Educational Goals and Objectives
The program aims to provide comprehensive education in both basic and clinical sciences pertinent to neurosurgery, while also focusing on the development of cognitive and technical skills It emphasizes the enhancement of clinical knowledge and maturity, alongside the cultivation of sound surgical judgment Additionally, the program includes specific rotation objectives and evaluations aligned with the six competencies established by the Accreditation Council for Graduate Medical Education.
Graduate Medical Education (ACGME) are noted below Specific technical and medical objectives to be gained within each rotation are described individually below
The educational experiences for reaching these objectives are:
Supervised responsibility for patient management and operations
Review of deaths, complications and errors
Development of individualized program of reading and self-education
Evaluation of attainment of these goals is measured by faculty evaluation on clinical services, as well as evaluation by other professional staff (e.g., nursing).
The program conducts self-evaluations based on feedback from residents regarding the program and rotations, alongside assessments from faculty and nursing staff about residents' performance This evaluation process includes semi-annual self-assessments and performance reviews with the Program Director (PD), as well as electronic monitoring of case logs and biannual discussions with the PD concerning the volume, diversity, and complexity of cases handled by residents.
Department of Neurosurgery Residency Program | 6
The Six Core Competencies
Patient Care
Residents must be able to provide patient care that is compassionate, appropriate, and effective for the treatment of health problems and the promotion of health.
Residents will showcase their manual dexterity in line with their training levels and effectively create and implement patient care plans This skill development occurs through direct mentorship from senior residents and faculty during each clinical rotation, and it is assessed as a key component of the final formative evaluation at the end of each rotation.
During surgical rotations, essential learning activities that enhance competency development encompass a variety of experiences, including both inpatient and outpatient patient care, as well as comprehensive pre-operative, operative, and post-operative care Residents are engaged in completing and reviewing their operative logs, attending weekly academic conferences, didactic sessions, and quality improvement meetings They also participate in case discussions at resident conferences, bedside teaching, and inpatient teaching rounds, along with receiving instruction in the operating room Additionally, involvement in an evidence-based Journal Club and participating in the pre-operative evaluation of surgical patients in an outpatient setting are crucial components of their training.
Residents are expected to communicate effectively and demonstrate respectful behaviors when interacting with patients and families, while also obtaining detailed surgical histories and relevant medical records They must make informed decisions regarding diagnostic and therapeutic interventions, taking into account patient information, preferences, current scientific evidence, and clinical judgment Additionally, residents should formulate comprehensive plans for patient care that encompass pre-, intra-, and post-operative stages, and provide counseling and education to patients and their families Proficiency in using information technology to enhance patient care decisions and education is essential, along with the ability to competently perform all necessary medical and invasive procedures Furthermore, residents should focus on delivering healthcare services that prevent health issues and maintain overall health, while effectively coordinating with a multidisciplinary care team to ensure patient-centered care.
Assessment includes observation of performance in these areas: a Medical interviewing b Physical examination c Procedural skills, as demonstrated with simulators and patients d Clinical judgment e Ongoing care
Medical Knowledge
Residents are required to acquire fundamental medical knowledge across various fields, including biomedical, clinical, epidemiological, and social-behavioral sciences, and to effectively apply this knowledge in patient care They must develop the ability to critically assess scientific information and integrate it into their clinical practice This essential training is delivered through departmental lectures, conferences, morbidity and mortality discussions, and resident presentations.
During surgical rotations, various learning activities enhance competency development, including weekly academic conferences focused on neuroradiology and neuropathology, as well as presentations at these conferences Educational experiences are gained through clinics, hospitals, and operating rooms, supplemented by occasional intra- and extra-mural departmental or specialty conferences Performance on the American Board of Neurological Surgery (ABNS) primary examination, which is required to progress to Postgraduate Year-5 (PGY-5), is also crucial Additional activities include participation in Journal Club/EBM Conferences, maintaining an academic portfolio, engaging in hands-on neurosurgical simulations, and self-directed study.
Residents are expected to exhibit investigatory and analytical thinking in clinical scenarios while applying relevant basic and clinically supportive sciences to their discipline They should demonstrate a solid understanding of neuroanatomy and begin to formulate and implement diagnostic and treatment plans for brain and spinal cord diseases Additionally, residents must possess a working knowledge of diagnosis, preparation, operative treatment, and comprehensive management of surgical patients.
Assessment encompasses several key components: bi-annual mock oral examinations for PGY-3 and PGY-4 residents, daily attending rounds, written evaluations by faculty members that include a semi-annual review with the Program Director, and the development and maintenance of an academic portfolio.
Practice-Based Learning and Improvement
Residents are required to engage in practice-based learning and improvement to enhance patient care They should be adept at investigating and evaluating their patient care, appraising scientific evidence, and committing to continuous self-evaluation and lifelong learning Identifying personal strengths and weaknesses, setting improvement goals, and employing quality improvement methods are essential for systematic practice analysis and implementation of necessary changes Additionally, residents must effectively locate and integrate evidence from scientific studies relevant to their patients' health issues, leverage information technology for enhanced learning, and actively participate in educating patients, families, and peers This comprehensive learning process is facilitated through morbidity and mortality conferences, daily discussions of patient care plans with faculty, and literature reviews at Journal Club.
Department of Neurosurgery Residency Program | 8
During surgical rotations, key learning activities that enhance competency development include monthly Morbidity and Mortality (M&M) Conferences for case reviews, semi-annual performance reviews with the Program Director, and weekly resident conferences for case discussions Additionally, participation in an Evidence-based Journal Club, presentations at various conferences, and hands-on neurosurgical simulations contribute to practical experience Engaging in case discussions at the annual Network for Psychiatric Nursing Research (NPNR) review course, along with didactic sessions and daily teaching rounds, further enriches the educational experience for residents.
Residents are expected to engage in practice-based improvement activities through systematic analysis of their experiences, critically appraise and integrate evidence from scientific studies relevant to their patients' health issues, and gather information about both their specific patient population and the broader community They should apply their understanding of study designs and statistical methods to evaluate clinical research on diagnostic and therapeutic effectiveness Additionally, residents are required to utilize information technology for managing data, accessing online medical resources, and enhancing their own education They are also tasked with facilitating the learning of students and other healthcare professionals, as well as defending scientific papers during Journal Club discussions.
Assessment encompasses various performance indicators, including the ability to critically evaluate scientific evidence and maintain an academic portfolio It involves presentations at Journal Club and Evidence-Based Medicine (EBM) Conferences, as well as participation in Neurosurgery School and Grand Rounds Familiarity with research methods, such as study designs and statistical techniques, is also assessed Additionally, there is a semi-annual review of self-evaluations with the Program Director, focusing on data collection and feedback assimilation Demonstrating proficiency in information technology and serving as a role model for student education are essential components, alongside the evaluation of operative notes and discharge summaries by the Program Director or Assistant Program Director.
