{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T15:01:31Z","timestamp":1788274891135,"version":"build-2803163510"},"reference-count":32,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2018,10]]},"abstract":"<jats:p>There is inadequate pediatric neurosurgical training to meet the growing burden of disease in low- and middle-income countries (LMIC). Subspecialty expertise in the management of hydrocephalus and spina bifida\u2014two of the most common pediatric neurosurgical conditions\u2014offers a high-yield opportunity to mitigate morbidity and avoid unnecessary death. The CURE Hydrocephalus and Spina Bifida (CHSB) fellowship offers an intensive subspecialty training program designed to equip surgeons from LMIC with the state-of-the-art surgical skills and equipment to most effectively manage common neurosurgical conditions of childhood. Prospective fellows and their home institution undergo a comprehensive evaluation before being accepted for the 8-week training period held at CURE Children\u2019s Hospital of Uganda (CCHU) in Mbale, Uganda. The fellowship combines anatomy review, treatment paradigms, a flexible endoscopic simulation lab, daily ward and ICU rounds, radiology rounds, and clinic exposure. The cornerstone of the fellowship is the unique operative experience that includes a high volume of endoscopic third ventriculostomy with choroid plexus cauterization, myelomeningocele closure, and ventriculoperitoneal shunting, among many other procedures performed at CCHU. Upon completion, fellows return to their home institution to establish or rejuvenate a robust pediatric practice as part of a worldwide network of CHSB trainees committed to the care of underserved children. To date, the fellowship has graduated 33 surgeons from 20 different LMIC who are independently performing thousands of hydrocephalus and spina bifida operations each year.<\/jats:p>","DOI":"10.3171\/2018.7.focus18249","type":"journal-article","created":{"date-parts":[[2018,10,1]],"date-time":"2018-10-01T03:36:46Z","timestamp":1538365006000},"page":"E2","source":"Crossref","is-referenced-by-count":40,"title":["Subspecialty pediatric neurosurgery training: a skill-based training model for neurosurgeons in low-resourced health systems"],"prefix":"10.3171","volume":"45","author":[{"given":"Michael C.","family":"Dewan","sequence":"first","affiliation":[{"name":"Department of Neurological Surgery, Vanderbilt University Medical Center, Nashville, Tennessee;"},{"name":"Global Neurosurgery Initiative, Program in Global Surgery and Social Change, Department of Global Health and Social Medicine, Harvard Medical School, Boston, Massachusetts;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Justin","family":"Onen","sequence":"additional","affiliation":[{"name":"CURE Children\u2019s Hospital of Uganda, Mbale, Uganda; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hansen","family":"Bow","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, Vanderbilt University Medical Center, Nashville, Tennessee;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter","family":"Ssenyonga","sequence":"additional","affiliation":[{"name":"CURE Children\u2019s Hospital of Uganda, Mbale, Uganda; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Charles","family":"Howard","sequence":"additional","affiliation":[{"name":"CURE Children\u2019s Hospital of Uganda, Mbale, Uganda; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Benjamin C.","family":"Warf","sequence":"additional","affiliation":[{"name":"Global Neurosurgery Initiative, Program in Global Surgery and Social Change, Department of Global Health and Social Medicine, Harvard Medical School, Boston, Massachusetts;"},{"name":"Department of Neurological Surgery, Boston Children\u2019s Hospital, Harvard Medical School, Boston, Massachusetts"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"key":"b1","series-title":"World Neurosurg","first-page":"196","article-title":"Effect of geopolitical forces on neurosurgical training in Sub-Saharan Africa","volume":"101","author":"Dempsey KE","year":"2017","unstructured":"Dempsey KE, Qureshi MM, Ondoma SM, Dempsey RJ: Effect of geopolitical forces on neurosurgical training in Sub-Saharan Africa. 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