ismics 2009 international fellows and resident luncheon brickwedel j, brickwedel j, reichenspurner h...
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ISMICS 2009 International Fellows and Resident Luncheon
Brickwedel J, Brickwedel J, Reichenspurner HCollison SP, Mishra YK
Initiating an International Exchange Program:
Jumping Hurdles & Winning
ISMICS 2009 International Fellows and Resident Luncheon
The Idea
born in 2006 at 6th ISMICS meeting in SFO
confirmed in 2007 at 7th ISMICS meeting in Rome initially scheduled for June 2008 –
finally commenced 14th April 2009
Dr. Yugal K. Mishra, MBBS, MS, Ph.D. Prof. H. Reichenspurner, M.D., Ph.D. Director Dep. Cardiovascular Surgery Professor and Chairman
ISMICS 2009 International Fellows and Resident Luncheon
The Partner
University Heart Centre Hamburg,
Germany
Escorts Heart Institute & Research Centre Ltd.
New Delhi, India
ISMICS 2009 International Fellows and Resident Luncheon
The Partnernumbers and facts
UHC 2008 valve surgery (AV, MV, TV, PV)
convent. n=216, mic n=104
(MV repair rate 75%) percutaneous valve proc. n=67 CABG n=499, OPCABG n=151 combined procedures
single valve + CABG n=256
double valve + CABG n=25 aortic surgery n=127 (valve sparing
procedures 15%) HTX n=25, HLTX n=1, LTX n=4,
BIVAD n=6 others n=252
EHIRC 2008 valve surgery (AV, MV)
convent. n=253, mic n=35
OPCABG n=1251(since 1994 n~25.000!)
combined proceduressingle valve + CABG n=56double valve + CABG n=2
aortic surgery n=9
others n=630
TOTAL NUMBER OF CABG
FROM 01/10/1988 TO 30/04/2009
YEAR CABG OPCABG TOTAL
1994 1286 21 1307
1995 1349 125 1474
1996 1492 204 1696
1997 1698 349 2047
1998 1883 355 2238
1999 2135 423 2558
2000 1416 1424 2840
2001 225 2905 3130
2002 268 3007 3275
2003 322 2977 3299
2004 352 2870 3222
2005 255 2959 3214
2006 238 2919 3157
2007 138 1924 2062
2008 90 1248 1338
JAN-APR2009 35 500 535
TOTAL 13182 24210 37392
ISMICS 2009 International Fellows and Resident Luncheon
The Start
ISMICS 2009 International Fellows and Resident Luncheon
How to Start
find the right department to go todiscuss your expectations with your
new boss to avoid disappointmentsdifferent countries - different lifestyles,
climate, diseases, etc. language barriersfamily/ partner – take them with or not?
ISMICS 2009 International Fellows and Resident Luncheon
My Expectations
to learn the art and science about OPCABG surgery at one of the most well-known centre
seeing & experiencing valvular heart diseases not-known in Europe
commence research projects together
ISMICS 2009 International Fellows and Resident Luncheon
Logistics
exchange period for 6 monthsmonthly renumeration paid by own institutionsubsidized accommodation arrangedreciprocal administrative support (medical
council registration, work permit, visa application)
ISMICS 2009 International Fellows and Resident Luncheon
Jumping Hurdles
& Winning?!
ISMICS 2009 International Fellows and Resident Luncheon
Reality – German perspective
registration with Medical Council of India (incl. translated and certified copies of my degrees and university certificates, inviting letter from Dr. YK Mishra, sponsoring letter from Prof. Reichenspurner)
VISA application (VISA forms, flight tickets, letters as mentioned above)
documents were handed in 16th April 2008approved by the 5th August 2008
ISMICS 2009 International Fellows and Resident Luncheon
Funding?
visiting
fellowship
€ 3´000.-www.eacts.org
no
visiting/
traveling
fellowship
ISMICS 2009 International Fellows and Resident Luncheon
Get Funding!
clinical director, consultant, professor, chairman, …get you in contact with
ISMICS 2009 International Fellows and Resident Luncheon
Create Funding!
What is ISMICS policy?
Will FUNDING be discussed at the members meeting?
ISMICS 2009 International Fellows and Resident Luncheon
Outlook
homesickness
disappointment
ISMICS 2009 International Fellows and Resident Luncheon
Future
Are more residents interested in exchange programs?
Can we get the clinical directors motivated? Can we get the industry on board? Can we create a database with the
participating clinics & their profiles?
we need a representative body for residents within ISMICS!
ISMICS 2009 International Fellows and Resident Luncheon
Summary
plan at least 1 year in advancedon't give up even if it looks hopeless –
mostly there is a plan B and plan C and …!the right planning and the choice of the
right department are the keys for a successful exchange!
ISMICS 2009 International Fellows and Resident Luncheon
Thank you very much