Interpersonal Relationships and Communication
Residents will develop effective communication skills with healthcare professionals and learn to counsel and educate patients and families These skills will be cultivated through daily interactions with faculty in both inpatient and outpatient settings, as well as through appropriate conference presentations Progress will be assessed based on performance during clinical rotations and evaluations from nursing staff and patients/families Faculty will ensure thorough documentation by monitoring patient records.
During surgical rotations, essential learning activities that enhance competency development include hands-on patient care in outpatient clinics and hospitals, participation in local and national professional meetings for networking, attending lectures on communication by experienced attendings, engaging in presentations during Journal Club and teaching rounds, and facilitating educational opportunities for medical students and mid-level providers.
Residents are expected to establish and maintain a therapeutic and ethically sound relationship with patients while employing effective listening skills They should adeptly elicit and convey information through nonverbal communication, explanatory techniques, questioning, and writing Additionally, residents must collaborate effectively as both team members and leaders within healthcare teams or professional groups Finally, they should demonstrate an awareness of cultural and gender differences to enhance patient care and team dynamics.
Assessment involves evaluating performance through various key activities, including participation in teaching rounds and academic conferences, providing counseling and education to patients, and ensuring informed consent Additionally, it encompasses involving patients in treatment decisions, actively listening to both patients and healthcare team members, and conducting 360 evaluations by allied health professionals.
Professionalism
Neurosurgical residents are expected to uphold high ethical standards and demonstrate sensitivity to the diverse age, gender, and cultural backgrounds of patients and healthcare professionals This commitment is fostered through daily interactions with faculty during clinical rotations, as well as through relevant conferences and discussions Their progress in achieving these objectives is evaluated through faculty assessments during rotations and feedback from nursing staff Additionally, residents must show dedication to continuity of patient care, which is measured by their involvement in outpatient clinics.
During surgical rotations, various learning activities enhance competency development, including training on cultural competence and compliance with behavioral standards Educational programs at local, national, and international levels, alongside role modeling by surgical faculty, further enrich the experience Opportunities for personal scientific presentations at regional and national conferences, as well as performance in Mock Oral Examinations, are vital components Additionally, hosting resident applicants during neurosurgical match activities and participating in Journal Club and Evidence-Based Medicine (EBM) conference presentations contribute significantly to skill enhancement and professional growth.
The Department of Neurosurgery Residency Program emphasizes the importance of respect, compassion, honesty, and integrity in medical practice, prioritizing the needs of patients and society over self-interest Residents are expected to uphold ethical principles in clinical care, maintain patient confidentiality, ensure informed consent, and adhere to sound business practices Additionally, the program fosters sensitivity and responsiveness to the diverse cultural, age, gender, and disability-related needs of patients, promoting a commitment to excellence and continuous professional development.
Assessment of performance encompasses several key areas, including a strong regard for the welfare of others, adherence to moral and ethical values, and respect for patients and their families It also involves maintaining respect for fellow healthcare team members, providing timely consultations upon request, and being sensitive to patients' cultural backgrounds Additionally, accountability for one's actions, reliability, and punctuality are crucial components of effective performance in healthcare settings.
Systems-Based Practice
Residents must exhibit a strong understanding of health care systems and effectively collaborate within various delivery models to ensure coordinated patient care They are required to work in inter-professional teams to enhance patient safety and explore potential system solutions Through daily clinical practice, interdisciplinary rounds, lectures, and discussions, residents build their knowledge of risk-benefit analysis and the delivery of high-quality, cost-effective care Participation in patient safety and quality improvement initiatives may also be necessary Faculty assessments during clinical rotations evaluate residents' progress toward these goals, including their ability to collaborate with specialists and other health care professionals in patient management.
During surgical rotations, key learning activities that enhance competency development include participating in case reviews at M&M Conferences, attending departmental meetings with the chief resident, engaging in Journal Club and Evidence-Based Medicine (EBM) conferences, conducting daily rounds and conferences, planning the discharge of complex patients through case management, and completing Epic training and coding courses.
Residents are expected to understand the impact of their patient care and professional practices on other healthcare professionals, the organization, and society, and how these elements influence their own practice They should recognize the differences between various medical practices and delivery systems, including approaches to controlling healthcare costs and resource allocation It is crucial for them to practice cost-effective healthcare and resource management without compromising quality Additionally, residents must learn to collaborate with healthcare managers and providers to assess, coordinate, and enhance healthcare delivery, understanding how these efforts can improve system performance Finally, they should demonstrate awareness of quality improvement and safety measures in healthcare.
Effective assessment in healthcare encompasses several key areas: delivering cost-effective care, comprehending the implications of documentation and coding on patient care, making appropriate referrals to specialists and agencies, facilitating access to resources for ongoing care coordination, and ensuring timely and appropriate patient discharges.
Department of Neurosurgery Residency Program | 12
PGY-1
The resident should be able to:
As a junior-level resident, it is essential to develop responsibility and independence in patient care This includes conducting preoperative evaluations and providing postoperative care for neurosurgical patients, as well as writing and managing pre and postoperative orders effectively.
As a sub-leader in neurosurgical teams, you will collaborate closely with senior residents and attending physicians to coordinate comprehensive patient care, ensuring proper evaluation and treatment by various healthcare professionals This role involves a thorough understanding of the basic pathophysiology of neurosurgical diseases, enhancing your foundational knowledge and its application in managing complex neurosurgical cases Additionally, you will gain valuable insights into surgical specialties while providing care for patients with multiple injuries, fostering a holistic approach to neurosurgery.
Assessment: faculty and senior resident evaluations, nursing 360 evaluations,
To excel in neurosurgical care, it is essential to be proficient in fundamental procedures such as starting IVs, placing central and arterial lines, intubation, and performing ICP monitor and ventriculostomy placements Mastery of basic neurosurgical pathophysiology and comprehensive patient care in both ward and ICU settings is crucial, along with a solid understanding of surgical options available for treatment.
Instruct and oversee fundamental medical procedures such as line placement, intracranial pressure (ICP) monitor placement, ventriculostomy, lumbar puncture, and lumbar drain placement Demonstrate proficiency in basic sterile techniques and bedside procedures while assisting in operating room tasks Progress to more advanced procedures under supervision, and support complex surgical operations as needed.
Assessment: Supervision/log card, faculty evaluation, feedback from peers and juniors.
5 Demonstrate the development of teaching and supervision skills
Assessment: Faculty evaluation, feedback from junior residents and students.
