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Welcome to the 17th SNI and SNI Digital Baghdad Neurosurgery online meeting held on September 4th, 2022.
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The meeting originator and coordinator is Samir Haase, University of Baghdad and Cincinnati
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The speaker on Status of Neurosurgery in Kurdistan, Erbil, is Dr. Anjam I. Rowan Dozi, head department of neurosurgery, Haller Medical University, Erbil Iraq.
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The introduction is by Professor A.
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Hadi Al-Khalili, the former chair of the Department of Neurosurgery at Baghdad University. Dr. Anjam, he is the head of Department of
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Neurosurgery at Erbil. That's the major part of the Kurdistan Iraq And he graduated from the Medical School in 2006.
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He is Assistant Professor and he is a leader in the specialty in that area and we are proud of his achievement. And he started literally the department from almost zero
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and reached a very, very high standard now So, Dr. Anjam, the floor is yours.
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Thank you, Mr. Chairman, thank you, sir, for your nice presentation and I'm proud to say that when you call me and you invite me to present this
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presentation, I was very happy. You cannot imagine how much I was happy when you call me and you told me that you are inviting me to this presentation because you are one of the giants that I'm poor.
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Unfortunately, I
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didn't get you during my training course during board taking in Baghdad. However, I
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want to say a great thing for all the neurosurgeon and teachers and
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attendance. It was very difficult for me to talk about this subject actually. It's needless to say that actually I am very busy regarding that I am the head of neurosurgery in undergraduate and the
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post graduate also and I have my private work instead of working in in in in ministry of health. So that's why it will be a very difficult talk but I'm trying to summarize
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the situation To start with Arbil this is a situation of or the place of Arbil in Kurdistan and it's a very old nation city and maybe you know that it may be returned back to seven thousand years
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of before century. So it is a very nice place it's called in our language you know our for our local language called Arbil is howler.
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It's a very nice city very calm and very friendly I hope you have a time. visit it. And here is my place of origin, Rowan Doos, it's a very amazing area. And it's very nice place for tourism.
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Regarding, I think, Dr. Professor Hardy talked about my positions, so needless to say, but I'm proud to be that I am graduated from Tikrit University College of Medicine. What is written in
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Tikrit University College of Medicine is that it's problem-based, we learn in not a classical way of learning, we used to use the problem-solving way. So it was an integrating
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way of learning and it was first to be used or to be used
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inside in our School of Medicine. inside the Iraq. So I'm proud to be the first generation to be graduated from Tikrit University, Color of Medicine, because we are based on problem-based, which
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is different from the classical way of teaching. And now, really, I'm as a head of neurosurgery in Hohler Medical University. We are also using an integrated system, but not the type of
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problem-based system. I don't want to pass through the
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technical points or the curriculum of the college. But recently, you know that, and maybe Dr. Ali Shalchi as a
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dean of College of Medicine in Baghdad, he talked about this point. We are using an integrated system in curriculum. We are using small group learning We are proud to say that. We in 2006, we are
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the first one who use Hoski exam. You know that it's very clinically practice and to be more organized questions, to be based for clinical assessment of the student.
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And lastly, I have been graduated and taking the certification board from neurosurgical hospital
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in Baghdad. It was an amazing years It was crowdy, and as I mentioned, has mentioned by other neurosurgeons, we passed through a very difficult situation during the words that we passed through,
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and it was unfortunately a very good experience for us.
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Yes, our journey, when we start, it starts through a very difficult one. Yes, we are proud of our seniors, our professor, Sadhil Woodry. And proud to be
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practicing with also Professor
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Yasharazia Zargil and all the giants of neurosurgery, Magidsemi, Osama Mefte, and Karasaki and all other neurosurgeons like Doling, Professor Young, and other neurosurgeons So it's an important
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thing to do not stop in one stage. You should have
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an aspiring yourself to go abroad and to teach yourself standing on other giants and learn from them how they practice neurosurgery and to practice it here in our locality I think it's wise to start
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to. mentioned, Dr. Mohammed Ali, who was the first neurosurgeon in Kurdistan. He was at that time, he was a first neurosurgeon. At that time, he was just doing trauma surgeries. And because
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of lack of CT scan at that time, they used to refer patients to Baghdad or to Mosul, since there was a CT scan. And that's why the neurosurgical department in his era was a little bit diminished
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And later on, Dr. Gulat Ibrahim, he was a general surgeon, actually. He has a great impact on neurosurgery in our, in howler city, because he, he gets an diploma of neurosurgery in Baghdad and
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returned back to
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Erbil. And he established the modern neurosurgical unit from 2001 up to 2017. So,
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He is a great man and he deserved to be mentioned in this lecture.
