ArticleMedicine2025
Career trends among neurosurgery residents in Pakistan: A cross-sectional study.
Article in Medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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.
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.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Neurosurgery is a specialized branch of medicine that deals with the surgical treatment of conditions affecting the nervous system, including the brain, spinal cord, and peripheral nerves. Neurosurgeons undergo extensive training to diagnose and treat a wide range of neurological disorders, from brain tumors and spinal cord injuries to movement disorders and chronic pain. This nationwide survey aimed to investigate career trends, training satisfaction, and emigration intentions among neurosurgery residents in Pakistan. A prospective cross-sectional study was conducted using a structured, self-administered questionnaire disseminated via social media and email groups. One hundred twenty-two registered neurosurgery residents participated (mean age, 30.68 ± 3.50 years), with a notable gender disparity (76.2% males). Residents' satisfaction with training improved as they progressed, with operative independence being a key factor. 82% planned to pursue a fellowship, mainly in spine and neurovascular surgery. 85.2% intended to leave Pakistan after training, favoring the UK, the Middle East, and the US. Residents in government hospitals had 7.3 times higher odds of planning emigration than those in private hospitals. Logistic regression identified private training, career uncertainty, financial pressures, and seniority as significant predictors of emigration. Latent class analysis revealed 3 challenge profiles with different emigration risks. Mediation analysis showed that satisfaction mediates the relationship between training type and emigration, particularly among junior residents. These findings highlight the urgent need for policy-level reforms to improve neurosurgical training satisfaction in Pakistan and reduce brain drain in this highly specialized field.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.