📖 Secretariat of Postgraduate Studies Faculty of Medicine UKM  |  ✉ medicpostgrad@hctm.ukm.edu.my

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FELLOWSHIP IN NEUROLOGY (UKM)

FELLOWSHIP IN NEUROLOGY (UKM)

Prof. Dr. Tan Hui Jan

  1. Prof. Datin Dr. Norlinah Mohamed Ibrahim
  2. Assoc. Prof. Dr. Wan Nur Nafisah Wan Yahya (Head of Stroke)
  3. Assoc. Prof. Dr. Shahrul Azmin Md Rani
  4. Assoc. Prof. Dr. Rabani Remli (Head of Clinical Electrophysiology)
  5. Assoc. Prof. Dr. Law Zhe Kang
  6. Assoc. Prof. Dr. Khoo Ching Soong
  7. Assoc. Prof. Dr. Wan Asyraf Wan Zaidi

1-3 years
(For the 3-year module, a clinical attachment of up to 12 months in a recognised centre overseas [NAM1] is optional and the expenses must be borne by the fellow)

Training Institution
Faculty of Medicine, Universiti Kebangsaan Malaysia

Primary Clinical Site
Hospital Canselor Tuanku Muhriz

Open to Those Who Have Completed Postgraduate Training in Internal Medicine (e.G. Mrcp, Masters or Any Equivalent Physician Qualification)

  1. To Provide Training in Basic Neurology and Procedures Pertaining to Neurology.
  2. To Provide Comprehensive Training with Detailed Knowledge and Experience in Neurology.
  1. Neurology: General Neurology (1 Year)
  2. Neurology: General Neurology (2 Years)
  3. Neurology: General Neurology (3 Years)
  4. Neurology: Stroke (6months)
  5. Neurology: Clinical Electrophysiology (6 Months)
  1. Curriculum Vitae
  2. Please Apply at Least 6 Months Before the Intended Start Date
  3. Applicants May Be Invited to An Interview as Part of The Selection Process
  4. Foreign Practitioners Are Required to Register with The Malaysian Medical Council (mmc) and Apply for A Temporary Practising Certificate (tpc) to Practice in Malaysia. Guidelines for Application Can Be Found at https://mmc.gov.my/wp-Content/uploads/2019/11/tpc_July_2019_2.Pdf

Core Curriculum

Didactics
1. Journal Club
2. Continuous Medical Education (CME)

Clinical Responsibilities
1. Clinics (general Neurology, Parkinson’s, Botulinum Toxin Injection)
2. Inpatient Care (history Taking, Examination, Investigating and Diagnosing)
3. Stroke Care (including Interpreting Advanced Imaging, Management of Stroke Patients Throughout the Continuum of Hyperacute Care to Long Term Rehabilitation)
4. Neurophysiology (including Performing and Interpreting Nerve Conduction Studies, Electromyography, Electroencephalography)

Research
Fellows Are Encouraged to Pursue a Research Project to Be Submitted for Publication and Presentation

Evaluation

Formative Assessments:
1. Fellows Are Required to Complete a Log Book and Audit of Their Performance
2. Fellows Are Required to Meet with The Course Director at Regular Intervals for Feedback
3. Fellows Must Demonstrate the Ability to Evaluate and Investigate Their Patients, to Appraise and Assimilate Scientific Evidence and To Apply This Knowledge to Patient Care
4. Fellows Must Demonstrate Interpersonal and Communication Skills that Result in The Effective Exchange of Information with Colleagues and Patients

Summative Assessments:
1. Fellows Must Pass the End-Of-Module and End-Of-Year Evaluations in Order to Successfully Complete the Module or Progress to The Following Year, Respectively
2. Fellows Who Have Successfully Completed the Final Evaluation in Their Chosen Neurology Modules Will Be Awarded a Certificate of Completion of Training (as per Module) by University Kebangsaan Malaysia
3. Applicable only To the 3-Year General Neurology Module: Fellows Who Have Successfully Completed the Final Evaluation May Request to Sit for The Exit Neurology Viva Voce Conducted in Conjunction with The Ministry of Health (kkm). Successful Candidates Will Be Awarded the Certificate of Completion of Subspecialty Training by Ministry of Health (malaysia).

