Neurology Training in Turkey

Burcu Zeydan MD, Gülçin Benbir MD

Istanbul University Cerrahpasa School of Medicine

1 June 2014

Neurology Training in Turkey

• Undergraduate training (medical school)

• Neurology residency training

• Graduate and Postgraduate educational activities – Continuous medical education (CME/CPD)

Undergraduate Training

• Theoretical Classes (3rd and 5th grades)

3rd grade: Clinico-neuroanatomic, neurological exam

5th grade: 2,5 weeks of education

• Neurological practice (3rd and 5th grades)

3rd grade: Introduction to neurology

5th grade: Neurological exam and patient preparation

Neurology residency training

• 4 year-residency program (formerly 5 years)

• 3 months rotations of subspeciality divisions and laboratories

• Emergency room shifts after 6 months

• Outside rotations – internal medicine (3 months), psychiatry (3 months), cardiology

(1 month), neuroradiology (1 month) and anesthesiology and reanimation (1 month)

Postgraduate Training

• In relevant clinical neuro-disciplines

– Neuro-intensive care

– Algology

– Clinical neurophysiology

Turkish Neurological Society (TNS)

• The Turkish Neurological Society (TNS) founded in 1992; has 1969 members

• Istanbul University Cerrahpasa School of Medicine Neurology Department

• Turkish Initiative with The World Federation of Neurology (WFN)

Istanbul University Cerrahpasa School of Medicine Neurology Department - Turkish Initiative

• Supporting African initiatives of the WFN

• Visits to our department for 4 weeks

http://www.worldneurologyonline.com/article/wfn-tns-team-to-present-turkish-initiative/

Istanbul University Cerrahpasa School of Medicine

• First roots in the 15th century

• Medical School – first established in 1827

• Neurology Department in 1933 (by Prof Hayrullah Diker and Prof Fahrettin Kerim Gökay)

• In 1963, reorganization as Cerrahpaşa School of Medicine and Istanbul School of Medicine

Istanbul University Cerrahpasa School of Medicine Neurology Department

• One of the major medical schools in Turkey

• Has both Turkish and English Medical programs

• 21 leading subspecialists in every field of neurology

• 6 consultants, 16 residents, 7 fellows

• 24 master students in electroneurophysiology

Education program

• Everyday noon meetings (12:30-13:30)

Education program

• Everyday noon meetings (12:30-13:30)

• Mondays

– Case presentations

– Neurooncology and NeuroBehçet joint meeting with Oncologists and Romatologists every other Monday

• Tuesdays

– Continuing educations on clinical neuroanatomy and neurophysiology

Education program

• Wednesdays

– Pediatric neurology meetings and “What’s new in the literature?” meetings

– Neuroradiology meetings on Wednesday mornings, platform to learn and share experiences with joint collaboration of neuroradiologists and neurosurgeons where interesting cases from all neurology and neurosurgical services are presented and reviewed

Education program

• Thursdays

– Algology and Cerebrovascular disorders meetings every other week

• Fridays

– Weekly in and outpatient case discussions

– DBS study group joint meetings with neurosurgeons and psychiatrists on Friday mornings

Education program

• Papers published in peer-reviewed international journals

– Year 2012: 53

– Year 2013: 70

Istanbul University Cerrahpasa School of Medicine Neurology Department

• Inpatient yard

– 36 adult beds + 6 children beds : 42 beds

(24 one bed in a room, 7 two beds in a room)

**1 yard is out of service due to reconstruction at the moment!

• Out-patient clinics

• Out-patient treatment unit

• Non-invasive Laboratories

• One library, one class

• Meeting room

Istanbul University Cerrahpasa School of Medicine Neurology Department

• Number of hospitalized patients

2012: 580 patients

2013: 575 patients

• Out-patient treatment unit

2012: 330 patients

2013: 341 patients

• Out-patient clinics

2012: 43.335 patients

2013 : 47.545 patients

• Sleep Disorders Unit

2012: 5073 patients

2013: 4787 patients

• EMG Laboratory

2012: 4203 patients

2013: 4231 patients

• EEG Laboratory

2012: 3771 patients

2013: 3709 patients

Neurology Department – Divisions & Units

• General neurology

• Algology division

• Cerebrovascular disease division

• Clinical neuroimmunology unit and MS Clinic

• Clinical neurophysiology division

• Epilepsy and Epileptic Surgery unit

• Movement disorders

• Neuromuscular diseases

• Pediatric neurology division

• Sleep Disorders Unit

Algology Division- Headache Unit

Algology Division - Headache Unit:

