MASTER OF MEDICINE IN NEUROSURGERY

Overview

The Master of Medicine in Neurosurgery program aims at enhancing the practice of Neurosurgery throughout Kenya and the East, Central and Southern African region by improving on patient management at the primary care level. The knowledge and skills acquired during the training will consolidate the competency of the neurosurgeons and enable them to meet challenges in patient care, research and leadership in the field.

Surgical training in Neurosurgery at the University of Nairobi is premised on a solid background in basic science and practical clinical knowledge, which provides opportunities for training of highly qualified and competent surgeons to serve the Kenyan population as well as have a global impact. All surgical residents receive extensive training in preoperative evaluation in the clinic and hospital settings, intraoperative technique, postoperative, critical care management, and follow-up care. Residents rotate through several units within Kenyatta National Hospital and other hospitals, allowing for diversity, breadth and depth of training. In these training settings, the surgical residents are taught, supervised and evaluated by surgical faculty. Operative and non-operative patient care training is provided with appropriate levels of supervision by faculty members to promote progressive autonomy of trainees that is consistent with University policy.

 

Philosophy

The teaching of Neurosurgery will be premised on learner-oriented teaching principles, with emphasis on creating an environment that allows learners to create links between that which they know and the new connections they need to create. We aim to provide an environment conducive to learning, knowledge that will help them in patient-care, materials, opportunities, and feedback that will help them learn, and help in motivating residents to be successful both in their studies and in applying their knowledge in their practice.

The development of a mature and professional approach in clinical practice is essential for safe and successful patient care. Attitudes towards patients and colleagues, work ethic, ability to deal with stressful issues and the effectiveness of communication skills in providing supportive care for patients and their families are the professional qualities expected of successful candidates in this program.

 

Rationale of the programme

The World Health Organization (WHO) recommends at least one Neurosurgeon for every 200,000 people. On the contrary, Kenya has a ratio of one neurosurgeon for every five million people. This program will therefore assist in training Neurosurgeons to provide services at the provincial level where, none are currently available and meet the objectives of The Kenya Government National Health Sector Strategic Plan to decentralize specialist services and improve health care. Graduates of the program will be engaged in the academic, public and private sector, International Health Organizations and other areas in need of neurosurgical services.

Recent technological advances in surgery have made it necessary to review surgical postgraduate training worldwide. This has been adopted in the Surgical Training programs of North America, Great Britain, Canada, Australia and South Africa. The programs are structured to offer a Common Foundation Course in Surgical Pathology, Surgical Anatomy, Surgical Physiology and Principles of Surgery for all the Surgical Specialities during the first two years of training. Successful completion of the Foundation Course is necessary before one can proceed to further specialist training in General Surgery, Otolaryngology, Oral and Maxillofacial Surgery (all 3 years) and Neurosurgery (4 years).

The goal of surgical training is to produce surgeons who are capable of practising independently, delivering safe and high-quality surgical care, and meeting the surgical needs of the community at large. This process involves building the anatomic and pathophysiologic fund of knowledge required to understand surgical disease, acquiring and refining the cognitive and technical skills required to correct it, and developing the clinical judgment and decision-making necessary to know when to exercise it. Integral to this process is the graduated independence or progressive autonomy afforded to trainees as they transition to the independent provision of safe, high-quality surgical care.

 

The revised MMed Neurosurgery program will offer new courses in Molecular Biology and Research Methods, Biostatistics and Epidemiology, Neuroendoscopy and Functional Neurosurgery. This will give the graduates a good foundation on the scientific basis of the practice of neurosurgery. The revised program will also produce graduates who will be conversant with the current advances in medical technology necessary for the safe practice of surgery.

 

 

The Common Regulations for the Master of Medicine Degree at the University shall apply.

The candidates eligible for admission into the program shall fulfil the following conditions:

  • Hold a basic medical degree i.e. Bachelor of Medicine and Bachelor of Surgery (MBChB) of the University of Nairobi or equivalent qualification from an Institution recognized by Senate.
  • Possess evidence of registration or eligibility to be licensed by Medical Practitioner’s and Dentists Board in Kenya. Must also show evidence of retention on the list of the Medical Practitioner’s and Dentists Board.
  • Possess a certificate of good conduct from the Medical Practitioners and Dentists
  • Board or any equivalent authority from the country of origin.
  • Show proficiency in use of the English language.
  • The applicant will be required to have a valid Professional Indemnity cover for the period of training upon successful admission.

