Evidence map›Paper›PMID 41180754›Full record

ReviewAnnals of medicine and surgery (2012)2025

History of medical education in neurosurgical training: moving from illustrations and cadaver dissections to virtual simulation.

Francesca Graziano, Rosa Maria Gerardi, Giovanni Federico Nicoletti, Valentina D'Amico, Iman Ghodratitoostani, Paolo Palmisciano, Bipin Chaurasia, Giuseppe Emmanuele Umana, Gianluca Scalia

Abstract readReview
In one paragraph

Review in Annals of medicine and surgery (2012), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Francesca GrazianoNeurosurgery Unit, Department of Head and Neck Surgery, ARNAS Garibaldi, Catania, Italy.
Rosa Maria GerardiExperimental Biomedicine and Clinical Neurosciences, School of Medicine, Residency Program in Neurological Surgery, Neurosurgical Clinic, AOUP "Paolo Giaccone", Palermo, Italy.
Giovanni Federico NicolettiNeurosurgery Unit, Department of Head and Neck Surgery, ARNAS Garibaldi, Catania, Italy.
Valentina D'AmicoDepartment of Anthropology, Hacettepe University, Ankara, Turkey.
Iman GhodratitoostaniNeurocognitive Engineering Laboratory (NEL), Center for Engineering Applied to Health, Institute of Mathematics and Computer Science (ICMC), University of Sao Paulo, Sao Paulo, Brazil.
Paolo PalmiscianoDepartment of Neurosurgery, UC Davis Medical Center, Sacramento, CA, USA.
Bipin ChaurasiaDepartment of Neurosurgery, Neurosurgery Clinic, Birgunj, Nepal.ORCID https://orcid.org/0000-0002-8392-2072
Giuseppe Emmanuele UmanaDepartment of Neurosurgery, Cannizzaro Hospital, Trauma and Gamma Knife Center, Catania, Italy.
Gianluca ScaliaNeurosurgery Unit, Department of Head and Neck Surgery, ARNAS Garibaldi, Catania, Italy.ORCID https://orcid.org/0000-0002-9465-2506

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The main objective of the study is to trace the history and evolution of neurosurgical education, examining the parallels between pre-Hellenistic, Islamic Golden Age, and modern educational methods. The study explores how the pioneering teaching approaches can inspire continuous improvements in current neurosurgical education. Additionally, the importance of mentorship and clinical clerkships in advancing international neurosurgical education is highlighted. Methods: This is a historical narrative review study, aiming to trace the evolution of neurosurgical education from antiquity to the present. The literature search was conducted between January 2020 and March 2024 using the databases PubMed, Scopus, JSTOR, and Google Scholar. Search terms included: "history of neurosurgical education," "cadaveric dissection in medical training," "Al-Zahrawi surgery," "anatomy teaching Renaissance," and "VR simulation in neurosurgery." Sources included primary historical texts (e.g., Edwin Smith Papyrus, Sushruta Samhita), secondary academic reviews, classical medical treatises, surgical textbooks, and biographies of key historical figures. Inclusion criteria focused on relevance to neurosurgical teaching, anatomical education, and educational methods, spanning both Western and non-Western civilizations. Results: As this is a historical narrative review, the results are presented through qualitative data - primarily events, milestones, educational practices, and biographical contributions - rather than statistical or outcome-based data. The historical analysis reveals a continuous link between mentorship, clinical clerkships, and hands-on neuroanatomy training as key factors that have shaped modern neurosurgical education. Notable advancements include Osler's introduction of bedside rounds and clerkships, and Rhoton's modern method of dissection of cadaveric heads for neuroanatomy teaching. Conclusions: The study concludes that historical insights into neurosurgical education methods provide valuable lessons for future improvements in teaching and mentoring in the field. The legacy of figures such as Sir William Osler and Dr. Albert Rhoton continues to inform and inspire modern neurosurgical education, particularly in clinical and anatomical learning practices.

Indexed as

cadaveric dissectionclinical clerkshipshistorical evolutionmedical education advancementsmentorship in medicineneuroanatomy teachingneurosurgical educationpre-hellenistic medicineSir William Oslersurgical education history

Identifiers

PMID41180754
PMCPMC12577886

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.