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Followed by Dr. Emat Khalil, he was graduated from Iraqi board and since 2004, he came to Arbile. He was starting to use to make frenetomies and a lot of
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classical spine surgery and he has his handprint
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and footprint over neurosurgery in our locality. Later on, Dr. Ratif Senyar, he was graduated, he's a Kurdish man from Haulair but he graduated from Iranian board, he got Iranian board and he
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came to our locality 2005 and he has a very, he has a great effort in spine surgery, especially on fusions and fixation cases. So he is inventor of spine fusion and spine fixation in our locality.
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And I think in the beginning of this year, even in Iraq.
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And needless to say that our master and professor, Samir Hassan Abu started here to become in our region since 2006. And here is the progress, the major progress in the work of neurosurgery started
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in this area, starting that using all the modern techniques in neurosurgery, doing a lot of craniotomies, a lot of spine surgeries, and also starting to became a center of board of Iraqi. And
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since
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2006 and in 2008, he became an Arab board center of neurosurgery in this locality And he has an a very important Ehhh. issue and important
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press regarding establishing the Kurdistan Board of Medical Specialization, where I'm now the program director of it, but he started that in 2012 and 2013, and we are happy to say that we graduated
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more than 30 neurosurgeon from different types of board regarding Reiki board or Arab board or Kurdistan board, and all of them, they are passing through the same line of teaching, and we are proud
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to say that we are now, depending on ourselves, to make the residents to take their clinical practicing and to take a degree of board. And lastly to say, in 2021, Gamma Knife Center have been
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started, and also this is an very important It was a starting point regarding to use gamma nive in non-surgical cases. So recently, we have two hospitals, one for emergency and one for elective
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cases. And daily, we are doing elective and surgical cases.
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And we have also a clinical
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center for patients, outpatient also for to examine them and to give them a medical treatment regarding neurosurgical point of view.
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Regarding Kurdistan Board
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of
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Neurosurgery, which is now established in our area, we are proud to say that we are a good team. And here is my friend on the left of the board is the director of
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Sly Mania Center and on the middle is Dr. Walida Ravi. He's the Director of the Hoch Center and Dr. Hochang. He is the Director of Erbil Center.
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I talk about Gamma Knife Center and we talk about that. It was a very great impact on cases regarding management of neurosurgical neurosurgical cases and that's why we are happy to have this center
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and it will be, it has a good impact on the treating cases.
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Lastly, I want to,
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Professor Hadi talk about teamwork. Yes, I'm emphasizing on this point again and again and in 2009, I joined my friend and my mentor, Dr. Ahmed Adnana Djiburi And we try to make an a teamwork
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about to build a neurosurgical center. At that time, we bring a high speed drill and let me say section tubes and we
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try to establish a
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neurosurgical team work for neurosurgery and doing advanced cases regarding brain and spine And we are happy to that. We are still now working on advanced cases and difficult cases of neurosurgery,
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but unfortunately to a little bit in private hospitals because of limitation of equipments, but still we join each other even in governmental hospital in how they're teaching hospital. We do a lot
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of cases in basis called transphenoidal cases and
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endostomy cases and a lot of microsurgical cases. That's why we are happy to join him and to take his experience.
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Lastly, I'm proud to say that we are happy to say that since 2009,
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we started this ketomy as a micro, this ketomy, I'm taking this an assemble of all the neurosurgical procedures that we are happy that we are doing microsurgical this ketomy from A to Z, from skin
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to skin, using high-speed drills and microscope techniques with a small incision and very good outcomes.
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I'm sure that I make it through in very fast way, but still I have a lot to say and I hope it was a good talk and thank you. And if you have a question, I'm ready Well, thank you, Anjama. It was
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really a good talk. very comprehensive and told us about the history of neurosurgery in Kurdistan area, and the task which you have carried on your shoulders and the achievements which you have
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achieved with your colleagues and the teamwork. Thank you so much for the presentation. And that is open now for any question or comment. Can you stop the sharing, please? Dr. I mean, I had the
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opportunity to visit a bill, your department, so I can attest how much it has grown. And it was in May, 2009. And I have a group photo. I am with Professor Walter Braheem in the center. You are
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on the stream left. So congratulations, now you have moved to the center.
