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PATHWAYS IN NEUROSURGICAL TRAINING IN THE REPUBLIC OF IRELAND

PATHWAYS IN NEUROSURGICAL TRAINING IN THE REPUBLIC OF IRELAND. Chris Lim Specialist Registrar, Department of Neurosurgery, National Centre for Neurosurgery, Beaumont Hospital, Dublin. Neurosurgical Centres in Ireland. 2 Neurosurgical Departments in Republic of Ireland

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PATHWAYS IN NEUROSURGICAL TRAINING IN THE REPUBLIC OF IRELAND

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  1. PATHWAYS IN NEUROSURGICAL TRAINING IN THE REPUBLIC OF IRELAND Chris Lim Specialist Registrar, Department of Neurosurgery, National Centre for Neurosurgery, Beaumont Hospital, Dublin.

  2. Neurosurgical Centres in Ireland 2 Neurosurgical Departments in Republic of Ireland • Beaumont Hospital, Dublin • Cork University Hospital, Cork

  3. Neurosurgical Centres in Ireland • Cork University Hospital : • Munster Region • 25 dedicated N/S beds and no dedicated ICU beds • Beaumont Hospital : • Rest of Country • 67 dedicated N/S beds and 10 dedicated ICU beds

  4. Dublin 6 Consultant Neurosurgeons NCHDs 1 Senior Registrar 1 Spinal Fellow 3 Sp. Registrars 1 Visiting Sp. Registrar (Belfast) 1 Visiting Registrar (USA) 1 Registrar 6 SHOs 4 Interns 1 in 6 rota without prospective cover Cork 3 Consultant Neurosurgeons NCHDs 2 Sp. Registrars 1 Registrar 3 SHOs 2 Interns 1 in 3 rota without prospective cover Medical Staffing

  5. Typical Neurosurgical Training in Ireland Medical School Internship Basic Surgical Training (including some time spent as a N/S SHO) Research +/- 1 to 2 years as a Registrar Specialist Registrar Fellowship +/- Senior Registrar (Post CCST) Consultant

  6. Typical Weekly Activity for Specialist Registrars

  7. Neurosurgical On Call Activities in Beaumont Hospital • 1 in 6 Rota (1 Consultant, 1 Registrar/SpR, 1 SHO and 1 Intern) • Number of referrals varies but typically 10 to 25 referrals a day. • For each referral • History & exam findings • Review radiology • Discussion with Consultant • Advice or transfer patient care • A/E assessment, resuscitation and theatre activities

  8. Types of Acute referrals • Trauma : Head and spine injuries • Spontaneous intra-cranial haemorrhages • Tumours • Hydrocephalus • Infection e.g.. IC abscesses • Others

  9. So why be a Neurosurgeon ? ?

  10. Consider ! • Patient subgroup may be more acutely or critically unwell. • May be more mentally and emotionally demanding. • Modern Neurosurgery employs cutting edge technology (real time MRI, real - time Neuronavigation technology, etc) • Majority of pathologies can be visualised by modern radiological methods to allow for better decision making and planning of patient management.

  11. Thank you

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