One of the WFNR’s key objectives is to advance the development and improve the quality of neurological rehabilitation across the world. The WFNR recognises that global education and training are of paramount importance in increasing the awareness of neurorehabilitation, its practice and service provision. The skills and expertise of WFNR members are portable and transnational so the WFNR Flying Faculty was established to advance education in those countries where neurorehabilitation was in its infancy. Over the years the specialty has developed globally, the Flying Faculty gained new members and it now facilitates neurorehabilitation education by supporting countries wherever and whenever possible.
The WFNR receives many requests for assistance with all levels of neurorehabilitation training, and the WFNR Flying Faculty is willing and able to teach on educational programmes throughout the world.
What does the Flying Faculty do?
The WFNR Flying Faculty ‘flies in’ to the host country and delivers an expert training programme to a diverse group of health professionals in a short, intensive time period. The trainees learn the skills required to develop and implement neurorehabilitation services, and the trainers learn more about the issues and challenges faced by those countries.
The WFNR Flying Faculty participates in training programmes instigated within a country and also provides conference presentations at national meetings.
All levels of training programmes can be developed and/or delivered by the WFNR Flying Faculty.
Where does the Flying Faculty travel to?
Since its inception the WFNR Flying Faculty has travelled the globe.
Parts of Asia, Bosnia and Moldova were amongst the first countries to host the WFNR Flying Faculty and Certificate Courses were held in Newcastle-upon-Tyne in the UK. Since then teaching courses have been held in Siberia and the WFNR Flying Faculty has travelled to numerous countries including Argentina, Belarus, India, Indonesia, Japan, Mongolia, South Korea, The People’s Republic of China, the Philippines, Russia and Thailand.
Who is the Flying Faculty?
The Faculty comprises WFNR members who are willing and able to teach on educational programmes throughout the world. Many of the Faculty are the WFNR Presidium or Regional Vice-Presidents (see www.wfnr.co.uk).
The WFNR welcomes new Faculty members. If you would like to offer your expertise please contact Tracey (see below for contact details).
How do I get the Flying Faculty involved?
If you would like to host a teaching course then please contact Tracey Mole. She will then put your request to the Flying Faculty Chair who will decide on the most appropriate Faculty member(s) to work with you.
The members of the Flying Faculty will provide their time and will not require support from the host organisation for international travel costs. We do, however, ask that hosts provide local hotel accommodation, local transport and meals.
For further information on becoming a WFNR Flying Faculty member, hosting a training course or a request for a conference speaker, please contact: email@example.com
Neuropsychological Rehabilitation in Russia
Jill Winegardner, PhD
This two-day training entitled Neuropsychological Rehabilitation: Master Classes took place on 12 and 13 November 2018 at the Three Sisters Rehabilitation Centre in Moscow, Russia, with support from the Flying Faculty of the World Federation for NeuroRehabilitation. The invitation came about as a result of the decades-long work of British neurologist Dr Pauline Monro, who has brought western methods in neurology-related care to Russia. As part of this broad effort, she invited world-renowned expert in neuropsychological rehabilitation, Professor Barbara Wilson, and others to introduce the concept of holistic neuropsychological rehabilitation to Russia. Although these ideas were met with some resistance in early days due to Russian strict adherence to the teachings of Alexander Luria, more recently there has been gradual acceptance that these new ideas are consistent with the fundamental beliefs of Luria regarding the importance of careful study of individual patients and reliance on evidence in our practice.
In March 2018, Dr Jessica Fish and Dr Jill Winegardner from the Oliver Zangwill Centre delivered a two-day practical workshop entitled A Formulation-based Approach to Neuropsychological Rehabilitation at First Pavlov State Medical University St Petersburg and Sputnik Rehabilitation Center in Kamarova. The workshop was very well received, and Jill and Jess received a special invitation from the leading rehabilitation specialist in Russia to participate in the Tenth International Congress on Neuro-Rehabilitation, 31 May – 1 June 2018, in Moscow, along with three other British colleagues, in a day devoted to British-influenced neuropsychological rehabilitation. To their delight, two Russians (one psychologist and one neurologist) presented on their incorporation of the British formulation model in their own work.
At this Congress, Jill and Jess were invited back to Moscow to the Three Sisters Centre for further practical training in the formulation-based approach. Unfortunately, Jess was unable to go, but Jill traveled to Moscow in November 2018 to spend two days with a group of psychologists from Three Sisters, from Moscow State University, and from the International Institute of Psychosomatic Health. These three groups work closely together and at the end of the two days, we formed plans for further collaboration and promotion of this model in Russia, working together with British colleagues.
