Department of Neurosciences
 King Faisal Specialist Hospital and Research Center – Jeddah
           Pediatric Neurology F...
1) INTRODUCTION

Pediatric neurological disorders are common, particularly in Saudi Arabia. Many
of cases seen by general ...
-   Acute management of seizures, coma, and raised intracranial
                      pressure and other neurological emer...
5) THEORETICAL & CLINICAL COMPONENTS

      A) Rotations

               - Clinical Pediatric Neurology               7 mo...
the program and graduate. A failed rotation has to be repeated at the end of the year.
A comprehensive written exam coveri...
Department of Neurosciences
 King Faisal Specialist Hospital and Research Center – Jeddah
              Pediatric Neurolog...
Department of Neurosciences
 King Faisal Specialist Hospital and Research Center – Jeddah
              Pediatric Neurolog...
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PEDIATRIC NEUROLOGY DIPLOMA PROGRAM

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PEDIATRIC NEUROLOGY DIPLOMA PROGRAM

  1. 1. Department of Neurosciences King Faisal Specialist Hospital and Research Center – Jeddah Pediatric Neurology Fellowship Program PEDIATRIC NEUROLOGY DIPLOMA PROGRAM General Information & Guidelines CONTENT: 1- Introduction 2- Goals & Objectives 3- Duration, Number of Positions & Dates 4- Admission Requirements & Selection Criteria 5- Theoretical & Clinical Components 6- Evaluation & Assessment 7- Teaching Faculty & Departments 8- Attachments Prepared by Mohammed M.S. Jan, MB.Ch.B, FRCPC Professor & Consultant of Pediatric Neurology Director of the Pediatric Neurology Diploma Program 2006 1
  2. 2. 1) INTRODUCTION Pediatric neurological disorders are common, particularly in Saudi Arabia. Many of cases seen by general pediatricians are primarily neurological. Pediatricians refer most of their children with neurological complaints to pediatric neurologists – a reflection of the difficulty that this group of patients presents to generalists. Diagnosing and managing neurological diseases require the skills and expertise of physicians specialized in Pediatric Neurology. In Saudi Arabia, trained pediatric neurologists are few and are available only in selected tertiary care centers of the larger cities. There is a strong demand for this specialty in this region. King Faisal Specialist Hospital and Research Center – Jeddah is deeply committed to delivering the finest care to children with neurological disorders. Establishing a one-year Fellowship Program in Pediatric Neurology is an important step in fulfilling one of our goals – the achievement of leading the country in the provision to the community of qualified Pediatricians with adequate knowledge and skills in Pediatric Neurology to meet the demand for providing optimal care for children with neurological disorders. At this time, the number of staff in the Pediatric Neurology Section, with the support of many members of The Neurosciences Department and other members in other Departments in the fields of Neurosurgery, Clinical Neurophysiology, Neuroradiology, Neuropathology, and Developmental pediatrics, will enable us to provide a 1-year comprehensive Fellowship Training Program in Pediatric Neurology. This Program is submitted for accreditation by the Saudi Council for Health Specialties. At the end of successful completion of the 1-year training, the candidate will receive a graduate certificate provided by King Faisal Specialist Hospital and Research Center. 2) GOALS & OBJECTIVES The candidate should gain knowledge, learn skills, and solve problems related to all common pediatric neurology disorders. Upon successful completion of the one-year fellowship program, the trainee should demonstrate competence in the following areas: A) Knowledge: - Anatomy, physiology, and embryology of the central and peripheral nervous system. - Pathophysiology, diagnosis, management, and prognoses of children presenting with developmental delay or regression, cerebral palsy, mental retardation, epilepsy, head injury, headache, stroke, metabolic disorders, and abnormal movements. 2
  3. 3. - Acute management of seizures, coma, and raised intracranial pressure and other neurological emergencies. - Pharmacology of CNS medications (e.g. antiepileptic drugs, antimigraine drugs) B) Research: Develop the basic skills required to perform clinical studies such as case reports and series, retrospective studies, and proposals for prospective studies. The candidate will be required to conduct at least one investigative project during the fellowship year. C) Skills: the trainee should be able to: - Achieve competence in the neurological examination and neurodevelopmental assessment of the newborn, infant, and older children. - Know the utility, limitations, and interpretation of the results of lumbar puncture, EEG, EMG, evoked potentials, Cranial US, CT, MRI, MRA, MR Spectroscopy, Cerebral Angiography, and Isotope scans. 3) DURATION, NUMBER OF POSITIONS & DATES This is a 1-year comprehensive training program. The program will start with one candidate and will increase the number to two after the initial 6 months. Therefore, the program will eventually accommodate one junior and one senior fellow at any given time. The proposed dates for recruitment are the 1st of January and the 1st of July each year, starting the 1st of July, 2003. 