The Skull Base Surgery program at the
University of Colorado is dedicated to providing exceptional training and
experience in the performance of complex intracranial neurosurgery with an
emphasis upon the application of skull base surgical techniques to ordinary and
extraordinary tumors and vascular lesions. The fellows and residents participate
in an intense training to become an integral member of a multi-disciplinary
team that incorporates the expertise of Otolaryngology, Head and Neck Surgery,
Oculoplastic Surgery, Plastic Reconstructive Surgery, Neuro-Oncology, Radiation
Oncology and Neuroradiology. In addition to gaining sufficient clinical
experience to begin independent practice and form a skull base surgical clinical
division, the trainees perform sufficient research, publications and
presentations to begin an academic career. Cranial and skull base endoscopic
approaches are a relatively new field in complex cranial surgery. Currently, full
endoscopic training and teaching is integrated into the skull base
microsurgical training in order to develop excellence in cranial endoscopy and
minimally invasive complex cranial surgery.
II. Program Integration
Base Surgery training is provided by the University Of Colorado Department Of Neurosurgery,
which is an ACGME accredited program. The program is fully integrated with the residency-training
program, and activities are coordinated to enhance the trainees’ education and
experience. The residents/fellows practice complex skull base approaches on
specially prepared cadaver specimens for that purpose. Research projects
focused on studying microsurgical anatomy and modifying/refining skull base
approaches are assigned to the trainees.
Residents/fellows are expected to be involved in research projects and publications
every year. At the clinical level, the intense exposure in the lab will promote
the residents/fellows’ surgical skills in the operating room. This is the
ultimate practical goal to help young neurosurgeons deal with the type of
complex cranial cases they encounter at the University of Colorado Hospital.
III. The Residents Simulation Course
annual intense microdissection simulation course is given to the
residents/fellows. The hands on part of the Skull Base Surgery Course is once a
week for 6 weeks beginning in July and ending in August of each year.
The two 3rd year residents and the fellows are the primary participants
in the course that includes all the residents on the clinical neurosurgery service.
IV. Clinical Fellowship Program
Curriculum for Skull Base Surgery Fellowship:
in operative cases three days per week at UCH. Participation in occasional
cases at other centers including the Children’s Hospital and Denver Health
Hospital according to clinical need.
in management of hospitalized patients critical and non-critical care.
in the Skull Base Surgery Clinic one day per week.
one day per week in the CSI Microsurgery Laboratory for cadaveric investigation
and preparation of lectures and manuscripts.
at the academic programs of the University of Colorado Department of
Neurosurgery (Morbidity and Mortality Conference and Grand Rounds).
and present Grand Rounds presentation to the faculty and residents at
Department of Neurosurgery semiannually.
in the weekly multi-disciplinary Tumor Board.
in the bimonthly multi-disciplinary Skull Base Surgery board.
as faculty for practical courses at the annual meetings of the AANS/CNS.
as faculty for practical courses at the CSI Microsurgery Laboratory.
at the weekly program review meeting to assess progress of research and
research component of the Skull Base Surgery fellowship year is both clinical
and basic. Basic research focuses on development of innovative surgical
approaches or refinement of existing approaches supported by cadaveric
dissection in the CSI Microsurgery Laboratory. Analysis and publication of
clinical cases and series is also a mandatory component of the research
program, which runs concurrently with the clinical program. In preparation for
an academic career, preparation and publication of peer reviewed and solicited
writings are mandatory. Grant submission is encouraged but optional.
Skull Base Surgery fellow will be evaluated semiannually by the directors of
the Skull Base Surgery Program with input from members of the faculty
representing neurosurgery as well as the other departments that comprise the
multi-disciplinary Skull Base Surgery team.
The Skull Base Surgery
fellowship is designed to prepare the fellow for an academic career. The
fellows will develop and deliver presentations on skull base related topics for
local, national and international neurosurgical audiences. The fellows will
demonstrate skull base surgical techniques to neurosurgeons at all levels of
training using the CSI Microsurgery Laboratory locally and the mobile
laboratory at the annual meetings of the national neurosurgical organizations
(AANS, CNS). The fellows will serve as faculty for the national practical courses
given annually for senior residents.
Sanit Louis University
A national 3-day cadaveric dissection-training course in Skull
Base/Endoscopic Surgical Techniques is held in the CSI Laboratory, University
of Colorado Anschutz Medical Campus . This is
invitational course taught by world-class experts in skull base and cranial
endoscopy to senior residents teams combining Neurosurgery and Otolaryngology.
This course offers an intensive review of the technical nuances involved with
skull base procedures including comprehensive 3-D anatomy and 3-D surgical
video presentations. Participants will receive didactics and hands on
instructions on traditional skull base approaches and endonasal and
transcranial endoscopy including indications, techniques, outcomes
complications avoidance and management.