A Note of Thanks to Don Silberberg

By Raad Shakir

Raad Shakir

Raad Shakir

Since Don took over as editor of World Neurology (WN) in April 2013, we have seen a steady improvement in the quality of our newsletter with the publication of each of the 16 issues he has overseen. In his first editorial, he stated that the new electronic format would permit ready coordination among the two WFN publications, the Journal of Neurosurgery and WN, and the WFN website.

Part of the challenge, he said, would be to avoid all but essential redundancy among the three, and that has clearly been achieved through the World Neurology Editorial Advisory Board, which was created, and in other ways. In fact, so successful has this been that we have been able, during his editorship of World Neurology, to launch a third publication — the new open access journal, eNeurologicalSci (eNS), a sister journal to WFN’s longtime flagship scientific journal, the Journal of the Neurological Sciences (JNS). No doubt, we shall begin to seamlessly blend this too into the system, as it develops and grows as part of the WFN’s publications portfolio.

Don set out his plans to publish important news from the WFN, reports of WFN activities in the field and reports from the WFN’s committees and officers, but beyond this, he also targeted abstracts of articles that seemed to be the most important to global neurology. All of this has been an unqualified success, for which the trustees and I, and indeed the WFN as a whole, are most grateful.

World Neurology is now on sound footing for his successor to take it forward to the next stage. There is still much work to be done in developing the email database, as we all know, and we have begun to address that issue as well. Don will be succeeded by Prof. Steven Lewis of Chicago, Illinois, USA, as editor and Walter Struhal of Innsbruck, Austria, as co-editor.

I simply wish to express our collective gratitude for the contribution Don Silberberg has made and to thank him for his continuing efforts on behalf of the WFN. I hope the experience has been an enjoyable one and that Don has found the organization to have a useful role to play in neurology.

 

From the Editor-In-Chief

By Donald H. Silberberg

Donald H. Silberberg

Donald H. Silberberg

This issue of World Neurology is the last for which I will serve as editor. Fulfilling this role for the past three years has been an exciting endeavor. I greatly appreciate that I was invited, and that I accepted the challenge and opportunity to develop World Neurology as an online publication.

In late 2012, then WFN President Vladimir Hachinski invited me to assume the position as editor-in-chief and oversee the transition from paper to an online newsletter. Rhonda Wickham and her colleagues at Ascend Integrated Media, World Neurology’s publishing partner, taught me what I needed to know, and, in general, they helped to make the transition to electronic distribution smooth. In addition to my thanks to Rhonda, I am indebted to Vladimir Hachinski and WFN President Raad Shakir for their support and interesting contributions, and also at WFN to Keith Newton for managing the calendar and carefully proofing galleys. Peter Koehler has unfailingly personally contributed, or he asked a colleague to contribute important articles on the history of neurology and neurological sciences for every issue.

As Raad Shakir notes in his gracious article about the transition to the editorship of Steven Lewis, effective for the March 2016 issue, generating a comprehensive list of email addresses has remained a persistent problem. I am hopeful all the member organizations of WFN will help Steven address this.

So, as I finish my three-year term, I also want to thank the many other individuals who have contributed articles, book reviews, ideas and guidance. I have enjoyed my tenure, and I wish Steven Lewis the best as he assumes the editorship.

 

Report on the XXII World Congress of Neurology

By William M. Carroll, MD

William M. Carroll

William M. Carroll

The XXII World Congress of Neurology opened Nov. 1, 2015, at the CasaPiedra Conference Center in Santiago, Chile. A total of 3,500 delegates were registered from 110 countries, and this Congress brought a significant rise in the number of participants under age 35 compared to those attending Vienna and Marrakesh. This demographic added a youthful look to the Congress. Delegates enjoyed the intimate Chilean décor of the CasaPiedra, comprehensive scientific and teaching course programs, and opportunities for social, educational and cultural discourse.

Opening Ceremony

The XXII World Congress of Neurology opens with a lively Chilean cultural performance.

The XXII World Congress of Neurology opens with a lively Chilean cultural performance.

The World Congress Sunday evening opening was one of the most enjoyable ceremonies for a long time. Not only was the cultural performance informative, lively and just the right duration, but so were the preceding addresses by World Federation of Neurology President Raad Shakir and World Congress of Neurology President Renato Verdugo, and the following address by Dr. Michelle Bachelet, president of Chile. A pediatrician by training, Dr. Bachelet spoke firmly on the need for global action on stroke and dementia, leading causes of the noncommunicable neurological disease burden in the world. She also highlighted the efforts of the Chilean Government through its Program of Explicit Guarantees in Health Care, which targets these and other noncommunicable disease states, such as traumatic brain injury, Parkinson’s disease and multiple sclerosis. She emphasized that the program was primarily preventative but also provided structured care.

Raad Shakir emphasized the need for both the fostering of quality neurology and equality of health care worldwide, Renato Verdugo gave an illuminating and much appreciated background on the history of Chile and the Chilean peoples.

Scientific Program

Michelle Bachelet, president of Chile, addresses the Congress.

Michelle Bachelet, president of Chile, addresses the Congress.

Earlier that day, Dr. Oleg Chestnov, Assistant Director-General of Noncommunicable Diseases and Mental Health at the World Health Organization (WHO), led a WHO Symposium. A former gastroenterologist, his opening address was replete with illustrative and amusing anecdotes. Importantly, he highlighted the lack of neurologists as evidenced in the upcoming latest edition of the Atlas of Neurology (a joint WHO and WFN initiative), and the WHO Action Plan 2013–2017 concentrating on noncommunicable diseases. Dr Chestnov drew attention to the following points.

  1. Epilepsy is now a WHO Assembly agenda item where the goals are to strengthen effective leadership, improve provisioning of care, integrate epilepsy into primary health care services and increase access to medications.
  2. It is estimated that in 2015, 47 million people globally have dementia, and this figure will double every 20 years. The global cost in 2010 was estimated at $US604 billion.
  3. Finally, he acknowledged the importance of the First Ministerial Conference on Global Action Against Dementia held earlier this year.
2013 Nobel Laureate in Physiology and Medicine Prof. Thomas Südhof presents a lecture on neurexins.

2013 Nobel Laureate in Physiology and Medicine Prof. Thomas Südhof presents a lecture on neurexins.

This important plenary session was completed by an authoritative review by Prof. Ingrid Scheffer of Melbourne, Australia, describing how genetics is influencing the management of epilepsy.

The scientific program was by all accounts one of the highlights of the meeting. Throughout, there were superb plenary lectures and symposia on all major neurological topics, providing clear insight into the robust pursuit of knowledge of basic science and its translation to clinical practice. It is only possible to mention a few of these.

Prof. Charlotte Cordonnier of Lille, France, addressed the vexatious issue of cerebral microhemorrhages and their relation to amyloid angiopathy, their management and risks with current stroke prophylaxis. Their investigation with the use of 7T Tesla to define stroke risk and new prospective studies defined lesser risks from ischaemic prophylaxis therapy for certain defined stratified groups.

