FELLOWSHIP IN INTERVENTIONAL NEURO-RADIOLOGY (INR) (UKM)

Course Director: Assoc. Professor Dr. Rozman Zakaria

Duration of training: 12 – 18 Months

Training Centre: UKM Medical Centre/ Hospital Canselor Tuanku Muhriz, Cheras 56000 Kuala Lumpur

Eligibility: Independent and certified radiologist or equivalent specialty.

Objectives of Programme:

1. To obtain clinical knowledge relevant to medical and surgical management of neurovascular and neuro-oncologic diseases such that the trainee may confidently discuss the appropriate imaging strategy and/or interventional technique for the clinical problem with the referring clinician.
2. In-depth understanding of indications, contraindications and complications of neuro-interventional procedures as well as their relative efficacy compared with other treatment options.
3. To be familiar with  some clinical practice guidelines, namely clinical and imaging scales to assess stroke – NIHSS, ASPECTS, collateral    scores for stroke imaging, RANO criteria for treatment response in brain tumour, Spetzler-Martin for AVM grading, Borden and Cognard DAVF classification, Fisher Scale for subarachnoid hemorrhage, Modic classification in the spine.
4. To understand broad principles and techniques associated with INR.
5. Extensive direct practical exposure with appropriate graded supervision in all forms of appropriate neurointerventions; evdovascular treatment of cereberal aneurysms, AVMs, DAVFs, Mechanical Thrombectomy in Acute Stroke, and Extracranial and Intracranial stenting of carotid disease.
6. Knowledge and skills to enable safe practice of neurointervention. The trainee should be fully competent in intermediate and advanced life-support.
7. Allow INR trainees to apply their knowledge and skills in the workplace and demonstrate competence to the level of a  consultant.
8. To become familiar with the indications for, performance, risks, and interpretation of a broad range of neurodiagnostic and therapeutic neuro-angiography.
9. To understand the importance of radiation protection as applied to INR procedures
10. To be familiar with  some clinical practice guidelines, namely:

-Clinical Practice Guidelines for Interventional Radiology by the College of Radiology, Academy of Medicine Malaysia.

-ACR-SIR-SNIS Practice Guidelines for Interventional Clinical Practice [http://www.acr.org/guidelines].

Activities/Task:

1. Candidate will be required to perform all clinical activities at the level of a specialist and Involvement in the pre-, intra- and post- procedure assessment and management of patients:
2. Candidate must attend all INR related clinics, CME meetings, multi-discplinary and clinical-radiological discussions.
3. Candidate must be active in case discussions, work-up and plan for the cases.
4. Candidate must keep a log book and an audit of his/her performance.
5. Candidate is encouraged to submit a case report or present at hospital based or national level seminars.
6. Candidate must pass the viva examinations which will be held at mid-term and at one month prior to finishing the programme.

Certificate of completion of training certified by Course Director and Dean, Faculty of Medicine UKM will be given to all successful candidates.

Important requirements:

1. Please apply at least 6 months before intended start date.
2. You will need Temporary Practising Certificate (TPC) by Malaysian Medical Council (MMC). Please ensure you fulfil all the requirements for TPC. https://mmc.gov.my/wp-content/uploads/2019/11/TPC_July_2019_2.pdf
3. Application for TPC will be forwarded to MMC by UKM except for Letter of Good Standing.
4. Priority will be given to candidates with some experience in peripheral or body interventions.