Effective communication is essential for enhancing collaboration within the patient care team and establishing oneself as a competent team leader It involves engaging with various healthcare professionals to address problem-solving and dispute resolution, while also understanding the roles of different specialists in patient management Professionals should communicate clearly and professionally with patients, hospital staff, students, fellow residents, and attending staff By demonstrating foresight and planning in patient care, healthcare providers can deliver concise and impactful presentations that improve overall team effectiveness.
Assessment: 360 degree evaluation via web based evaluation program including review of the core competencies.
7 Improve mastery of adult learning skills.
Assessment: Evaluation of professional growth through feedback from faculty, mentor and peers Review of research portfolio and conference performance.
PGY-2
The resident should be able to:
1 Function in the role of mid-level resident with its associated increase in responsibility and independence.
Assessment: faculty and 360 degree evaluations
In larger surgical teams, individuals serve as mid-level or sub-leaders, working under the guidance of senior residents and attending physicians They play a crucial role in coordinating patient care, ensuring that evaluations and treatments are effectively managed by other healthcare professionals and specialists.
Assessment: faculty and senior resident evaluations, 360 evaluations
Assessment: Observation in operating room (OR), and simulation lab; faculty evaluations.
5 Demonstrate mastery of general neurosurgical knowledge.
Assessment: faculty evaluations, self-assessment.
4 Surgery: teach and supervise general neurosurgery techniques under the supervision of an attending
Assessment: Observation in OR, faculty evaluation, feedback from residents.
6 Demonstrate advanced understanding of subspecialties including endovascular, complex spine, neuro-trauma, and functional surgery.
Assessment: Faculty evaluations, weekly quizzes and section conferences.
7 Further develop skills in problem solving and dispute resolution
8 Continue to improve the mastery of adult learning skills.
Assessment of professional growth involves gathering feedback from faculty, mentors, and peers, as well as evaluating performance at conferences This process includes a thorough review of the academic portfolio, highlighting the individual's ability to effectively plan research within the constraints of their elective year.
PGY 3
The resident should be able to:
1 Act as “leader/supervisor” on a neurosurgical team with close attending supervision.
Department of Neurosurgery Residency Program | GENERAL GOALS AND OBJECTIVES BY LEVEL 14
Assessment: Faculty and 360 degree evaluations
2 Assume leadership of larger neurosurgical teams and supervise care of neurosurgical patients at various levels of acuity with input from surgical attendings, consultants and other health care professionals.
3 Demonstrate Mastery of increasingly complex neurosurgical pathophysiology and patient care (ward and ICU) scenarios, more advanced understanding of surgical options.
4 Teach and supervise basic procedures including line placement, ICP monitor placement,
Ventriculostomy placement, lumbar puncture, lumbar drain placement, etc Begin to instruct junior residents in basic operative procedures.
Assessment: Supervision, faculty evaluation, feedback from peers and juniors.
5 Demonstrate the development of teaching and supervision skills
Assessment: Faculty evaluation, feedback from junior residents and students.
Enhance communication skills with the patient care team to function more effectively as a team leader Foster effective collaboration with other healthcare professionals while demonstrating improved problem-solving and dispute resolution abilities Cultivate a comprehensive understanding of the roles of various specialists and healthcare providers in the overall management of patient care.
Assessment: 360 degree evaluation and faculty evaluation
7 Improve mastery of adult learning skills.
Assessment: Evaluation of professional growth through feedback from faculty, mentor and peers Review of academic/research portfolio and conference performance.
PGY-4
The resident should be able to:
1 Act as “leader/supervisor” on a neurosurgical team with close attending supervision.
As a senior leader on designated surgical teams, you will collaborate closely with the chief resident and attending physicians to ensure comprehensive patient care This role involves coordinating evaluations and treatments by various healthcare professionals and consultants to optimize patient outcomes.
Assessment: faculty and chief resident evaluations, nursing 360 evaluations,
3 Demonstrate Mastery of complex neurosurgical pathophysiology and patient care (ward and ICU), complete understanding of surgical options.
Educate and oversee fundamental bedside and operating room techniques, such as line placement, ICP monitor insertion, ventriculostomy placement, lumbar puncture, and lumbar drain placement Additionally, provide guidance on moderately complex surgical procedures involving the spine, brain, and peripheral nerves.
Assessment: Supervision/log card, faculty evaluation, feedback from peers and juniors.
5 Demonstrate the development of teaching and supervision skills
Assessment: Faculty evaluation, feedback from junior residents and students.
To enhance leadership communication skills within the patient care team, it is essential to collaborate effectively with other healthcare professionals This involves addressing problem-solving and dispute resolution issues while recognizing the roles of various specialists in comprehensive patient management By fostering clear communication and teamwork, healthcare leaders can improve overall patient outcomes and streamline care processes.
7 Demonstrate mastery of adult learning skills.
Assessment: Evaluation of professional growth through feedback from faculty, mentor and peers Review of academic/research portfolio and conference performance.
PGY-5/Chief Year
EDUCATIONAL GOALS AND OBJECTIVES FOR ROTATIONS BY LEVELS
The Educational Goals and Objectives for each rotation are established for every residency level, with PGY-1 and PGY-2 categorized as junior residents These goals and objectives are provided at the start of each academic year by the Department of Neurosurgery and shared with both faculty and residents A new curriculum will be accessible for review before the commencement of new rotations The outlined goals and objectives focus on essential competencies, including knowledge, patient care, practice-based learning and improvement, interpersonal and communication skills, professionalism, and systems-based practices Additionally, procedure benchmarks and assessment methods for residents in the six competencies are specified for each service and PGY level.
PGY-1 Neurosurgery Clinical Rotation
The PGY-1 neurosurgery resident must effectively manage post-operative care for neurosurgical patients and conduct thorough pre-operative assessments They are expected to assist in spinal and cranial surgeries while demonstrating foundational clinical and personal competencies Utilizing an evidence-based medicine approach, the resident integrates basic science with clinical knowledge in patient care Additionally, they should exemplify effective communication and leadership skills to guide their team, including students and allied health professionals Overall, the PGY-1 resident's performance is rated between 2-3.
3 on each category of the Milestones evaluations The resident should be able to:
Compassionate patient care involves demonstrating respectful behaviors when interacting with patients and their families, incorporating individual patient specifics into decision-making for diagnostics and therapeutic interventions, and developing tailored care plans suitable for PGY-1 residents Appropriate patient care requires gathering accurate information about patients, making informed decisions based on patient preferences, current scientific evidence, and clinical judgment It includes evaluating patients with common neurosurgical conditions, presenting differential diagnoses, and comparing treatment options Additionally, developing and executing comprehensive patient management plans while coordinating care among the team of residents and students is essential A strong understanding of medication indications and contraindications, alongside participation in daily rounds, outpatient clinics, and teaching conferences, further enhances the quality of patient care.
