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Components
of Training
Core
training
The minimum core training requirements are:
- 18 months full-time
(or equivalent part-time) direct responsibility for emergency assessment
and inpatient care of general neurology patients.
- 12 months on-call
for neurological emergencies.
- 12 months of neurology
consultations within a general hospital.
- 24 months of neurology
outpatient service at a minimum of one clinic per week or the equivalent
number over a shorter duration.
- Exposure to:
- Neuroimaging
(including one neuroradiologist conducting weekly review period
over two years).
- Neuropathology
(one neuropathologist teaching period per month for two years, or
attendance at two neuropathology teaching courses, e.g. University
of Sydney Postgraduate Neuropathology Course).
- Neurorehabilitation
(one period per week for six months preferably at an approved rehabilitation
facility or involvement in rehabilitation activities in a general
hospital).
- Neurophysiology
training may be completed during the third year of training even if
it is an elective year of training.
- Subspecialty training
may include neurogenetics, neuroophthalmology, paediatric neurology,
neurootology, neuromuscular, behavioural neurology, stroke, epilepsy,
movement disorders and neuroimmunology and is generally obtained during
the second or third year. This training may be gained by attendance
at appropriate clinics, ward service, clinical meetings and seminars.
Procedural
Skills
Neurophysiology training will comprise one period per week for 24 months
or an equivalent total over a shorter period of time but not less than
three months, in an accredited laboratory during which time it is expected
that approximately 500 EEGs and 50 EPs will be examined or reported on
under supervision and approximately 250 EMGs will be attended or performed
under supervision with all studies logged.
The logbooks are required
to record the extent of the experience during the course of training.
The supervisors will use these logbooks to formulate the annual report
and the SAC may review these logs.
Elective
Training
This need not be directly related to clinical neurology but should be
related to the neurosciences.
The principal aims
are to enable trainees to develop ability for critical appraisal of specific
research and publications and to promote research within the neurosciences
by clinicians. The elective training also allows for development of more
experience in a particular subspecialty area of clinical neurology.
Other
Specific Requirements
- Two neurologists
from each training institution will be required to sign the supervisor's
report. They will review the neurophysiology logbook.
- The extent of subspecialty
exposure will be specifically documented on the supervisor's report.
- During the training
program and prior to gaining the FRACP, the trainee will attend at least
two AAN scientific meetings or international equivalents and two other
Australasian or international meetings which may be general or specialty,
open or training. Attendance at scientific and educational conferences
will be documented in the supervisor's report.
- Advanced trainees
are encouraged to sit the American Academy of Neurology Inservice Training
and Self Assessment Examination. The timing of the examination will
be at the discretion of the trainee but it will be most useful at the
commencement of year three. The results will be given only to the trainee
and will enable the trainees to assess their level of knowledge and
training and identify deficiencies.
Research
Research should be within the neurosciences and enable the trainee to
develop an ability for critical appraisal of scientific research and publications.
The trainee should be encouraged to undertake a research project in either
clinical or basic neuroscience research during their core training years.
Training
Posts
Institutions suitable for approved advanced training will satisfy minimum
criteria. The suitability of institutions for approved training is assessed
by the State Education and Training Committee and is reviewed every three
years.
It is envisaged that
some institutions will satisfy all the requirements for an advanced trainee
post on site but others may have to make arrangements with institutions
and departments in geographical proximity to do so.
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