按年级划分的课程

神经ICU轮转(3个月):

Interns are expected to rotate and round in the Neuro ICU for a 3-month block. 在此期间, they will be exposed to a Systems-Based Practice approach for taking care of patients critically ill from neurologic disease. 这个轮岗是星期一到星期五. They will be expected to arrive by 7am to receive sign-out from the Neuro-ICU night float and may be expected to stay until 7pm to give sign-out. 在周末, interns may be expected to work one day with the Neurosurgery team to be determined by the chief residents.

神经科学轮转(3个月):

Interns will experience a 3-month long experience in the Neurosciences with rotations in a variety of specialties including Anesthesia, 中风神经学, Neuro-Ophthalmology, 神经介入, 神经放射学, 和姑息治疗. During this block, interns will begin to take buddy call overnight with more senior residents.

神经外科轮转(6个月):

实习生将在神经外科服务部门轮岗，为期6个月. During the first three months the intern will focus on learning to see consults and performing procedures under the supervision of more senior residents and advance practice practitioners. During the second three months interns will begin to assume more responsibility by seeing consults independently and holding the service pager. 实习生可能会被要求每周工作一个周末. During the second 3 months interns will start to take overnight buddy call with more senior residents.

在这一年, residents must complete a one-year rotation on the neurosurgical service at 上州医科大学 (UMU) as a junior resident. The PGY-2 resident is primarily responsible for all neurosurgery inpatient care under direction of the Chief Resident(s) and Attending Neurosurgeons.

在这一年, residents will split their time between the VA hospital and University Hospital. 在退伍军人医院, 住院医师对住院病人负主要责任, 门诊, 以及神经外科手术服务. 在大学医院, the PGY-3 residents will be assigned to operative cases by the chief resident, but will continue to take primary responsibility for all neurosurgery inpatient care when the PGY-2 resident is post-call or on vacation, 包括对实习生和医学生的培训.

在这一年, residents will take a more senior role at University Hospital with operative cases and inpatient care, 在退伍军人医院额外轮岗, 根据需要. The PGY-4 residents are expected to focus on building their operative skills, however are still expected to help the more junior residents in teaching and assisting with difficult bedside procedures.

VA医院轮转期望:

• Residents are responsible for all inpatient, consults, clinic and OR cases at the VA. 预计覆盖时间为周一至周五上午5:30至下午5:30 (PC).
• During this rotation residents will gain more experience in patient selection for elective cases and will have the opportunity to follow patient’s longitudinally through pre-operative counseling, peri-procedural保健, 术后护理(PC), 出版广播公司, P, ICS).
• 了解VA卫生系统与其他轮岗的差异(SBP)

今年居民将有12个月的选修时间. 在此期间 residents are expected to engage in basic science or clinical research (出版广播公司). 时间也可以用来参加临床活动, such as completing additional ICU training to be eligible for Critical Care CAST certification upon graduation. Plans for elective time must be discussed and approved by the Program Director before the end of the PGY-4 year (P). 理想情况下，这些讨论早在PGY 2或3年就开始了. On-call activities will be divided between junior and chief call as judged by readiness as determined by PD and Chief Resident(s). The resident is expected to work on call in a more independent fashion including in the operating room (PC, 出版广播公司). The PGY-5 resident will typically be the resident representative to GME committees and also participate in resident applicant interviews (SBP, 出版广播公司, P, ICS)

Residents at the PGY-6 level must have passed the primary written board exam before starting PGY-6 and then complete a twelve-month rotation as Chief Resident on the neurosurgical service at University Hospital. Chief residents are expected to demonstrate competency in all major neurosurgical procedures encountered during training, 尤其是成人和儿童的血管疾病的开颅手术, 恶性和良性脑肿瘤, 脑功能障碍的神经调节和消融技术, decompression and fusion for degenerative spine disease including deformity correction, 硬脊膜内及硬脊膜外肿瘤切除术, 脊柱创伤的外科治疗. 除了, 内窥镜检查能力, 血管内, 必须获得放射外科技术(PC).

Chief residents are responsible for overall management of the inpatient University service and coordinate care between junior residents and Advance Practice Practitioners (SBP, P, ICS). They will communicate daily with the attending physicians and supervise procedures performed by junior members of the neurosurgery team. 在住院门诊, the Chief residents in conjunction with the attending will direct junior residents and students in the evaluation and disposition of patients (出版广播公司, P, ICS). The Chief residents are responsible for scheduling resident teaching conferences as well as resident on-call schedules (P, ICS). 总住院医师主要负责报告M&M conference and to participate in Quality reviews under the direction of the Department Chief Quality Officer (出版广播公司, P)

During the final year, residents will have an additional 12 months of elective time. During this period of time residents are again encouraged to engage in research projects, but are also encouraged to engage in additional clinical rotations and activities that are tailored to their interests and plans after graduation (PC, SBP, 出版广播公司, P).