01 Shaping Neurology Education03 Neurology Education Programme Wins Programme Award04 13th Singapore Stroke Conference Stroke Talks at Schools 05 4th NNI Dementia Awareness Day06 Staying Ahead In Neuroradiology Innovations

- 11th Advanced Neuroradiology Course07 Surgery For Pain Disorders Visit by Prasat Neurological Institute

08 1st NNI-NTU Research Workshop Research Scientist Receives

MOE Outstanding Mentor Award 09 MOH National Outstanding Clinician Scientist Award 2011 10 Research Prize Winners Gold Medal at International Biology Olympiad Neurologist wins SHS Medical Research Publication Award11 Upcoming Event : 5th Singapore International Parkinson’s Disease

and Movement Disorders Symposium 12 Calendar of Events Support Groups

Contents

Centre for the Care of the Brain, Spine, Nerve and Muscle

Continued to page 2

SHAPING NEUROLOGY EDUCATION Nurturing The Next Generation

July - December 2011 Volume 13, No:2

MICA (P) 092/06/2011

Education is a key component at the National Neuroscience Institute (NNI). As the national centre in the care of the brain, spine, nerves and muscles, NNI believes that the key to quality patient care is through good education. The number and diversity of conditions seen and treated at the NNI provides an ideal learning and teaching environment.

Already NNI has the reputation for providing the best neurological education in Singapore. Students from both medical schools are being posted to either NNI-Tan Tock Seng Hospital (TTSH) or NNI-Singapore General Hospital (SGH) for clinical teaching. Most of our staff have academic appointments with either Duke-NUS-Graduate Medical School (GMS) or Yong Loo Lin School of Medicine. NNI has trained an estimated 60 – 70 percent of Neurology Advanced Specialty trainees in Singapore and is the main training institution for neurosurgery and neuroradiology.

Neurology Undergraduate and Graduate Programme A milestone in NNI’s teaching journey was the launch of the Office of Neurological Education (ONE) in 2004 with Associate Professor Lee Kim En, as it first head. ONE is currently led by Associate Professor Nigel Tan, Education Director and Senior Consultant at the Department of Neurology. Together with the other members; Associate Professor T. Umapathi, Dr Nagaendran Kandiah and Dr Kevin Tan, they take charge of both undergraduate and postgraduate teaching at the NNI-TTSH campus.

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continued from page 1

Over at the SGH campus, many staff members are personal tutors and/or examiners as well as supervisors for the Student-Internship Programme and House Officers posted at SGH. All staff play an active role in the Programmes directed by Professor Lim Shih Hui, Senior Consultant from the NNI-SGH Neurology Department.

Neurosurgery Undergraduate and Residency ProgrammeThe Department of Neurosurgery provides the only comprehensive neurosurgical teaching programme available in Singapore. It is the only such department in Singapore and South-East Asia to be approved by the Royal Australasian College of Surgeons (RACS) to carry out advanced training in Neurosurgery for doctors registered for the FRACS (Neurosurgery) Programme. Led by Associate Professor Ivan Ng, Head of Department and Senior Consultant, the department is allowed to train two neurosurgeons at any given time and inspections are regularly carried out by RACS to ensure the adherence to standards and protocols set.

Neuroradiology Education Moving in tandem with the Institute’s aim to develop itself into an international training centre in the field of neurosciences, Dr Francis Hui, Head of Department and Senior Consultant, together with Associate Professor Tchoyoson Lim, Senior Consultant, the Department of Neuroradiology have been working closely with other leading healthcare institutions to develop an advanced training programme to provide clinical neuroradiology specialty training to graduates from Singapore and overseas. Neuroradiology education provides undergraduate exposure to the neurological part of the radiology posting and imaging part of the neurology posting. For basic and advanced specialty training, the Department offers a unique, dedicated Neuroradiology module for residency and fellowship rotations.

See Pages 2 and 8 for related articles on Education

03

A team of doctors from National Neuroscience Institute (NNI); Associate Professor Nigel Tan, Education Director and Senior Consultant, Dr Kevin Tan, Consultant and Dr Nagaendran Kandiah, Consultant from the Department of Neurology (NNI-TTSH Campus) won the Programme Innovation Award 2011 for their submitted programme “Team Based Learning for Undergraduate Neurology Education”. The Programme Innovation Award recognises an educational programme in Singhealth for its innovation efforts. Selection was done by a group of panelists comprising healthcare leaders from SingHealth, and education professionals in Singapore. The Awards Ceremony was held on 21 September 2011 during the Singhealth Academy Signature Lecture.

