During this year each intern will rotate on a variety of services, including
three months of Neurology, three months of General Surgery, and six months of
Neurosurgery at the University Hospital. While on the neurosurgical service
each intern will learn and become more experienced with basic management of the
neurosurgical patient. A lot of time will also be spent in the Neuro ICU where
the intern will learn the basic procedures necessary for the proper care of
neuro-critical patients. These procedures include placement of external
ventricular drains, intracranial pressure monitors and central/arterial lines.
The intern will also begin their surgical experience by participating in a
variety of neurosurgical operations. The goals of the neurosurgery intern are
to develop knowledge of surgical diseases and complications, develop surgical
judgment, learn basic pre- and post-operative care, and develop elementary
skills in surgical technique.
During the second year of residency, training emphasis is placed on enhancing
fundamental surgical, clinical care of the neurosurgical patient and on critical
care skills. The goal of the year is to provide experience in which the
resident learns how to care for neurosurgical patients regardless of the
magnitude of the clinical problem. This goal is achieved by rotations at all
four hospitals including UCH, DH, TCH and VAMC.
The goal of the third clinical year of training is to provide the resident with
more surgical skills, clinical skills, knowledge base and technical experience
in common neurosurgical problems. Rotations are spread across the four
The goal for the fourth year of neurosurgery training is to further develop surgical
skills, clinical skills, knowledge base and surgical techniques. Rotations are
spread between the four affiliated hospitals. A three month elective is taken
as well with options available in neuropathology, neuroradiology,
interventional radiology or stereotactic radiosurgery.
The PGY5 year is entirely devoted to mentored research. There is, intermittent
on-call clinical responsibility. The resident may choose with the help of their
research mentor from a variety of basic science or clinical research projects
to develop with the intent of producing publications.
The goal for the sixth year of neurosurgery training is to further develop more
complex surgical skills, clinical skills, knowledge base and advanced techniques.
Rotations are spent at the University Hospital, where senior residents are
involved in more complex cases.
Each resident is placed in a leadership position as the Chief Resident on
neurosurgical services, mainly at UCH (12 months). In this capacity, the
trainee is given leadership responsibility for the neurosurgical service and
coordinates and supervises all clinical and education activities on the