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This is
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the 16th SI and SI Digital Bagdad Neurosurgery Online meeting held on August 7, 2022 meeting originator and coordinator, Samre Haase.
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The speaker is Professor Abdell Amaira Al-Kafaji, President of the Iraqi Neurosurgery Board, Department of Neurosurgery, Neurosciences Teaching Hospital and Bagdad, and he will talk about
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neurosurgery and Iraq, the Iraqi Neurosurgery Board.
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I only will talk a few minutes about the Iraq Board of Neurosurgery. Okay. Yes. Yes.
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The Board for Neurosurgery Training for first year, first year, first year, the students, they are, and post rotation coming to us as example, competition, competition, which is including
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neurosurgery practice and neurosurgery, some texts of the Reddit and they go for exam. Then the mark of the sex is 50 and there are, for this is only limited number of students. Also, we have an
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equation for the situation
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of the this student is his college and his mark in these college with the mark of the exam. This is example for our competition exam. Then
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the Iraqi Council of Neurosurgery consists of five persons who are in degree of birth, four of them from medical college and one for the Ministry of Health. Centres are for and back that, the three
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in North and the three in South. We have in Iraq only two hospitals specialized in a neurosurgeon. East Center has its trainers in the degree of consultant or above assistant or above, there are
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the trainers. And East Center has its theoretical program daily for practical and theater and surgical procedure. Now, first year examination,
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including the
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neuroanotomy, neurophysiology, neuropathology, and basic neurosurgical handbook, neurosurgical text First year training, six months in general surgery, two months in your neurology, two in RCU,
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one month in neuroophthalmology, one month in psychiatry, and then the exam. Success is mandatory to go to second
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stage. Second year, training in hospitals, as first call, they master, they should master trauma, emergency, and surgical consultation. life-saving procedure advance, life-saving, including
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the Tercus tommy, Chesapeake Center means lying. At the end of this, you go to the third year, but without examination.
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A third year, training as a second assistant in theater, prepare patient for surgery, important figure and team at that level. He is a hard morning and nine tour posts operative follow up at the
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end of the year. He should master clinical examination and they we exam them a practical examination long short case and oral exam at the end of this year He should be a neurologist beside the
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neurosurgeon and the fourth year our student now master clinical examination. He has full basic anatomy physiology pathology trauma life saving major and life saving doctor. Now he is also assistant
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in all the clinical might be his senior and and some of procedures
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take that to the glioma alone, he can doom and go seal. VP. Shunt, the Congress of Lamnek Tommy,
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also gamma surgery. Here,
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we concentrate on surgical personality and give more time to contact with his senior old time. He passed the last year without exam, but here he have all the discussion of ethicists. Last year, he
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is ahead of team surgeon of most cases, nine tool guide, preparation of patients. He will be responsible on every defect examination of final exam. We have in final exam, three or two paper,
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including 200 MCQ and the practical long short oral slide and Oscar thesis. And the fourth year, we have, and this is the free supervisor and in the degree of
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a prof assistant or consultant And this is his mandatory.
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centers, in the centers of Iraqi centers of neurosurgery hospitals and centers, we have only two hospitals and other centers belong to Mr. Afhir or they are related to medical college.
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We have orbit surgery, trauma, spine, vascular, gamma, functional, oncology, endoscopy Now we have gamma, exoscopy, entered to some centers, deep
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vaginal circulation and angioin. A text, humans, textbooks, core
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for a class for operative and handbook.
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Now I will show you this picture, this is important I now I talk about the, what is the Iraqi board, the student, the examination, but how the sport board initiated, this figure at one time was
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all the neurosurgeon of Iraq. Here, Brof Abdul-Hadi al-Fani, he is the first brof in neurosurgery in the history of Iraq, and he is also beside he is a neurosurgeon to initiate the orbital surgery
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in Iraq. And here, Brof Abdul-Hadi al-Fani, who won't initiate the neurosurgery board.
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Other neurosurgeon,
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Jafar Khadidi,
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Jafar Napid, Para Khazain, Samir Hassan Abu, Victor Hackmat, and the others.
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This is a surgical photo These I, I choose those three figures. Here, above Abdullah Ali and Khadidi, who initiated the
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real branch of neurosurgery in medical college of Baghdad, and he's the first broth. Here, broth, albutry, he initiated the neurosurgery in Iraq, and here,
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our senior
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messenger, he was a pioneer of spinal surgery in Iraq, a pioneer of orbit surgery in Iraq.
