There has been in recent decades a worrying trend of decreasing Neurosurgical Residency operative numbers observed.
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Neurosurgical training and education - General European certification is supported: Results of an EANS survey.
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This may reflect an increasing trend in medicine to focus more-so on non-technical skills i.e. soft skills such as leadership, resilience, situational judgement and ethics and not just mere academic excellence ( Cobianchi et al., 2022 ).