Postgraduate Training in Medicine at Istanbul Medeniyet University

Slide1Postgraduate Training in  Medicine Postgraduate  Training in  Medicine Dr. Orhan ALİMOĞLU İstanbul Medeniyet University

Slide2Postgraduate Medical Training• Postgraduate medical training is a work-based education where learning and teaching takes place in a clinical context. • On the one hand, the young doctor (trainee) is under education, and on the other hand, he/she is a member of the staff in the clinical department. • The clinical departments face the challenge of creating an educational environment that is supportive and learning-oriented, and at the same time meeting the demands from society to deliver efficient clinical services and research. Malling et al. BMC Medical Education 2010, 10:62

Slide3•A common feature in medical training is the need for supervision and feedback among trainees and for being engaged in the responsibility for patients. • Furthermore, trainees need to be appreciated and valued as team members. • The challenge is to find a proper balance between involving trainees in patient treatment, and at the same time ensure patient safety and meet demands for a high production. Malling et al. BMC Medical Education 2010, 10:62 Postgraduate Medical Training

Slide4•However, the concept “educational climate” has been used indiscriminately with culture, environment or learning context. • Nevertheless, all of these concepts include the same elements: – atmosphere, – the connection and personal relation with colleagues, – openness to questions, – appropriateness of supervision and feedback, – working conditions and organisation of the work. Malling et al. BMC Medical Education 2010, 10:62 Postgraduate Medical Training

Slide5•The educational climate may differ considerably across clinical departments. • In order to be able to change the educational climate, it is relevant to find out who contributes to this climate and to the specific ways of behavior and “living” in the clinical departments. Malling et al. BMC Medical Education 2010, 10:62 Postgraduate Medical Training

Slide6Postgraduate Medical Training• Although all employees take part in developing the culture in a department, the leaders are in a position to deliberately influence the culture. • Leaders can influence the educational climate by prioritising and attending a variety of activities in the department, and by role-modelling. Malling et al. BMC Medical Education 2010, 10:62

Slide7Current Auxiliary  Tools for  Medical  Education Current  Auxiliary  Tools for  Medical  Education

Slide8Continuing Proficiency  in  Highest  Levels  Possible Continuing  Proficiency  in  Highest  Levels  Possible • Scientific  knowledge  and  technical  skills  should continuously  be; • Scientific  knowledge  and  technical  skills  should continuously  be; – Updated, – Updated, – Developed, – Developed, – Specific  information  and  techniques  presented  in different  formats  by  the  specialists  of  the  subjects must  be  learnt  and  integrated  with  the  individuals’ own  practice. – Specific  information  and  techniques  presented  in different  formats  by  the  specialists  of  the  subjects must  be  learnt  and  integrated  with  the  individuals’ own  practice.

Slide9Web Sources Web  Sources 1. Multimedia  (Video) 1. Multimedia  (Video) 2. E-books 2. E-books 3. Evidence-based  medical  data 3. Evidence-based  medical  data 4. Medical  practice  guidelines 4. Medical  practice  guidelines 5. Journal  database 5. Journal  database 6. Literature  databese 6. Literature  databese 7. Citation  inquiry 7. Citation  inquiry

Slide101.Multimedia-Video 1. Multimedia-Video • Access  Medicine  (McGraw  Hill) • Access  Medicine  (McGraw  Hill) – http://www.accessmedicine.com/audioVide o.aspx – http://www.accessmedicine.com/audioVide o.aspx

Slide122. E-books 2.  E-books • Access  Medicine  (McGraw  Hill) • Access  Medicine  (McGraw  Hill) – http://www.accessmedicine.com/text books.aspx – http://www.accessmedicine.com/text books.aspx • MD  Consult • MD  Consult – http://www.mdconsult.com – http://www.mdconsult.com

Slide153. Evidence-based  medical  data 3.  Evidence-based  medical  data • Access  Medicine  (McGraw  Hill) • Access  Medicine  (McGraw  Hill) – http://www.accessmedicine.com/diag.aspx – http://www.accessmedicine.com/diag.aspx • BMJ  Best  Practice • BMJ  Best  Practice – http://bestpractice.bmj.com , – http://bestpractice.bmj.com , • Cochrane  Library • Cochrane  Library – http://www.thecochranelibrary.com – http://www.thecochranelibrary.com • Up  To  Date • Up  To  Date – http://www.uptodate.com/online – http://www.uptodate.com/online

