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 additional experience in:
    • Neurocritical care
    • Surgical and endovascular management of cerebrovascular disorders

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
Additional 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 Wednesday from 5:30AM to 7:30PM and Thursday to Friday 5:00AM to 7:00PM and one weekend day, 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:05:30-07:00Inpatient rounds with Red Team followed by Chief Rounds
08:00 -09:00Pediatric Neurosurgery Conference – Puletti Room
09:00 – Clinic: Drs. Dempsey or Iskandar
15:00-16:00Inpatient Case Conference – Okazaki Room
16:00 -17:00Vascular / Oncology Case Conference
18:30-19:30Inpatient rounds with Red Team
Tuesday:05:30-07:00Inpatient rounds with Red Team followed by Chief Rounds
08:00 – Clinic: Dr. Lake
18:30-19:30Inpatient rounds with Red Team
Wednesday:05:30-07:00Inpatient rounds with Red Team followed by Chief Rounds
07:00-08:30Morbidity and Mortality Conference / Grand Rounds
08:30-09:30Neuropathology lecture
9:30 –   Clinic: Dr. Dempsey
18:30-19:30Inpatient rounds with Red Team
Thursday:05:00-06:30Inpatient rounds with Red Team followed by Chief Rounds
06:30-07:30Anatomy Conference – Puletti Room
9:00-12:00Clinic: Drs. Niemann or Hanna (@ Research Park)
13:00 – Clinic: Drs. Baskaya or Brooks (@ Research Park)
18:00-19:00Inpatient rounds with Red Team
Friday:5:00-06:30Inpatient rounds with Red Team followed by Chief Rounds
06:30–07:30Anatomy conference
08:00 – Clinic: Dr. Resnick (@ Research Park)
14:30-15:30Neurology Grand Rounds
18:00-19:00Inpatient rounds with Red Team

 

Work Hours

Residents will work Monday through Friday from 5:30AM to 7:30 PM and one weekend day each week. The total hours per week is estimated to be 70-80. 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: 08-22-2022

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