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DOI:10.25259/SNI_477_2019Copyright: © 2019 Surgical Neurology International This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-Share Alike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.
How to cite this article: Dechambenoit G. Initial training in neurosurgery and risk management. Surg Neurol Int 27-Sep-2019;10:190
How to cite this URL: Dechambenoit G. Initial training in neurosurgery and risk management. Surg Neurol Int 27-Sep-2019;10:190. Available from: http://surgicalneurologyint.com/surgicalint-articles/9673/
The training of a surgeon should no longer be limited to the theoretical and practical teaching of the treatment of diseases of the specialty, with the main focus being the surgical procedure.[
The worldwide literature[
The human factor frequently appears as an immediate cause of adverse events.[
Human errors develop in a context – root causes – favoring their occurrence. Leape[
Recognized protocols are used in care systems to investigate and analyze incidents (Clinical Safety Research Unit, Imperial College London), Association of Litigation and Risk Management, from the identification of the causes of an event[
It is time to create a database that could be used in the neurosurgical career development by creating a specific training module for managing risks and complications.
This teaching that we should organized must be focused to the practical implementation and the study of scenarios thanks to workshops in small groups, exercises in simulation based on real scenarios. To create this bank of scenarios close to the field, teams of experts must be involved: neurotraumatology, cerebrovascular, tumors, spine, functional neurosurgery, neuropediatrics, and peripheral nerves. A syllabus of skills – knowledge, know-how and skills – taking into account the aspect of the mastery of illness is essential, but a critical analysis of the environment will optimize access to neurosurgical clinical performance.
The change of practice and culture goes through initial training.
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