World Health Organization (WHO) Assistant Director-General of Noncommunicable Diseases and Mental Health Oleg Chestnov leads a WHO symposium.

World Health Organization (WHO) Assistant Director-General of Noncommunicable Diseases and Mental Health Oleg Chestnov leads a WHO symposium.

Prof. Jes Olesen in presenting the Yahr Award Lecture reviewed the current state of headache research and treatment, describing the new version of the International Headache Classification, to be incorporated in ICD11, and then aspects of migraine. He drew attention to three monogenic loci for familial hemiplegic migraine. He contrasted this with the 42 loci identified in the International Headache Genetics Consortium Genome-Wide Association Study in common migraine, nine of which also affect gastrointestinal tract musculature. In reviewing treatment, he lamented the lack of medications to reduce migraine aura, especially tonabersat because of the high cost the effectiveness of the angiotensin-II receptor antagonist candesartan as prophylactic, the need for calcium gene related peptide monoclonal antibodies for chronic migraine and the development of headache centers to hasten research and its translation to clinical care.

Profs. Michael Brainin, Geoffrey Donnan and Nick Ward gave an overview of the long-term perspective in stroke, tackling early diagnosis, secondary prevention and brain recovery in a high-class exposition, respectively.

Prof. Shoji Tsuji receives recognition for scientific achievements from WFN President Raad Shakir.

Prof. Shoji Tsuji receives recognition for scientific achievements from WFN President Raad Shakir.

Prof. Neil Scolding’s thoughtful and practical lecture on the role of cell therapy in central nervous system disorders was a useful update in this much-anticipated therapeutic approach. Dr. Jon Stone’s lecture on the identification and management of functional disorders also was a well-received review of the current state of this sometimes difficult to manage topic. This theme also was the basis for the excellent review given by Prof. Mark Hallett of the National Institutes of Health during the Victor and Clara Soriano Award Lecture. His talk combined the electrophysiological study of motor acts with the psychology of the perception of functional and normal movements. Prof. Giacomo Rizzolatti updated the conference on mirror mechanisms and their clinical relevance together with the essential role of mirror neurones in this concept.

Prof. Kazuo Fujihara from Sendai, Japan, reviewed the current state of understanding of neuromyelitis optica spectrum disorders, highlighted the relatively uniform worldwide prevalence of this condition, the recently published Consensus Diagnostic Criteria and the increasing role of AQP4 seropositivity in the diagnosis.

Prof. Alan Thompson, of the University College London, gave an impeccably balanced update on the current state of research and treatment, the global initiative in progressive multiple sclerosis and the recent report of the first large-scale phase III trial of early anti B-cell treatment to modify the disease course.

Delegates gather to share ideas during the Congress.

Delegates gather to share ideas during
the Congress.

Prof. Thomas Südhof, 2013 Nobel laureate in physiology or medicine, treated delegates to an enthralling lecture on “Neurexins and Company: Towards a Molecular Logic of Neural Circuits,” describing their role in the function and dysfunction of neural networks in schizophrenia, autism and intellectual disability.

On the last day, the final Tournament of the Minds was held. The final teams buzzed in for their first right to answer to a question with a penalty for an incorrect answer. It was contested by the United Kingdom, Australia and Japan, and finished in that order. Congratulations to the United Kingdom team, which finished well ahead of the scheduled time for the completion of this session. The tournaments was followed by the closing ceremony with the presentation of a gavel to Prof. Yoshikazu (Kaz) Ugawa, President of the XXIII World Congress of Neurology, from the XXII World Congress of Neurology President Renato Verdugo, in order to have the 2017 Congress called to order.

Summary

A total of 272 oral lectures, and 36 teaching courses with three or four lectures each were presented; 1,230 posters were displayed from 1,668 abstracts, and there were five satellite symposia.

There were four named lectures:

  1. Yahr Award Lecture: Prof. Jes Olesen, “New Concepts in headache”
  2. Victor and Clara Soriano Award Lecture: Prof. Mark Hallett, “The Physiology of Will”
  3. The Fulton Society Symposium-Soriano Award Lecture: Prof. Giacomo Rizzolatti, “The Mirror Mechanism and Its Clinical Relevance”
  4. Bharucha Award Lecture: Prof. Richard Hughes, “Guillain-Barré Syndrome and CIDP: One disease or Many?”

The World Federation of Neurology also presented medals to two distinguished recipients. The first was for Service to Neurology and was presented to Dr. Michel Dumas for services to the development of neurology in Africa and elsewhere. The second was awarded to Prof. Shoji Tsuji of Japan for scientific achievements in neurology. Dr. Gallo Diop, WFN trustee, and Prof. Roger Rosenberg, University of Texas Southwestern, read the citations, respectively.

Social Event Program and WFN Business

The welcome reception was held immediately after the opening ceremony and was well attended. The Chilean networking event was held out of the city at a well-known winery and was enjoyed by the participants, after they recovered from the long bus ride inflicted by the Santiago evening traffic rush.

At the World Federation of Neurology Council of Delegates meeting held Nov. 1, a number or reports were presented, elections held and votes taken. Among these was the tightest decision for a WCN venue so far. For the XXIV World Congress of Neurology in 2019, Dubai triumphed with the slimmest of margins over Cape Town. Either would have been a fitting site for the XXIV World Congress of Neurology, a likely reason for the closeness of the final result. Dr. Richard Stark was elected to the new position of treasurer allowing Prof. Wolfgang Grisold to have more time for the secretary general’s role. Dr. Morris Freidman of Canada defeated an exceptional field of candidates for the position of elected trustee. The WFN wishes these new members of its executive team an enjoyable and productive term.

An issue, which arose and caused the trustees and organizers considerable concern, was the procurement of visas for the Chile World Congress of Neurology. Many delegates were forced to go to extreme lengths to obtain a visa. A number were unable to complete this, and even some of those who did obtain a visa were restricted to the duration of the Congress. The Council of Delegates recognized the difficult circumstances members of many national societies found themselves in as a consequence of the large flows of migrants in many parts of the world. In the future, the World Federation of Neurology hopes not only to have those bidding for future venues to declare freedom from restricted access to them, but also to identify and forewarn delegates of any practical difficulties they may encounter. These items will be placed on the website well before each upcoming World Congress of Neurology.

Finally, at the Trustees Meeting held during the XXII World Congress of Neurology, the suggestion made at the Kyoto site visit in September 2015 to restrict the number of faculty members to just more than 200 was endorsed with twin aims. The first was to control the cost of the World Congress of Neurology, but also to move to full funding of faculty members. The World Federation of Neurology recognizes that the best calibre lecturers are in a competitive environment and that it must make the invitation to the World Congress of Neurology most desirable.