Team Based LearningNeurology can be a difficult subject for undergraduates. Team Based Learning (TBL) has not previously been used to teach clinical

subjects in the Yong Loo Lin School of Medicine (YLLSOM), NUS. It has so far been used only in Duke-NUS Graduate Medical School (GMS) mostly for pre-clinical topics.

NNI Neurology (TTSH Campus) used the novel method of TBL to teach two core clinical neurology topics for third year and fifth year undergraduates in YLLSOM – Neurological Localisation and Neurological Emergencies.

TBL is an alternative to traditional lectures and tutorials, and is an interactive, active-learning method involving learners working in teams and engaging in discussions. It was initially used as a medical education trial at NNI in 2009 to gather evidence for its effectiveness. The results, which were recently published in BMC Medical Education, showed that students learnt more with TBL, retained that new knowledge better, and that they preferred it to conventional tutorials.

A/Prof Nigel Tan with one group of students after their TBL session at NNI.

From left to right: The winners of the Programme Innovation

Award, A/Prof Nigel Tan, Dr Nagaendran Kandiah and

Dr Kevin Tan.

NEUROLOGY EDUCATION PROGRAMME WINS INNOVATION AWARD

Audrey Han, a third year student at the Yong Loo Lin School of Medicine, agrees that TBL “brings Neurology to life”, and helps build interest in what is otherwise deemed as a “boring subject”. She added that having interactive sessions guides her through with her thinking process.

Based on this evidence, TBL is now used as routine teaching for third to fifth year students when they do Neurology as part of the Medicine posting, or during Neurology electives. Since 2009, over 250 YLLSOM undergraduates have participated in TBL, with good knowledge outcomes and good feedback. The TBL team is currently conducting a two-year follow-on study to see if TBL improves not just knowledge, but the ability to perform clinical reasoning.

SingHealth Academy Golden

Apple Awards

The inaugural SingHealth Academy

Golden Apple Awards is dedicated

to recognising educators in

Singhealth who are able to foster an

environment for learning and who

are able to ignite in their students,

traits of inquisitiveness, at the same

time promoting personal growth and

achievement, using creative and

innovative approaches.

04

STROKE TALKS AT SCHOOLSAct FAST with Stroke through the Young Minds

“Bringing you to the frontiers of cerebrovascular medicine” - That was the theme for this year’s Stroke Conference held on 21 and 22 November at the College of Medicine Building. Chaired by Dr Rajinder Singh, Consultant from the Department of Neurology at National Neuroscience Institute, the focus this year was on the latest developments in cerebrovascular disease. Various diagnostic, therapeutic,

This year, in conjunction with World Stroke Day which fell on 29 October 2011, the National Neuroscience Institute (NNI) and Health Promotion Board introduced its stroke awareness campaign as a public outreach programme to local secondary schools. Doctors from the Neurology Department of NNI-Singapore General Hospital (SGH) campus held one-hour interactive sessions with students from Whitley Secondary School and Dunman High School. The talks were held on 20 October and 24 October respectively.

Dr Jennifer Manzano, a Stroke Fellow with NNI-SGH Neurology Department gave a talk on stroke, its risk factors and how to recognise symptoms of stroke. The students, aged 13 - 15 years old actively participated in the answering quiz questions during the session. At the end, each student was given a fridge magnet with the FAST stroke message and they were encouraged to share what they learnt with their family members.

Dr Samantha Yap from Tan Tock Seng Hospital speaking about Stroke Rehabilitation.

Dr Jennifer Manzano talking to students at Whitley Secondary School.

Dr Jennifer Manzano (left) and Dr Deidre De Silva (right) with the two Emcees from Dunman High School.

Enthusiastic students from Dunman High School eager to answer questions during the quiz time.

Dr Rajinder Singh (left), Conference Chairman, together with Dr Blaise Baxter (right).

BRINGING YOU TO THE FRONTIERS OF CEREBROVASCULAR MEDICINE13th Singapore Stroke Conference

rehabilitative and preventive approaches for stroke were highlighted. There was also a segment on stroke nursing, swallowing and speech therapy as well as diet and nutrition requirements for the stroke patient. More than 200 local and overseas participants were brought together at this scientifically enriching and educational meeting.

Another aim of this year’s conference was also to educate practicing physicians, nurses and allied healthcare workers about the state-of-the-art approach to patients with cerebrovascular disease, including the diagnosis, management and prevention of acute ischemic stroke, and the management of cerebral aneurysms and Arterio-venous malformations (AVMs).

