International Emergency Medicine Resident Exchange Program

Contents

  • EM in Turkey
  • About Marmara U
  • About Department of EM (MUEM)
  • Faculty Members
  • Attending Physicians
  • Education in MUEM
  • Working in MUEM

EM in Turkey

Turkey has one of the strongest training programs in EM outside the US, with more than 70 residency programs at different hospitals throughout the country. More than 700 specialists and 1500 residents, EM in Turkey is a distinguished and well-developed profession. EM was declared a medical specialty in 1993. 2013 is the 20th year of EM in Turkey!

 

About Marmara U

In Marmara University Faculty of Medicine (MUFoM), primary language of medical education is English. Therefore, lots of foreign students prefer Marmara U for their Bachelor in Medicine. In 2012-2013, 18% of all medical student were based abroad. MUFoM is the sole Medical Faculty in Istanbul which is accredited by National Medical Education Accreditation Council. Marmara U leads various International Medical Education Programs and affiliates with several Mediterranean Medical Schools (e.g. Eastern Mediterranean University, Cyprus) and exchanges students via ERASMUS program. Just recently, MUFoM was recognised as both Home and Host Institution for Association of American Medical Colleges’ (AAMC) Global Health Learning Opportunities (GHLO) Collaboration, and joined this very distinguished group of institutions from around the world who are dedicated to shaping global perspectives and advancing global medical education. For further information please visit https://www.aamc.org/services/ghlo/

 

About Marmara U Department of EM (MUEM)

The first residency was formed in 1994 in Izmir, and just a few months later MUEM was founded in Istanbul. Since then, 22 residents have graduated. Among the graduates of MUEM: Turkey’s first woman honored to be Assoc. Prof. and then Prof. of EM, 4 Assoc. Prof’s and 8 Faculty members. Today, MUEM serves in the biggest hospital complex of both Turkey and the Middle East where more than 1.5 million patients attend annually. MUEM cares and treats 300.000 patients annually, and more than 1200 adult and pediatric patients daily. MUEM uses T1-5 triage system with color coded and designated patient care areas. Our department is the biggest Level I Trauma Center of Eastern Istanbul and accepts patients from more than 15 cities of the NorthWest Turkey. MUEM is also a Stroke Center and a PCI ready ACS Center on a 24/7 basis. MUEM Residency program was also evolved in years. As 2013, 30 residents are included in this program and 18 new residency slots are opened annually. One of the residents of MUEM holds the Board Member position of Turkish EMRA, sister association of EMAT. MUEM also supports other residency programs in Istanbul. Faculty members of MUEM hold 2 of the Administrative Director of ED positions of the 5 State Hospital Unions (SHU) in Istanbul. These 2 SHU’s consist of 24 hospitals, 6 residency programs and annual ED patient load of 6 million, which is an unofficial World Record. MUEM respects and supports FOAMed revolution. Two of the faculty members collaborated with more than 10 colleagues to create first Turkish open-source EM Education Portal, Acilci.Net, which, now has more than 50.000 hits in first 6 months.

Faculty Members

Faculty Members of MUEM collaborate with MoH in projects regarding to EM Residency training and ED administration. In Turkey, several geographically close state hospitals are gathered together to form State Hospital Unions (SHU). There are 5 SHU’s in Istanbul, 3 on the European and 2 on the Asian side.

adArzu Denizbasi, Prof., MD, PhD, EMSp, Head of MUEM, serves also as the Southern SHU ED Administrative Director, which consists of 13 Hospital EDs. Two of these hospitals have dedicated EM Residency Programs with a total of 60 residents. For more information on Istanbul Southern Anatolian SHU, you can check SHU website. Dr. Denizbasi is the first woman honored to be an Assoc. Prof. and then Prof. of EM in Turkey, respectively. She also holds a PhD in Pharmacology. Her specialties are Toxicology and Medical Education. She is one of the 5 Translation Editors of Tintinalli’s Emergency Medicine Textbook’s Turkish Edition. She is the first graduate of MUEM and serves as Head of Department for almost 6 years.

Ozge Onur, Assoc. Prof., MD, EMSp, one of the senior faculty members of MUEM, leads a separate program as the Residency Program Director and Head of Fatih Sultan Mehmet Education & Research Hospital Department of Emergency Medicine, a hospital 10 miles away from Marmara U Hospital. More than 20 residents are included in her program. As Dr. Denizbasi, Dr. Onur also have administrative duties and she serves as the Northern SHU ED Administrative Co-Director with Assoc. Prof Ozlem Guneysel, who is also a MUEM graduate and Residency Program Director of both Dr. Lutfi Kirdar Kartal and Umraniye EM Residency Programs. Northern SHU consists of 11 Hospital EDs and 4 of them have dedicated EM Residency Programs with more than 100 residents. For more information on Istanbul Northern Anatolian SHU, you can check SHU website.