Conclusion

As the curtain closes on the XXII World Congress of Neurology in Santiago, Chile, we should remember the spirit of giving so generously displayed by the Chilean society, the high level of educational endeavor, the friendships made and renewed, and the scientific, topical and cultural discussions that are part of the intangible benefits we and our colleagues derive from the World Congress of Neurology as we look forward to the XXIII World Congress of Neurology in Kyoto in 2017.

William M. Carroll, MD, is WFN First Vice President and Chair of the Congress Committee.

 

Candidates for the WFN 2015 Election

One new officer post — of treasurer — and one elected trustee post are to be filled at the Council of Delegates Annual General Meeting in November during the World Congress of Neurology in Santiago, Chile. The Nominating Committee has recommended the following candidates to the membership:

Recommended candidates

Treasurer
Prof. Richard Stark
(Australia)

Prof. Andreas Steck
(Switzerland)

Elected Trustee
Prof. Morris Freedman (Canada)

Prof. Steven Lewis
(United States)

Additional Candidate for Elected Trustee
Nominated under Article 6.3 of the WFN constitution
Dr. Daniel Truong
(United States)

Candidates’ biographical details and statements of their goals and objectives for the organization are below.

Candidate Statement for WFN Treasurer

Richard Stark, MD

Richard Stark

Richard Stark

I am honored to be considered as a candidate for treasurer of the World Federation of Neurology (WFN). I am familiar with the dedication of the executive and staff through my involvement in past World Congresses of Neurology (WCN) from 2005 to 2015. I have been a member of the Tournament Committee and have seen firsthand the culture of generous willingness to donate time and effort in the preparation of this aspect of the conference, as well as the teaching and scientific programs. I know from these past experiences that I can work well with current members of the executive.

My nomination made me consider the role of WFN, and note its mission statement. This states “the mission of the WFN, as a UK registered charity, is to foster quality neurology and brain health worldwide, a goal we seek to achieve by promoting global neurological education and training, with the emphasis placed firmly on under-resourced parts of the world.” I strongly support these aims.

The treasurer of an organization such as WFN carries a heavy burden of responsibility. There are numerous stakeholders, including all of the member societies, each of which will have their own view as to the priorities the WFN should pursue. The funds of WFN accrue as the result of efforts of all of its members, and all expect the funds to be used appropriately and efficiently. It is self-evident that the processes for dealing with the funds must be transparent and equitable.

Every edition of World Neurology demonstrates the wide range of the WFN’s efforts to enhance neurological knowledge and improve neurological services to patients around the world. Initiatives of this type require funding so that inevitably the choice of projects undertaken must be approached prudently.

Much of the WFN’s income derives from its scientific meetings, and the financial successes of these depend in large part on the extent of support from pharmaceutical and related industries. The enthusiasm of pharmaceutical companies depends, in turn, on the nature of their products and the stage of commercial development of each product. These factors are, of course, outside the control of the WFN.

The management of the WFN’s finances, therefore, require an astute and flexible approach aimed at maximizing income, using income as available to fund projects around the world and efficient administration. Prudence requires that projected income streams be realistic and take into account uncertainties related to pharmaceutical industry support.

As treasurer of the Sydney 2005 World Congress of Neurology (which was a huge financial success and has contributed to WFN’s capacity to fund ongoing projects) and of the Australian Association of Neurologists (1997-2003) during a period of its growth, I am well aware of the challenges facing an organization such as the WFN and of the need for careful and prudent management of its finances. These positions naturally involved efforts to maximize income from industry, as well as other sources, so I am familiar with what is required to achieve success in these areas. The experience of being treasurer of WCN 2005 also highlighted the need to be acutely aware of the potential effects of fluctuations in exchange rates and other consequences of the globalization of economies. WCN 2005 took place at a time of substantial exchange rate volatility, and the measures that had been put in place to minimize adverse impacts of this volatility contributed to the financial success of the conference.

The WFN has a strong tradition of efficient use of funds. This, of course, contrasts with the situation in some other high profile international organizations and relies on the generous donation of time from the executive, as well as the hard work of administrative staff. This efficiency must continue.

If elected, I undertake to work diligently with the executive to ensure that the financial management of the WFN allows it to pursue its aims and objectives as effectively as possible.

Candidate Statement for WFN Treasurer

Andreas Steck, MD

Andreas Steck

Andreas Steck

I am a professor emeritus of neurology and former head of the department of neurology, University of Basel, Switzerland. I have been a member of the Executive Committee of the European Neurological Society (ENS) since the foundation of the society and was also president of the ENS. I was in charge of its finances and served as treasurer. I chaired the Evaluation Committee of the ENS fellowship program and was a member of the Examination Committee of the European Board of Neurology. My research interests have centered on neuroimmunological aspects of neurological diseases, such as multiple sclerosis, inflammatory neuropathies and paraneoplastic syndromes.

I am currently the president of the Scientific Council of the International Foundation for Research in Paraplegia in Geneva and chair the Neuromuscular Research Association Basel. I am a member of several international societies, such as the Neuromuscular Research Group of the WFN and a faculty member of F-1000. I am a past editor of the Swiss Archives of Neurology and Psychiatry, a former president of the Swiss Neurological Society and a regular reviewer of scientific journals. I am a fellow of the American Neurological Association and a fellow of the European Academy of Neurology.

Large international organizations, such as the WFN, need a strong management structure to sustain the challenging demands in a rapid moving world. This has led to the decision to separate the post of secretary-treasurer general into two, one of secretary general and the other of treasurer. In high insight, this is a natural evolution toward more transparency, and most scientific societies today follow this model. The newly created function of treasurer is an important position of trust and responsibility situated between the president, secretary general, trustees and member societies.

Over the years, the WFN has experienced increased operating expenses, in particular through its worldwide initiatives, grants and spending on member activities, which help to realize its main goals as a global scientific society. In this respect, an important role of the treasurer is to keep the WFN on a sound and sustainable financial basis, while allowing the WFN to meet its growing support needs by encouraging new projects and co-sponsorships with other institutions or scientific societies. While the WFN is by essence a global player, there are an increasing number of large international neurological societies taking regional and supranational coordinating roles. An example of this is the newly created European Neurological Society (EAN). The two existing European neurological societies, the European Neurological Society (ENS) and the European Federation of Neurological Societies (EFNS), have now joined forces to build the EAN. The newly established organization has inherited funds of the two previous ones. This puts it in an excellent position to take on new challenges, such as a recently initiated partnership program across the Mediterranean to involve associate member countries. The newly formed Pan American Federation of Neurological Societies (PAFNS) is representing neurology in Latin America a region in full development, where the 22nd World Congress of Neurology (WCN) is taking place in Santiago, Chile. The 23rd WCN will be organized by the Asian Oceanian Association of Neurologists and take place in Kyoto, Japan.