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So that speaks a lot of your effort. And yes, really I was a humble guest at that time. And I saw the tremendous work that the professor, what Ibrahim has done, and he was doing, remember this
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is the 2009, this is another decade, we had CB events, and the Kurdistan area was affected by the different internal issues. But you and I can attest, listening to the presentation, so
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congratulations. Thank you, sir. William Eitan, outstanding work, and yes, it's a wonderful city. And I
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recommend that we can establish relation with your department. You did very, very well, congratulations. Hopefully, thank you very much. Yep, yep. Yes, sir. Hi, first of
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all, Dr. Anjem. This is a wonderful talk. You
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told us of the history, which was very interesting. And again, another speaker talking about the great achievements. that have happened in Iraq and with Iraqi neurosurgery, all the students, the
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residents who are watching should understand that these are great accomplishments when compared with people in the world. And it doesn't have anything to do with how much money the country has it has
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to do with the talent. And what we've seen here today
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are extremely talented people who have met challenges they've had individually and done an outstanding job. They would be outstanding anywhere in the world. And I think you mentioned some things
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that I know how he is very interested in. We are also, and that is teamwork. And this is particularly important in regard to looking at the future. You solve problems in your area in Erbil in a
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magnificent way. Others are dealing with the problems they have in an excellent way. And if I were the dean of the medical school, I'd be sitting here thinking about, how can I put all these
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people together? 'Cause I have incredible talent here. And then deal with all the political forces I have. And I can
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see why he's up at six in the morning and goes to bed to 11 o'clock at night because some of that is a headache. But I think it's a great challenge And Dr. Ali, and we want to see how, if we can
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be of any help in helping you bring your message not only to Iraq, but to the rest of the world. Superior, superior achievement. Thank you very much, sir. Thank you.
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Any questions or comments? Any hands lifted? I think Dr. Ali has a question. Yes, Dr. Ali, please. Thank you, and John Ford, this nice presentation.
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I don't have a comment, clearly you mentioned it, that we have started the integrated system. This system has been stopped, but we were trying it
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at 2010, it was on the ground at 2011. We have now two class have been, two people have two groups have been graduated with that they make a system, that's what a great system. Now we have
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students who are making very nice researchers at their fourth year and some of these researchers are even getting in journals that have been which are Scopus and Salome. So we are now getting the
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fruits of this system. I think you are doing it and you know this is very well. This is the new teaching purposes. Now people are leaving the old classical way of teaching. Let us say that the
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college should be student, student core, not teacher core, based for the
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students in the place where the students get knowledge. It's not the The teacher gives knowledge, it's now the area of the students and they are now able to go to the hospital in their first year.
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Of course, not taking, examining the patient, but at least visiting the hospital in the first year and in the second year so that they came accustomed to the place where they spent their whole life.
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And thank you very much, thank you. Thank you, sir, well, that's a good step forward, Thralian Tranjan for this integrated. In fact, it was started this problem-based system in one of the
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universities in Iraq, which Dr. Anjam was saying, referring to the concrete medical school in north of Baghdad The vision. of the division of the new research question. Yeah. It's a
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problem-based problem. By the effort and the struggle. Sorry, Ali. This was problem-based integrate. Our system now is integrated, system-based integrate. Yeah, yeah. So that problem-based
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was only in one, when medical school started by the struggle and that hard work of Professor Lanham-Shev. Yes, yes. And it was the only, and then they stopped it now at that
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medical school. But this is great, the system is
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a progress. He's now, he's still, he's following us. He know every one of the students and he's following our progress. So he know today that I'm presenting this lecture and he's following me,
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my records, my presentations, my lectures. He's very, very kind for people You cannot imagine how he's a wonderful guy. I haven't contact with him regularly. He's a wonderful. Thank you, sir.
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Yeah, thank you, thanks. Did you have a question? Did Hammer have a question? Shamer have a question? Shamer is, please. Yeah, actually it's a comment that I have a bad question. I'm really,
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I
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want to thank Dr. Anjan for his nice presentation it's outstanding as the president always. he was this and I think I enjoy the journey that he take us through his qualification then his department
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story and I think he has a special taste with the suits, selection and handkerchiefs and I think that his presentation match the same level and I'm really thankful for that presentation and I'm proud
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of you and thank you Thank you very much. Can I make one more comment, Holly? Please. Dr. Anjama, you mentioned, we've talked about a problem based and problem solving as a method of teaching
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in the integrated system. I happen to totally agree with you. One of the bases actually of SI Digital is the the fact that we've now since the COVID epidemic or whatever this is
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dependent upon one-way teaching, which is own teaching. That's
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in general not effective. It's very destructive for young people. As my colleague, Dr. Lazarov has said, people wanted his talk to his colleagues in South America. People want discussion of
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information as a point instead of just more and more information You want to know what can I do with the information? How do I understand the information? And that was one of the reasons to develop
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SI Digital. This meeting is an example of getting integrated discussion about the topic.
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We saw that with Dr. Anwar's talk and Dr. Amit's talk, which was not only information, but we had a chance to ask him questions about it. So I think it's an excellent way of teaching. It's
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problem-based, it's problem-based. That's how people learn, excellent job. Thank you very much, sir. Any more comments or
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questions for Dr. Anjam? Well, thank you again Dr. Anjam for your presentation. Thank you a lot. The video editors were Mustafa Ismail, College of Medicine, University of Baghdad,
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and Fatima Ayad, fourth year medical student, University of Baghdad
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We hope you enjoyed this presentation.
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