Neurosurgery

PGY1 Curriculum

PGY-I: 12 months Combined Surgery / Clinical Neurosciences Internship

In complete fulfillment of ABNS requirements for training in General Surgery, Neurology and Allied Clinical Neurosciences, this year combines 4 months of surgery internship with 8 months of residency training in Neurology and other clinical neurosciences.

During this year the resident acquires expertise in the diagnosis and treatment of general medical, general surgical, and neurological diseases and conditions.The 4 month-long surgical rotations include Adult General Surgery, Surgical Intensive Care, ER/Trauma and ENT or Orthopedic Surgery. The resident learns to manage a busy clinical service efficiently. This includes obtaining a medical history, performing a physical exam, ordering appropriate tests, interpreting test results, performing daily care, writing accurate and concise daily notes, discharge planning and dictating discharge summaries. The resident builds a fund of knowledge in general medicine and surgery.

During the remaining 8 months, the resident acquires knowledge and experience in neuroradiologic and neuropathologic diagnosis and radiosurgical and endovascular treatment of neurosurgical disease. This includes 4 months of Neurology and 4 months of a combination of Neuroradiology, Neuropathology, Stereotactic Radiosurgery and Endovascular Neurosurgery at SUMC/LPCH. The Neurology experience includes rotations in the Neuro Intensive Care Unit, Adult Neurology Clinic, Adult Inpatient Service, and Pediatric Neurology Clinic. Neuropathology is taught through a combination of readout sessions, post-mortem brain cutting sessions, and special tutorials provided by the Neuropathology Division. Similarly, the Neuroradiology rotation consists of participation in readout sessions, tutorials and conferences. The resident studies Neuroangiography and observes endovascular procedures with the Endovascular Neurosurgery Service. The resident participates in case selection and post-treatment followup in the Radiosurgery Clinic, studies MRI and CT anatomy and radiobiological principles in helping with treatment planning and observes patient treatment with the Cyberknife.

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