The WFN should take advantage of the unique opportunity to collaborate with these international societies to advance our field. The challenge for the WFN in the coming years will be to coordinate its global involvement by interacting not only with national, but also new international scientific organizations. In order to maintain a sustainable growth, the cooperation’s projects should be well planned to avoid overlapping programs. A better integration and coordination of the WFN applied research groups would help foster quality neurology worldwide. Efforts should be made to streamline the budgeting process and assure that management accounting allows for an ongoing monitoring of income and expenditures.

The sources of finances for the WFN include membership dues and income from congresses and publications. Moving the World Congress of Neurology from a four-year to a two-year cycle has brought in more money. Going to a one-year cycle of meetings would allow not only for continuity in organization and strengthening of corporate identity, but also would further increase income, a welcome move in a time of shrinking resources. Engaging with partners to share costs should bring additional sources of revenue.

As a long-standing member of the Executive Committee of the ENS, where I was in charge of the finances, I bring the needed managerial experience. I am convinced that I can fulfill this important function of treasurer to the satisfaction of the WFN and its members.

Candidate Statement for Elected WFN Trustee

Morris Freedman, MD

Morris Freedman

Morris Freedman

I have had the privilege to serve as Canadian delegate to the World Fedeartion of Neurology (WFN) since 2007, as a member of the WFN Education Committee since 2010 and as co-chair of the eLearning Task Force of the Education Committee, alongside Prof. Riadh Gouider from Tunisia. I am also honored that the Canadian Neurological Society has nominated me for the important position of WFN trustee.

Background and Achievements

By way of background, I am chair of the International Development Committee of the Canadian Neurological Sciences Federation, and I have served as president of the Canadian Neurological Society, Canadian Congress of Neurological Sciences (now Canadian Neurological Sciences Federation) and Federation of National Specialty Societies of Canada.

At the hospital level, I am head of neurology, executive medical director of the Centre for Memory and Neurotherapeutics, and director of the Sam and Ida Ross Memory Clinic at Baycrest Health Sciences. At the university level, I am a professor in the Division of Neurology, department of medicine, and director of the Behavioral Neurology Section, Division of Neurology, University of Toronto.

My clinical focus is behavioural neurology. I am also a scientist at the Rotman Research Institute of Baycrest Centre. My research is aimed at both improving our understanding of the mechanisms underlying cognitive impairment due to frontotemporal dementia and Alzheimer’s disease and development of cognitive test procedures. For example, my colleagues and I have contributed to the use of clock drawing as a bedside cognitive assessment tool.

I have taken an active international leadership role in education. Since 2005, I have focused on eLearning using videoconferencing as an electronic medium to bring together health care professionals from across the globe within a virtual classroom. This has been done within the context of international videoconference rounds in behavioral neurology. The goal is to develop greater international communication and links in behavioral neurology, and to transfer knowledge at the basic science and clinical levels internationally through joint educational programs. American, Canadian, Cuban, Israeli, Jordanian, Russian, Saudi Arabian, South African, Spanish and Swiss (World Health Organization) hospitals have participated. The audiences are multidisciplinary and include neurologists, psychiatrists, geriatricians, family physicians, nurses, social workers, occupational therapists and psychologists, as well as trainees in these disciplines. I was awarded the prestigious Colin Wolf Award from the Faculty of Medicine, University of Toronto, for this initiative.

An important development that was modeled on the international behavioral neurology videoconference rounds was the formation of an international neurology resident initiative in 2008, i.e., the Neurology International Residents Videoconference and Exchange (NIRVE), which promotes international collaboration among neurology residents. Participating sites have included Brazil, Canada, Chile, Ethiopia, France, Jordan, Nigeria and Russia. In addition to the rounds, NIRVE has led to resident exchange visits between Russia and Canada.

More recently, I have collaborated with Prof. Riadh Gouider to create a new series of international videoconference rounds in behavioral neurology involving Africa and Canada, which was supported by a WFN grant awarded during Dr. Vladimir Hachinski’s term as WFN president.

Goals

My goal as WFN trustee is highly focused and directly related to the mission of the WFN. This is to promote “global neurological education and training with the emphasis placed firmly on under-resourced parts of the world.” I hope to achieve this goal through innovative eLearning programs, which will include a significant expansion of our network of international sites for video conference rounds that target neurologists, allied health care professionals and trainees in neurology and related disciplines. The focus will be expanded from our highly successful behavioral neurology series to include a broad spectrum of areas within neurology with the opportunity of adaptation of new technologies. The ongoing programming series will involve both developing and developed countries so that knowledge can be transferred from one to the other in both directions.

I recognize the financial challenges facing under-resourced parts of the world, and the barriers that this poses for successful knowledge transfer through eLearning. However, in keeping with the mission of the WFN to promote global neurological education and training in these regions, I will apply all the resources at my disposal to help fulfill this mission with full emphasis on under-resourced regions.

I have a vision, a clear sense of direction and the focus to facilitate knowledge transfer for enhancing brain health across the world, especially where it is needed the most. Those who know me say that I am an excellent team player and organizer, qualities that are essential for success of the outlined goals. This success will require extensive collaboration and coordination involving many people with diverse needs, across many countries, to promote the WFN’s mission in global neurological education and training.

Candidate Statement for Elected WFN Trustee

Steven L. Lewis, MD

Steven L. Lewis

Steven L. Lewis

It would be an honor and a great privilege to be elected by the delegates as a trustee of the World Federation of Neurology (WFN). In support of my candidacy, I will begin this statement by providing some biographical information about my qualifications and experiences, which have led to my current involvement with this critically important organization.

I am currently professor of neurological sciences at Rush University Medical Center in Chicago, where I also serve as associate chairman, head of the Section of General Neurology and director of the neurology residency training program. My undergraduate education was at Yale University, where I received my degree in molecular biophysics and biochemistry. I received my medical education at Stanford University School of Medicine, and I performed my medical internship and neurology residency at the University of Chicago.

My national activities in neurology include my current chairmanship of the Neurology Residency Review Committee of the Accreditation Council for Graduate Medical Education, the committee that oversees training requirements and makes accreditation decisions regarding all neurology residency training programs in the U.S. I also recently chaired the Neurology Milestones Committee that developed the training milestones for all U.S. neurology residency trainees.

I have been highly involved with the American Academy of Neurology (AAN) for many years, including being current chair of the AAN Examination Subcommittee and section co-editor for continuing medical education (CME) for Neurology. I was vice-chair of the AAN Education Committee, and I chaired the AB Baker Section of Neurologic Educators. Three years ago, I had the privilege of being appointed by the AAN as editor-in-chief of Continuum: Lifelong Learning in Neurology, the AAN’s official CME journal.

Fortuitously for me, my work as editor-in-chief of Continuum also has led to my entry into significant involvement with the WFN and its support of global neurologic education. A joint program of the AAN and the WFN provides Continuum to 45 neurological societies whose Continuum user groups include thousands of participants worldwide who would otherwise be unable to access this important educational resource. This program, supported by a generous donation from the AAN and its publisher, Wolters Kluwer of 400 print copies of each issue as well as free online access for every participant, has been extremely highly received, and Continuum has served as a critically important educational tool for neurologists in training and in practice worldwide.