 

 

Credit transfer

There shall be no credit transfers allowable for this programme

 

COURSE REQUIREMENT

Students Obligation

  • The students are expected to attend 70% of all didactic lectures, grand round, journal club, tumour board, neuroradiology and clinico-pathologic conferences and other pre-arranged learning conferences.
  • The rotations in clinical areas are expected to be twelve weeks at most and in each rotation, the student is expected to attend for at least ten weeks.
  • 5.2 Lecturer Obligation
  • The lecturer is expected to be available for all the scheduled learning conferences and didactic lectures.
  • They are expected to supervise the student in the wards, clinic and operating rooms with timely evaluation and feedback at every step of practical learning.
  • They are expected to supervise a maximum of 5 Master’s Dissertations.

 

 

Year 1  TOTALS 
TUITION        648,000.00
EXAMINATION (PER UNIT @1000)            5,000.00
MEDICAL FEE (PER YEAR)            6,500.00
ICT SERVICES - (PER YEAR)            7,000.00
ACTIVITY-( PER YEAR)            2,000.00
LIBRARY (PER YEAR)            5,000.00
REGISTRATION (PER SEMESTER@2250)            4,500.00
ID CARD ( PER YEAR)            1,000.00
CAUTION - (ONCE)            5,000.00
STUDENT ORGANISATION(PER YEAR)            1,000.00
Totals        685,000.00
Year 2  
TUITION        648,000.00
EXAMINATION (PER UNIT @1000)            5,000.00
MEDICAL FEE (PER YEAR)            6,500.00
ICT SERVICES - (PER YEAR)            7,000.00
ACTIVITY-( PER YEAR)            2,000.00
LIBRARY (PER YEAR)            5,000.00
REGISTRATION (PER SEMESTER@2250)            4,500.00
ID CARD ( PER YEAR)            1,000.00
STUDENT ORGANISATION(PER YEAR)            1,000.00
Totals        680,000.00
Year 3  
TUITION        648,000.00
EXAMINATION (PER UNIT @1000)            5,000.00
MEDICAL FEE (PER YEAR)            6,500.00
ICT SERVICES - (PER YEAR)            7,000.00
ACTIVITY-( PER YEAR)            2,000.00
LIBRARY (PER YEAR)            5,000.00
REGISTRATION (PER SEMESTER@2250)            4,500.00
ID CARD ( PER YEAR)            1,000.00
STUDENT ORGANISATION(PER YEAR)            1,000.00
Totals        680,000.00
Year 4  
TUITION        648,000.00
EXAMINATION (PER UNIT @1000)            5,000.00
MEDICAL FEE (PER YEAR)            6,500.00
ICT SERVICES - (PER YEAR)            7,000.00
ACTIVITY-( PER YEAR)            2,000.00
LIBRARY (PER YEAR)            5,000.00
REGISTRATION (PER SEMESTER@2250)            4,500.00
ID CARD ( PER YEAR)            1,000.00
STUDENT ORGANISATION(PER YEAR)            1,000.00
Totals        680,000.00
Year 5  
TUITION        648,000.00
EXAMINATION (PER UNIT @1000)            5,000.00
MEDICAL FEE (PER YEAR)            6,500.00
ICT SERVICES - (PER YEAR)            7,000.00
ACTIVITY-( PER YEAR)            2,000.00
LIBRARY (PER YEAR)            5,000.00
REGISTRATION (PER SEMESTER@2250)            4,500.00
ID CARD ( PER YEAR)            1,000.00
STUDENT ORGANISATION(PER YEAR)            1,000.00
Totals        680,000.00
Year 6  
TUITION        648,000.00
EXAMINATION (PER UNIT @1000)            5,000.00
MEDICAL FEE (PER YEAR)            6,500.00
ICT SERVICES - (PER YEAR)            7,000.00
ACTIVITY-( PER YEAR)            2,000.00
LIBRARY (PER YEAR)            5,000.00
REGISTRATION (PER SEMESTER@2250)            4,500.00
ID CARD ( PER YEAR)            1,000.00
STUDENT ORGANISATION(PER YEAR)            1,000.00
THESIS EXAMINATION          30,000.00
Totals        710,000.00
   
Grand totals    4,115,000.00