The faculty comprised subject experts from Changi General Hospital, National University Hospital, Singapore General Hospital, Tan Tock Seng Hospital as well as from overseas. Dr Blaise Baxter, Chief of Neurointerventional and Interventional Radiology at Southeast Regional Stroke Centre, Tennessee, USA was the overseas invited speaker. An expert and pioneer in acute interventional stroke therapy,

he gave the participants an overview of the latest, state-of the-art advances in acute stroke therapy. On the second day of the conference, Dr Baxter showed with the use of live video footage, the management of challenging acute stroke intervention cases. He enjoyed the Conference very much and was delighted to be able to provide the delegates with the latest updates in stroke intervention.

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Continuing the success of the Dementia Awareness Initiative, the National Neuroscience Institute (NNI) held its fourth Dementia Awareness Day on 26 November 2011.

The memory assessment attracted more than 170 participants aged 50 years and above. Many of the participants who came for the Memory Assessment said that they were interested to know if they have Dementia. During the Memory Assessment, participants were given a set of cognitive questionnaires by trained staff. These questionnaires are designed to evaluate cognitive functions such as memory, orientation and judgement, and everyday mental skills.

The other highlight of the day was the Public Forum, entitled “Understanding The Forgetful Brain”. Over 180 participants packed the NNI Exhibition Hall for an informative afternoon. The session was chaired by Dr Nagaendran Kandiah, Consultant from the Department of Neurology. The speakers for the forum included Dr Adeline Ng, Registrar from NNI who spoke on the topic “Overview of Dementia” and Dr Donald Yeo, Neuropsychologist from Singapore General Hospital (SGH) who shared tips on how to improve memory. Both topics received good response from the audience. In addition to the medical topics, Mr Cheng Tai Chin, Senior Assistant Director from the Office of Public Guardian, Ministry of Community Development, Youth and Sports (MCYS), spoke about “The Mental Capacity Act”.

At end of the event, the participants brought home valuable tips from our speakers and expressed their interest to participate in future cognitive initiatives.

NNI OrgaNIses Its 4th DeMeNtIa aWareNess DaY

Mr Cheng Tai Chin from the Office of Public Guardian, MCYS.

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The aim of the course this year was to enhance the practice of Neuroradiology and Head and Neck Radiology by highlighting modern clinical and research innovations in the field, with clinical neurology and neurosurgical perspectives to reflect the increasing importance of multi-disciplinary care and interaction.

The Faculty comprised both eminent local and overseas experts. The overseas Faculty included Professor David Alsop from Beth Israel Deaconess Medical Center, USA; Professor Srinivasan Mukundan Jr from Harvard Medical School, USA; Associate Professor Byung Moon Kim from Yonsei University, South Korea; Associate Professor Raj Ghodke from University of Washington, USA; and Dr Kei Yamada from the Kyoto Prefectural University of Medicine, Japan. Faculty members shared their expertise and insights on the latest developments in their respective fields, enriching the Course content.

From left to right: Professor David Alsop, Beth Israel Deaconess Medical Center, USA with NNI doctors, A/Prof Tchoyoson Lim, Senior Consultant Neuroradiologist and Dr Kevin Tan, Consultant Neurologist.

The immense wealth of knowledge from the Faculty definitely benefited the participants with positive feedback received on the Course in general, but especially for the content coverage and smooth organisation of the event.

“The NNI Advanced Neuroradiology Course is well established as a regional conference with strong support from the Asian-Oceania region. There is strong regional presence because of the programme and emphasis on the latest innovations and updates. The Faculty and Organising Committee were very encouraged and delighted with the turnout this year”, commented Dr Sitoh Yih Yian, Course Director and Senior Consultant from the Department of Neuroradiology of NNI.

staYINg aheaD IN NeUrOraDIOLOgY INNOVatIONs – 11th advanced Neuroradiology Course

Dr Kei Yamada from Kyoto Prefectural University of Medicine, Japan.

This year’s Advanced Neuroradiology Course, held at the Tan Tock Seng Hospital Auditorium on 6 and 7 October 2011, saw an overwhelming response with more than 200 local and overseas delegates. Overseas participants included doctors, nurses and healthcare professionals from the Asean countries, Hong Kong and Australia.

Dr Sitoh Yih Yian, Organising Chairman.