10610837_10153109146443998_6079205622383643145_n_2Haldun Akoglu, Assoc. Prof., MD, EMSp, is the youngest of the MUEM faculty. He worked as various Oncology, Urology and Anti-inflammatory Medical Manager positions at an International Pharmaceutical Company for 2 years and then retired back to medical profession. He worked at Dr. Lutfi Kirdar Kartal Education and Research Hospital for 2 years, and officially founded Department of Emergency Medicine on 2011. Afterwards, he moved to Zonguldak and served as an EM Specialist at Zonguldak State Hospital. In 2012, he joined MUEM as an Assistant Professor and promoted to Associate Professorship in 2013. He is a Board Member and Web and Social Media administrator of EMAT (Emergency Medicine Association of Turkey). He served as Deputy Secretary-General of EurAsian Congress on Emergency Medicine in 2012. This year (2013), he is the Secretary-General for the Turkish Congress on Emergency Medicine (TATKON2013), which will be held on September, in Eskisehir. He is interested in developing educational Web2.0 projects, social media, FOAM and biostatistics. He is one of the pioneers in the development process of the first Turkish open-source EM Education Portal, Acilci.Net, and owner of the portal with  name rights. He is working with 16 colleagues to localise English FOAM content into Turkish and transforming them into more generation-Y compatible forms such as podcasts, screencasts or vodcasts.

Serkan Eroglu, Instructor, MD, EMSp, is a distinguished member of the faculty.

 

Attending Physicians

Cigdem Ozpolat, MD, EMSp, a MUEM graduate EM Specialist. Since 2010.

Kerem Ali Kabaroglu, MD, EMSp, a MUEM graduate EM Specialist. Since 2011.

Musa Adanc, MD, EMSp, a Erciyes U graduate EM Specialist. Since 2011.

Erkman Sanrı, EMSp, EUSEM YEMD, a KEAH graduate EM Specialist. Since 2016

 

Education in MUEM

MUEM gathered the utmost respect of Turkish EM community by transforming patient overload into an opportunity for resident education. A monthly, topic-based EM curriculum is followed throughout the educational year (September-June). Each month concludes with a multiple-choice exam. Then, a comprehensive review of the exam is prepared and solid feedback is provided to each resident. Faculty members and attending physicians keep track of each resident’s performance throughout the year closely. Hands-on-learning opportunities are infinite and most of the time, the most valuable teaching moments are “see one, do one, teach one” sessions. Residents work at different color coded areas of the ED in a given shift (see. Working in UMEM, below) and find opportunity to perform and repeat almost all basic skills of EM on each shift. Skills such as central-line catheterization, crico or pericardiocentesis are always supervised by attendings. Trauma US, LP, IO, NGT, OGT, lavage and sutures are mostly attended by senior residents. Interns also find opportunity to perform basic skills as attended. Annually, a one-week-long “newbie” resident course on basic EM curriculum and skills is conducted by faculty members. Also, an “Internship in EM” course with basic EM curriculum for medical students is conducted bi-monthly for each intern group and residents represent their teaching skills in these courses to their faculty. Marmara U FoM conducts “Basic” and “Advanced” Education Courses twice a year, one week each, and all residents attend these courses throughout their residency. These courses are about basic and advanced research, methodology, statistics, ethics and teaching skills development. On summer months (July-September) a different set of curriculum is followed. Topics like FOAM, research, statistics, thesis consultancy, how to write an article / case report, preparing poster and oral presentations are covered didactically and practically. Journal Club meeting is on every Wednesday morning, covering 4 articles, presented by 4 residents and discussed by all. All educational materials, articles, presentations, quiz and reference materials, as well as shift, rotation and vacation schedules are published online via MUEM website and shared via Google Drive among all residents, attendings and faculty. Residents have the opportunity to reach all published EM Journals and Books thru a proxy from home via Marmara U Online Databases.

 

Working in MUEM

In the T1 area (Red) of MUEM, three-four residents take primary responsibility in the management of approximately 200 critical care and severe trauma patients on two shifts per day under the supervision of their attendings. Three-four interns work along with residents in this area in each shift. In the T2 area (Yellow), a resident and 2 interns work together. However, MUEM triage system upgrades all T2 trauma cases, ill-looking patients, presumed Stroke and ACS cases to T1. So, T2 is a lightened area with low acuity patient who are immobile or in pain. 300 patients are managed on two shifts. T3 area is the most crowded of all areas. According to MoH regulations, ED admissions are free for every citizen, and this creates a great burden on T3 areas at rush-hour. In T3 area, two residents and 4 interns take care of 400 patients per day in two shifts. Apart from these, Pediatricians take care of 300 non-trauma children per day in MUEM. These approximates 1200 patients per day.

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  1. Uluslararası Acil Tıp Değişim programı kapsamında birçok yeri gezdim ve gördüm. Marmara Acil TIP gerçekten eğitim anlamında kaliteli ve akredite sistemleriyle sayılı eğitim alanlarından bir tanesi.

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