Department of Neurosurgery Residency Program | III EDUCATIONAL GOALS AND OBJECTIVES FOR
Effective treatment and health promotion require the ability to competently perform essential medical and invasive procedures, while also overseeing other health care professionals to ensure patient-focused care In the realm of technical skills for patient care, new surgeons must demonstrate knowledge and psychomotor skills relevant to operative neurosurgical procedures, arriving prepared for the cognitive demands of surgery They should be capable of safely positioning patients and following the lead of senior surgeons throughout the operation, making timely decisions and exhibiting manual dexterity appropriate for their training level Competence in common neurosurgical cases and an understanding of the benefits and limitations of various techniques are essential, as is the ability to assist with complex procedures and perform basic tasks with minimal supervision Furthermore, new surgeons must grasp the management of general surgical issues, collaborate with upper-level residents on patient management decisions, and develop skills to interpret laboratory and radiological studies effectively.
Understanding the characteristics of visceral and somatic pain is crucial in diagnosing conditions such as spontaneous and traumatic intracranial hemorrhage, spine trauma, degenerative diseases, central nervous system infections, and hydrocephalus Key diagnostic studies, including blood chemistries, urinalysis, plain x-rays, CT, and MRI scans, play a vital role in evaluating these conditions Additionally, coordinating pre- and post-operative care for patients with acute neurosurgical diseases is essential, with a focus on accepting responsibility for postoperative management tasks, such as monitoring intracranial pressure and managing lumbar or ventricular drains under the supervision of the chief resident and attending surgeon.
Indwelling urinary catheters, IV catheters, and fluid management are essential components in the care of surgical patients, particularly in evaluating and managing their nutritional needs until normal gastrointestinal function is restored A foundational understanding of neurosurgical pathophysiology, pharmacology, and physiology is crucial for interpreting hemodynamic data and formulating effective diagnostic and treatment plans for cranial, spinal, and peripheral nerve diseases that require surgical intervention Familiarity with central and peripheral nervous system disorders, as well as advanced neurosurgery subspecialties, enhances the ability to address complex cases Competence in common surgical procedures and the ability to explain preoperative and postoperative concerns are vital for coordinating comprehensive patient care Demonstrating knowledge of neurosurgical literature and the capacity to educate junior residents and students further supports effective training Integrating continuity of care principles into the overall treatment plan and managing pre-operative and post-operative care in an outpatient setting are essential skills Additionally, proficiency in interpreting imaging studies, such as CT and MRI scans, alongside evaluating and managing post-operative wound complications, is critical for achieving optimal patient outcomes.
Practice-Based Learning and Improvement involves a thorough investigation and evaluation of patient care practices by systematically analyzing experiences and utilizing information about both individual patients and the broader population It also encompasses the appraisal and assimilation of scientific evidence pertinent to patient care, requiring practitioners to locate, assess, and integrate findings from relevant studies on health issues Furthermore, it necessitates applying knowledge of study designs and statistical methods to critically evaluate clinical studies and information regarding diagnostic and therapeutic effectiveness.
Department of Neurosurgery Residency Program | III EDUCATIONAL GOALS AND OBJECTIVES FOR
To enhance patient care practices, it is essential to analyze personal practice outcomes and engage in systematic improvement activities Utilizing information technology allows for effective management of information and access to online medical resources, which supports the ongoing education of new surgeons Additionally, fostering a collaborative learning environment for junior residents is crucial, as it promotes the importance of lifelong learning within the surgical field.
Effective interpersonal relationships and communication in healthcare involve demonstrating sensitivity in counseling patients and their families across various clinical situations Establishing and maintaining therapeutic, ethically sound relationships is crucial, as is the ability to work collaboratively as a leader within the healthcare team Timely and accurate documentation of patient information is essential, alongside presenting patient cases and conference materials in a clear, organized, and knowledgeable manner Engaging in collaborative interactions with all personnel involved in patient care enhances outcomes, while exhibiting leadership within the surgical team is vital Additionally, contributing to the educational efforts of neurosurgical residency through effective teaching and example, as well as evaluating the performance and competence of residency team members, are key components of fostering a high-quality learning environment.
Professionalism in healthcare involves demonstrating respect, compassion, and integrity while prioritizing the needs of patients and society over self-interest It requires a commitment to ethical principles regarding clinical care, patient confidentiality, informed consent, and business practices Sensitivity to patients' diverse backgrounds, including culture, age, gender, and disabilities, is essential Timely completion of administrative responsibilities, such as evaluations and medical record documentation, reflects professionalism Maintaining positive relationships and being accountable for actions and decisions further exemplifies a dedication to excellence and ongoing professional development.
Systems-Based Practice emphasizes the importance of understanding how patient care and professional practices impact other healthcare professionals, organizations, and society as a whole It is crucial for practitioners to recognize how these system elements influence their own practices Different types of medical practices and delivery systems vary in methods for controlling healthcare costs and resource allocation Ethical, legal, economic, and social factors must be integrated into the surgical team's activities to ensure comprehensive surgical care Additionally, practitioners should focus on cost-effective healthcare and resource allocation without compromising quality, advocate for quality patient care, and help patients navigate system complexities Collaborating with healthcare managers and providers is essential for assessing, coordinating, and improving healthcare, as these efforts directly affect overall system performance.
1 Patient Care a Weekly basic science conference b Evaluations by faculty c Attending rounds
The assessment of medical knowledge encompasses several key components, including the Annual Written Board Exam (ABNS primary exam) and regular written evaluations by faculty, which feature mid-rotation feedback sessions Faculty evaluations occur during weekly conferences and attending rounds, while residents also present cases at conferences Practice-Based Learning is emphasized, with ongoing faculty evaluations and participation in monthly Morbidity and Mortality (M&M) meetings, as well as involvement in a Journal Club to enhance critical appraisal skills.
4 Interpersonal Relationships and Communication a Faculty evaluations b Self-evaluations c 360 evaluations
5 Professionalism a Faculty critique of weekly general surgery conference b By faculty c By other resident staff members
6 Systems-Based Practice a Faculty evaluation b Input from mid-level practitioners, nurses, 360 evaluations
Department of Neurosurgery Residency Program | III EDUCATIONAL GOALS AND OBJECTIVES FOR
PGY-2 residents are expected to competently perform a variety of procedures with minimal supervision Key skills to develop include basic suturing, tying, cranial plating, and assisting in operations within the simulation lab Essential procedures encompass craniotomy for extra-axial hematoma and decompression, ventriculoperitoneal (VP) shunt placement, anterior and posterior cervical approaches for decompression and stabilization, lumbar discectomy, and peripheral nerve procedures Additionally, residents should engage in advanced cases to enhance their exposure, tissue handling, and suture techniques, as well as learn the insertion of central lines, arterial lines, external ventricular drains, and intracranial pressure monitors.
