Contact please the International Pediatric Surgery
Fellowship Coordinator:
Dragan Kravarusic
MD
Director of Pediatric Surgery Department
Soroka Medical Center
P.O.B 151 , Beer Sheva , 8410101, Israel
Phone: 972-8-6400270
Fax:
972-8-6383723
Email: dragank@clalit.org.il
Soroka Medical Center is the primary tertiary medical care center in
Southern Israel and integrated Saban Children’s Hospital is the major pediatric
referral center. The International Pediatric Surgery Fellowship is a program,
specially design for foreign applicants whose mission is to provide
comprehensive training in advanced pediatric surgery for appropriate candidates
whose intention is to return to practice in their home country. Program covers
extensive theoretical and practical training in the surgical management of
infants, children, and adolescents with problems managed in the practice of
general pediatric surgery and encompasses entire spectrum of abdominal and
thoracic ( non-cardiac) conventional / minimal access surgery techniques that
fall within the scope of practice.
Goals and Objectives of the
Program
The primary goals and mission of the International Program
are education and research of foreign applicants in the advanced,
state-of-the-art pediatric institution.
The educational goals on which the
program is based includes:
- The ability to perform the full range of operative cases
required for special competence in pediatric surgery.
- Direct management of patients, coordinated in a
continuous manner, including inpatient (wards, NICU and PICU) and outpatient
follow-up.
- Teaching continuity by attending pediatric surgeon,
overseeing individual patient care.
( All patients have an assigned attending
responsible for the care of that patient and supervision of the fellows and
residents). - Assignment of graduated responsibilities within an
organizational structure to enhance technical skills, teaching abilities and
management expertise.
- Supervision by a committed team of attending physicians
with consistently providing feedback.
- Integration of basic science and clinical investigative
experience in areas fundamental to pediatric surgery. (* Research activities
will be coordinated in advance with each candiate.
In order to accomplish these goals our
general surgical service does a large volume of procedures (1500 / per year)
with remarkable number of index pediatric surgical index cases such as TEF, CDH,
Gastroschisis, Omphalocele and Ano Rectal anomalies and plenty of routine cases
such as hernia repair, orchiopexy, intussusception , etc.
The oncology
service is the primary provider of care for children from southern Israel with
various tumors and hematological disorders in the region. The pediatric surgery
service does a large volume of tumor cases including Wilms, Neuroblastoma,
Rhabdomyosarcoma and others.
The pediatric surgical fellows receive strong
training in minimally invasive procedures with experience in both routine and
advanced operations in neonates and older children. Currently we are performing
around 250-300 MIS cases per year and doing wide range of the laparoscopic and
thoracoscopic procedures ( 40 different surgical techniques). The list of
most common abdominal MIS procedures includes Cholecystectomy, Appendectomy,
Nissen Fundoplication, Splenectomy, Bowel resections , Bariatric surgery and
among thoracoscopic procedures , Lobectomy / Segmentectomy , Nuss operation
for Pectus Excavatum deformity and Sympatectomy for Hyperhidrosis are the most
frequent.
While operative training is an important aspect of the fellowship,
it is critical for the fellows to be involved in the pre- and post-operative
care of the infants and children. Fellows spend half a day in clinic twice a
week and see both new and follow up patients; in particular those with
congenital problems that need long-term pediatric surgical care such as
Hirschsprung’s and imperforate anus.
Surgical patients in general remain on
the surgical service from surgery to discharge including infants and children in
the ICUs. Under supervision of the attending surgical staff the pediatric
surgical fellows share all aspects of care on the wards and in the
ICUs.
Weekly activities , Conference and Lecture
Schedule
In addition to clinical training, a series of didactic lectures and
conferences helps prepare the pediatric surgical fellow for clinical practice.