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On 21 November 2011, a group of five faculty staff and 36 students from the School of Nursing, Prasat Neurological Institute, Thailand, came to National Neuroscience Institute (NNI) for a visit to understand nursing management, services and team functioning related to patients with neurological conditions and rehabilitative units.

Nurse Clinicians Janis Tye from Neurology Department and Lee Kah Keow from Neurosurgery Department shared with the students the role of a NNI Nurse Clinician and an overview of their respective departments.

The tour of our NNI facilities was led by Nurse Manager Tan Teck Kim from Neuroscience Clinic, Nurse Manager Low Hwee Huang from Neuroradiology, and Ms Teo Boon Choon, Assistant Manager from Neurodiagnostic Laboratory.

The students and staff left our Institution with their objectives met and expressed interest to send another group of students to NNI again next year.

Visit by Prasat Neurological Institute

NEW SERVICE!

What a relieve! To those who have given up on reducing their chronic pain, there is now hope. The National Neuroscience Institute (NNI) has introduced a surgical neuromodulation programme for chronic pain patients who have exhausted all common methods of treatment such as medication, etc.

Surgical neuromodulation uses advanced technology that involves placing an electrode on the spinal cord, on the brain or within unconnected areas in the brain. A pacemaker is attached to the electrode; it generates a small amount of current to stimulate the spinal cord or brain to alleviate the pain experienced by the patient.

Photos reproduced with permission from Medtronic.

SURGERY FOR PAIN DISORDERS

What Is Pain?

Pain’s primary role is to serve as a protective mechanism. It warns us that something is not right with our bodies and to avoid harmful stimuli. Maladaptation of this protective mechanism converts this normal warning sign into an unpleasant and intolerable condition. It is estimated that 10% to 20% of the general population is suffering from chronic pain which affects all aspects of their life. In extreme cases, patients may even be driven to contemplate suicide.

Students and Staff from Prasat Neurological Institute, Thailand.

Ms Lee Kah Keow sharing on the role of Nurse Clinicians with the students.

Ms Teo Boon Choon giving the students a tour of the Neuroadiagnostic Laboratory.

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The love of teaching won Dr Carol Tang, Research Scientist at the National Neuroscience Institute an award for outstanding mentorship. Dr Tang received the Outstanding Mentor Award presented by Ministry of Education earlier this year at the 17th Youth Science Conference. She shares with Neus-link how it all started.

cannot remember when I started teaching but it must have been during my college days, when I tutored a Secondary

Four student who was failing in his maths and physics. His parents hired me because I was an obvious greenhorn who cost little compared to the “professional” tutors out there. By the ninth month, his grades turned from F9 to A1 and on the day of his GCE “O” Level result release, he called me to say he had scored A1s and could now get into the top college of his choice. His family then went to China for vacation, and his parents returned with presents for me, they were so grateful. Subsequently through my years in a scientific career, I mentored many polytechnic, undergraduate and now graduate school students, many of whom have won various awards for outstanding performance.

The one common theme I found in all these is, talented people. Mentoring talented people who approach any subject with both humility and the right attitude is empowering. When they do well, our team moves forward. That is why spending time to teach students is so important. Young people are often fearless and because of that,

Research Scientist Receives MOE OUTSTANDING MENTOR AWARD

they are more likely to advance in a difficult and challenging field. That is what has brought our team to this state today.

Today, grant agencies are veering towards funding projects that involve “heavy translational science”. Although this is necessary, it is even more important not to ignore the process of proper learning from basics. One of my most respected mentors once told me, “as important as the discovery, is the process of getting there”. How true – people do not see the painful process of making mistakes, failing experiments, the loss of morale, the need to persevere till you see light at the end of an endless tunnel, etc. That is why I constantly enter the lab to talk to and work among my folks to check in on their progress, and “catch” any problems that might fester and cause them to lose their morale. The thing with scientific research is, there is no holiday. Whether you like it or not, the problems stay and you are constantly mulling through them and it can be very stressful. That is why camaraderie and good team dynamics are crucial.

Good science drives good medicine. And good

science comes from innovation. Genentech is a classic example of what happens when you put money in talented people, enabling the process of research and discovery into better medicines. But all these do not happen overnight. It is a long process that requires a serious attitude with much flexibility in the constant uphill learning curve. If you are doing something that is potentially translational, and one day towards the patient, shouldn’t you show seriousness in your endeavor? That is the message I give to all my students. You can be a genius but you will not go anywhere without the right attitude and humility. And always do something that you are passionate about. If you like something, you are likely to do it well. And when you do well, the results start coming in, and you will feel empowered.

