Abstract

The present European Training Program in Neurosurgery (the European Neurosurgery Training) is based on a systematic and broad-based acquisition of knowledge and surgical skills in all essential areas of the speciality and should finish with a high-standard board examination. This allows a neurosurgeon who has received his/her certification/qualification in one of the countries of the EU to exert his/her professional activities in the whole area of classical neurosurgery. Extended skills and knowledge in more complex procedures and techniques, which are beyond this broad-based training, should not be learned by trial and error but by systematic, supervised acquisition of additional competence through hands-on experience and also critical assessment and appraisal of the relevant literature in such particular areas of the speciality after having finished regular training (or towards the end of regular training). This can be provided by additional training in appropriate institutions and also during specialized hands-on workshops (ESSFN, or equivalent training programs). Such systematic, supervised acquisition of additional competence is in the interest of our patients and provides a clear and graduated system of competence training in neurosurgery.

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