Two years ago, I had the privilege of being appointed as chair of the WFN Education Committee, allowing me to expand my involvement further beyond Continuum into the many other global educational efforts of the WFN, including growth of the WFN teaching centers, the awarding of WFN traveling fellowships and other endeavors. Most recently, Dr. Wolfgang Grisold (WFN secretary treasurer-general) and I have begun the first steps in development of a global educational curriculum for neurological training, to be developed with the assistance and input of the members of the WFN Education Committee. We feel that the WFN is in a unique position to develop such a curriculum to enhance neurological training worldwide.

One year ago, I was asked to serve as a WFN co-opted trustee, a position that has given me the opportunity to be even more highly involved in this important organization. I especially feel privileged to have been able to work closely with and learn from such esteemed mentors as Dr. Raad Shakir, president; Dr. William Carroll, first vice-president; Dr. Wolfgang Grisold, secretary treasurer-general; and Dr. Riadh Gouider and Dr. Amadou Gallo Diop. Their knowledge and experience in global neurology, and their combined histories with and institutional knowledge of the WFN, have been invaluable in my personal development to become an effective member of this organization.

In my roles and experiences with the WFN thus far, coupled with my communication with neurologists globally as Continuum editor-in-chief, I have been impressed by the remarkable similarities of the needs of neurologists worldwide, while also being keenly aware of the important differences in available resources and in access to care. The WFN should continue to play in integral role in enhancing access to quality neurologic education and training and to foster neurological health, including via continued partnerships with national neurologic organizations to access publications and educational programs (such as the partnership with the AAN for Continuum); continued involvement with the World Health Organization; an increased number of partnerships to provide regional teaching centers for neurologic training (such as is now in place in Rabat and Cairo, and currently being developed in Cape Town and Dakar) and department visits for brief subspecialty training experiences (as currently in place in Turkey, Austria and Norway); increased recognition of the availability of travel stipends and research grants to provide as many individuals as possible with access to these important (and sometimes life-changing) opportunities; and continued development of global initiatives, such as the development of a global educational curriculum. The WFN also can continue to increase its visibility to individual members of all neurologic societies, which will further our constituents’ access to our initiatives.

My background and experience as a neurological educator, editor and general clinical neurologist, I feel, provides a unique set of qualifications to help continue and even further enhance the role of the WFN and its 117 professional neurological society members to promote neurologic education and training with the goal to improve global neurological health. I would be honored and privileged to become an elected trustee of the WFN and to serve its members faithfully.

Candidate Statement for WFN Elected Trustee

Daniel Truong, MD

headshot_TruongThe national neurology societies of Bulgaria, China, Germany, Hungary, Kazakhstan, Kuwait, Mexico, Pakistan, Rumania, Saudi Arabian, Slovenia, the United States and Vietnam have honored me by nominating me for the trustee position.

I was born in North Vietnam and moved with my family to South Vietnam in 1955 as a result of the war. I was one of the first Vietnamese to come to Germany in 1967 to study medicine at the University of Freiburg. I specialized in neurology and psychiatry. Marriage brought me to the U.S. in 1982, where I continued my training in neurology, first with a residency at the Medical University of South Carolina and later with a fellowship at Columbia University and London’s National Hospital for Nervous Disease.

My journey with the World Federation of Neurology (WFN) began in 2002, when I was given the honor to serve as a member of the Publication Committee. I was entrusted with the task of improving upon World Neurology. At the time, the newsletter was printed in India and mailed to subscribers worldwide. It arrived six months later by regular mail due to the cost of airmail. To reduce costs and expedite circulation, I proposed the transition to an Internet-based newsletter with regional interests. This proposal was later implemented as the current World Neurology.

My association with the WFN gave me the opportunity and cover to safely develop educational programs for Vietnam, as Vietnam had just begun opening its doors to the West. I implemented the format of the International Neurology Forum, consisting of a short course focused on one topic lasting one to two days. This format was the product of repeated observations that physicians from developing countries did not demonstrate high retention of new techniques learned from broad, lengthy meetings. However, when trained collectively in a large group in their own countries, there was a much higher chance that their practice patterns would change. I organized this format in subsequent forums in developing countries, such as Mongolia, Indonesia, Uzbekistan and Kazakhstan.

Over the years, I also have served on the Fundraising Committee, Membership Committee, Education Committee and Editorial Boards of World Neurology and the Journal of Neurological Sciences. I firmly believe that the furthering of scientific medicine requires a global effort. I have joined with my other three colleagues to edit a textbook, International Neurology, with the contributions from more than 200 neurologists from 80 countries around the world.

Reasons for Candidacy

As the WFN continues its endeavor to foster quality neurology and brain health worldwide, it serves as the bridge connecting different national neurology societies together. Its collective knowledge and strong moral standing lend the support to different national neurology societies to become a professional society with its own standing and as a pillar of democracy in their countries. I believe that I will be able to assist WFN to promote and sponsor initiatives that can leverage growth in neurology in regions of need, such as Africa, Central Asia, parts of Eastern Europe and Southeast Asia. Toward this goal, I believe that the WFN communications processes can be further improved to push for low-cost education in developing countries.

Goals

  • To protect and grow the visibility of the WFN brand;
  • To continue to modernize WFN communication and processes;
  • To reach out and partner with other similarly aligned interests to assist the WFN in achieving its goals; and
  • To assist in developing education programs worldwide.

Personal Qualities and Experience

The role of trustee requires a balance of experience, energy and teamwork. I believe I will contribute effectively to the stable growth of the WFN, the fulfillment of its mission and the achievement of the stated goals. Listed are some of the positions that I have held, or currently occupy, supporting my candidacy:

  • Clinical professor, neurology, University of California, Riverside
  • Chair, Education Committee, International Association for Parkinsonism and Related Disorders
  • Member, Education Committee, WFN (2013- present)
  • Member, Publication and Website Committee, WFN (2002-2012)
  • Member, Fundraising Committee, WFN (2005-2009)
  • Member, Membership Committee, WFN (2005-2007 and 2012-2013)
  • Member, Research Committee on Parkinson’s Disease, WFN, (2004- 2010).
  • Member, Membership Committee, WFN (2009-2013)
  • Member, Lawrence C. McHenry Award Subcommittee, American Academy of Neurology (2007-2011)
  • Member, International Subcommittee, American Academy of Neurology (2013-2015)
  • Member, Congress Fundraising Committee, International Association for Parkinsonism and Related Disorders (2013-2015)
  • Member, Liaison/Public Relations Committee, Movement Disorder Society (2006-2010)
  • Member, Strategic Planning Committee, Movement Disorder Society (2014-2015)
  • Member, International Committee, American Academy of Neurology (1995-1997)
  • Ad Hoc reviewer, American Academy of Neurology (2007-2008)
  • Section editor, Journal of Neurological Sciences (2013-present)
  • Section editor, Journal of Neural Transmission (2008-present)
  • Editorial board, Journal of Neural Transmission (2006-2008)
  • Editorial board, Journal of Parkinsonism and Related Disorders (2005-2013)
  • Editorial board, Journal of Neurological Sciences (2006-2013)
  • Editorial board, Future Neurology (2007-present)
  • Editorial board, World Neurology (2003- 2013)
  • Section editor, Neurology International (2009-present)
  • Editorial board, Romania Journal of Neurology (2013-present)

