel J., et al. Planning and executing the neurosurgery boot camp: the Bolivia experience. World Neurosurg. 2017;104:407–410. doi: 10.1016/j.wneu.2017.05.046. [published Online First: 20170517] PubMed DOI

Budohoski K.P., Ngerageza J.G., Austard B., et al. Neurosurgery in East Africa: innovations. World Neurosurg. 2018;113:436–452. doi: 10.1016/j.wneu.2018.01.085. PubMed DOI

Calero-Martinez S.A., Matula C., Peraud A., et al. Development and assessment of competency-based neurotrauma course curriculum for international neurosurgery residents and neurosurgeons. Neurosurg. Focus. 2020;48(3):E13. doi: 10.3171/2019.12.Focus19850. PubMed DOI

Dempsey R.J., Buckley N.A. Education-based solutions to the global burden of neurosurgical disease. World Neurosurg. 2020;140:e1–e6. doi: 10.1016/j.wneu.2020.01.057. [published Online First: 20200116] PubMed DOI

Ellegala D.B., Simpson L., Mayegga E., et al. Neurosurgical capacity building in the developing world through focused training. J. Neurosurg. 2014;121(6):1526–1532. doi: 10.3171/2014.7.Jns122153. [published Online First: 20140912] PubMed DOI

Haglund M.M., Warf B., Fuller A., et al. Past, present, and future of neurosurgery in Uganda. Neurosurgery. 2017;80(4):656–661. doi: 10.1093/neuros/nyw159. PubMed DOI

Kahamba J.F., Assey A.B., Dempsey R.J., et al. The second African Federation of neurological surgeons course in the East, central, and Southern Africa region held in Dar es Salaam, Tanzania, January 2011. World Neurosurg. 2013;80(3–4):255–259. doi: 10.1016/j.wneu.2011.07.021. [published Online First: 20111107] PubMed DOI

Leidinger A., Kim E.E., Navarro-Ramirez R., et al. Spinal trauma in Tanzania: current management and outcomes. J. Neurosurg. Spine. 2019;31(1):103–111. doi: 10.3171/2018.12.Spine18635. PubMed DOI

Long K.L., Galukande M., Kyamanywa P., et al. Developing research potential and building partnerships: a report of the Fundamentals of surgical research course at the College of surgeons of East, central, and Southern Africa. J. Surg. Res. 2021;259:34–38. doi: 10.1016/j.jss.2020.11.020. [published Online First: 20201202] PubMed DOI

Mangat H.S., Schöller K., Budohoski K.P., et al. Neurosurgery in East Africa: foundations. World Neurosurg. 2018;113:411–424. doi: 10.1016/j.wneu.2018.01.086. PubMed DOI

Mangat H.S., Wu X., Gerber L.M., et al. Severe traumatic brain injury management in Tanzania: analysis of a prospective cohort. J. Neurosurg. 2021:1–13. doi: 10.3171/2020.8.Jns201243. [published Online First: 20210122] PubMed DOI PMC

Meara J.G., Leather A.J., Hagander L., et al. Global Surgery 2030: evidence and solutions for achieving health, welfare, and economic development. Lancet. 2015;386(9993):569–624. doi: 10.1016/S0140-6736(15)60160-X. [published Online First: 20150426] PubMed DOI

Rock J., Glick R., Germano I.M., et al. The first neurosurgery boot camp in Southeast Asia: evaluating impact on knowledge and regional collaboration in Yangon, Myanmar. World Neurosurg. 2018;113:e239–e246. doi: 10.1016/j.wneu.2018.02.001. [published Online First: 20180210] PubMed DOI

Santos M.M., Qureshi M.M., Budohoski K.P., et al. The growth of neurosurgery in East Africa: challenges. World Neurosurg. 2018;113:425–435. doi: 10.1016/j.wneu.2018.01.084. PubMed DOI

Selden N.R., Anderson V.C., McCartney S., et al. Society of Neurological Surgeons boot camp courses: knowledge retention and relevance of hands-on learning after 6 months of postgraduate year 1 training. J. Neurosurg. 2013;119(3):796–802. doi: 10.3171/2013.3.Jns122114. [published Online First: 20130416] PubMed DOI

United Nations . 2022. United Nations Population Division World Population Prospects 2022.

World Bank . 2023. World Bank Country and Lending Groups.

World Health Organization . In: Global Report on Road Safety 2018. Organization W.H., editor. World Health Organization; 2018. p. 403.

The first EANS vascular and skull base hands-on course in East Africa: Review from the global and humanitarian neurosurgical committee initiative