Artemio Roxas1, Man Mohan Mehndiratta2, Natan Bornstein3, Richard Macdonell4, Kheng Seang Lim5, Ping-Wing Ng6, Shuren Dashzeveg7, Hidehiro Mizusawa8, Hamed Esmatullah9, Shey Lin Wu10, Christopher Chen11, Mohammad Kurniawan12, Joung-Ho Rha13, Mohammad Wasay14, Niphon Poungvarin15, Saman Gunatilake16, Nguyen Huy Thang17. 1. University of the Philippines College of Medicine, Department of Neurosciences, Philippine General Hospital, Taft Avenue, Manila, Philippines. Electronic address: aaroxas1@up.edu.ph. 2. Department of Neurology, Govind Ballabh Pant Institute of Postgraduate, Medical Education and Research-GIPMER (Delhi University), New Delhi 110002, India. Electronic address: janakpurissh.delhi@gov.in. 3. Shaare-Zedek Medical Center, 12 Shmuel Bait St., PO Box 3235, 9103102 Jerusalem, Israel. Electronic address: natanb@szmc.org.il. 4. Austin Health, Melbourne, Studley Rd., Heidelberg, Victoria 3084, Australia. Electronic address: Richard.Macdonell@austin.org.au. 5. Division of Neurology, Department of Medicine, Faculty of Medicine, University of Malaya, 50603 Kuala Lumpur, Malaysia. Electronic address: kslimum@um.edu.my. 6. United Christian Hospital, Department of Medicine and Geriatrics, 130 Hip Wo Street, Kwun Tong, Kowloon, Hong Kong SAR. Electronic address: ngpw@ha.org.hk. 7. General Hospital for State Special Servants, Ulan Bator, Mongolia. Electronic address: shurend@yahoo.com. 8. National Center of Neurology and Psychiatry, 4-1-1 Ogawa-higashichou, Kodaira 187-8551, Tokyo, Japan. Electronic address: mizusawa@ncnp.go.jp. 9. French Medical Institute for Children, University Road Behind Aliabad Hospital, Kabul 1006, Afghanistan. Electronic address: esmatullah.hamed@fmic.org.af. 10. Changhua Christian Hospital, 135 Nanxiao Street, Changhua, Taiwan. Electronic address: 14132@cch.org.tw. 11. National University of Singapore, 21 Lower Kent Ridge Rd, Singapore 119077, Singapore. Electronic address: phccclh@nus.edu.sg. 12. Department of Neurology, Faculty of Medicine Universitas Indonesia, Dr. Cipto Mangunkusumo National General Hospital, Jl. Diponegoro No.71 Jakarta Pusat, Jakarta, Indonesia. Electronic address: m.kurniawan@ui.ac.id. 13. Inha University Hospital Neurology, Inhangro 27, Choong-Ku, Incheon 22332, Republic of Korea. Electronic address: jhrha@inha.ac.kr. 14. Aga Khan University Hospital, Karachi, Pakistan. Electronic address: mohammad.wasay@aku.edu. 15. Faculty of Medicine Siriraj Hospital, Mahidol University, 2 Prannok Road, Bangkoknoi, Bangkok 10700, Thailand. Electronic address: niphon.pou@mahidol.ac.th. 16. Professorial Unit, Colombo South Teaching Hospital, Kalubowila, Sri Lanka. Electronic address: niphon.pou@mahidol.ac.th. 17. Stroke Consultant, The People 's 115 hospital - Pham Ngoc Thach School of Medicine, 527 Thanh Thai street, Dist. 10, HCM City, Vietnam. Electronic address: nguyenhuythang115@gmail.com.
Abstract
OBJECTIVE: To survey AOAN member countries regarding their organizational structure, postgraduate neurology training program, and resources for neurological care provision. METHODOLOGY: A cross-sectional survey using a 36-item questionnaire was conducted among country representatives to AOAN from August 2015 to August 2016. RESULTS: A total of 18/20 AOAN member countries participated in the survey. All the countries have organized association with regular meetings, election of officers and neurology training program. In 9/18 countries, professionals other than neurologists were eligible for affiliation. In 11/18 countries, prior Internal medicine training (or equivalent postgraduate housemanship) is prerequisite to neurology program. Recertification examination is not a practice, but submission of CME is required in 7/18 countries to maintain membership. 12/18 countries publish peer-reviewed journals with at least 1 issue per year. Subspecialty training is offered in 14/18 countries. The ratio of neurologist to population ranges from 1:14,000 to as low as 1:32 million with 9/18 having <1 neurologist per 100,000 population. 6/18 countries have at least 1 specialized center solely for neurological diseases. In government-funded hospitals, the lag time to be seen by a neurologist and/or obtain neuroimaging scan ranges from 1day to 3months. All except one country have several medical- and lay- advocacy or support groups for different neurological conditions. IMPLICATIONS: The data generated can be used for benchmarking to improve neurological care, training, collaborative work and research in the field of neurosciences among the AOAN member countries. The paper presented several strategies used by the different organizations to increase their number of neurologists and improve the quality of training. Sharing of best practices, academic networking, exchange programs and use of telemedicine have been suggested.
OBJECTIVE: To survey AOAN member countries regarding their organizational structure, postgraduate neurology training program, and resources for neurological care provision. METHODOLOGY: A cross-sectional survey using a 36-item questionnaire was conducted among country representatives to AOAN from August 2015 to August 2016. RESULTS: A total of 18/20 AOAN member countries participated in the survey. All the countries have organized association with regular meetings, election of officers and neurology training program. In 9/18 countries, professionals other than neurologists were eligible for affiliation. In 11/18 countries, prior Internal medicine training (or equivalent postgraduate housemanship) is prerequisite to neurology program. Recertification examination is not a practice, but submission of CME is required in 7/18 countries to maintain membership. 12/18 countries publish peer-reviewed journals with at least 1 issue per year. Subspecialty training is offered in 14/18 countries. The ratio of neurologist to population ranges from 1:14,000 to as low as 1:32 million with 9/18 having <1 neurologist per 100,000 population. 6/18 countries have at least 1 specialized center solely for neurological diseases. In government-funded hospitals, the lag time to be seen by a neurologist and/or obtain neuroimaging scan ranges from 1day to 3months. All except one country have several medical- and lay- advocacy or support groups for different neurological conditions. IMPLICATIONS: The data generated can be used for benchmarking to improve neurological care, training, collaborative work and research in the field of neurosciences among the AOAN member countries. The paper presented several strategies used by the different organizations to increase their number of neurologists and improve the quality of training. Sharing of best practices, academic networking, exchange programs and use of telemedicine have been suggested.
Keywords:
Asian and Oceanian Neurology; Neurological care; Neurological organization; Neurological training; Neurology and Asia; World Federation of Neurology
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