 

PRESIDENT’S COLUMN
WCN 2015: A Chance of a Lifetime

By Raad Shakir

Raad Shakir

Raad Shakir

The World Federation of Neurology will have its showpiece biennial World Congress of Neurology (WCN), with Santiago, Chile, hosting Oct. 31-Nov. 5. This is the only international congress where all neurology specialties and interest groups have their chance to interact and show their progress to an international audience. The Scientific Program Committee tries to contact all interested groups to ask them to convene sessions with their proposed topics and speakers.

The choices for the number of sessions and topics are most difficult to get absolutely spot-on, and there always will be some topics or groups needing more time or attention. The Organizing Committee tries hard to have wide and varied representations. This has to be balanced against the paramount goal of bringing the most up to date science to the audience.

Participation of regional neurological associations, which have their own congresses, adds a different slant to the WCN. The six regions of the world are represented, and their sessions are left to them to organize. This is always interesting and adds and element of specific regional flavor to observe and share with the entire world.

Participation of sister brain alliance organizations represented by their symposia puts another dimension to the WCN. It is most important to see that psychiatry, neurosurgery, rehabilitation, child neurology and brain scientists participate with their own symposia. This only emphasizes brain health as a single entity. Presidents of all these organizations attend and deliver their views on common topics.

It is most important for neurologists to closely interact with allied specialists in combating all aspects of diseases of the nervous system. Neurologists, psychiatrists and neurosurgeons are moving closer in understanding brain physiology, and as an example deal with issues such as deep brain stimulation in various conditions, such as movement disorders, epilepsy, depression, anxiety and obsessive compulsive disorder. On the other hand, the field of the dementia further cements the close relationship between neuroscientists, neurologists and psychiatrists. The use of fMRI has an increasing role in all specialties and our understanding of basic brain dysfunction has been revolutionized. The WCN program brings all this to the fore, and the days of living in silos are long gone.

The World Health Organization (WHO) and interest in non-communicable diseases is the way to move ahead in promoting neurological education and care. The WCN offers a symposium jointly with the WHO, as it has done previously, to make sure the voice of neurology is heard at the highest levels among decision-makers who control the provision of health care across the world. It is absolutely crucial that neurologists keep politicians and economists fully engaged and aware of the devastating consequences of brain diseases and the impact upon society.

The WCN is a major teaching opportunity for many, and the teaching courses are intermingled with scientific presentations to attract the maximum number of attendees. It is always a major task for the organizers to hold themed teaching courses and scientific sessions on the same days to keep the linear structure of a congress.

The WCN moves continents for good reasons. The WFN provides education and exposure to neurologists from all over the world, and hence the emphasis may be different in different locations. This is encouraged in order to maintain the individuality and different flavor of each congress in order to avoid carbon copy congresses.

For several congresses now, the WFN has made a point on inviting a Noble laureate to deliver the keynote presentation. The XXII congress is no exception. Prof. Thomas C. Sudhof, Noble laureate in physiology or medicine 2013, will deliver “Neurexins and Company: Toward a Molecular Logic of Neural Circuits” Nov. 2.

There is now huge emphasis on the place of neurology in the fight against non-communicable diseases. The WHO and the United Nations have taken a major step, and all their agencies are working hard to promote this goal. The WFN has a major role to play as an official WHO partner, and the WCN is a prime showcase venue for the activity. The WHO leadership is well represented, and input will help to move brain health ahead. WHO Assistant Director General Oleg Chestnov will deliver a plenary lecture on the current status of non-communicable diseases and the role neurology is expected to play in the process.

Every neurologist knows well that our specialty has changed even over the short and medium term. We are now at the coalface with respect to acute care provision with stroke management and work in intensive care units. This is well represented in the congress, and there is so much to learn.

Is it correct to say that the days of general neurologists are numbered, and, if so, how are we ready for it? This may be true in the developed parts of the world, where, for instance, a muscle specialist will not be able to confidently run an epilepsy clinic. It is also true that genetics have opened a whole new world in diagnosis and soon treatment. We now live in world where in April 2015, the British public represented by their parliament voted to approve mitochondrial gene donation. And the world is on the cusp of huge gene therapy changes, which will come with the use of clustered regularly interspaced short palindromic repeats, CRISPR-Cas9 technology for short. Perhaps within a generation, neurologists and their patients will be able to see a huge change in practice.

The ability to understand and deliver care at a high level is not easy and at times impossible. One of the roles of the congress in to bring all the expertise of the super specialist to generalists so they may interact, and this can only be done in a general multifaceted setting.

Moving to the business of international neurology, the WCN is the only venue for all world neurological societies to come together and interact to organize international affairs in various WFN committees. The main purpose of the WFN is to promote quality neurology worldwide, and this can only be achieved with the full cooperation of all neurological societies and their regional organizations.

The highest authority of the federation is the council of delegates (COD). Each member society is represented, and on Nov. 1 the council will meet to go through WFN affairs. The elected trustees and committee chairs will present last year’s activities and the status of finances. There will be elections for a newly created post of WFN treasurer. The last COD following recommendations of the trustees voted to split the post of secretary-treasurer general into two; hence this post was created. There also will be an election for one trustee post, which was vacated when the current secretary-treasurer general assumed his role at the beginning of 2015.

The WFN follows a rotation system in holding its world congresses. This system has worked so far to move the congress to four regions. Europe, Asia-Oceania, Pan-Arab/Africa and the Americas. Following Kyoto in 2017, the turn is on the combined Africa/Pan-Arab regions. Two candidate cities — Cape Town and Dubai — were visited and inspected by the WFN Congress Committee. The delegates will have a chance to hear and see presentations and reports, and then have a vote to choose the venue for 2019.

On behalf of the WFN, the trustees welcome you to Santiago to enjoy a most spectacular venue in a most exciting and beautiful country. Our Chilean colleagues with the WFN Scientific Program Committee have laid out a phenomenal program, and I have to add that visiting Chile and it diverse north and south is a pleasure not to be missed. For many, it’s a chance of a lifetime.

 

WFN Accredits EMG Initiative for Young African Neurologists

By Mohamed Albakaye, MD

The exploration of neuromuscular training, especially through the use of electromyography (EMG) in confirming a diagnosis and in classifying neuropathies, is essential to the neurological training course.