The two days consisted of a combination of lectures, clinical case presentations, and family meetings, along with opportunities for discussion and networking. The lectures covered Holistic Neuropsychological Rehabilitation: Principles and Practice; Selecting and Interpreting Neuropsychological Tests; and Evaluation and Outcome Measurement. The clinical case presentations led to practical sessions on goal setting and on formulation.
The first of the clinical case conference patients was a 32-year-old man who was four months post right hemisphere stroke with left hemiparesis and cognitive impairments including poor memory, lack of awareness of his deficits and poor insight into his limitations. Our intervention focused on helping the team respect his goals (drive and walk again) while supporting the short-term more realistic goals (transfers, safe wheelchair use). The second patient was a 29-year-old woman who was five years post traumatic brain injury whose chief goal was improvement of mild right-sided physical weakness and sensory changes. However, on reflection, she also agreed with goals that would improve her engagement in social and leisure activities and improve her confidence and emotional well-being. In this case, our intervention was to identify that the team presentation was disjointed and piecemeal, making it very difficult to share a coherent understanding or set appropriate plans. Our action was that the psychologists and the occupational therapist withdrew to another room and spent an hour developing a formulation for her. There was a constant buzz in the room as participants eagerly discussed and debated the formulation and goals.
At the end of the two days, the participants felt they were able to see for themselves how to implement what they learned in the lectures into their own practices. Everyone agreed the process of formulation leant a sense of “personhood” to the patients and resulted in a shared and coherent understanding of their features and goals. The session on neuropsychological testing led to an agreement to collaborate on bringing useful tests to Russia, where psychologists from Moscow State University will oversee their translation and adaptation to Russian language and culture. In addition, we agreed to have an ongoing collaboration to design studies through Moscow State University to demonstrate and promote the use of formulation-based assessment and rehabilitation in Russia.
Kolkata, India, hosts Flying Faculty, February 2017
Dr Aparna Dutt, a Medical and Social Doctor-Neurologist, organised a very successful six-day workshop in Kolkata, India from the 20-25 February entitled ‘Acquired Brain Injury: multiple dysfunctions to multidisciplinary actions’.
The meeting was preceded by a one-day workshop on ‘Single Case Experimental Designs’ run by the WFNR Flying Faculty comprising Professor Robyn Tate (Australia), Dr Michael Perdices (Australia) and Professor Barbara Wilson (UK).
The WFNR Flying Faculty members were joined by Professor Jonathan Evans (UK), Dr David Quinn (UK), Dr Mel Kaushansky (Canada) and Dr Anita Rose (UK). A skype session on ‘Management of fatigue after Brain Injury’ was conducted by Donna Malley (UK).
The meeting included a number of local speakers representing the medical profession and neuropsychology, and was well attended by delegates from India, Bangladesh and Sri Lanka. The topics ranged from assessment to mindfulness; from cognitive rehabilitation to rehabilitation of emotional problems, as well as challenging behaviours.
One of the highlights was a moving speech from Kiran Nadkarni, the mother of a teenage son who sustained a traumatic brain injury. She described how badly she had been treated by the medical profession, but that a neuropsychologist had been invaluable in terms of providing her with information and support.
Commenting on the meeting, Barbara Wilson said: “The hospitality of the local team was exemplary. Everyone worked hard from 8.30 in the morning to 6.00 or 6.30 in the evening, and the overseas speakers were then taken to dinner each night. We feel that we have been able to influence brain injury rehabilitation in India and further afield. A big thank you to the WFNR for allowing us to participate in this worthwhile endeavour.”
“Neuropsychological Rehabilitation: A Clinical Skills Workshop” - Chennai, India, August 2014
One of the most recent Flying Faculty iniatives was held in Chennai, India in August 2014. This was a three day workshop. Barbara Wilson (UK), Robyn Tate (Australia), James Malec (USA), Michael Perdices (Australia) and Narinder Kapur(UK), all neuropsychologists and members of the SIG in Neuropsychological Rehabilitation, collaborated with Indian psychologists and a neuropsychiatrist to run the workshop, which was entitled “Neuropsychological Rehabilitation: A Clinical Skills Workshop”. Travel for the overseas speakers was funded by the WFNR, while accommodation and meals were provided by the local hosts. Judged by the enthusiastic response from the 147 delegates, the meeting was considered a great success. Post session questions from delegates indicated extreme interest on the part of the host nationals and several areas of mutual knowledge and research were highlighted. Many contacts were established from which it is expected that further research will develop. Hospitality, including an evening with members of the Madras Club, was excellent t and thoroughly appreciated by the guest speakers. Dr Nirmal Singh from the Developing World SIG was present for the first morning. Barbara Wilson was also invited to present a public oration to many attendees from Chennai including city officials and the press from “The Hindu” one of India’s foremost national newspapers. An accurate report appeared in this newspaper the following day.
The Flying Faculty with some of the local speakers
The workshop group