title: Neurosurgery certification in member societies of the World Federation of Neurosurgical Societies (WFNS). The Americas.
abstract: BACKGROUND
  This article aims to objectively compare the complexity and diversity of the certification process in neurologic surgery in member societies of the World Federation of Neurosurgical Societies.
  
  
  METHODS
  This study centers on the certification processes in the geographic regions of North, South, and Central America. It presents a subgroup analysis based on the responses provided to a 13-item survey. The data received were analyzed and three Regional Complexity Scores (RCSs) were designed. To compare national board experience, eligibility requirements to access the certification process, and the degree to which exams were obligatory, an RCS-Organizational score was created (RCS-O, 20 points maximum). To analyze the complexity of the examination, an RCS-Components score was designed (RCS-C, 20 points maximum). The sum of both is presented as the Global RCS (RCS-G) score. In addition, a descriptive summary of the certification process for each responding society is also provided.
  
  
  RESULTS
  On the basis of the data provided by the RCS system, the United States and Brazil seem to have the most developed certification processes in the American continent (20 points each), followed by Canada (18 points) and Mexico (17 points).
  
  
  CONCLUSIONS
  The experience from these leading countries should be of value and reference to other countries, allowing future improvement within the region. Peer-Review Article.
authors.affiliation: Division of Neurological Surgery, University of Texas Medical Branch, Galveston, Texas, USA. jagascot@utmb.edu
authors.forename: Jaime
authors.initials: J
authors.lastname: Gasco
authors.forename: Sean M
authors.initials: SM
authors.lastname: Barber
authors.forename: Leonardo
authors.initials: L
authors.lastname: Rangel-Castilla
authors.forename: Ian E
authors.initials: IE
authors.lastname: McCutcheon
authors.forename: Peter M
authors.initials: PM
authors.lastname: Black
mesh_terms: D000068:Accreditation / Q000592:standards; D000569:Americas; D002568:Certification / Q000592:standards*; D003431:Cross-Cultural Comparison; D003479:Curriculum / Q000592:standards; D006801:Humans; D007396:Internship and Residency / Q000592:standards; D009493:Neurosurgery / Q000193:education*; D012955:Societies, Medical; D013044:Specialty Boards / Q000592:standards*