Neurosurgery PGY-4

Patient Care:

The senior resident will develop the ability to:

  • Gather essential and accurate information about all presurgical patients, either directly or through the management of more junior residents
  • Understand indications for and interpret the meaning of all laboratory studies and imaging used in neurosurgery
  • Devise patient care plans at a level approaching that of an independent neurosurgeon, under appropriate supervision from the chief resident and attending surgeons; and also guide more junior residents in the evaluation and management of patients
  • Establish and implement effective patient-care plans, assuming, at times, the role of primary leader on the neurosurgery service, under appropriate supervision of a chief resident or an attending surgeon
  • Counsel patients on the risks, goals, limits, and alternatives to all neurosurgical procedures
  • Demonstrate the ability to perform many major neurosurgical procedures at an independent level, under appropriate supervision of a chief resident or attending surgeon
  • Manage and administrate the complexities of a large clinical and academic service

Medical Knowledge:

The senior resident will develop the ability to:

  • Score above 400 on the ABNS primary examination
  • Demonstrate an advanced knowledge of anatomy, physiology, and pharmacology related to all aspects of neurosurgery
  • Demonstrate a familiarity with the neurosurgical literature approaching that of an independent surgeon capable of life-long learning
  • Manage and lead academic conferences
  • Participate actively and lead conferences in a manner that demonstrates a high level of global awareness regarding clinical neurosurgery, basic and applied research, and understanding of the literature, neurosurgical education, and program building

Practice-Based Learning and Improvement:

The senior resident will develop the ability to:

  • Manage and administrate the complexities of a large clinical and academic service
  • Develop skills as a program builder and an administrator of the neurosurgical service
  • Demonstrate a solid evidence-based approach to patient care at the level of a practicing surgeon
  • Demonstrate sound habits of personal scholarship and inquiry

Interpersonal and Communication Skills:

The senior resident will develop the ability to:

  • Assist the Chief Resident, PD and faculty in overseeing the personal, academic, and clinical growth and development of junior residents
  • Instruct and nurture junior residents in all aspects of neurosurgical patient care (outpatient, inpatient, and ICU settings)
  • Demonstrate the ability to interact with many different health care personnel with efficiency and efficacy in the pursuit of patient care and service management
  • Demonstrate leadership skills in the management of more junior residents
  • Present a summary of the resident's activities in clinical or basic research at the end of the year during a dedicated institution of neurosurgical research forum

Professionalism:

The senior 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, serving as primary neurosurgeon
  • Participate meaningfully in ongoing professional development by submitting research for peer review to journals and national professional meetings

Systems Based Practice:

The senior resident will develop the ability to:

  • Demonstrate an understanding of practice opportunities, practice types, health care delivery systems, and medical economics at a level that approaches that of an independent neurosurgeon
  • Advocate high-quality patient care and assist patients and the responsible junior residents in dealing with system complexities
  • Guide junior residents in the practice of cost-effective health care and resource allocation through evidence-based medical practice that does not compromise quality of care
  • Understand practice management issues such as patient processing, evaluation and management coding, procedural terminology, documentation of services rendered, and other reimbursement process related issues in both inpatient and outpatient settings, serving as the primary provider of care