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Clinical Neurophysiology and Electrodiagnostic Medicine






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Clinical Neurophysiology and Electrodiagnostic Medicine Clinical Neurophysiology and Electrodiagnostic Medicine Document Transcript

  • Clinical Neurophysiology and Electrodiagnostic Medicine Clinical Neurophysiology and Electro-diagnostic Medicine (CNP and EDx Med) deals with evaluation of wide range of neurological disorders including neuromuscular diseases (neuropathies, myopathies, radiculopathies, Myasthenia gravis etc), spinal cord diseases, disorders affecting brain (Epilepsy, multiple sclerosis, strokes etc), and disorders affecting visual and auditory pathways. It also incorporates evaluation and treatment of sleep disorders and movement disorders. Although neurologists receive some exposure during their residency to clinical neurophysiology, but this generally falls short of making them independent practitioners of various electro- diagnostic and neurophysiologic procedures. These procedures are of immense value in both general and academic neurologic practice. The fellowship programme develops superb skills in neurophysiologic procedures, and in addition, also promotes capacity building in research. CNP lab at AKU is state-of-the-art laboratory, which provides comprehensive range of the neuro- physiological services. In addition to the routine EEG, EMG and Evoked potential studies, available services include Video EEG, trancranial doppler, transcranial magnetic stimulation, autonomic testing and quantitative sensory testing, Subspecialty programmes/clinic e.g. Epilepsy programme offer cutting edge experience to fellow. On an annual basis, we perform and interpret nearly 5,000 neuro-physiological procedures and volume is growing. This large referral base and academic environment provides exposure to a broad range of patients, physicians and medical trainees. Fellowship Programme in CNP and EDx Med was initiated in November 1998 and four fellows have graduated so far. All of these are currently practicing in major teaching institutions across the country. The trainee is a trained Neurologist, undergoing postgraduate medical education in Clinical Neurophysiology (EEG, sleep studies, evoked potentials, EMG, etc.). This is the only postgraduate training programme in Clinical Neurophysiology in Pakistan. Completion certificate is given at the completion of two years, if the fellow's performance is judged to be satisfactory, on periodic evaluations and peer-review. The results of the in-service examination of the AANEM (American Association of Neuromuscular and Electro-diagnostic Medicine) are used purely for self-improvement and appraisal. This programme will prepare you for an academic career by providing you with experience in teaching, research and clinical studies. After completing your training, you will have the knowledge and experience which enable you to establish and supervise a clinical neurophysiology laboratory in a teaching institution or in private practice. Objective The main objective of the Fellowship Programme in CNP and EDx Med is to produce scholarly, compassionate, ethical and clinically competent clinical neurophysiologists for Pakistan. The programme meets this goal by providing an extensive hands-on exposure to the variety of neurophysiologic procedures under supervision of trained and experienced clinical neuro- physiologists.
  • The graduates of this fellowship programme will play a leadership role in further development of this field in Pakistan in both the public as well as the private sector. Duration of Training The duration of training is two years, with internal rotations through various subspecialties of Clinical Neurophysiology. The primary institution for training purposes is Aga Khan University Hospital. Eligibility • MBBS or equivalent degree approved by the PM&DC • One year of house job or internship, of which six months should be in Medicine and allied and six months in Surgery and allied disciplines • Eligibility for either FCPS in Neurology, MRCP (UK) or Board certification of the American Board of Psychiatry and Neurology. MRCP, FCPS in Neurology and Boards in Neurology is preferred • Completion of at least three years of Neurology training from a national or international programme. Scope and Content a. Clinical Training: The programme will incorporate clinical and practical skills in evaluating patients who present for neurophysiological testing and on the actual procedure skills and knowledge in the performance of these tests. This will be achieved by means of; • Scheduled didactic teaching • Supervision of the fellow planning, performing, and reporting these procedures. The fellow will also learn administration of Botox for movement disorders. The fellow will also be involved in teaching technologists and trainee technologists, rotating Neurology residents, rotating medicine residents and medical students interested in Clinical Neurophysiology. The fellow will organise and participate in clinical and technical audits within Neurophysiology. He/she will play an active part in the development and implementation of newer techniques in Clinical Neurophysiology and Electro-diagnostic Medicine. He/she will be given incremental responsibility and independence in execution of these functions. The fellow is presently allotted a protected time for scholarly activities. The fellow is encouraged to remain up-to-date with the neuro-physiological literature. Development of scholarship and critical thought is an integral part of the programme, and will be encouraged in all spheres of activities undertaken by the trainee. The fellow is required to choose and complete an original research project relevant to the field of Clinical Neurophysiology within the two-year period. He/she will be expected to present this research and other work done at scientific meetings leading to publication in reputable indexed
  • journals. Fellow is also responsible to mentor the research and scholarly activities of the Technologists. b. Evaluation: The fellow's progress in knowledge, clinical and operative skills, and ethical management of patients will be evaluated on a quarterly basis. The fellow will undergo a formal evaluation at the end of the six-month period and will be debriefed by the Programme Director. The fellow will sit the in-training assessment exam administered by the American Association of Neuromuscular and Electrodiagnostic Medicine in May/June every year. This will help him/her compare his/her performance against similar in-training Neurophysiology fellows in the North American programmes. Positions Available One fellow is inducted every year. Selection Process The position is advertised nationally and the short-listed candidates are interviewed by Clinical Neurophysiology faculty at AKU. Administrative Set-up The Neurophysiology faculty consists of nine Neurologists who have subspecialty training and experience in Clinical Neurophysiology working within robust academic section of Neurology. Within the faculty, there are five full-time (three Associate Professors, one Assistant Professor, and one Senior Instructor), and four part-time faculty members. In addition, Chief echnologist and Manager of Clinical Neurophysiology is also a great resource person for teaching. The programme is overseen by departmental fellowship committee, comprising of programme director, programme coordinator, fellow representative, Manager CNP and a few members of the faculty. The Programme Director, Dr Nadir Ali Syed is Board certified in Electro-diagnostic Medicine (by the ABEM) and Clinical Neurophysiology (by the ABPN), and is currently the Chief of Neurology Section. Programme coordinator Dr Bhojo A. Khealani is FCPS (neurology) and graduate of CNP & EDx Med fellowship programme (AKU) and the Manager and Chief Technologist Mustafa Khan, is certified by ECNE and HNC of UK. Full Time Faculty Associate Professors Dr Saad Shafqat MBBS AKU; PhD Harvard Diplomate American Boards of Psychiatry and Neurology Dr Nadir Ali Syed MBBS AKU Diplomate American Boards of Psychiatry, Neurology, Electro-diagnostic Medicine and Clinical Neurophysiology DrMohammad Wasay MBBS Karachi; FRCP Edinburgh
  • Diplomate American Boards of Psychiatry, Neurology and Neuro-imaging Assistant Professor Dr Mughis Sheerani MBBS Karachi; MD Utah Diplomate American Boards of Psychiatry and Neurology Senior Instructor Dr Bhojo Asumal Khealani MBBS Sindh; FCPS Pakistan Part Time Faculty Senior Lecturer Dr Aziz Sonawalla MBBS, MD, DM Bombay Lecturer Dr Ayeesha Kamal MBBS AKU; FAHA Diplomate American Boards of Psychiatry, Neurology and Vascular Neurology Dr Fowzia Siddiqui MBBS Karachi; MD Suny Brooks Diplomate American Boards of Psychiatry and Neurology Dr Shahid Mustafa MBBS Rawalpindi Diplomate American Boards of Psychiatry and Neurology