Slide204. Medical  practice  guidelines 4.  Medical  practice  guidelines • Access  Medicine  (McGraw  Hill) • Access  Medicine  (McGraw  Hill) – http://www.accessmedicine.com/guidelines.aspx – http://www.accessmedicine.com/guidelines.aspx • National  Guideline  Clearinghouse • National  Guideline  Clearinghouse – http://guidelines.gov/ – http://guidelines.gov/ • National  Comprehensive  Cancer  Network (NCCN)  Guidelines • National  Comprehensive  Cancer  Network (NCCN)  Guidelines – http://www.nccn.org/professionals/default.aspx – http://www.nccn.org/professionals/default.aspx

Slide245. Journal  database 5.  Journal  database • Science  Direct • Science  Direct – http://www.sciencedirect.com – http://www.sciencedirect.com • Springer • Springer – http://www.springer.com – http://www.springer.com • Ovid • Ovid – http://gateway.ovid.com/autologin.html – http://gateway.ovid.com/autologin.html • Karger • Karger – http://www.karger.com – http://www.karger.com • Wiley  Interscience  –  Blackwell  Synergy • Wiley  Interscience  –  Blackwell  Synergy – http://onlinelibrary.wiley.com – http://onlinelibrary.wiley.com • EBSCOHOST • EBSCOHOST – http://search.ebscohost.com – http://search.ebscohost.com • BMJ  Journals • BMJ  Journals – http://group.bmj.com/group/media/bmj-journals-information-centre – http://group.bmj.com/group/media/bmj-journals-information-centre

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Slide326. Literature  database 6.  Literature  database • Medline  (Index  Medicus) • Medline  (Index  Medicus) – http://www.pubmed.com – http://www.pubmed.com – http://www.medscape.com – http://www.medscape.com – http://www.mdconsult.com – http://www.mdconsult.com – http://bestpractice.bmj.com – http://bestpractice.bmj.com

Slide377. Citation  inquiry 7.  Citation  inquiry • Web  of  Science • Web  of  Science – http://isiknowledge.com/ – http://isiknowledge.com/ • Google  Scholar • Google  Scholar – http://scholar.google.com.tr/ – http://scholar.google.com.tr/

Slide40•Harite üzerinde katılan Üniversiteler TURKEY 145507 ALGERIA 3755 EGYPT 40764 IRAQ 7662 JORDAN 21959 LEBANON 13653 LIBYA 1628 TUNISIA 11819 PALESTINE 1246 QATAR 2151 SUDAN 7680 UAE 4230 YEMEN 1635 BAHRAIN 1177 Medical Scientific Publications (All times) SOMALIA 1496

Slide41The Role  of  Collaborative The  Role  of  Collaborative Academic  Partnerships Academic  Partnerships in  Medical  Training, in  Medical  Training, Education,  and  Research Education,  and  Research

Slide42Examples of Collaboration1) University of California San Francisco (UCSF)  -  Bellagio Essential Surgery Group; 2) USCF  -  Makerere University, Uganda; 3) Vanderbilt  -  Baptist Medical Center, Ogbomoso, Nigeria; 4) Vanderbilt  -  Kijabe Hospital, Kenya; 5) University of Toronto, Hospital for Sick Children  -  Ministry of Health in Botswana; 6) Harvard (Brigham and Women’s Hospital and Children’s Hospital Boston)  -  Partners in Health in Haiti and Rwanda. Riviello R, Ozgediz D, Hsia RY, Azzie G, Newton M, Tarpley J.  Role of Collaborative Academic Partnerships in Surgical Training, Education, and Provision. World J Surg (2010) 34:459–465

Slide43Collaboration• The term “academic partnerships” describes a variable set of experiences among a number of different institutions. • Rotation between different clinics • Exchange among trainers / counselors • Residency programs • Inspiring the medical students and residents for education & research • The transfer of clinical experiences • Seminars • Strengthening the determination for education, research, and service • Development of educational resources, and establishment of additional funds for education Riviello R, Ozgediz D, Hsia RY, Azzie G, Newton M, Tarpley J.  Role of Collaborative Academic Partnerships in Surgical Training, Education, and Provision. World J Surg (2010) 34:459–465

