1. Postgraduate Training in Medicine
Dr. Orhan ALİMOĞLU
İstanbul Medeniyet University

2. Postgraduate Medical Training
Postgraduate medical training is a work-based education where learning and teaching takes place in a clinical context.
On the one hand, the young doctor (trainee) is under education, and on the other hand, he/she is a member of the staff in the clinical department.
The clinical departments face the challenge of creating an educational environment that is supportive and learning-oriented, and at the same time meeting the demands from society to deliver efficient clinical services and research.
Malling et al. BMC Medical Education 2010, 10:62

3. Postgraduate Medical Training
A common feature in medical training is the need for supervision and feedback among trainees and for being engaged in the responsibility for patients.
Furthermore, trainees need to be appreciated and valued as team members.
The challenge is to find a proper balance between involving trainees in patient treatment, and at the same time ensure patient safety and meet demands for a high production.
Malling et al. BMC Medical Education 2010, 10:62

4. Postgraduate Medical Training
However, the concept “educational climate” has been used indiscriminately with culture, environment or learning context.
Nevertheless, all of these concepts include the same elements:
atmosphere,
the connection and personal relation with colleagues,
openness to questions,
appropriateness of supervision and feedback,
working conditions and organisation of the work.
Malling et al. BMC Medical Education 2010, 10:62

5. Postgraduate Medical Training
The educational climate may differ considerably across clinical departments.
In order to be able to change the educational climate, it is relevant to find out who contributes to this climate and to the specific ways of behavior and “living” in the clinical departments.
Malling et al. BMC Medical Education 2010, 10:62

6. Postgraduate Medical Training
Although all employees take part in developing the culture in a department, the leaders are in a position to deliberately influence the culture.
Leaders can influence the educational climate by prioritising and attending a variety of activities in the department, and by role-modelling.
Malling et al. BMC Medical Education 2010, 10:62

7. Current Auxiliary Tools for Medical Education

8. Continuing Proficiency in Highest Levels Possible
Scientific knowledge and technical skills should continuously be;
Updated,
Developed,
Specific information and techniques presented in different formats by the specialists of the subjects must be learnt and integrated with the individuals’ own practice.

9. Web Sources Multimedia (Video) E-books Evidence-based medical data
Medical practice guidelines
Journal database
Literature databese
Citation inquiry

10. Multimedia-Video Access Medicine (McGraw Hill)

12. 2. E-books Access Medicine (McGraw Hill) MD Consult
MD Consult

15. 3. Evidence-based medical data
Access Medicine (McGraw Hill)
BMJ Best Practice
Cochrane Library
Up To Date

20. 4. Medical practice guidelines
Access Medicine (McGraw Hill)
National Guideline Clearinghouse
National Comprehensive Cancer Network (NCCN) Guidelines

24. 5. Journal database Science Direct Springer Ovid Karger
Springer
Ovid
Karger
Wiley Interscience – Blackwell Synergy
EBSCOHOST
BMJ Journals

32. 6. Literature database Medline (Index Medicus) http://www.pubmed.com

37. 7. Citation inquiry Web of Science Google Scholar
Google Scholar

40. Harite üzerinde katılan Üniversiteler
Medical Scientific Publications
(All times)
TURKEY
145507
Harite üzerinde katılan Üniversiteler
TUNISIA
11819
LEBANON
13653
IRAQ
7662
PALESTINE
1246
ALGERIA
3755
JORDAN
21959
BAHRAIN
1177
LIBYA
1628
EGYPT
40764
QATAR
2151
UAE
4230
SUDAN
7680
YEMEN
1635
SOMALIA
1496

41. Academic Partnerships Education, and Research
The Role of Collaborative
Academic Partnerships
in Medical Training,
Education, and Research

42. Examples of Collaboration
1) University of California San Francisco (UCSF) - Bellagio Essential Surgery Group;
2) USCF - Makerere University, Uganda;
3) Vanderbilt - Baptist Medical Center, Ogbomoso, Nigeria;
4) Vanderbilt - Kijabe Hospital, Kenya;
5) University of Toronto, Hospital for Sick Children - Ministry of Health in Botswana;
6) Harvard (Brigham and Women’s Hospital and Children’s Hospital Boston) - Partners in Health in Haiti and Rwanda.
Riviello R, Ozgediz D, Hsia RY, Azzie G, Newton M, Tarpley J. Role of Collaborative Academic
Partnerships in Surgical Training, Education, and Provision. World J Surg (2010) 34:459–465

