NEUROLOGY TRAINING IN CANADA FOR FOREIGN NATIONALS OPPORTUNITIES AND CHALLENGES
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NEUROLOGY TRAINING IN CANADA FOR FOREIGN
NATIONALS
OPPORTUNITIES AND CHALLENGES
A Keith W Brownell
Department of Clinical NeurosciencesUniversity of Calgary and Alberta Health Services
DISCLOSURES
The opinions expressed in this presentation are based on my own experience and the experiences collected from other educational leaders (primarily Canadian) over the past more than 30 years I have been involved with leadership activities in post-graduate education.
There is virtually nothing in the published literature on this topic.
OUTLINE
• Definition of terms• Accredited and fellowship programs• Current Canadian contribution• Why offer this type of training• Opportunities and challenges• Conclusions• Challenge for the AAN
DEFINITION OF TERMS
• Foreign national
• Fellowship training
ACCREDITED NEUROLOGY EDUCATION/TRAINING
• Royal College of Physicians and Surgeons of Canada (RCPSC) accredited
• University based• 5 years duration • Certification examinations conducted by
the RCPSC
ACCREDITED NEUROLOGY EDUCATION/TRAINING
PROGRAMS
• Adult Neurology 16 (126 in USA)• Pediatric Neurology 10 ( 69 in USA)• Subspecialties 0 ( ? # in USA)
NEUROLOGY FELLOWSHIP EDUCATION/TRAINING
CANADIAN CONTRIBUTION 2009 – 2010
DATA SOURCES
CANADIAN CONTRIBUTION 2009 – 2010
ACCREDITED PROGRAMS
• Numbers 20 [19 (A), 1 (P)] • Stages of training RI (3), RII (6), RIII (4)
RIV (2), RV (5)
CANADIAN CONTRIBUTION 2009 – 2010
FELLOWSHIP PROGRAMS
• Numbers 52• Program types 15
COUNTRIES OF ORIGIN (27) • Bahrain• Brazil• China• Columbia• Costa Rica• Egypt• England• Iceland• India• Jamaica• Japan• Kuwait• Libya• Malaysia
• Mexico• Netherlands• New Zealand• Nigeria• Oman• Romania• Russia• Saudi Arabia• Spain• Sweden• Tunisia• United Arab Emirates• Ukraine
COUNTRIES OF ORIGIN• Saudi Arabia 19• India 8• 4 countries @2 8• 21 countries @1 21• Not documented 16
• TOTAL 72
FELLOWSHIP TYPES
• Behavioral neurology• EEG (pediatrics)• Epilepsy• General neurology• Movement disorders (& DBS)• MS• Neuro critical care
• Neurology/neurophys• Neuromuscular• Neuro-oncology• Neuro-ophthalmology• NICU• Pediatric neurology• Sleep• Stroke
MORAL BASIS OF OBLIGATION TO PROVIDE EDUCATIONAL
OPPORTUNITIES TO FOREIGN NATIONALS
• CMA Code of Ethics• Justice• Altruism• International responsibilities
OPPORTUNITIES FOR SPONSORING PROGRAMS
1. ___________________________2. ___________________________3. ___________________________4. ___________________________5. ___________________________6. ___________________________7. ___________________________8. ___________________________
CHALLENGES FOR SPONSORING PROGRAMS
1. Recruitment
2. Educational program
3. Social
RECRUITMENT1. Assessment of credentials2. Assessment of language skills3. Trainee expectations4. Interview
EDUCATIONAL PROGRAM
1. Program objectives & expectations2. Medical ethics3. Professionalism4. Communication
5. End of life issues & critical care6. Evaluation7. Integration8. Orientation
SOCIAL
1. Isolation2. Family support3. Language fatigue4. Social network5. Spiritual & religion concerns6. Legal issues7. Ombudperson8. Impact of a termination
CONCLUDING REMARKS
1. _______________________________2. _______________________________3. _______________________________4. _______________________________5. _______________________________
OPPORTUNITIES FOR ORGANIZED NEUROLOGY
1. ______________________________
2. ______________________________
3. ______________________________
4. ______________________________
COMMENTS/QUESTIONS