PGY-2 Neurosurgery Clinical Rotation
Practice-Based Learning
a Faculty evaluation b Monthly M&M c Weekly attending rounds d Journal Club
4 Interpersonal Relationships and Communication a Faculty evaluations b Self-evaluations c 360 evaluations
5 Professionalism a Faculty critique of weekly general surgery conference b 360 evaluations by nursing c By faculty d By other resident staff members
6 Systems-Based Practice a Faculty evaluation b Input from mid-level practitioners, nurses, 360 evaluations
PGY-3 residents are expected to perform various medical procedures independently and with minimal supervision, demonstrating their advanced skills They should also be capable of guiding junior residents through cases, showcasing their leadership abilities Key procedures include radiosurgery, ventriculoperitoneal (VP) shunt placement, anterior and posterior cervical approaches for decompression and stabilization, interventional procedures for spinal conditions, lumbar discectomy, peripheral nerve procedures, thoracic and lumbar instrumentation and fusion, as well as spinal surgeries such as Chiari decompression and laminectomy for dysraphism, tumors, and syringomyelia, along with pediatric VP shunt procedures.
The neurosurgery resident rotation in neuroradiology and neuropathology offers an intensive opportunity to master essential disciplines for a successful clinical neurosurgery career Residents will collaborate with fellowship-trained clinical neuroradiologists, gaining hands-on experience in image interpretation within a high-volume clinical setting Additionally, time spent with the Pathology Department will involve direct interaction with neuropathologists Throughout the rotation, residents will lead case presentations at Brain Tumor and Neuroradiology conferences and are expected to enhance their academic output, including publications.
PGY-3 Neurosurgery Clinical Rotation
Interpersonal and Communication Skills
In the realm of patient care, it is essential to demonstrate both skill and sensitivity when counseling and educating patients and their families across various clinical situations Establishing and maintaining therapeutic, ethically sound relationships is crucial for fostering trust Effective leadership within the healthcare team enhances collaboration, while prompt and thorough documentation of practice activities ensures clarity and accountability Presenting patient information and conference materials in a concise and organized manner is vital for effective communication Engaging collaboratively with all personnel involved in surgical patient care enriches the overall treatment experience Additionally, exhibiting leadership within the surgical team and contributing to the educational efforts of the neurosurgical residency through teaching by example are key responsibilities Finally, evaluating the performance and competence of all surgical residency team members is necessary for maintaining high standards of care.
5 Professionalism a Demonstrate respect, compassion and integrity; a responsiveness to the needs of patients and society that supersedes self-interest; accountability to patients, society and the profession; and a commitment to excellence and on-going professional development. b Demonstrate a commitment to ethical principles pertaining to provision or withholding of clinical care, confidentiality of patient information, informed consent, and business practices. c Demonstrate sensitivity and responsiveness to patients’ culture, age, gender, and disabilities. d Exhibit professionalism through timely completion of required administrative responsibilities (evaluations, recording hours, chart documentation, medical record dictations, etc.). e Maintain positive relationships. f Demonstrate accountability for actions and decisions.
Department of Neurosurgery Residency Program | III EDUCATIONAL GOALS AND OBJECTIVES FOR
Understanding the interconnectedness of patient care and professional practices is crucial for health care professionals, as these elements not only impact their own practice but also influence the broader health care organization and society Differentiating between various medical practices and delivery systems is essential, particularly in terms of methods for controlling health care costs and resource allocation Ethical, legal, economic, and social factors must be integrated into the surgical team's activities to ensure comprehensive surgical care Additionally, practicing cost-effective health care while maintaining quality is vital, as is advocating for patients navigating complex health care systems Collaborating with health care managers and providers to assess and enhance system performance is key to improving overall health care delivery.
1 Patient Care a Weekly basic science conference b Evaluations by Faculty (including mid-rotation feedback sessions) c Attending Rounds
2 Medical Knowledge a Annual written board exam (ABNS primary exam) taken for credit b Written evaluation by faculty (including mid-rotation feedback sessions) c Faculty evaluation weekly conferences d Attending Rounds e Presentation at Surgical Case Conferences
3 Practice-Based Learning a Faculty evaluation b Monthly M&M c Weekly attending rounds d Journal club
4 Interpersonal Relationships and Communication a Faculty evaluations b Self-evaluations c 360 evaluations
5 Professionalism a Faculty critique of weekly general surgery conference b 360 evaluations by nursing c By faculty (including mid-rotation feedback sessions) d By other resident staff members
6 Systems-Based Practice a Faculty evaluation b Input from mid-level practitioners, nurses, 360 evaluations
PGY-3 residents are expected to perform essential procedures with minimal supervision and guide junior residents through various cases They should focus on mastering ACGME competencies and procedural skills, particularly those designated for their level Key procedures include craniotomies for pain, trauma, and epilepsy, functional procedures, radiosurgery, and transsphenoidal approaches for sellar/parasellar tumors Additionally, they should gain experience in ventriculoperitoneal shunts, anterior and posterior cervical decompression and stabilization, interventional spinal procedures, lumbar discectomy, peripheral nerve procedures, thoracic/lumbar instrumentation and fusion, pediatric craniotomies for brain tumors, and spinal procedures for both adult and pediatric deformity correction.
PGY-4/Neurosurgery Clinical Rotation
The Senior Resident and Substitute Chief in neurosurgery, a PGY-4, is expected to demonstrate mastery in the care of general neurosurgical patients, effectively managing pre-, intra-, and post-operative procedures with minimal supervision This role requires the resident to lead the neurosurgical team while employing an evidence-based medicine approach that integrates both basic science and clinical knowledge Additionally, the PGY-4 resident is responsible for evaluating and providing models of communication and leadership to junior team members, typically achieving ratings between 3-5 on the Milestones evaluations across all categories.
Compassionate patient care involves demonstrating respectful and caring behaviors in all interactions with patients and their families It is essential to incorporate patient preferences when making decisions regarding diagnostic and therapeutic interventions, ensuring a collaborative approach to healthcare.
Department of Neurosurgery Residency Program | III EDUCATIONAL GOALS AND OBJECTIVES FOR
As a chief resident, it is essential to develop and execute tailored patient care plans, overseeing the collection of accurate patient information and evaluating complex neurosurgical conditions to present a differential diagnosis This involves comparing non-operative and minimally invasive treatments with open procedures, making informed decisions based on patient preferences and current scientific evidence, and coordinating overall patient care among residents and students Competence in essential medical and invasive procedures is crucial, as is the ability to provide preventive health services while supervising other healthcare professionals Additionally, demonstrating technical skills in operative neurosurgical procedures includes preparing cognitively for surgeries, positioning patients safely, and making timely decisions throughout the operation A chief resident should exhibit manual dexterity appropriate for their level, manage complex and common neurosurgical cases effectively, understand the benefits and limitations of surgical techniques, assist attending staff during intricate procedures, and perform standard procedures with a significant degree of independence.
