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PATHWAYS IN NEUROSURGICAL TRAINING IN THE REPUBLIC OF IRELAND. Chris Lim Specialist Registrar, Department of Neurosurgery, National Centre for Neurosurgery, Beaumont Hospital, Dublin. Neurosurgical Centres in Ireland. 2 Neurosurgical Departments in Republic of Ireland

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pathways in neurosurgical training in the republic of ireland

PATHWAYS IN NEUROSURGICAL TRAINING IN THE REPUBLIC OF IRELAND

Chris Lim

Specialist Registrar,

Department of Neurosurgery,

National Centre for Neurosurgery,

Beaumont Hospital,

Dublin.

neurosurgical centres in ireland
Neurosurgical Centres in Ireland

2 Neurosurgical Departments in Republic of Ireland

  • Beaumont Hospital, Dublin
  • Cork University Hospital, Cork
neurosurgical centres in ireland3
Neurosurgical Centres in Ireland
  • Cork University Hospital :
      • Munster Region
      • 25 dedicated N/S beds and no dedicated ICU beds
  • Beaumont Hospital :
      • Rest of Country
      • 67 dedicated N/S beds and 10 dedicated ICU beds
medical staffing
Dublin

6 Consultant Neurosurgeons

NCHDs

1 Senior Registrar

1 Spinal Fellow

3 Sp. Registrars

1 Visiting Sp. Registrar (Belfast)

1 Visiting Registrar (USA)

1 Registrar

6 SHOs

4 Interns

1 in 6 rota without prospective cover

Cork

3 Consultant Neurosurgeons

NCHDs

2 Sp. Registrars

1 Registrar

3 SHOs

2 Interns

1 in 3 rota without prospective cover

Medical Staffing
typical neurosurgical training in ireland
Typical Neurosurgical Training in Ireland

Medical School

Internship

Basic Surgical Training (including some time spent as a N/S SHO)

Research +/- 1 to 2 years as a Registrar

Specialist Registrar

Fellowship +/- Senior Registrar (Post CCST)

Consultant

neurosurgical on call activities in beaumont hospital
Neurosurgical On Call Activities in Beaumont Hospital
  • 1 in 6 Rota (1 Consultant, 1 Registrar/SpR, 1 SHO and 1 Intern)
  • Number of referrals varies but typically 10 to 25 referrals a day.
  • For each referral
    • History & exam findings
    • Review radiology
    • Discussion with Consultant
    • Advice or transfer patient care
  • A/E assessment, resuscitation and theatre activities
types of acute referrals
Types of Acute referrals
  • Trauma : Head and spine injuries
  • Spontaneous intra-cranial haemorrhages
  • Tumours
  • Hydrocephalus
  • Infection e.g.. IC abscesses
  • Others
consider
Consider !
  • Patient subgroup may be more acutely or critically unwell.
  • May be more mentally and emotionally demanding.
  • Modern Neurosurgery employs cutting edge technology (real time MRI, real - time Neuronavigation technology, etc)
  • Majority of pathologies can be visualised by modern radiological methods to allow for better decision making and planning of patient management.