Adult Neurology Residency

Adult Neurology Residency

Neurosurgery

Introduction and Goals

The neurosurgical rotation for neurology residents is a month-long required rotation that occurs during the PGY-1 year. The goals are threefold:

  • To provide neurology residents with an introduction to the indications for, limitations of, and possible complications of, neurosurgical treatment
  • To provide the resident with experience in neuro-oncology
  • To give the neurology resident additional opportunities to manage patients requiring neurointensive care

Objectives and Evaluation Matrix

As with all of the neurology rotations, the specific objectives are reflected in the entrustable professional activities and individual milestones listed below. These form the basis for the end-of-rotation evaluation. (Please see the section End-of-Rotation Evaluations above for the list of milestone abbreviations).

Rotation Objectives
Upon completion of the curriculum, residents will . . .
#DescriptionMilestones
1Describe how to manage intracranial hypertension in traumatic brain injuryPC1, PC2, PC3, PC5, PC6, PC8, MK1, MK2
2Describe how to rule out cervical spinal injury in trauma patientsPC1, PC2, PC3, PC5, PC6, PC8, MK1, MK2
3Describe how to manage acute subarachnoid hemorrhagePC1, PC2, PC3, PC5, PC6, PC8, MK1, MK2
4Explain the risks and benefits of revascularization for asymptomatic carotid diseasePC1, PC2, PC3, PC4, PC5, MK1, MK2, PL1, IC1
5Describe the non-operative management of degenerative spine disease and the indications for surgeryPC1, PC2, PC3, PC4, PC8, MK1, MK2
6Articulate a basic plan for evaluation of patients with tumors of the brain and spinePC1, PC2, PC3, PC4, PC5, PC8, MK1, MK2
7Communicate effectively with requesting clinical services, nurses, and other members of the patient’s teamSP3, SP4, PR1, IC3, IC4
8Participate in family meetings regarding goals of care and help negotiate conflicts among family members and the treatment teamSP4, PR1, IC1, IC2
  
Milestones
Please grade the resident on any of the following milestones you were able to evaluate during this rotation:
PR2

Schedule

The resident will be present in the hospital Monday through Friday from 5:30AM to 7:30 PM, and attend rounds, clinics and conferences according to the following schedule. (Clinics are shown in boldface for clarity). Residents are also welcome to observe in the OR at any time, and may shuttle between the OR and the UW clinics in order to optimize their learning. This should be arranged with the chief neurosurgery resident. Note that scrubs may be worn in the UW clinics, but not the Research Park clinics.

Monday:          05:30-07:00     Inpatient rounds with Red Team followed by Chief Rounds

08:00 -09:00    Pediatric Neurosurgery Conference – Puletti Room

09:00 –             Clinic: Drs. Dempsey or Iskandar

15:00-16:00     Inpatient Case Conference – Okazaki Room

16:00 -17:00    Vascular / Oncology Case Conference

18:30-19:30     Inpatient rounds with Red Team

 

Tuesday:         05:30-07:00     Inpatient rounds with Red Team followed by Chief Rounds

08:00 –             Clinic: Drs. Kuo or Trost (@ Research Park)

18:30-19:30     Inpatient rounds with Red Team

 

Wednesday:    05:30-07:00     Inpatient rounds with Red Team followed by Chief Rounds

07:00-08:30     Morbidity and Mortality Conference / Grand Rounds

08:30-09:30     Neuropathology lecture

9:30 –               Clinic: Dr. Dempsey

18:30-19:30     Inpatient rounds with Red Team

 

Thursday:        5:00-06:30       Inpatient rounds with Red Team followed by Chief Rounds

06:30-07:30     Anatomy Conference – Puletti Room

9:00-12:00       Clinic: Drs. Niemann or Hanna (@ Research Park)

13:00 –            Clinic: Drs. Baskaya or Brooks (@ Research Park)

18:00-19:00     Inpatient rounds with Red Team

 

Friday:             5:00-06:30       Inpatient rounds with Red Team followed by Chief Rounds

06:30–07:30    Anatomy conference

08:00 –             Clinic: Dr. Resnick (@ Research Park)

14:30-15:30     Neurology Grand Rounds

18:00-19:00     Inpatient rounds with Red Team

 

Work Hours

There are no call or weekend responsibilities during this rotation for the neurology service. You may be scheduled for a call or weekend rotation with neurosurgery at the discrepancy of the chief. The total hours per week is estimated to be 70. Residents will adhere to all work hours restrictions required of a neurology resident during this rotation. Residents will log all work hours. Note that while neurosurgical residents have a work hours exemption allowing for up to 88 total hours per week, this exemption does not apply to neurology residents.

 

Suggested References

Berger, M. S., & Prados, M. (2005). Textbook of neuro-oncology. Philadelphia: Elsevier Saunders.

Greenberg, M. S., & Abel, N. A. (2013). Handbook of neurosurgery. Tampa, Fla.; New York: Greenberg Graphics ; Thieme.

Jennett, B., & Lindsay, K. W. (1994). An introduction to neurosurgery. Oxford; Boston: Butterworth-Heinemann.

Lindsay, K. W., Bone, I., Fuller, G., & Callander, R. (2010). Neurology and neurosurgery illustrated. Edinburgh; New York: Churchill Livingstone/Elsevier.

Wijdicks, E. F. M., & Wijdicks, E. F. M. (2010). The practice of emergency and critical care neurology. New York: Oxford University Press.

 

Latest revision: 05-14-2021

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