A PGY-4 resident must exhibit comprehensive knowledge of neurosurgical pathophysiology, critical care, and pharmacology, enabling them to formulate effective diagnostic and treatment plans for brain, spine, and peripheral nerve disorders They should demonstrate proficiency in advanced neurosurgery subspecialties, perform commonly undertaken surgical procedures, and articulate preoperative and postoperative concerns specific to various operations Familiarity with neurosurgical literature and the ability to relate medical knowledge to patient care are essential, along with the capability to teach junior residents and students Surgical competence is crucial, ensuring that residents achieve expected outcomes through advanced skills and knowledge Furthermore, they must integrate continuity of care principles into the overall management of neurosurgical patients, demonstrating leadership in understanding the natural history of surgical diseases and the impact of neurosurgical care on patient outcomes Finally, residents should independently manage pre-operative evaluations and post-operative care in an outpatient setting, under appropriate attending supervision.
Practice-based learning and improvement involve a systematic approach to evaluating patient care practices by analyzing experiences and utilizing demographic information about patient populations Surgeons must appraise and assimilate scientific evidence relevant to their patients' health issues by locating and evaluating studies, applying knowledge of study designs, and engaging in practice-based improvement activities Utilizing information technology is essential for managing data, accessing online medical resources, and supporting ongoing education for new surgeons Additionally, facilitating the learning of junior residents and recognizing the significance of lifelong learning are crucial components of surgical practice Ultimately, surgeons should demonstrate the ability to analyze their practice outcomes and implement systematic methodologies to enhance patient care.
Department of Neurosurgery Residency Program | III EDUCATIONAL GOALS AND OBJECTIVES FOR
ROTATIONS BY LEVELS 34 iv Facilitate the learning of junior level residents.
Effective interpersonal relationships and communication in healthcare involve demonstrating sensitivity in counseling patients and their families across diverse clinical scenarios Establishing and maintaining therapeutic, ethical relationships is crucial, as is the ability to lead and collaborate with healthcare teams and other professionals Timely and accurate documentation of practice activities is essential, along with presenting patient information and conference materials in a clear, organized, and knowledgeable manner Engaging collaboratively with all personnel involved in surgical patient care enhances outcomes, while exhibiting leadership within the surgical team is vital Contributing to the educational efforts of neurosurgical residency through effective teaching and setting a positive example, as well as evaluating the performance of residency team members, are key components of fostering a competent healthcare environment.
Professionalism in healthcare involves demonstrating respect, compassion, and integrity while prioritizing the needs of patients and society over self-interest It requires a commitment to ethical principles, including the provision of clinical care, confidentiality, informed consent, and sound business practices Healthcare professionals must be sensitive to patients' diverse cultures, ages, genders, and disabilities, and exhibit professionalism through the timely completion of administrative tasks such as evaluations and medical documentation Maintaining positive relationships and demonstrating accountability for one's actions and decisions are also essential aspects of professionalism in the field.
Systems-based practice emphasizes the interconnectedness of patient care and professional practices within the health care system, highlighting their impact on fellow professionals, organizations, and society at large Understanding how these elements influence individual practice is crucial, as different medical practices and delivery systems vary in their approaches to controlling costs and resource allocation It is essential for the surgical team to integrate ethical, legal, economic, and social considerations into all aspects of surgical care Practicing cost-effective health care while maintaining quality is vital, alongside advocating for patients and helping them navigate system complexities Collaboration with health care managers and providers is necessary to assess, coordinate, and enhance health care delivery, ultimately improving system performance.
1 Patient Care a Weekly basic science conference b Evaluations by faculty (including mid-rotation feedback sessions) c Attending rounds
To ensure comprehensive medical knowledge, residents are required to complete the Annual Written Board Exam (ABNS primary exam) for credit They receive written evaluations from faculty, which include mid-rotation feedback sessions, and participate in weekly conferences for faculty assessment Additionally, attending rounds and presenting at Surgical Case Conferences are essential components of their training and evaluation process.
3 Practice-Based Learning a Faculty evaluation b Monthly M&M c Weekly attending rounds d Journal Club
4 Interpersonal Relationships and Communication a Faculty evaluations b Self-evaluations c 360 evaluations
5 Professionalism a Faculty critique of weekly general surgery conference b 360 evaluations c By faculty (including mid-rotation feedback sessions) d By other resident staff members
6 Systems-Based Practice a Faculty evaluation b Input from mid-level practitioners, nurses, 360 evaluations
PGY-6 residents are expected to independently perform a range of advanced surgical procedures with minimal supervision, including craniotomies for brain tumors, intracranial vascular lesions, and pain management They should also take on leadership roles by guiding junior residents through these cases Similar to the responsibilities of PGY-5 chief residents, PGY-4 residents must be familiar with the ACGME competencies and procedural skills, striving to gain hands-on experience and enhance their mastery of these critical techniques.
Department of Neurosurgery Residency Program | III EDUCATIONAL GOALS AND OBJECTIVES FOR
Rotations by levels encompass a variety of surgical procedures, including craniotomy for trauma, endovascular and interventional techniques for cerebrovascular and neuro-oncologic conditions, and both open and endovascular extracranial vascular procedures Functional procedures and radiosurgery are also included, alongside transsphenoidal approaches for sellar and parasellar tumors using microscopic and endoscopic techniques Key interventions such as ventriculoperitoneal (VP) shunt placement and anterior and posterior cervical decompression and stabilization are essential, as well as interventional spinal procedures, lumbar discectomy, and peripheral nerve surgeries Thoracic and lumbar instrumentation and fusion, pediatric craniotomy for brain tumors, and spinal procedures for conditions like Chiari malformation, dysraphism, tumors, and syringomyelia are vital for both adult and pediatric deformity correction Additionally, pediatric VP shunt procedures and craniotomies for epilepsy in both adult and pediatric patients are critical components of this surgical rotation framework.