43. Collaboration
The term “academic partnerships” describes a variable set of experiences among a number of different institutions.
Rotation between different clinics
Exchange among trainers / counselors
Residency programs
Inspiring the medical students and residents for education & research
The transfer of clinical experiences
Seminars
Strengthening the determination for education, research, and service
Development of educational resources, and establishment of additional funds for education
Riviello R, Ozgediz D, Hsia RY, Azzie G, Newton M, Tarpley J. Role of Collaborative Academic
Partnerships in Surgical Training, Education, and Provision. World J Surg (2010) 34:459–465

44. Collaboration
The development of a curriculum for the principles of medical sciences to increase knowledge and skills
To establish an environment of common confidence and respect
To establish common learning goals
To establish cooperation for researches
To distribute administrative functions according to local requirements
Multidisciplinary approach
Riviello R, Ozgediz D, Hsia RY, Azzie G, Newton M, Tarpley J. Role of Collaborative Academic
Partnerships in Surgical Training, Education, and Provision. World J Surg (2010) 34:459–465

45. CONTINUING MEDICAL EDUCATION
EXAMPLE FOR
CONTINUING MEDICAL EDUCATION
TÜRKİYE – YEMEN

46. CONTINUING MEDICAL EDUCATION (CME) YEMEN
Bilateral Agreements for Medical Fellowship Program
University of Science and Technology Hospital, Sana’a, Yemen
İstanbul Medeniyet University
Kartal Koşuyolu Training and Research Hospital
Ümraniye Training and Research Hospital
Baltalimanı Osteopathic Hospital
Bezmialem Vakıf University

47. CONTINUING MEDICAL EDUCATION (CME) YEMEN
Medical Fellowship Program is successfully continued,
and 15 Yemeni Doctors have attended the
2-months-fellowship program in Istanbul since 2012:
Cardiology
General Surgery
Pediatrics
Urology
Hospital Management

48. CONTINUING MEDICAL EDUCATION (CME) YEMEN
We organized 5 Academic Congresses with international participants.
1st Turkish-Yemeni Surgical Congress, 2012, Sana’a, 7 Professors
1st Turkish-Yemeni Cardiovascular Surgery Congress,
2012, Sana’a, 14 Professors
1st Turkish-Yemeni Dental Congress, 2012, Sana a, 6 Professsors
1st Turkish-Yemeni Emergency Medicine Congress,
2013, Sana’a, 14 Professors
1st Trauma & Rescusitation Course, 2013, Sana’a, 6 Professors

49. CONTINUING MEDICAL EDUCATION (CME) YEMEN

50. CONTINUING MEDICAL EDUCATION (CME) YEMEN

51. CONTINUING MEDICAL EDUCATION (CME) YEMEN

52. POSTGRADUATE MEDICAL TRAINING
EXAMPLE FOR
POSTGRADUATE MEDICAL TRAINING
TÜRKİYE – SOMALIA

53. POST-GRADUATE EDUCATION SOMALIA
Bilateral Agreements for Medical Trainings:
The largest university Hospital in Somalia,
Benadir University Hospital
İstanbul Medeniyet University
These agreements include:
Trainings for Doctors, Nurses,
Health Workers
Post-Graduate Medical Education

54. POST-GRADUATE EDUCATION SOMALIA
Post-Graduate Medical Education in Somalia
We initiated the only “Post-Graduate Medical Education” program in Somalia with the support of Benadir University and İstanbul Medeniyet University Somalia’s ONLY Post-Graduate program has started in two majors:
General Surgery
Emergency and Trauma Surgery

55. POST-GRADUATE EDUCATION SOMALIA
Post-Graduate Medical Education in Somalia The program includes various academic lectures and residency periods in Benadir University Hospital, and in Istanbul Medeniyet University Göztepe Training & Research Hospital. First year, 10 selected by exam, Second year 2, totally 12 Somalian doctors has enrolled into the program. Two months in Istanbul each year.

56. POST-GRADUATE EDUCATION SOMALIA

57. POST-GRADUATE EDUCATION SOMALIA

58. FURTHER EDUCATION PROJECTS
Postgraduate Training Continuing Medical Education MoU Between Universities and Hospitals Long Distance Training (TELE-MEDICINE) Training for Other Health Workers Congresses

59. Thank you…