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Neurosurgical training and education - General European certification is supported: Results of an EANS survey.

Brain Spine · 2023 · PMC10668047 · PMID 38021021

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a worrying trendno p-value reported
There has been in recent decades a worrying trend of decreasing Neurosurgical Residency operative numbers observed.

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an increasing trendno p-value reported
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 ).

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Quoted from the open-access full text in Europe PMC under the licence the publisher applied. The sentence is reproduced exactly as published; the emphasis is ours.