Thus, the World Federation of Neurology (WFN) took the initiative to open a training center in EMG at the Hospital of Specialties, Rabat, Morocco, to educate young neurologists training in Africa. This initiative has been widely appreciated by neurologists in sub-Saharan Africa.

I had the privilege of being the first African neurologist to benefit from this training. In this report, I will share my experiences as an intern, including the different activities I led.

My 10-month training period, under the supervision of Prof. Mustapha El Alaoui Faris, ran from September 2014 to June 2015. I worked in the neurophysiology department of the Hospital of Specialties in Rabat, a public university hospital accredited by the WFN to train African neurologists since 2013. The department, headed by Prof. Reda Ouazzani, is the only accredited center in Morocco for mentoring young neurologists in EMG and electroencephalography (EEG). The department has six instructors for three units, which have the modern equipment needed to explore neuromuscular diseases and epilepsy:

  • EMG
  • EEG and video-EEG
  • Evoked potential

The first part of my internship was devoted to EMG and the examination of patients with neuromuscular diseases. The second part focused on EEG, video-EEG and the examination of patients with epilepsy. A teacher supervised all of these activities.

During my stay in the EMG unit, I attended all of the EMG activities, examined patients admitted for EMG and those requiring EMG based on diagnosis guidelines, and proposed EMG protocols, which were validated by the teacher in charge of the EMG session.

The last two months of my internship were spent in the EEG and video-EEG unit, where I learned different editing techniques, interpretation of EEG during wakefulness and sleep tracings in adults and children.

I also attended multidisciplinary medical consultations of patients with myopathies, led by Prof. Nezha Birouk, which allowed me to explain diagnositic approaches, treatment and prevention of myopathies.

Through my participation in various multidisciplinary staff meetings, I participated in regular Thursday afternoon staff meetings, which gave instructors from all of the neurophysiology departments the opportunity to share interesting cases from the previous week. I made presentations about clinical cases and discussed the contribution of the wave F in EMG during these meetings. Each Friday morning, one of the neurological teams hosted a conference, and I gave a presentation about a case of drug-resistant epilepsy in adult during one of these.

I as well presented a clinical case and had an interactive discussion with staff from the Moroccan Foundation Against Neurological Diseases.

Through this internship, I had the opportunity to attend several neurology seminars and congresses:

  • Seminar of the Moroccan Society of Neurology on Headache and Dizziness, Tangier, Morocco
  • Journée de Neurologie de Langue Française, Marseille, France
  • Seminar on Movement Disorders, Casablanca
  • Seminar of the Moroccan Society of Neuropsychology on Frontotemporal Dementia, Rabat
  • Meeting of the Moroccan League Against Epilepsy on Frontal Lobe Epilepsy, Rabat
  • Seminar of the Moroccan Foundation Against Neurological Diseases on Neuro-rehabilitation, Mohammedia, Morocco
  • Maghrebian Neurological Congress, Agadir, Morocco. During the conference, I had the opportunity to meet Prof. Wolfgang Grisold.

The training was a good opportunity to publish articles, while guiding me toward scientific research. My first article, “Frontal Cerebral Cavernoma,” about a case of drug-resistant partial epilepsy was accepted as a poster in the JNLF Congress. The abstract was published in Revue Neurologique 171, Suppl 1 (April 2015): A 97-98.

My second scientific work during this internship was a retrospective study of the epidemiological, clinical, paraclinical, therapeutic and evolutionary roles in 40 cases of hemiconvulsion-hemiplegia epilepsy syndrome occurring in the department of neurophysiology at the Hospital of Specialties from 2005 to 2015. The study is being written for possible publication.

My neurophysiology training gave me a great opportunity to fill my shortcomings in this discipline. I am pleased with how Prof. El Alaoui and Prof. Ouazzani were so transparent and available to me.

My recommendations to WFN are to:

  • Ensure the continuity of this initiative.
  • Provide EMG continuing education support to allow us to consolidate our gains.
  • Determine the young neurologists who will benefit from this training, ultimately encouraging them to train others in other countries in a spirit of solidarity

I want to thank everyone who contributed to the success of my internship in Rabat. I particularly would like to express my sincere thanks to Prof. El Alaoui Faris for his advice and encouraging the success of my training. I sincerely thank WFN for giving me this continuing education opportunity. I thank Prof. Ouazzani for his teaching during my time in service. My thanks also goes to Prof. Birouk for her willingness to initiate us into the best practices of EMG. I cannot forget to warmly thank warmly Professors H. Belaïdi, B. Kably, F. Lahjouji and L. Errguig for their availability and their teachings. Finally, I deeply thank my family in Mali, who supported me in my studies long ago. I owe them what I am today.

 

FROM THE EDITOR-IN-CHIEF
Implementation Science Arrives: A New Dimension for Advocacy

By Donald H. Silberberg

Donald H. Silberberg

Donald H. Silberberg

The neurologic community should congratulate itself for achieving public recognition for our field by organizing public programs. This advocacy method began with the U.S. declaration of the Decade of the Brain in the 1990s. Many other countries followed with their declarations of a year or a decade for the same purpose. In 2013, the World Federation of Neurology designated July 22, the date of its founding in 1957, as World Brain Day. Neurological societies in several countries organized celebrations on that date in 2014, as reported in past issues of World Neurology. The purposes for these celebrations include increasing public awareness of neurological disorders and persuading governments to increase the resources needed to make care available, improve care and carry out essential research.

The huge question is how to move from advocacy to improving prevention and effective clinical care in all countries. As I described in the June 2014 issue of World Neurology, the Fogarty International Center at the National Institutes of Health (U.S.) is trying to help with this by developing a program to promote implementation science. This refers to the study of methods to promote the integration of research findings and evidence into health care policy and practice. The ways to achieve progress include calling attention to the impact of existing data (e.g., global burden of disease studies), designing new research studies that will be understandable and appeal to policymakers and exploring how the conversation with a policymaker or funding agency should be framed.

The Fogarty Center’s approach to implementation science is to learn what has worked, develop communication among neurologists and neuroscientists wherever there is interest and ultimately, perhaps, offer research funding designated for implementation science. This important initiative, as applied to our field, will be among the topics discussed in “Public Policy and Health Economics” at the 2015 World Congress of Neurology in Santiago, Chile, Oct. 31-Nov. 5. Please use this opportunity to share your thoughts about how to move from information to action.

 

AFAN Brings New Era in African Neurology

By Raad Shakir

Raad Shakir

Raad Shakir

It was a momentous day in the history of African neurology. For more than 40 years, the continental neuroscience organization was an amalgamation of neurologists and neurosurgeons. The Pan African Association of Neurological Sciences (PAANS) served its purpose, and it’s time now for the establishment of an organization dedicated to neurology. Neurosurgeons already have established the Continental Association of African Neurosurgical Societies and held an inaugural meeting in Algiers.