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These figures also from history. Here,
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broth, albutry, and broth, seminar has a good, and this photo and neurosurgical hospital,
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broth, albutry, and our student of Iraqi board. Here, also our student and here me and Rolf Jasser and Rolf, I mean, at the Salaam Taksi, and Rolf
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Ayad, the trainers of the training. And here in Germany, for the story of the brain with Gab.
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This is in Jaba, me and Dr. Jasser, and five
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medical students in
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Narita Hospital
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And this was our student of Rocky board. In this 2021, all the four students
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fired, and one other one absent, are
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the annual surgeon, Rocky, no surgeon. Here in Gamma Nice.
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This is the Iraqi board, all the branches which are auxiliary, neurosurgery, general surgery,
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radiology, neurology, and all the people here. And those are the chief of all Iraqi board of board.
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This is during discussion of thesis. This is a bit usually surgery, I think I did it, which is common in Iraq. This is also a bit Italy. And this is our student finishing their board. Here,
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this is a historical photo. Our broth, I think this is in medical college of Baghdad. And here, our student in the lecture room, they are Iraqi board students And this is the icon, gamma surgery.
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this is first case we did for gamma surgery. The important things, we are three seniors always working together.
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Thank you.
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I finish the mic. Thank you. Thank you. Thank you. Thank you. This is this is not my computer. Yeah, you did my my brother has my brother healthy.
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Well, thank you for the interesting important presentation. Tell us about the Iraqi board If there is any question, please. You want to ask him because we have
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10 more minutes. I could I ask you a question? Yes.
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I'd like to ask you to say.
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The neurosurgery residency is in four years in addition to the six years that the student has to go to medical school. I don't, is that, is that how it is? Yes, after he finishing medical college,
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then he become,
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then after he completes his working, and the hospital for one year and his rotation, he can come as a competent with others for a neurosurgeon. A neurosurgeon here, we accept him and he's success
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is five
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years. Neurosurgery is five years. Yes. Okay. One year beforehand, after graduation, just as a scholarship or ombudsman. I understand, okay. And the students, once they finish medical
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student school, I have to compete to be accepted in neurosurgery. Is that how your system works? It's true in our system, The, the, uh, the, uh, the student first, uh, go to work in history
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of, of health as a rotator and, uh, and the main branch is, uh, medicine, surgery, guy knee, pediatric, and then he can be accepted and the Iraqi board. I see. Do you have more people who
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apply for the positions than you have, or can you take as many as possible?
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What do you mean?
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Uh, if, uh, if many students would like to go into neurosurgery, do you have room room for them, or do you have to select them? No, no, we have a selection, uh, on their degree in the exam,
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and there is an equation beside his degree in the exam, his position in his college, if he is
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the first student, suppose that this college accepted 200 students. He is number 10 or number 20, this is different. And
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the number of the students in the college, and this equation, plus our mark in our exam And if he has a residency in the neurosurgery also for one month, he take 05 mark and we calculate and we
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should accept as limited number. Nowadays, we can accept 20. But after before many years, we accept only 10. Before this, we accept five I see.
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Jorge, is that system similar in South America or Latin America? Yes, it's similar. And also I want to add to one of the comments. Also, we have the similar system we have in South America. I
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mean, not surprised to find it's the same system in Iraq. And I'm sure it's in the Middle East is why the first surgery that the resident does is a VP chant. My God, my God.
