title: Insufficient global health education in European neurological post-graduate training: a European Association of Young Neurologists and Trainees survey.
abstract: The awareness of and demand for neurological expertise in global health (GH) have emerged over recent years and have become more relevant due to the increasing numbers of refugees from developing countries arriving in Europe. This study aimed to assess the provision of GH education and opportunities for international exchange during neurology post-graduate training with a focus on Europe.
  
  
  
  We developed a questionnaire covering different aspects of and interest in GH education on behalf of the European Association of Young Neurologists and Trainees. Residents in neurology and junior neurologists (RJN) were approached to complete this survey.
  
  
  
  Completed questionnaires were returned by 131 RJNs, of whom 65.7% were women and 84.0% were between 26 and 35 years old. In total, almost one-third (29.0%) of RJNs reported that their residency programs offered training in GH. Limited education was reported for women's or children's health and neurological disorders of immigrants and refugees, as only 22.1%, 25.2% and 22.1% of RJNs reported that such training was offered, respectively. The curriculum rarely included coverage of the global impact of neurological disorders. Definite plans to volunteer in a developing country were reported by 7.6%. The majority of the participants acknowledged the importance of GH training and international exchange during post-graduate education.
  
  
  
  This survey corroborates the interest in and appreciation of GH education by European RJNs. However, there are shortcomings in training and opportunities for international exchange. Academic neurology and international bodies, including the European Academy of Neurology, are requested to address this.
authors.affiliation: King's College London and King's College Hospital, London, UK. annasauerbier@nhs.net.
authors.forename: A
authors.initials: A
authors.lastname: Sauerbier
authors.affiliation: Institute of Neurology, Faculty of Brain Sciences, Sobell Department of Motor Neuroscience and Movement Disorders, University College of London, London, UK.
authors.forename: A
authors.initials: A
authors.lastname: Macerollo
authors.affiliation: National Institute of Psychiatry and Addictions, Nyírő Gyula Hospital, Budapest, Hungary.
authors.forename: O
authors.initials: O
authors.lastname: Györfi
authors.affiliation: Institute of Genomic Medicine and Rare Disorders, Semmelweis University, Budapest, Hungary.
authors.forename: P
authors.initials: P
authors.lastname: Balicza
authors.affiliation: Department of Neurology, Emergency Clinical County Hospital Brasov, Brasov, Romania.
authors.forename: M
authors.initials: M
authors.lastname: Moarcas
authors.affiliation: Department of Neurology, Holstebro Hospital, Holstebro, Denmark.
authors.forename: V
authors.initials: V
authors.lastname: Papp
authors.affiliation: Department of Neurology, Evangelismos Hospital, Athens, Greece.|Sheffield Teaching Hospitals NHS Trust, Sheffield, UK.|University of Sheffield, Sheffield, UK.
authors.forename: P
authors.initials: P
authors.lastname: Zis
authors.affiliation: Department of Neurology, Technical University Dresden, Dresden, Germany.
authors.forename: L
authors.initials: L
authors.lastname: Klingelhoefer
authors.affiliation: UCL Institute of Neurology, Queen Square, Neurology, London, UK.
authors.forename: T
authors.initials: T
authors.lastname: Saifee
authors.affiliation: Clinic of Neurology 2, Medical Campus III, Kepler University Clinic, Linz, Austria.
authors.forename: W
authors.initials: W
authors.lastname: Struhal
authors.affiliation: Department of Neurology, Klinikum rechts der Isar, Technische Universität München, Munich, Germany.|Department of Neurology, Christian Doppler Medical Center, Paracelsus Medical University, Salzburg, Austria.
authors.forename: J
authors.initials: J
authors.lastname: Sellner
mesh_terms: D003479:Curriculum; D004503:Education, Medical, Graduate; D005060:Europe; D014943:Global Health; D006266:Health Education; D006801:Humans; D007396:Internship and Residency; D000072141:Neurologists; D009462:Neurology / Q000193:education*
keywords: Europe; global health; neurology