The World Federation of Neurology (WFN) fully supported the views of neurologists across Africa to establish this association. This followed many years of discussions and consideration, since the establishment of the Task Force for Africa in 2006 during the presidency of Johan Aarli and the subsequent stakeholders’ meeting in Stellenbosch, South Africa, in 2008.

Representatives from 27 countries participate in the inaugural meeting of the African Academy of Neurology in Dakar, Senegal, in August.

Representatives from 27 countries participate in the inaugural meeting of the African Academy of Neurology in Dakar, Senegal, in August.

The WFN designated a third of its profits from the Marrakesh World Congress to the Africa initiative. Part of this fund was released to gather delegates from as many African neurological societies as possible to hold an inaugural extraordinary meeting in Dakar, Senegal, in August. This was arranged by Prof. Gallo Diop, WFN trustee and chair of the WFN Africa initiative, and Prof. Riadh Gouider, WFN trustee and president of PAANS.

I had the honor of attending and participating in the proceedings. Representatives from 27 African societies were present: Benin, Burkina Faso, Cameroon, Congo Brazzaville, Congo DRC, Egypt, Ethiopia, Gabon, Ghana, Guinea, Ivory Coast, Kenya, Madagascar, Mali, Mauritania, Morocco, Niger, Nigeria, Rwanda, Senegal, South Africa, Sudan, Tanzania, Togo, Tunisia, Uganda and Zambia.

The bylaws and constitution, which were drafted by Prof. Mostafa Elaloui, Morocco, were circulated in advance. After careful review, the draft unanimously was approved.

The following day and according to the bylaws, elections were held for the board of directors. Prof. Michel Dumas, Limoges France, and I supervised the proceedings. It is of note that Prof. Dumas is among the PAANS founders, and he was present to witness the founding of the African Academy of Neurology (AFAN).

The AFAN elected board of directors are:

  • President; Mansour Ndiaye, Senegal
  • President Elect: Youmi Ogun, Nigeria
  • Secretary General: Augustina Charway, Ghana
  • Treasurer: Lawrence Tucker, South Africa
  • Five Regional Vice Presidents: Central Africa, Alfred Njamnshi, Cameroon; East Africa, Osheik Seidi, Sudan; North Africa, Foad Abd-Allah, Egypt; South Africa: Alain Tehindrazanarivelo, Madagascar; and West Africa: Agnon Balogou, Togo

The AFAN council of delegates approved the establishment of a permanent secretariat in South Africa, with all the necessary legal implications and registration as a non-profit organization. Lawrence Tucker, AFAN treasurer, will undertake the task.

With the formation of AFAN, the sixth chain of the WFN regional organizations is now complete. I am sure that all of us wish our African colleagues all the best in their tireless work to promote and deliver neurological care in Africa.

 

Report of the Cairo Department Visit

By Steven Lewis and Wolfgang Grisold

Prof. Mohamed El Tamawy of the department of neurology at Cairo University.

Prof. Mohamed El Tamawy of the department of neurology at Cairo University.

The department of neurology of Cairo University will be a World Federation of Neurology (WFN) Teaching Center for neurology training beginning in 2015. On March 20, the dean and departmental leadership and faculty welcomed an educational visiting committee of Steven Lewis, chair of the Education Committee; Wolfgang Grisold, co-chair and secretary general; and Riadh Goudier, trustee and president of the Panafrican Society.

As part of the application to become a WFN Teaching Center, and prior to the site visit, the department had been asked to write structured reports on their clinical teaching program, including detailed written surveys from faculty members and trainees.

On the day of the visit, the faculties of the clinical and research departments were introduced, followed by personal interviews by the visiting committee with trainees and teachers. These interviews focused on work conditions and cooperation within the department and the hospital. A formal round through the wards followed these interviews. Patient wards, investigational laboratories and outpatient facilities were explained and inspected by the WFN committee. In a final conference, an exchange of opinions, discussion of structure and academic discussions took place. Subsequently, the trustees of the WFN received a report from the site visit team recommending the establishment of a WFN Teaching Center in Cairo.

WFN Teaching Centers are being established to improve training of neurologists in Africa, and Cairo will join the first Teaching Center in Rabat, Morocco, which has been running a WFN teaching program since 2014. The WFN is convinced that supporting high-quality Teaching Centers in Africa will improve the quality of training neurologists and lead to additional high-quality institutions of training in neurology in Africa.

The WFN is grateful to the leadership and faculty of the department of neurology at Cairo University for its commitment to improving the training of neurologists within Africa, and I look forward to a long and successful collaboration in these efforts.

 

Report on the UEMS/EBN/EAN Examination in Berlin

By Wolfgang Grisold

Successful candidates and examiners.

Successful candidates and examiners.

The seventh European Board Examination in Neurology was held June 19 in Berlin, one day prior to the 1st Congress of the European Academy of Neurology (EAN) (http://www.uems-neuroboard.org/). There were observers from the World Federation of Neurology, including from Prof. Wolfgang Grisold.

The examination included a written part, with 80 multiple-choice questions (MCQ) and 50 extended matching questions (EMQ). These questions were developed by European specialist sections and were prepared by education standards in an extensive review process.

As a new feature, the candidates had to prepare an essay on a neurology-related public health or ethics related topic. This topic was presented by each candidate and orally discussed with the examiners. In addition, a critical appraisal of a neurological topic (CAT) had to be prepared and also was orally discussed with the examiners.

Topics of the essays were diverse and covered disease-based topics, such as driving with epilepsy or work- and health system-related topics. The CATs were mainly directed at diseases and therapies, and the presenters were expected to provide a qualified and thorough review on the topic chosen.

The examination was well organized and started with the MCQ examination. The rest of the day was spent with parallel sessions of EMQ testing and oral presentations. Two examiners who discussed the presentations and also asked questions in regard to the CAT took the oral presentations. Examiners were paired and selected with regard to language proficiency.

The results of the written examinations and the oral judgments were analyzed on the same day, and the results were presented on the same day.

Eighty-five candidates showed their interest, 72 sent submissions, 63 showed up, and 55 passed.

The following countries participated: Europe and Turkey (34): Austria, Belgium, Italy, Portugal, UK, Germany, Slowenia, Sweden, Greece and Turkey; Non-Europeans (29): Israel, Saudi Arabia, Egypt, Denmark, Pakistan, India, Iraq, Morocco, Tunisia, Cameroon and South Africa.

It was the seventh examination of the UEMS/EBN, now with the newly created EAN. This examination introduced the structured essay and CAT, which replaced the prior self-presentation. This new development added a new dimension to the examination, as the candidates were expected to give structured opinions on topics related to diseases and health as well as ethical topics.

At present, the European Board Examination is a sign of excellence, and it is hoped that increasingly European countries will accept the European Board Examination as equal to the national examination, or even replace their national examination with the European Board exam.