Rolling admission · Istanbul · Delivered in English
Follow how a university neurosurgery department reviews neurovascular cases with interventional radiology, chooses between observation, endovascular treatment and open microsurgery, and cares for patients in neuro-intensive care, with no operative role, on the lists scheduled during your dates.
What you see depends on the department's clinical calendar during your placement; the list below describes the department's usual scope, not a guaranteed programme.
Many neurovascular problems come to light before they cause harm. An unruptured aneurysm found on a scan raises a question of balance: the risk that it will bleed against the risk of treating it. Size, site and shape, the patient's age and health, a personal or family history of haemorrhage and the patient's own view all enter that judgement, and for many small aneurysms follow-up imaging is the agreed plan. When treatment is chosen, the options are an endovascular procedure through the blood vessels or open microsurgery, and the anatomy often favours one over the other.
After a haemorrhage the priorities change. The source is identified quickly, the aneurysm is secured early to prevent rebleeding, and the patient is cared for in neuro-intensive care, where the team watches for delayed complications such as narrowing of the arteries and a build-up of fluid in the brain. Vascular malformations raise a different set of options, which may include observation, microsurgery, focused radiation or embolisation, used alone or in combination according to size, position and the pattern of blood flow.
No single specialty owns these decisions. In this department, endovascular cases are discussed with interventional radiology, and the recommendation for each patient comes out of that shared review. When open surgery is chosen it is carried out in the neurosurgical theatre with the operating microscope, navigation and monitoring, and followed by close neurological observation. An observer who attends the case discussion, the operation and the intensive care round sees how these decisions connect.
This page covers neurovascular practice within the neurosurgery department. Functional neurosurgery and deep-brain stimulation have their own focus page, and spinal work is covered on the spine surgery pages. The department's published scope describes endovascular case discussion with interventional radiology; attendance in the angiography suite is not part of it.
Neurosurgery trainees and graduate physicians who want to see how neurovascular cases are selected and how two specialties share one decision; clinical-year students are eligible but usually gain more from the wider department.
Neurosurgeons with a specialist qualification who state neurovascular practice as their interest within the neurosurgery department; the department decides allocation, and neurovascular cases are followed alongside its tumour, trauma and spinal work.
Both routes are strictly observational: observers attend theatre and clinic without patient contact, do not scrub or assist, and are not assessed on any procedure.
| Clinical Observership | Clinical Fellowship | |
|---|---|---|
| Duration | 1, 2 or 4 weeks (extension possible on request) | 12 to 24 months, agreed with the host department |
| Who it is for | Medical students in clinical years and graduate physicians from outside Turkey | Recognised specialists and family physicians seeking advanced exposure beyond standard specialty training |
| Format | Full-time, strictly observational — outpatient clinics, operating theatre, ward rounds, case discussions | Extended observational attachment to one department: daily practice, service structure and specific techniques |
| Certificate | Certificate of attendance issued by the host hospital and signed by its Medical Director | Certificate on completion issued under the accreditation of the affiliated university school of medicine |
| Start | Rotations typically begin on a Monday; dates are agreed individually | Start date planned around the date you request and the department's capacity |
One online application for both routes. State Neurovascular Surgery as your focus in your objectives; ATDERA reviews the file and prepares it for the Neurosurgery department, then replies with next steps, typically within two working days.
Already started? The application page picks up where you left off.
ATDERA Global Limited (Companies House No. 17173428, registered in England and Wales) coordinates this programme for a university teaching hospital in Istanbul. ATDERA is not a hospital and does not provide clinical care; admission decisions and certificates are the host hospital's.
One online application covers both routes and all twenty-one specialties — details, programme choice and documents in five short steps. ATDERA reviews the file and replies with next steps, typically within two working days.
