ismics 2009 international fellows and resident luncheon brickwedel j, brickwedel j, reichenspurner h...

ISMICS 2009 International Fellows and Resident Luncheon

Brickwedel J, Brickwedel J, Reichenspurner HCollison SP, Mishra YK

Initiating an International Exchange Program:

Jumping Hurdles & Winning


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


The Partner

University Heart Centre Hamburg,

Germany

Escorts Heart Institute & Research Centre Ltd.

New Delhi, India


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


The Start


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?


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


Logistics

exchange period for 6 monthsmonthly renumeration paid by own institutionsubsidized accommodation arrangedreciprocal administrative support (medical

council registration, work permit, visa application)


Jumping Hurdles

& Winning?!


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


Funding?

visiting

fellowship

€ 3´000.-www.eacts.org

no

visiting/

traveling

fellowship


Get Funding!

clinical director, consultant, professor, chairman, …get you in contact with


Create Funding!

What is ISMICS policy?

Will FUNDING be discussed at the members meeting?


Outlook

homesickness

disappointment


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!


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!


Thank you very much

ismics 2009 international fellows and resident luncheon brickwedel j, brickwedel j, reichenspurner h...

Documents

opcabg n

hltx n

bivad n

aortic surgery n

double valve cabg n

valve surgery av

percutaneous valve

opcabg surgery