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And that's why when we look at the rate of complication of the TV Chant, we don't know whether it was related to the lack of experience of the junior guy sort of stumbling onto the TV Chant. I'm not
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blaming that. I mean, please, the professor is illuminating. We do exactly the same here. Yeah, we do the
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same My first surgery solo on November 7, 1979 now will be an anniversary of that is at the village and we always forget I understand the Milo at the meningo cell and yes,
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is similar, but we don't have to do that the thesis at the end, whereas in many countries in Central America they do have to do the thesis which is a very good idea here in the
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United States and excellent and illuminating at the presentation. And I also took a picture of the screenshot of the professors at the presentation of all the people on the board. There is a large
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number of women in that very nice picture with all our nice address for the board and it's amazing. So I took a screenshot for
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that. Thank you very much. Thank you very much, Ali Is it in Europe or you were trained in Europe and France? Is it the same there? Sir, it's only in four years at that time that I was there,
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it was four years training, but it was mostly in the operating room. And we had the group who used the ICO which was done by the running matter or anesthesiologist, but we rotated with them if they
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needed help to do the drainage or any over the bed procedures but believe it or not. The first time is, you mentioned in one of the conferences at UCLA. Why mental, after the surgery, she said,
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You have to go to do the tractors, then we have you done it. I said, I know how to do what I have in India. That was the first year. It took me to the bed of the patient. He said, Help me, I
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helped it. And he said, From tomorrow, you have to do. I have done more than 100 cases of the tractors. Because
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why mental was very special, very one of the greatest hand of neurosurgery. So it depends on the mentors who trained.
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How do you thank you for allowing us to ask questions, we appreciate that. Thank you. Any other questions please from the audience to the Dr. Adelimir?
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Can I ask a few and? Of course, Dr. Adelim, yeah. First, thank you, Professor Adelimir, as important as possible. presentation, it's quite orienting for everybody about what is the structure
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of Iraqi board. I think it's interesting and I know a lot about the challenges that he faced while planning for the future. I want to put this as a question, but I know that there's a quiet
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challenges Maybe it's helpful to put these challenges here in this meeting, so we may figure out what we can do for the future. So my question is that, is there a plan for subspeciality to be
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included in the future for the Iraqi board. And thank you again for the presentation professor.
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Hello, thank you
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Yes, we are doing this plan. Now we have a spinal surgery sharing with orthopedics. we know the spine surgeon should have orthospine and the neurospine. And now we have one student and our spinal
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fellowship. And
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we prepare when the other equipment is available for other things.
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I hope
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in the past, to once yet the vascular,
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but you know that we have had a positive or deficient in angiograph.
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Now, I think we will take two And skull base surgery also, I want to start it.
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make me sure we can do my colleague. We have a young,
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intelligent neurosurgeon in Iraq and I have a very intelligent assistant in the our centers in North and with me in the board and in our centers. I want to start the skull base and vascular. But you
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know also we have a positive of hospitals. All Iraq had only two hospitals and the general hospital, the environments in the general hospital, not very helpful. It is negative stakeholders, I
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think. So with the time
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we can start this and thank you.
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Thank you, thank you. Thank you, thank you. I have the same idea. Sorry, if I ask one question, please. Dr. Justin, thank you very much for your nice presentation. There is one question I
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see. In the last few sessions, I was with this group for Dr. Summer. There are a lot of young ladies who are interested in neurosurgery. Are you gonna go some advantage to help them to get to the
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neurosurgery? Because now at UCLA, we have a lot of ladies who are in neurosurgery residency And other programs. Are you gonna give some advantage to them? Because if they are interested, we have
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to help them to come up to the, I don't know each culture and the country is different, but maybe you give some advantage to them because I see so many of them are so enthusiastic. Maybe you have
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to consider some advantage for these young ladies to be involved in neurosurgery. Although, gentlemen are always welcome, but the field is changing.
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Yes, Iraqi women's and Iraqi doctors, they are very interested in neurosurgery because they are sittrons, they can do hardly. Since their rotation, they work hard. I think neurosurgery is not
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difficult, not more difficult than the gynecology calls in Iraq Also neurosurgery now is developing. I see them,
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they are very interested in gamma knife, they must arrest and with the
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future, if we can brought our
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hospitals, excess copy and these tools, it become more easier So I encourage them but they are coming to neurosurgery.
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Thank you, sir. Thank you. Hello. The Lemir. Yes, sir. Do you have any intention of starting pediatric neurosurgery as a specialty soon? Pediatric board, pediatric board for, pediatric
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surgery board has many difficulties because they are a part
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of general surgery but
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the other general surgery. Now they start to do pediatric neurosurgery and they are very different. I talk with them. They find it very difficult to start now with ask for pediatric neurosurgery.
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We are ready.
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The last question is how many female students in the board and how many graduates from the board as female? Rocky board graduate I think now three and I yes and now we have in first class four and
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I think we have seven or eight students now but they are increasing you can imagine that and this and in this year we accept four.
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Thank you so much for your presentation and for answering the questions.
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