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Title: The professional practice and training of neurology in the Asian and Oceanian Region: A cross-sectional survey by the Asian and Oceanian Association of Neurology (AOAN).
Austin Authors: Roxas, Artemio;Mehndiratta, Man Mohan;Bornstein, Natan;Macdonell, Richard A L ;Lim, Kheng Seang;Ng, Ping-Wing;Dashzeveg, Shuren;Mizusawa, Hidehiro;Esmatullah, Hamed;Wu, Shey Lin;Chen, Christopher;Kurniawan, Mohammad;Rha, Joung-Ho;Wasay, Mohammad;Poungvarin, Niphon;Gunatilake, Saman;Thang, Nguyen Huy
Affiliation: University of the Philippines College of Medicine, Department of Neurosciences, Philippine General Hospital, Taft Avenue, Manila, Philippines
Department of Neurology, Govind Ballabh Pant Institute of Postgraduate, Medical Education and Research-GIPMER (Delhi University), New Delhi 110002, India
Shaare-Zedek Medical Center, 12 Shmuel Bait St., PO Box 3235, 9103102 JerUSAlem, Israel
Austin Health, Heidelberg, Victoria, Australia
Division of Neurology, Department of Medicine, Faculty of Medicine, University of Malaya, 50603 Kuala Lumpur, Malaysia
United Christian Hospital, Department of Medicine and Geriatrics, 130 Hip Wo Street, Kwun Tong, Kowloon, Hong Kong SAR
General Hospital for State Special Servants, Ulan Bator, Mongolia
National Center of Neurology and Psychiatry, 4-1-1 Ogawa-higashichou, Kodaira 187-8551, Tokyo, Japan
French Medical Institute for Children, University Road Behind Aliabad Hospital, Kabul 1006, Afghanistan
Changhua Christian Hospital, 135 Nanxiao Street, Changhua, Taiwan
National University of Singapore, 21 Lower Kent Ridge Rd, Singapore 119077, Singapore
Department of Neurology, Faculty of Medicine Universitas Indonesia, Dr. Cipto Mangunkusumo National General Hospital, Jl. Diponegoro No.71 Jakarta PUSAt, Jakarta, Indonesia
Inha University Hospital Neurology, Inhangro 27, Choong-Ku, Incheon 22332, Republic of Korea
Aga Khan University Hospital, Karachi, Pakistan
Faculty of Medicine Siriraj Hospital, Mahidol University, 2 Prannok Road, Bangkoknoi, Bangkok 10700, Thailand
Professorial Unit, Colombo South Teaching Hospital, Kalubowila, Sri Lanka
Stroke Consultant, The People 's 115 hospital - Pham Ngoc Thach School of Medicine, 527 Thanh Thai street, Dist. 10, HCM City, Vietnam
Issue Date: 15-Nov-2017 2017-09-22
Publication information: Journal of the neurological sciences 2017; 382: 108-115
Abstract: To survey AOAN member countries regarding their organizational structure, postgraduate neurology training program, and resources for neurological care provision. A cross-sectional survey using a 36-item questionnaire was conducted among country representatives to AOAN from August 2015 to August 2016. 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. 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.
DOI: 10.1016/j.jns.2017.09.022
PubMed URL: 29111001
Type: Journal Article
Subjects: Asian and Oceanian Neurology
Neurological care
Neurological organization
Neurological training
Neurology and Asia
World Federation of Neurology
Appears in Collections:Journal articles

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