History of Neurosurgery in Indonesia

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Neurosurgery in Indonesia

Beny W. Atmadja
Department of Neurosurgery
School of Medicine Padjadjaran University
Hasan Sadikin Hospital
Bandung - Indonesia
Largest countries by Population and
Area (2010)

Country Population Area Neurological


(Millions) (SQ ML) Surgeon
China 1300 3,696,000 7000
India 1100 1,233,000 800
USA 270 3,679,000 4600
Indonesia 240 741,000 194
Thailand 70 51,400 300

Japan 140 200,000 6500


Asean neurosurgeon
• Singapore 3m 20 0,15
• Thailand 70 m 300 0,23
• Maalaysia 28 m 70 0,4
• Philippine 95 m 97 0,9
• Indonesia 240 m 194 1.2
1
1 1
1
1 1
2
1

4
4 2
Medical School in Indonesia (2010)

• Government : 22 (+ 13 NC)
• Private : 33 (+ 3 NC)
Every year 100 – 200 new
students/school
Medical service in Indonesia 2010

• General Practitioner : 50.000 (1: 5000)


• Surgeon : 1.400
• Radiologist : 600
• Neurologist : 653
• Anesthesiologist : 770
• ATLS : 1.500
• Neurosurgeon : 194 (1: 1,3 mil)
Diagnostic Equipment (2010):

• CT : > 400
• MRI : 40
• ANGIOGRAPHY : 25
• Cusa : 12
• ICP : 10
History of Neurosurgery in
Indonesia
1948 Princess Margariet Hospital Jakarta
by Dutch Neurosurgeon
1951 1st Indonesian Neurosurgeon
1971 5 Neurosurgeon
1972 Society of Psychiatry, Neurology,
Neurosurgery
1972 Training center in 3 Med. School :
Bandung, Jakarta, Surabaya
1982 Indonesian Neurosurgical Society, 15
members
1984 1st ASEAN Neurosurgical Congress
1994
1997 1st Congress of Indonesian
Neurosurgical Society
2001 2nd Congress of Indonesian
Neurosurgical Society
2002 ICRAN (Bali, August)
2004 - ACNS (Jakarta,January 12-16)
- 11th ASEAN Neurosurgical Congress
(Bali, December 2-5)
2009 Medan has starting their training
Training Program (4 centers) :
• 2 years Basic Surgery (1 ½ year ?)
• 4 years Neurosurgery:
- Basic Science
- Anatomy Laboratory
- Assist – Operator Neurosurgical cases
- Abroad – Training
• Final National Board Examination
Neurosurgical Training (2011)

• Bandung : 33
• Jakarta : 22
• Surabaya : 35
• Medan : 12
Development of Neurosurgeon in
Indonesia

218 M 240 M
Hospital Facility for Training
Padjadjaran University
RSHS RSB RSGE RSG
CT + + + +
MRI + + + -
Angiography + - + -
Microscop + + + + +
Micro Ins.
CUSA - - + -
ICU + + + -
Anatomy Lab. + - - -
Surgical Cases (2010)
• Trauma : 632
• Tumor : 223
• Congenital :120
• VP Shunt : 88
• Vascular : 32
• Spine : 68
• Functional : 28
• Infection : 21
• Others : 20
Problem
• Demand of Neurosurgeon (1:1.3 M)
• Facility of Training Center
• Government support
• Man power
• Quality
• Competition / Globalization
Problem Solving:

• Increase number of neurosurgeon


• Improve quality :
- Cooperation with other center abroad
- Training abroad
• Support from government
•Thank You

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