Dr Carol Tang (right) with her students: Judith Ow, Amanda Kang and Rachel Ee from Raffles Girls’ Secondary (Best Poster Award).

1st NNI-NTUResearch Workshop Clinicians and researchers come together for an interactive sharing sessionNational Neuroscience Institute (NNI) and Nanyang Technological University (NTU) jointly organised the first NNI-NTU Research Workshop on 8 July 2011. The objective was to facilitate interaction between clinical researchers and scientists from medical institutions and NTU, as well as promote collaborative efforts in translational neurosciences.

Professor Mark Featherstone, Interim Dean, College of Science, NTU was the co-chair together with Associate Professor Christopher Ang Beng Ti from NNI.

‘The forum provided a good opportunity for the clinicians and researchers to exchange ideas and establish network for future collaborations,’ commented A/Prof Ang.

A/Prof Christopher Ang, NNI with Prof Mark Featherstone from NTU.

I

09

Neurologist awarded MOh NatIONaL OUtstaNDINg CLINICIaN sCIeNtIst aWarD 2011

Professor Tan Eng King, Senior Consultant Neurologist and Clinician Scientist at the National Neuroscience Institute (NNI)-Singapore General Hospital (SGH) campus was presented with the National Outstanding Clinician Scientist Award 2011 given by the Ministry of Health.

He and eight others from various healthcare institutions were honoured at the fourth National Medical Excellence Awards (NMEA), which recognises healthcare

“For his many contributions in clinical research and in leading research in the field of Parkinson’s Disease and Movement Disorders, particularly in the discovery of genetic risk factors and clinical observations that helped elevate the standard care in patients with Movement Disorders.”

personnel who have made outstanding contributions in clinical quality, mentorship, education and research. The Award Presentation was held on the 5 July 2011 at the Pan Pacific Hotel.

Prof Tan is also an Associate Professor at Duke-NUS Graduate Medical School (Neuroscience and Behavioral Disorders). He is the Director of Research at NNI and Genomics Core at SGH Research Division, and co-director of the NNI Movement Disorders Center, an American National Parkinson Foundation accredited International Center of Excellence. In 2005, he was selected by the Ministry of Health to be in the pioneer batch of Clinician Scientists.

An accomplished and outstanding researcher, Prof Tan has been instrumental in leading research in the field of Parkinson’s disease and Movement Disorders, particularly in the discovery of genetic risk factors unique to Asians and has made many clinical observations that helped in clinical care in patients with Movement

Prof Tan Eng King receiving the award from Mr Gan Kim Yong, Minister For Health.

Disorders. His primary research interests are in genetic epidemiology and the molecular mechanism underpinning disease causing genes in Parkinson’s disease and essential tremor. He is also actively engaged in clinical trials, neuroimaging, quality of life and pharmacogenetic studies in various neurological diseases. In addition to being recognised as a researcher in the international healthcare arena, Prof Tan is also an opinion leader and well known clinician with patients extending all the way from Europe, USA and Asia. He has acted as an external expert for prestigious universities and centres in USA and Asia, and the only Singaporean to be elected into the American Neurological Association for contributions to academic neuroscience.

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Dr De Silva receiving the award for Outstanding Pubilcation Award.

Dr Deidre Anne De Silva, Consultant from the Department of Neurology at NNI (SGH Campus) won the SingHealth Medical Research Publication Award for her article on “The Benefits of Intravenous Thrombolysis Relate to the Site of Baseline Arterial Occlusion in the Echoplanar Imaging Thrombolytic Evaluation Trial (EPITHET), published in the journal, Stroke (2010 Feb; 41(2): 295-9. Epub 2010 Jan 7)

The publication was based on post-hoc analyses of the Echoplanar Imaging Thrombolytic Evaluation Trial (EPITHET) which compared the treatment with clot busting therapy given intravenously versus placebo in

Neurologist wins SingHealth Medical Research Publication Award

acute stroke patients within the first three to six hours.

The outcome of patients following intravenous clot-busting therapy was dependent on the site of arterial obstruction. Favourable clinical outcome (both neurological and functional) was more likely in patients with middle cerebral artery than internal carotid artery obstruction following clot-busting therapy.

Dr Deidre’s sub-speciality is stroke neurology and she has interests in the profile of Asian stroke patients, novel stroke risk factors, acute reperfusion strategies and advanced imaging techniques.

