Neurosurgery PGY-2

Neuro Critical Care

Patient care:

The resident will develop the ability to:

  • Perform and document a comprehensive general and neurocritical care history and physical examination
  • Practice advanced critical care skills as required for inpatient neurocritical care.
  • Understand the indications for and interpret the meaning of presurgical laboratory studies and imaging
  • Develop patient care plans appropriate to a patient's presenting problems or postoperative course in consultation with the chief resident or attending neurocritical care specialist
  • Establish and implement effective patient care plans
  • Counsel patients on the risks, goals, limits, and alternatives to simple neurocritical care procedures and more complex procedures under supervision of the chief resident or attending neurocritical care specialist
  • Perform selected advanced neurocritical care procedures under indirect supervision (e.g., ventriculostomies, intubation, lumbar puncture)
  • Work with health care professionals composing the neurocritical care team and other members of the health care team from other disciplines

Medical Knowledge:

The resident will develop the ability to:

  • Initiate a program of independent study in preparation for the ABNS primary examination
  • Demonstrate a solid foundation of knowledge of anatomy, physiology, and pharmacology related to inpatient neurocritical care or neurocritical care patients
  • Correctly interpret basic laboratory and radiological studies
  • Demonstrate a growing familiarity with classic and current aspects of the neurocritical care literature
  • Demonstrate a foundation for clinical neurocritical care problem solving and decision making

Practice-Based Learning and Improvement:

The resident will develop the ability to:

  • Demonstrate an ongoing and improving ability to learn from errors
  • Locate, appraise, and assimilate evidence from scientific studies related to common neurocritical care problems
  • Identify areas of neurocritical care practice where current knowledge is inaccurate or inadequate, and participate in clinical studies to improve the general fund of knowledge in neurocritical care
  • Construct and implement educational goals for instruction in different elective fields (e.g., neurology, neuropathology, neuroradiology, radiosurgery, endovascular neurosurgery)

Interpersonal and Communication Skills:

The resident will develop the ability to:

  • Provide compassionate ward and outpatient care as determined by patients, families, colleagues, and auxiliary health professionals
  • Work effectively as a member of a health care team
  • Communicate effectively with other health care professionals on consulting services

Professionalism:

The resident will develop the ability to:

  • Demonstrate sensitivity and responsiveness to patients' culture, age, gender, and disabilities
  • Demonstrate integrity and a commitment to patients that supercedes self interest
  • Begin to participate meaningfully in ongoing professional development by developing an interest and skills in research activities that will eventually lead to future submission of papers for peer review to journals and national meetings

System Based Practice:

The resident will develop the ability to:

  • Understand the university-based practice of neurocritical care, including its interactions with other health care organizations and how these elements of health care affect the university practice
  • Advocate for quality patient care and assist patients in dealing with system complexities
  • Practice cost-effective health care and resource allocation through evidence-based medical practice that does not compromise quality of care