CORE CURRICULUM

Introduction:
During the fellowship programme, the Clinical Fellow will be exposed to inpatient and outpatient care of stroke patients. All training and rotations are designed to cultivate basic competency and proficiency in stroke care

Goals and objectives:
To facilitate the development of subspecialty expertise in stroke care from evaluation to diagnosis to the management of stroke patients. This includes skill in the interview and examination of patients, knowledge of the appropriate laboratory and imaging investigations for diagnosis of stroke and its aetiology, knowledge of the differential diagnoses for the various clinical presentations of and expertise in the management of stroke

Duration:
6 months

Content:
• Evaluation: History taking and examination
• Localisation
• Stroke imaging
• Decision making for hyperacute ischaemic stroke care
• Management of haemorrhagic stroke
• Investigations for aetiology of stroke
• Risk stratification and management of TIA and stroke

Timetable for Training:

Activity Time Methodology
Stroke Care Unit Rounds Monday – Friday morning Ward based bedside tutorials, Socratic, demonstration, performance, skills practice
Stroke Calls Daily Monday – Sunday as per rota Case based discussion
Outpatient Clinic Monday, Wednesday, Thursday, Friday Socratic, demonstration, performance, skills practice
Neuroradiology Conference Tuesday Case based discussion
Grand Ward Rounds 1 session per week Socratic , case based discussion
Continuous Medical Education 1 session per week Didactic lecture, literature critique
Subspecialty Teaching 1 session per week Didactic lectures, case based discussion

CORE CURRICULUM

Introduction:
During the fellowship programme, the Clinical Fellow will be exposed to inpatient and outpatient patient care. All training and rotations are designed to cultivate basic competency and proficiency in electrophysiology.

Goals and objectives:
1. To facilitate the development of subspecialty expertise in neurophysiology from evaluation to diagnosis and management. This includes skill in the interview and examination of patients, knowledge of the appropriate laboratory and imaging investigations for disorders of peripheral nerve disorders, neuromuscular problems, muscle disorders, seizure and epilepsy disorders and its aetiology, knowledge of the differential diagnoses for the various clinical presentations of and expertise in the management.
2. To enhance skills of clinical electrophysiologic correlation in basic nerve conduction study, needle electromyography and advanced neurophysiology including evoked potential studies (SSEP, VEP, BAEP). Other important skills that will be covered during the course are interpreting electroencephalography, video telemetry and multiple sleep latency test techniques.

Duration: 6 months

Content:
• Evaluation: History taking and examination
• Localisation
• Performing the electrophysiology tests
• Interpretation of electrophysiology tests
• Investigations for the aetiology
• Management

Timetable for Training:

Activity Time Methodology
Ward rounds Monday – Friday morning Ward based bedside tutorials,  demonstration, performance, skills practice
Neurology on calls Daily Monday – Sunday as per rota Case based discussion
Outpatient Clinic Monday, Wednesday, Thursday, Friday Demonstration, performance, skills practice
Neuroradiology Conference Tuesday Case based discussion
Grand Ward Rounds 1 session per week discussions
Continuous Medical Education 1 session per week lectures, literature critique
Neurophysiology training at the neurology laboratory Daily Monday-Friday as per Rota Performing and reporting of electrophysiological tests
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APPLICATION PROCESS​

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Flowchart of Credentialing and Privileging in HCTM for International Candidates

DEFINITION

Credentialing: a process to set the standards and to do an evaluation for a person’s qualification in a field or procedure. It is recognition for the professional training done by a medical practitioner.

Privileges: the rights given by the hospital for a medical practitioner to give treatments or to do procedures on hospital patients based on the qualifications of the training, and the medical practitioner’s experience and expertise.

Sources: http://credentialing.ppukm.ukm.my/files/pdf/Manual-Pengguna-Sistem-Credentialing-Core-Privileges.pdf