Division of Neurosurgery   
Phone: 217-545-8000
FAX: 217-545-0253 
Email: neurosurgery@siumed.edu 
Make an Appointment

Neurosurgery

Residents will rotate following this proposed block diagram:

PGY-1

PGY-2

PGY-3

PGY-4

PGY-5

PGY-6

PGY-7

Jul

Neurosurg

Neurosurg

Neurorad

Neurosurg

Neurosurg

Elective

Neurosurg

Aug

Neurorad

Neurosurg

Neurorad

Neurosurg

Neurosurg

Elective

Neurosurg

Sep

Anesthesia

Neurosurg

Neurorad

Neurosurg

Neurosurg

Elective

Neurosurg

Oct

Neurocritical Care

Neurosurg

Neuropath

Neurosurg

Neurosurg

Elective

Neurosurg

Nov

Neurocritical Care

Neurosurg

Neuropath

Neurosurg

Neurosurg

Elective

Neurosurg

Dec

Neurocritical Care

Neurosurg

Neuropath

Neurosurg

Neurosurg

Elective

Neurosurg

Jan

Ortho

Neurosurg

Neuro-endovasc

Neurosurg

Neurosurg

Elective

Neurosurg

Feb

Plastic Surgery

Neurosurg

Neuro-endovasc

Neurosurg

Neurosurg

Elective

Neurosurg

Mar

Trauma

Neurosurg

Neuro-endovasc

Neurosurg

Neurosurg

Elective

Neurosurg

Apr

Neurology

Neurocritical Care

Neurosurg

Neurosurg

Neurosurg

Elective

Neurosurg

May

Neurology

Neurocritical Care

Neurosurg

Neurosurg

Neurosurg

Elective

Neurosurg

Jun

Neurology

Neurocritical Care

Neurosurg

Neurosurg

Neurosurg

Elective

Neurosurg

Critical Care:

PGY-1 residents will receive training in basic procedures used in critical care in the SIU surgical skills lab.  PGY-1 residents will also rotate for one month each in Neurosurgery, Neuroradiology and Anesthesia to help them prepare and gain proficiency in skills required for Neurocritical care.  They will then rotate for three months on the Critical Care service where they are expected (in a graded fashion over time, consistent with their learning process) to manage critical care issues for all patients with neurological problems.  The resident’s second experience in Neurocritical Care will be for an additional three months at the end of their PGY-2 year when they will have added experience and therefore will be able to take on added responsibility compared to their experience in the PGY-1 year. 
SIU is currently in the process of recruiting two Neurologists who will be dedicated solely to neurological/neurosurgical critical care.  These individuals will also be members of the faculty of the Division of Neurosurgery and will have responsibility to supervise the training of residents at all levels of the neurosurgical residency.  Each Neurosurgical faculty member will share responsibility for the care and management of critical care neurosurgical patients with the Neurocritical care team.

Progressive Surgical Responsibility and Experience:

Residents at all levels will be involved with the preoperative care, the intraoperative care and postoperative care of all patients on the neurosurgical service.  Preoperative decisions both in the clinic and in the hospital setting, will be made by resident assigned to each particular patient.  Residents will be expected to commit to a plan of treatment (either operative treatment or non-operative treatment)  and postoperative care before the patient undergoes treatment.  This plan is discussed with the patient’s attending neurosurgeon/faculty member and revisions of the plan will be made as appropriate before treatment is actually started.  When appropriate, the resident will be expected to review and/or demonstrate knowledge of the literature concerning each case and be able to discuss this with the faculty member before surgery.  Residents will not be allowed to take an active part in any neurosurgical operation until he/she can demonstrate a knowledge of the anatomy and expected surgical pathology anticipated for each case.  As the resident progresses through the residency program, the resident will be expected to deal with more complex cases and neurosurgical situations as they arise.