Simulation in Developing Countries

To the Editor: After reading the interesting supplement to the October Neurosurgery, Simulation in Neurosurgery: Possibilities and Practicalities, I have found myself reflecting on those experiences. Simulation is a useful tool for training in neurosurgery. But is simulation only for developed countries with neurosurgery? The Foreword1 cited the work of Gasco et al,2 which stated that $340 000 is needed as an “initial investment,” plus $28 000 for operating expenses. Are developing countries ready for this? I think not. Funds for science are scarce in our countries. Technology is needed for training. More important, international collaboration is the way to solve this disparity. Should we consider the possibility that several neurosurgical departments may gather funds to be able to institute a simulation center in a developing country? Or constant exchange programs for training? Either way, we must not forget about developing countries as we consider new techniques in neurosurgical training. Disclosure The author has no personal financial or institutional interest in any of the drugs, materials, or devices described in this article.