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Projects |
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The George Gregan Fellowship at Westmead Children’s Hospital
Since 2006 the Foundation has funded a Fellowship in Neurology at Westmead Children's Hospital. The George Gregan Epilepsy Fellowship provides clinical experience in the assessment, investigation and management of children with new onset and refractory seizure disorders. This is seen as a great investment in improving the treatment and results for children and their families.
The 2011 Fellow, Dr Jehan Suleiman, is a great asset to the neurology team at Westmead. Below is an extract of her report to the Foundation:
“It has been an interesting and exciting year for me personally. I have been involved in the care of complex epilepsy patients, including surgical candidates which is, as you know a developing area within Epilepsy in particular.
My work involves constant liaising with the other members of the complex epilepsy program at The Children’s Hospital at Westmead about our patients’ complex needs. One thing I have learnt through my involvement in this Fellowship is how much time is needed and spent by different clinicians involved in planning a single epilepsy surgery. This process can take up to a year and includes planning, conducting investigations and going through these complex investigations including video EEG and different scans, presentation and discussions at the epilepsy surgery meetings (both locally and through teleconference with other network hospitals), feeding back to the patients and their family and support them then finally attending their surgery and looking after them post operatively.
So far this year we have completed 8 complex cases, and we have more than 10 cases getting worked up for potential surgeries.
I also have been actively involved in research as part of my PhD project “autoimmune epilepsy in childhood”. So far I have had a paper published in a high impact journal (NEUROLOGY) and had another accepted for publication.”
Dr Jehan Suleiman, (George Gregan Epilepsy Fellow) |
We are immensely proud of the work the former George Gregan Epilepsy Fellows are continuing to do after the completion of their Fellowships.
- The 2010/2011 Fellow, Dr Sekhar Pillai continues his neurology and epilepsy training at The Children's Hospital at Westmead.
- The 2009/2010 Fellow, Dr Sachin Gupta continues his career as a neurology fellow at The Children's Hospital at Westmead.
- The 2008/2009 Fellow, Dr Chris Troedson is now a specialist in Paediatric Neurology at The Children's Hospital at Westmead.
- The 2007/2008 Fellow, Dr Pyara Ratnayake continues to do some remarkable things in Colombo, Sri Lanka, with limited resources.
- The 2006/2007 Fellow, Dr Gopinath Subramanian is a staff specialist in paediatric neurology at John Hunter Hospital in Newcastle.
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“I just cannot emphasise how much the clinical fellowship has enhanced the care of children throughout NSW with epilepsy”
Dr Deepak Gill, Department of Neurology, Westmead |
Below is an extract from 2010/2011 Fellow, Dr Sekhar Pillai’s report to the Foundation:
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"I am very grateful and humbled to have been awarded the George Gregan Epilepsy Fellowship at the CHW for 2010/11. Epilepsy makes up a significant proportion of the work that paediatric neurologists are involved in as one in every 100 people has epilepsy. There is a significant medical and psychosocial burden that accompanies children and their families with difficult to control epilepsy. These are the patients that I am and will be involved with in my current position.
As the epilepsy fellow, I am part of a comprehensive epilepsy programme (CEP) multidisciplinary team which consists of an epileptologist, paediatric neurologist, clinical psychologist and neuropsychologist, clinical nurse consultants, dietician and research assistant. This inaugural team at the CHW aims to deliver a comprehensive and multidimensional care to children and their families with complex epilepsy. It is a privilege to be involved with such a high standard of multidisciplinary service which is the model of care of the 21st century.
As part of the CEP, I review children with complex epilepsy at an outpatient clinic and I am also involved with inpatient consults of patients with intractable epilepsy.
There are other ‘non-routine’ activities that I am involved in, including responding to family concerns about epilepsy and medication adjustments, formulating epilepsy action plans for families and schools and organising further investigations or medication scripts for patients. I also have to constantly review current medical literature on various conditions, syndromes and medications of patients that I encounter in daily practice.
As the epilepsy fellow, I am considering a number of research projects and I have completed an abstract on the EEG abnormalities on auto-immune encephalitis with the assistance of Dr Deepak Gill.
Since my commencement as the George Gregan Epilepsy Fellow, I have gained a phenomenal level of understanding and clinical experience in the field of paediatric epilepsy and neurology."
Dr Sekhar Pillai, MBBS, MPH, FRACP (George Gregan Epilepsy Fellow) |
“Thank you for giving me the opportunity to train in Epilepsy through a fellowship programme sponsored by George Gregan Foundation.
Epilepsy is the most common significant neurological problem in children. The epilepsy program at Children’s Hospital offers experience in the diagnostic and therapeutic approaches to medically intractable seizures. The program is ideally designed for those who wish to acquire advanced knowledge and skills in the comprehensive management of patients with epilepsy and its related disorders.
This fellowship program gives a solid education in comprehensive medical management of patients with epilepsy, in basic clinical neurophysiology, in selection and evaluation of patients who are candidates for epilepsy surgery, and in basic clinical research tools used in epileptology. The Epilepsy Fellowship Program provides additional advanced training in epilepsy and electroencephalography (EEG). During the fellowship I am learning to become proficient in:
- Interpreting EEGs of patients with epilepsy.
- Supervising prolonged video EEG recordings.
- Coordinating special studies.
- Performing surgical monitoring.
- Conducting clinical research.
Active participation in the comprehensive epilepsy program meetings gives me exposure to the detailed clinical, electrophysiological, imaging, SPECT, PET, and neuropsychological work up of chronic epilepsy patients, especially in the context of pre-surgical evaluation. I also attended the teaching sessions in the field of Medicine, Neurology, Neuroradiology and Neuropathology. I am also being exposed to excellent research in epilepsy genetics.
This comprehensive epilepsy fellowship would help me become a better Paediatric Neurologist. After completing the fellowship, I intend to incorporate this knowledge into practice wherever I go".
Dr Sachin Gupta, George Gregan Epilepsy Fellow - Children’s Hospital, Westmead
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The George Gregan Fellowship at Royal Children’s and Mater Children’s Hospitals, Brisbane
Since 2009 the Foundation has funded a Fellowship in Neurology at the Royal Children’s Hospital and Mater Children’s Hospital in Brisbane.
Below is an update on the 2011 Fellow
“Our current Fellow is a highly qualified and experienced Paediatric Neurologist who has completed his Consultant training but developing his Epilepsy knowledge further before starting a Consultant post. He has been a great benefit to our unit here at the Mater Children's Hospital and has allowed us to see more children with epilepsy and with a reduced waiting time.
He is also undertaking a number of research projects this year including a research project into bone health in children with epilepsy attending Mater Children's Hospital Neurosciences Unit outpatients, a project that is an international collaborative with other paediatric neurologists entitled 'Epilepsy Research Using the Internet: an International Pilot Study'. Later in the year we will also be asking him to undertake a short survey of Australian and New Zealand Child Neurologists on the issue of SUDEP.”
Dr Kate Riney, Consultant Paediatric Neurologist & Epileptologist, Chair Queensland Paediatric Epilepsy Network, Senior Lecturer, University of Queensland
Mater Children's Hospital |

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