PGY-5/Chief Year: Neurosurgery Clinical Rotation
PGY-1 Trauma (1 month)
b Written evaluation by faculty (including mid-rotation feedback sessions). c Faculty evaluation, weekly conferences d Attending rounds
Department of Neurosurgery Residency Program | III EDUCATIONAL GOALS AND OBJECTIVES FOR
ROTATIONS BY LEVELS 40 e Presentation at Surgical Case conferences
3 Practice-Based Learning and Improvement a Faculty evaluation b Weekly M&M c Weekly attending rounds d Journal Club
4 Interpersonal Relationships and Communication a Faculty evaluations b Self-evaluations c 360 evaluations
5 Professionalism a Faculty critique of weekly general surgery conference b 360 evaluations by nursing c By faculty (including mid-rotation feedback sessions) d By other resident staff members
6 Systems-Based Practice a Faculty evaluation b Input from mid-level practitioners, nurses, 360 evaluations
PGY-5 residents in neurosurgery must demonstrate proficiency in a comprehensive range of procedural skills as outlined by ACGME competencies, requiring minimal supervision during their performance They should be capable of leading junior residents in various cases, enhancing their own mastery through hands-on experience Key procedures include craniotomies for brain tumors, vascular lesions, trauma, and pain; endovascular interventions; functional surgeries; radiosurgery; transsphenoidal approaches; ventriculoperitoneal shunts; cervical decompression and stabilization; lumbar discectomy; peripheral nerve procedures; thoracic/lumbar instrumentation and fusion; pediatric craniotomies; and spinal procedures for both adult and pediatric patients, including Chiari decompression and deformity correction.
Department of Neurosurgery Residency Program | III EDUCATIONAL GOALS AND OBJECTIVES FOR
IV SAMPLE YEAR OF ROTATIONS FOR PGY-1 NEUROSURGERY RESIDENT
The PGY-1 neurosurgery resident in Trauma must master the initial diagnostic evaluation and post-traumatic care of trauma patients through evidence-based practices They should be capable of performing minor procedures under supervision and effectively communicate with healthcare professionals and patients' families Key competencies include conducting thorough assessments, applying evidence-based management strategies, and fostering collaborative communication within the healthcare team.
Compassionate patient care involves demonstrating respect and empathy towards patients and their families, integrating patient preferences into decision-making, and developing tailored care plans for trauma patients Appropriate patient care requires accurate information gathering, critical evaluation of surgical candidates, and a solid understanding of diagnostic and therapeutic interventions Effective treatment includes assisting with medical procedures, promoting health, and coordinating care with interdisciplinary teams, particularly for critically ill patients Technical skills in patient care encompass knowledge of trauma management, performing thorough patient evaluations, and making timely decisions regarding operative procedures Additionally, developing competence in interpreting radiologic studies and establishing emergency airways is crucial for ensuring continuity of care and improving patient outcomes in trauma settings.
To excel in medical knowledge, it is essential to develop the ability to assess and manage patients with increased intracranial pressure promptly Understanding the various categories of shock—cardiogenic, hypovolemic, septic, tamponade, and tension pneumothorax—along with their etiology and pathophysiology is crucial A comprehensive grasp of multi-disciplinary care for trauma and critical care patients is necessary, as is knowledge of surgical infections, complications of acute surgical diseases, and their management Additionally, residents should possess a robust knowledge base to effectively teach students and demonstrate familiarity with surgical literature related to trauma and acute general surgery Ultimately, integrating basic medical knowledge into patient care and evaluating relevant scientific information is vital for effective practice.
Department of Neurosurgery Residency Program | IV SAMPLE YEAR OF ROTATIONS FOR PGY-1
A neurosurgery resident must exhibit surgical competence through extensive knowledge and advanced skills to achieve optimal patient outcomes It is essential to understand and apply principles of surgical continuity of care in managing trauma and critically ill patients Additionally, recognizing the natural history of surgical diseases and the impacts—both positive and negative—of surgical interventions is crucial for improving surgical outcomes Furthermore, integrating ethical, legal, economic, and social considerations into the comprehensive care provided by the trauma and critical care team is vital for effective patient management.
Practice-Based Learning and Improvement involves a systematic analysis of patient care practices, utilizing information about both individual patients and broader population data It requires the appraisal and integration of scientific evidence relevant to patient health issues, emphasizing the importance of understanding study designs and statistical methods to evaluate clinical research Surgeons must engage in practice-based improvement activities and leverage information technology for effective information management and ongoing education Additionally, fostering the learning of medical students and junior residents is crucial, alongside a commitment to lifelong learning to enhance surgical practice and improve patient care outcomes.
Effective interpersonal relationships and communication are essential in trauma and critical care settings, where healthcare professionals must demonstrate sensitivity and skill in counseling patients and their families Building and maintaining therapeutic, ethically sound relationships is crucial, as is the ability to lead and collaborate with the healthcare team Prompt and accurate documentation of practice activities is necessary for continuity of care, while presenting patient information in a clear, organized manner enhances understanding Engaging in collaborative interactions with all personnel involved in surgical patient care is vital, as is contributing to the education of surgical residents through effective teaching Additionally, evaluating the performance and competence of the surgical residency team ensures high standards of care and professional development.
Professionalism in healthcare involves demonstrating respect, compassion, and integrity while prioritizing the needs of patients and society above self-interest It requires a commitment to ethical principles, including the provision of clinical care, confidentiality, informed consent, and ethical business practices Healthcare professionals must be sensitive and responsive to the diverse cultures, ages, genders, and disabilities of their patients Timely completion of administrative responsibilities, such as evaluations and medical record documentation, is essential to uphold professionalism Maintaining positive relationships and demonstrating accountability for actions and decisions further reinforces the commitment to excellence and ongoing professional development in the field.
Systems-based practice involves recognizing the interconnectedness of patient care and professional practices within the healthcare system It is essential to understand how these practices impact not only other healthcare professionals but also the healthcare organization and society as a whole Being aware and responsive to these dynamics enhances overall patient care and promotes a more effective healthcare environment.
Understanding the impact of various system elements on medical practice is crucial for healthcare professionals It is essential to recognize the differences in medical practices and delivery systems, particularly in terms of methods for controlling healthcare costs and resource allocation Practicing cost-effective healthcare while ensuring high-quality care for trauma and critically ill patients is vital Advocating for quality patient care and helping patients navigate the complexities of the healthcare system is a key responsibility Collaborating with healthcare managers and providers to assess, coordinate, and enhance healthcare services can significantly influence overall system performance.
PGY1 residents are essential in diagnosing and managing trauma and critically ill patients They engage in numerous procedures, including complex wound closures, central line placements, and chest tube insertions Additionally, they must demonstrate proficiency in managing both penetrating and blunt neck injuries while assisting senior residents and attending physicians during laparotomies for trauma cases.
PGY-1 Critical Care (1 month)
Department of Neurosurgery Residency Program | IV SAMPLE YEAR OF ROTATIONS FOR PGY-1
The management of critically ill surgical patients with multiple medical problems requires a comprehensive care plan that includes triaging patients effectively and understanding the roles of physicians, nurses, and administrators in the ICU Surgeons play a pivotal role in critical care, leading treatment interventions based on clinical and laboratory changes Initial evaluations and ongoing monitoring of neurologic or behavioral abnormalities, such as seizures and delirium, are crucial, along with clear criteria for patient admission and discharge from the ICU Identifying potential organ and tissue donor candidates and understanding hospital protocols for family contact are essential components of care Clinicians must recognize the normal physiological responses to stressors like sepsis and trauma, while also discussing the pharmacotherapeutics of various drugs used in critical care, including their mechanisms of action, effects, dosing, and potential complications Nutritional support methods and the principles of postoperative fever management should be outlined, alongside distinguishing septic shock from hypovolemic shock Lastly, treatment strategies for seizures and acute mental status changes must consider vital signs, laboratory values, and potential medication interactions.