Slide44Collaboration• The development of a curriculum for the principles of medical         sciences to increase knowledge and skills • To establish an environment of common confidence and respect • To establish common learning goals • To establish cooperation for researches • To distribute administrative functions according to local requirements • Multidisciplinary approach Riviello R, Ozgediz D, Hsia RY, Azzie G, Newton M, Tarpley J.  Role of Collaborative Academic Partnerships in Surgical Training, Education, and Provision. World J Surg (2010) 34:459–465

Slide45EXAMPLE FOR EXAMPLE  FOR CONTINUING  MEDICAL  EDUCATION CONTINUING  MEDICAL  EDUCATION TÜRKİYE  –  YEMEN TÜRKİYE  –  YEMEN

Slide46CONTINUING MEDICAL EDUCATION (CME)YEMEN Bilateral Agreements for Medical Fellowship Program University of Science and Technology Hospital ,  Sana’a , Yemen İstanbul Medeniyet  University •   Kartal Koşuyolu  Training and Research Hospital •   Ümraniye  Training and Research Hospital •   Baltalimanı  Osteopathic Hospital •   Bezmialem Vakıf  University

Slide47CONTINUING MEDICAL EDUCATION (CME)YEMEN Medical Fellowship Program is successfully continued, and 15 Yemeni Doctors have attended the 2-months-fellowship program  in Istanbul since 2012: • Cardiology • General Surgery • Pediatrics • Urology • Hospital Management

Slide48CONTINUING MEDICAL EDUCATION (CME)YEMEN We organized 5 Academic Congresses with international participants. •  1 st  Turkish-Yemeni Surgical Congress,  2012, Sana’a, 7 Professors •  1 st  Turkish-Yemeni Cardiovascular Surgery Congress, 2012, Sana’a, 14 Professors •  1 st  Turkish-Yemeni Dental Congress,  2012, Sana a, 6 Professsors •  1 st  Turkish-Yemeni Emergency Medicine Congress, 2013, Sana’a, 14 Professors •  1 st  Trauma & Rescusitation Course,  2013, Sana’a, 6 Professors

Slide49CONTINUING MEDICAL EDUCATION (CME)YEMEN

Slide50CONTINUING MEDICAL EDUCATION (CME)YEMEN

Slide51CONTINUING MEDICAL EDUCATION (CME)YEMEN

Slide52EXAMPLE FOR EXAMPLE  FOR POSTGRADUATE  MEDICAL  TRAINING POSTGRADUATE  MEDICAL  TRAINING TÜRKİYE  –  SOMALIA TÜRKİYE  –  SOMALIA

Slide53POST-GRADUATE EDUCATIONSOMALIA Bilateral Agreements for Medical Trainings: The largest university Hospital in Somalia, Benadir University Hospital İstanbul Medeniyet University These agreements include: • Trainings for Doctors,   Nurses,          Health Workers • Post-Graduate Medical Education

Slide54POST-GRADUATE EDUCATIONSOMALIA Post-Graduate Medical Education in Somalia We initiated the only “Post-Graduate Medical Education” program in Somalia with the support of Benadir University and İstanbul Medeniyet University. Somalia’s ONLY Post-Graduate program has started in two majors: • General Surgery • Emergency and Trauma Surgery

Slide55POST-GRADUATE EDUCATIONSOMALIA Post-Graduate Medical Education in Somalia The program includes various academic lectures and residency periods in Benadir University Hospital, and in Istanbul Medeniyet University Göztepe Training & Research Hospital. First year,  10 selected by exam, Second year 2, totally 12  Somalia n  doctors has enrolled in to the program. Two months in Istanbul each year.

Slide56POST-GRADUATE EDUCATIONSOMALIA

Slide57POST-GRADUATE EDUCATIONSOMALIA

Slide58FURTHER EDUCATION PROJECTSPostgraduate Training Continuing Medical Education MoU Between Universities and Hospitals Long Distance Training (TELE-MEDICINE) Training for Other Health Workers Congresses

Slide59Thank you… Thank  you…