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February 27, 2026BMJ Neurology Open1 citationsOpen Access

Neurophobia among the Egyptian early-career physicians: the first national multi-centre report

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HAHossam Tharwat AliASAbou Ghanima S.F. ShehataNANada Ashraf Al-Shafey

Key Points

  • This research aims to evaluate the presence of neurophobia among early-career physicians in Egypt and understand their attitudes towards neurology.
  • Conducted a cross-sectional study using a structured online questionnaire.
  • Utilized Likert-scale, multiple-choice, and closed-ended questions to gather data.
  • Used R Statistical Software for data analysis and calculated mean and standard deviation scores.
  • 205 (50.4%) participants exhibited neurophobia, primarily interns and primary care physicians.
  • The most reported factors contributing to neurophobia include difficulties with neuroanatomy and poor teaching.
  • Interns and primary care physicians had a mean likelihood score of 2.55 for specializing in neurology.

Abstract

Background There is a shortage of neurologists at a time when brain disorders have become major contributors to disability and death worldwide. This is the first national study of Egyptian early-career physicians, exploring their attitudes towards neurology and neuroscience. Methods This cross-sectional study took place in September and October 2024 using a structured, self-administered online questionnaire, comprising Likert-scale, multiple-choice and closed-ended questions. We calculated the mean and SD for the score of each speciality in different characteristics (ie, interest, difficulty, confidence and knowledge). The concept of neurophobia was defined as a combined confidence and difficulty score of ≤4 points. Data analysis was done using R Statistical Software (V.4.4.2, R Core Team). Results Our study included 445 participants, comprising 384 interns (86%), 23 primary care physicians (5.2%) and 38 residents (8.5%). Around 51% of interns and primary care physicians were males, compared with 34% of residents. A total of 205 (50.4%) of the interns and primary care physicians exhibited neurophobia, followed by 197 (48.4%) to cardiology, and 132 (32.4%) to geriatrics. The most common factors for neurophobia were trouble with neuroanatomy (48.9%), lack of curative treatment or poor prognosis (35.6%), too many rare diagnoses (34.2%), poor teaching (25.8%) and trouble with basic neuroscience (22.4%). Interns and primary care physicians showed a moderate likelihood of specialising in neurology with a mean (SD) score of 2.55 (1.09). Conclusions The current study provided a summary of residents’ perspectives toward neurology and neuroscience as well as suggestions to combat neurophobia.

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Cite This Study

Ali et al. (2026) studied this question.

synapsesocial.com/papers/69a13591ed1d949a99abf87ahttps://doi.org/10.1136/bmjno-2025-001514
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