4) ADMISSION REQUIREMENTS & SELECTION CRITERIA 1) The applicant should have had at least 4 years of general pediatric training and at least passed the written part of the Saudi Board Examination in Pediatrics. Priority is for those holding Saudi Board and/or Arab Board certification (or other equivalent certification in Pediatrics). 2) The applicant should have sponsorship from his institution for the one-year Fellowship in Pediatric Neurology (full time). She or he will not be financially compensated or given accommodation by King Faisal Specialist Hospital & Research Center during the one-year appointment. 3) The applicant should be certified in Basic Life Support (BLS) and Pediatric Advanced Life Support (PALS); if not, she or he should be willing to take the two courses (provided by KFSH&RC – Jeddah). 4) Copy of ID, 3 photos, CV, copies of credentials, and 3 reference letters should be submitted to the Department of Academic & Training Affairs and then forwarded to the Neurosciences Department. 5) Oral interview will be arranged jointly between the section of Pediatric Neurology and the Academic & Training Affairs Department. 3
  4. 4. 5) THEORETICAL & CLINICAL COMPONENTS A) Rotations - Clinical Pediatric Neurology 7 months - Clinical Neurophysiology 1 month - Neuroradiology – Neuropathology 1 month - Clinical Research – Clinics 1 month - Electives within KFSH&RC 1 month - Metabolic - Genetics - Developmental - Psychiatry - Vacation Time 1 month B) Responsibilities 1) Full time attendance 8 AM – 5 PM, Saturday through Wednesday. 2) Attend the hospital orientation course at the beginning of the year. 3) Attend and actively participate in the Departmental Academic and Educational Activities as outlined in APPENDIX 1. 4) Attend the Pediatric Neurology clinics (4 clinics per week). Clinics should be attended continuously for 10 months of the year to maximize the clinical exposure (excluding the elective and vacation months). Attending the evening private clinics is optional. 5) Review all Pediatric Neurophysiological studies (EEG, EMG, evoked potentials) with the attending consultant. 6) Follow all inpatient Pediatric Neurology cases and answer all consultations. Hand over patients to other consulted services and organize discharge with direct communication with the attending consultant. 7) Cover on call duties (from home) 3-4 calls per week and two weekends per month (1 in 2). 8) Follow the suggested rotation outline discussed above (under rotations) 9) Candidates should also be involved in teaching rotating junior residents. C) Vacation - 1 month Annual leave - 7 days of Eid or Haj holiday - 7 days Conference leave without financial support 6) EVALUATION & ASSESSMENT Periodic evaluations will be performed by the attending consultant in a given rotation (see APPENDIX 2 for the Evaluation Form). A minimum of six evaluations per year will be conducted and the candidate has to pass all 6 in order to successfully complete 4
  5. 5. the program and graduate. A failed rotation has to be repeated at the end of the year. A comprehensive written exam covering various aspects of Pediatric Neurology will be conducted at the end of the year to help in grading the candidate. 7) TEACHING FACULTY & DEPARTMENTS Dr. Mohammed M.S. Jan, Program Director, Professor & Consultant of Pediatric Neurology, Department of Neurosciences Dr. Generoso Gascon, Section Head, Consultant Pediatric Neurologist, Department of Neurosciences Dr. John Girvin, Chairman, Consultant Neurosurgeon, Department of Neurosciences Dr. Mamoun Erfan, Chairman, Consultant Radiologist, Department of Radiology Dr. Khalil Kurdi, Consultant Neuroradiologist, Department of Radiology Dr. Mohammed Binmahfouse, Consultant Neurosurgeon, Department of Neuroscience Dr. Omar Wazzan, Consultant Neurologist, Department of Neurosciences Dr. Yousef Al-Said, Consultant Neurologist, Department of Neurosciences Dr. Saleh Baeesa, Consultant Pediatric Neurosurgeon, Department of Neurosciences Dr. Ahmed Aly, Consultant Stroke Neurologist, Department of Neurosciences Dr. Medhat Bassioni, Consultant Psychiatrist, Department of Neurosciences Dr. Turki Al-Turki, Consultant Psychiatrist, Department of Neurosciences Dr. Soher Balkhy, Consultant Developmental Pediatrician, Department of Pediatrics Ms. Janice Crowell, Chief Clinical Neurophysiology Technologist, Registered EEG Technologist, Department of Neurosciences 8) ATTACHMENTS APPENDIX 1 - Weekly Interdepartmental Academic Activities APPENDIX 2 - Evaluation Form APPENDIX 3 - Candidate Signature Form APPENDIX 4 - Saudi Council For Health Specialties Assessment Form 5
  6. 6. Department of Neurosciences King Faisal Specialist Hospital and Research Center – Jeddah Pediatric Neurology Fellowship Program APPENDIX 1 Weekly Interdepartmental Academic Activities Department of Neurosciences MONDAY 9-10 AM Neuroradiology Meeting 10-11 AM Case Presentation - Lecture Mortality & Morbidity Rounds (once a month) 11 AM-12 PM Neuropathology Meeting 12-1 PM Journal Club Epilepsy Case Conference (once a month) WEDNESDAY 8-9 AM Hospital Grand Round 9-11 AM Pediatric Neurology Fellow Presentation 6
  7. 7. Department of Neurosciences King Faisal Specialist Hospital and Research Center – Jeddah Pediatric Neurology Fellowship Program APPENDIX 3 - Candidate Signature Form Name___________________________________ I have reviewed and read carefully the above Pediatric Neurology Fellowship Program proposal and agree with all content and will comply with all rules and regulations. Signature Date 7

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