Research Prize WinnersZhou Zhennan, Peter Kang and Joel Tan from Hwa Chong Institution, under supervision by Dr Zhou Zhi Dong from the laboratory of Professor Tan Eng King, Director of Research, National Neuroscience Institute (NNI), won the third prize in the Open Category in the Biotech Fair Competition. The Competition was organised by the Singapore Science Centre. Their project was on “Prohibition of Enzyme and Metal ions induced Dopamine oxidation in Solution by Polyphenols from Green Tea and Black Tea”. They found that polyphenols from green tea and black tea was better than other potent endogenous anti-oxidants and may have potential therapeutic application.

Ms Yong Ming Hui, a final year Duke-NUS Graduate Medical School student under the supervision of Prof Tan Eng King and Dr Prakash Kumar, Consultant Neurologist at NNI-SGH campus, won one of the two prizes for her poster presentation on “Case control study of non motor symptoms in Parkinson’s disease” at the 45th Singapore Malaysia Congress of Medicine 2011.

The students with Mr Hawazi Daipi, former Senior Parliamentary Secretary (Health and Manpower), Ministry of Health.

Ms Yong Ming Hui (right) with Professor Richard Li, Chief Judge of the competition.

Gold Medal at International Biology OlympiadMr Jin Chentian, under the mentorship of Dr Liao Ping, Research Scientist at National Neuroscience Institute (NNI), has won a Gold Medal at the Olympiad.

The 22nd International Biology Olympiad was held in Taipei from 10-17 July 2011. The competition included theoretical and practical tasks covering biology topics from cell biology to animals, plants, and ecology. A total of 227 students from 58 countries took part in the competition.

Mr Jin Chentian (second from left) with the other students at the Competition.

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COMING UP SOON

12

CALENDAR OF EVENTS(January – June 2012)

SUPPORT GROUPS

Enquiries and Registration Tel: (65) 6357 7152 / 6357 7163 Fax: (65) 6256 4755Email: nni_secretariat@nni.com.sgWebsite: http://www.nni.com.sg

AdvisorsProfessor Lee Wei LingDr Francis HuiMr Steven Sobak

EditorChristina Wee

Editorial Committee

The articles published in Neus-link are meant for information and should not be used as substitute for medical diagnosis or treatment. Please seek your doctor’s advice before starting any treatment or if you have any questions related to your health or medical condition. Contents in Neus-link are not to be quoted or reproduced without the permission from the Corporate Communications Department of National Neuroscience Institute (NNI).

Members, Editorial BoardA/Prof Lim Kah Leong Dr Lishya Liauw Dr Kamal VermaDr Ernest Wang

AddressNeus-link c/o Corporate Communications National Neuroscience Institute 11 Jalan Tan Tock SengSingapore 308433Tel : (65) 6357 7153 Fax : (65) 6256 4755

Emailnni_enquiry@nni.com.sg

Websitehttp://www.nni.com.sg

Epilepsy Support Groupc/o Singapore Epilepsy Foundation149 Rochor Road, #04-07 Fu Lu Shou ComplexSingapore 188425Tel: 6479 8611 Website: http://www.epilepsy.com.sg

Multiple Sclerosis Support Group c/o MS Care Tel : 6835 9916 Email : info@chcsa.org.sg

Muscular Dystrophy Support Group c/o Muscular Dystrophy Association (Singapore)9 Bishan Place #06-01, Junction 8Singapore 579837Tel: 6259 6933 Website: http://www.mdas.org.sg

Neurovascular Befriender Servicesc/o National Neuroscience InstituteDepartment of Neurosurgery Tel : 6357 7545

Parkinson’s Disease Support GroupNNI at Tan Tock Seng Hospital c/o National Neuroscience InstituteNeuroscience Specialists Outpatient Clinics (Level 1)Tel: 6357 7605

NNI at Singapore General Hospitalc/o National Neuroscience Institute (SGH Campus) Rehabilitation Centre (Education Resource Room, Block 1, Level 1) Tel : 8125 3543

Stroke Support Group c/o Singapore National Stroke Association26 Dunearn Road, Singapore 309423Tel: 6358 4138 Website: http://www.snsa.org.sg

For more information on Support Groups, visit our website at www.nni.com.sg

•5thSingaporeInternationalParkinson’s Disease and Movement Disorders Symposium (23 – 24 March)

•NeuroscienceSeminarsfor Family Physicians 2012

– Headache and Giddiness (18 February)

– Neuromuscular Disorders (*21 April)

– Movement Disorders and Dementia (*19 May)

•PublicForumonParkinson’sDisease (14 April)

* Dates subject to change.