The current schedule is listed below:
Sunday:
7:45 – 8:45
am Radiology Round
09:00 – 09:30 am Morning Staff
Meeting
10:00 – 12:00 Pre - operative clinic
12:30
-15:30 Out - patient clinic
Monday:
7:45 – 8:45
am Morning Staff Meeting
09:00 – 09:30 am Radiology
Round
08:00 – 15:00 Operation room
Tuesday:
7:45 –
8:45 am Morning Staff Meeting
08:00 – 15:00 Operation
room
Wednesday:
7:45 –
10:00 Morning Staff Meeting &Grand Round & resident
case Conferences
08:00 – 15:00 Operation room (every second
week)
10:30 – 11:30 Journal Club , M & M Conferences on
alternating weeks
12:00 – 13:00 Prenatal Team Consultations for
Congenital Anomalies (every second week)
14:00 – 15:00 Tumor
Board (every second week)
Thursday:
7:45 – 8:45 am
Morning Staff Meeting
08:00 – 15:00 Operation room
12:30
-15:30 Out - patient clinic
* All pediatric surgery fellows, general
surgery residents and attending staff are expected to attend these
conferences.
Faculty and Support Staff
Our
team currently include : 5 full-time academic and 1 half- time staff surgeons,
one clinical fellow and two ward physicians :
- Dr. Dragan Kravarusic, Surgeon-in-Chief , Director of
Pediatric Surgery Division and Program/Director / Principal Coordinator of
International Pediatric Surgery Fellowship program./
- Dr. Yakov Mordechay , Deputy Director of General Surgery
Service
Coordinator of Colo - Rectal Surgery Service. - Dr. Nitza Hyman-Neiman , Attending Surgeon ,Deputy
Director of Soroka Medical Center.
- Dr. Oleg Kleiner , Attending Surgeon , Coordinator of
Minimal Access Surgery Service/
- Dr. Yulia Fuxman , Attending Surgeon , Coordinator of
Oncology Service.
- Dr. Antonella Nahum, Attending Surgeon , Coordinator of
Neonatal Surgery Service.
- Dr. Ludmilla Tomarov , Pediatric Surgery Fellow , Senior
General Surgeon.
- Dr. Dimitry Rodnov , MD Senior register.
- Dr. Alexandar Orlovsky , MD Senior
register
Off Service Rotations
International pediatric surgery fellows may spend 1 month on
elective rotation other than general pediatric surgery according to their
preference ( NICU / PICU / Trauma Unit).
Research
The training program is
primarily clinical in nature. Fellows are expected to become involved in ongoing
clinical research projects sometime during their training. Majority of these
projects have resulted in a local or national presentations / papers. These
projects are under the supervision of the surgical faculty.
Call, Vacation, Evaluations, Benefits
There is no mandatory in-house call for international fellows since
Schneider Children’s has regular call schedule covered by Israeli fellows/
residents / extenders with arrangements to stay in compliance with the 80-hour
work week.
An office is provided for the fellows / residents and is equipped
with computers linked to the hospital’s information systems and the Internet.
There are pediatric surgical journals and texts in the office and in the nearby
library.
Fellows receive 2 weeks of vacation and 2 weeks of sick leave during
the year of training. During the year of training basic medical insurance is
provided by the local Health Care system.
Formal evaluations are conducted
on a biannual basis. Evaluations are sought from faculty members in the
department of surgery. These evaluations are compiled and discussed with the
fellow by the program director / coordinator. Informal evaluations occur on an
ongoing basis. An exit interview is conducted at the end of the fellowship and
provides the faculty valuable feedback regarding the program.
In addition,
the international fellow is sent to the Israeli Pediatric Surgical Association
(IPSA) annual meeting at the department’s expense.
Program Requirements
To be
considered, candidates for the position of Fellow in Pediatric Surgery should
have met the following requirements:
Doctorate of Medicine
Completion of residency in general or pediatric surgery
with eligibility to take qualifying examination in the country of
origin.
Valid medical license / visa from the country of origin
and certificate of good standing
To Apply
Candidates applying for the
2016 International Pediatric Surgery Fellowship program can submit their
applications and related application documents electronically or by courier to
the program coordinator.
The following materials are required to complete
your application: 1) Curriculum Vitae with summary of research experience /
interest , 2) brief personal statement, and 3) two letters of
recommendation.
For more information:
Contact please
the International Pediatric Surgery Fellowship Coordinator:
Dragan Kravarusic MD
Director of Pediatric Surgery Department
Soroka Medical Center
P.O.B 151 , Beer
Sheva , 8410101, Israel
Phone:
972-8-6400270
Fax: 972-8-6383723
Email:
dragank@clalit.org.il.