• Prof MD Baki Göksan (Head of division)

• Prof MD Aksel Siva

• Prof MD Sabahattin Saip

• Prof MD Ayşe Altıntaş

• Prof MD Feray Karaali Savrun

• Ass Prof MD Derya Uludüz

• MD Uğur Uygunoğlu

Cerebrovascular Neurology-Stroke Division

Vascular Neurology Medical staff:

• Prof MD Birsen İnce (Head of Division)

• Prof MD Baki Göksan

• Ass Prof MD Derya Uludüz

• MD Melis Sevindik

Clinical Neuroimmunology Unit

Clinical Neuroimmunology Medical staff:

• Prof MD Aksel Siva (Head of Division)

• Prof MD Sabahattin Saip

• Prof MD Ayşe Altıntaş

• MD Uğur Uygunoğlu

• MD Melih Tütüncü

Clinical Neurophysiology Division- Epilepsy Unit:

Clinical Neurophysiology - Epilepsy Medical staff:

• Prof MD Naz Yeni

• Prof MD Çiğdem Özkara

• MD Sakir Delil

Electroencephalography (EEG) Laboratory

EEG Division

• Founded in 1968

• >2000 patients/ year for electrodiagnosis.

• > 6000 patients in the follow-up for various epileptic disorders

• Outpatient clinic services

• Studies on electrophysiology of epileptic disorders and epileptic surgery.

Outpatient EEG monitoring

Duration: 30 minutes

Electroencephalography (EEG) Laboratory

EEG short sleep -monitoring

Electroencephalography (EEG) Laboratory

Epilepsy surgery evaluation Electroencephalographic Investigation

Electroencephalographic (EEG) investigation remains the most important aspect of the presurgical evaluation.

Clinical Neurophysiology Division - EMG Unit:

Clinical Neurophysiology - EMG Unit Medical staff: • Prof MD Meral Kızıltan (Head of Division) • Prof MD Feray Karaali Savrun • Prof MD Mehmet Ali Akalın • Ass Prof MD Nurten Uzun Adatepe • MD Ayşegül Gündüz • MD Melis Sevindik

Electrophysiology Division- Electromyography subdivision

• Founded in 1968

• >3000 patients/ year for electrodiagnosis

• > 500 patients in follow-up for various neuromuscular disorders

• Outpatient clinic services

• There are ongoing studies on electrophysiology of movement disorders, efficacy of botulinum toxin in pain disorders, genetics of amyotrophic lateral sclerosis

Clinical Neurophysiology Division- EMG Unit:

• Patients referred for diagnosis of neuromuscular disorders

Clinical Neurophysiology Division- EMG Unit:

• Movement disorders analysis

Clinical Neurophysiology Division- EMG Unit:

• Evoked potential analysis

Clinical Neurophysiology Division- EMG Unit:

• >300 patients in follow-up for botulinum toxin injections

• Diagnosis: – Focal dystonia – Spasticity – Facial nerve related

movement disorders

– Migraine, trigeminal neuralgia

Clinical Neurophysiology Division- EMG Unit:

Movement Disorders Unit

Movement disorders unit Medical staff:

• Prof MD Güneş Kızıltan

• Prof MD Hülya Apaydın

• Prof MD Sibel Ertan

• MD Ayşegül Gündüz

Pediatric Neurology Division

Pediatric neurology Medical staff:

• Prof MD Veysi Demirbilek (Head of Division)

• Prof MD Barış Korkmaz

• Prof MD Cengiz Yalçınkaya

• MD Şakir Delil

Sleep Disorders Unit

Sleep Disorders Unit staff:

• Prof MD Derya Karadeniz

• MD Gülçin Benbir

Sleep Disorders Unit

Sleep Disorders Unit

Sleep Disorders Unit

Sleep Disorders Unit

Our Residents • Eser Buluş, MD

• Gülsün Erşen, MD

• Nihan Altan, MD

• Burcu Zeydan, MD

• Başak Yılmaz, MD

• Toğrul Mastanzade, MD

• İbrahim Gülamov, MD

• Ayşe Deniz Elmalı, MD

• Şükriye F. Menkü, MD

• Aygül Mahmudova, MD

• Leyla Köse, MD

• Hatice Kurucu, MD

• Bengi Gül Alpaslan, MD

• F. Cansu Çatal, MD

Have a nice visit in our department !