Phenobarbital and Dilantin are critical in managing stress responses during acute events, alongside intravenous fluid management that accounts for metabolic, hormonal, cardiovascular, and renal changes High stress hormone levels significantly impact glucose metabolism, necessitating an understanding of low cardiac output and the distinctions between hypotensive and hypertensive states in relation to preload, pump, and afterload Specific fluid compositions and their losses must be discussed, along with indications for initiating ventilation support A review of respiratory physiology is essential to address ventilation and perfusion deficits, while analyzing ventilator mechanics, including various modes and triggering mechanisms, is crucial Monitoring devices such as arterial and central venous catheters, intracranial pressure monitors, and pulse oximetry provide vital information on hemodynamics, requiring an understanding of their measurement accuracy and costs Identifying and classifying acid-base disturbances in critically ill patients is necessary, along with strategies for correcting complex acid-base issues through appropriate intravenous fluid choices Preoperative assessments should predict a patient's critical care needs based on existing health conditions and surgical requirements Additionally, understanding tissue oxygen supply and demand involves calculating oxygen delivery and consumption, analyzing cardiac output effects, and examining hemoglobin contributions The evaluation and treatment of bleeding disorders, including DIC and thrombocytopenia, along with the implications of advanced liver disease and anticoagulant therapy misapplication, are vital Finally, therapy for endocrine-related issues in critical care, such as thyroid disorders and adrenal insufficiencies, must be clearly specified.
PGY-1 Neurosurgery Service (9 months)
Practice-based Learning
a Faculty evaluation b Weekly M&M c Weekly attending rounds d Twice weekly multidisciplinary teaching rounds
4 Interpersonal Relationships and Communication a Faculty evaluations b Self-evaluations c 360 evaluations
5 Professionalism a 360 evaluations b By faculty (including mid-rotation feedback sessions) c By other resident staff members
6 Systems-Based Practice a Trauma Surgery Case conference b Multidisciplinary teaching rounds c Department of Surgery M&M
PGY-1 Neurology Rotation (1 months)
The primary goals of the training program include achieving technical proficiency in essential index procedures and ensuring residents are competent in these areas Participants will learn to conduct thorough history and physical examinations, enhancing their clinical judgment and decision-making skills Additionally, the program emphasizes the importance of non-operative clinical judgment, effective data gathering, and the organization of case logs Residents will also focus on developing and implementing comprehensive patient care plans while honing their abilities to manage time and tasks efficiently.
The objectives of this article include conducting a thorough neurological examination, gaining foundational knowledge in diagnosing and managing status epilepticus, ischemic stroke, and intracranial hemorrhage Additionally, it emphasizes the importance of compassionately and clearly communicating diagnoses and treatment rationales to patients and their families Lastly, it aims to demonstrate the correct technique for performing a lumbar puncture.
The primary goals of this training are to enhance understanding of neurological conditions, including their differential diagnoses and relevant treatments Trainees will become familiar with common neurological disorders such as stroke, multiple sclerosis, and epilepsy, while also learning about the neurologic manifestations associated with prevalent medical illnesses Additionally, participants will gain insights into the neuropharmacology of medications used to treat these conditions, ensuring a comprehensive knowledge base for effective patient care.
The primary objectives of this article are to provide a comprehensive understanding of emergency management for neurological patients, focusing on the diagnosis, treatment, and triage of conditions such as hemorrhagic and ischemic stroke, status epilepticus, and Guillain-Barre Syndrome Additionally, it aims to cover essential procedures like lumbar puncture for both diagnostic and therapeutic purposes Furthermore, the article seeks to enhance familiarity with key neurodiagnostic techniques, including Electroencephalogram (EEG) and Electromyography (EMG), as well as relevant imaging studies.
3 Practice-Based Learning and Improvement
This article aims to enhance understanding of the organization and management of clinical databases and registries, while also emphasizing the importance of critically assessing effective treatments and technologies It highlights the necessity for healthcare professionals to investigate and evaluate patient care by appraising scientific evidence, ultimately striving for continuous improvement in patient outcomes Additionally, it underscores the effective use of information technology to document and gather medical information, supporting ongoing education and informed decision-making in clinical practice.
The objectives of this article are to showcase the ability to comprehend and analyze evidence related to management alternatives, ensure the secure maintenance of patient logs during neurology service, and recognize the importance of risk-benefit analysis in making informed clinical decisions.
Department of Neurosurgery Residency Program | IV SAMPLE YEAR OF ROTATIONS FOR PGY-1
Neurosurgery residents must grasp team organization and objectives while actively participating in and executing tasks aligned with their responsibilities They should exhibit strong communication skills with patients and families, fostering collegial interactions with physicians, nurses, technicians, and administrative staff Additionally, effective listening and the ability to elicit and convey information through nonverbal cues, clear explanations, questioning, and writing are essential for success in this role.
The primary objectives include gathering comprehensive data from written and verbal sources, including the referring provider, the patient, and the electronic medical record This information should be presented systematically to the attending physician Effective counseling for the patient and their family is essential, delivered with both clarity and compassion Additionally, it is important to consult other specialists as needed, ensuring communication is clear and effective Finally, all gathered data must be documented in the electronic medical record, summarizing findings in an organized and logical manner.
To achieve excellence in healthcare, it is essential to demonstrate initiative and a strong sense of responsibility while exercising empathy and responsiveness to the needs of patients and others Upholding a commitment to quality care is crucial, alongside exhibiting ethical behavior towards both patients and professional colleagues.
The primary objectives include taking responsibility for patient care, diagnosis, and treatment under suitable supervision, while ensuring compassionate communication with patients and their families Additionally, it is essential to prepare for and address patient care needs effectively Demonstrating a strong work ethic and professional demeanor in interactions with both patients and colleagues is also crucial for success in the medical field.
The primary goals are to showcase the ability to collaborate effectively within diverse healthcare delivery systems while treating patients across all age groups as part of a comprehensive care model Additionally, it is essential to exhibit a thorough understanding of risk-benefit analysis to ensure the provision of high-quality, cost-effective patient care.
The primary objectives include the implementation of practice guidelines to enhance patient care, demonstrating effective consultation and referral processes for optimal clinical management, utilizing accurate medical data to improve communication and patient management, and exhibiting a foundational understanding of community resources to address both short- and long-term patient needs.