Prezentare masterclass final
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Prezentare masterclass final
- 1. Neurosurgical Masterclass – advanced theoretical course for students and residentsCristina Caterina Aldea1 Victor Volovici2 Ioan Ştefan Florian1, 3 ”Iuliu Hațieganu” University of Medicine and Pharmacy, Cluj-Napoca 2 Erasmus University Medical Center, Department of Neurosurgery, Rotterdam 3 Cluj County Emergency Hospital, Department of Neurosurgery 1
- 2. Concept. Objectives. • students and residents • HOW to learn • WHO and WHERE to learn from • high quality information • accessible
- 4. Day 1 – part one
- 5. Day 1 – part two
- 7. Day 2 – part one
- 8. Day 2 – part two
- 10. Conclusions • proposed topics – covered • course material available at http://masterclassnch.wordpress.com • positive feedback • participants from 3 major university centers
- 11. Future Plans • Further editions • Putting theory in practice
- 12. “Labor Improbus Omnia Vincit ”
Editor's Notes
- good afternoon. my name is ca, I am a 5th year medical student and I am also one of the coordinators of the students' scientific circle of neurology and neurosurgery from cluj. I am here to talk to you about the first neurosurgical masterclass whicj was organised in july by our circle in collaboration with the Neurosurgery Clinic from Cluj.
- we wanted to organize a course aimed at students and residents. we wanted the course material to be of the highest scientific quality possible. the aim was for it not to be necessarily exhaustive, but rather for it to synthesize essential information into lectures that could be assimilated by the younger generation. it was crucial that we gave the participants not only raw scientific data but also information that cannot be obtained from any literature: how to learn , who and where to learn neurosurgery from. an important point was that the speakers were not only experts in their fields but also great teachers. they represented different concepts, different styles, different generations but which all converged in the same direction. we also wanted the course to be accesible. our only selection criteria was a strong interest in neurosurgery.
- Bearing in mind that we were analyzing a surgical subject we divided the course into 2 days: on the first we focused on fundamenting our knowledge of neuroanatomy and on the second, we moved on to neurosurgical pathology, building on the information discussed on the previous day.
- On the first day we started with the anatomy lectures. The presentations were held by Dr Carmen Crivii from our Anatomy Department and by Dr Victor Volovici who is a neurosurgical resident at Erasmus University Medical Center in Rotterdam. The information presented was based on the classic Rhoton dissections and on Spetzler & Kooss’ Atlas of Microneurosurgery. The goal was to present the anatomic elements as a whole, to emphasize the relationships between them. For this purpose the presentors used pictures from serial dessections. A key point was that one of the presentors is not only an excellent anatomist but also a neurosurgical trainee. This meant that he could present the elemnts also from a surgical point of view and the participants could immediately see practical part, the real life impact of the discussed topics. We started with the cranial fossae and continued with the cerebral vascularisation.
- In the second part we focused on a series of structures that are very important in order to understand the neurosurgical pathology we had in mind on discussing on the next day. For example it is impossible to correctly understand orbital tumors and how they are surgically approached without thoroughly knowing the anatomy of the orbit. We concluded the first day with comments on rhoton dissections and with a presentation on radiologic anatomy. This latter was held by dr alexandru durutya who is a radiology resident.
- This is a picture of some of the participants at the end of the first day.
- As I previously mentioned on the second day we began discussing neurosurgical pathology always building on the notions presented on the first day. Our objective was to cover 3 major areas of neurosurgical pathology and to discuss 3 basic approaches. We have chosen neurotrauma, tumoral pathology and neurovascular pathology. The correct understanding of these is crucial for every young neurosurgeon. The trauma part was covered by doctor volovici and by dr george ungureanu who is a neurosugical resident in cluj. One of them reviewed the basics and the other focused on the mecanism and management of posttraumatic hematomas, a condition that traineees are faced with even from the very beginning. In the tumoral pathology chapter professor stefan florian talked about gliomas and meningiomas on the theoretical notions as well as on presenting individual cases, intraoperative videos which showed the true life of the o.r., fragments of his vast experience and knowledge. Dr volovici then gave us a literature review on the current treatment options for glioblastoma. Dr ioan szabo , senior neurosurgeon in cluj closed this chapter by covering the orbital tumors.
- Concerning vascular pathology, professor florian explained the surgical treatment of intracranial aneurysms: the timing of the operation, the skills that one needs to master in the o.r. , the toughts that one will have in the before, during and ag=fter the operation, exemplifying everything of course with real life cases. In the last part we covered 3 basic neurosurgical approaches and as a special ending posterior fossa approaches in the pediatric patient.
- These are some pictures from during the course. Unfortunately we didn’t have a professional photographer.
- We managed to cover all initially proposed topics. The general feedback was positive. Some even said that the course exceeded their expectations. We had participants from 3 major univeristy centers in romania. We made all the course material freely available on our website.
- We think that further editions of this course are a necessity. We also feel that with this masterclass we paved the way for a future hands-on course on cadavres.
- I would like to end with the real conclusion “steady work overcomes all things”. It is something I truly believe in. it is also the motto of the neurosurgery clinic in cluj.
- Thank you very much for your attention.