Neurosurgery, Neurocritical Care, Neuroendovascular
During the first year, interns spend six months on the neurosurgery service. Residents rotate at both the Jacobs and Hillcrest Medical Centers where they gain competency managing the neurosurgical inpatient census. This role includes critical bedside procedures, such as external ventricular drains and lumbar punctures.
PGY-1 residents also function as the primary consult resident for in-patient neurosurgery where they learn how to appropriately triage acute trauma, emergency room, in-patient, and community transfer consults.
Per ACGME guidelines, the remaining six months are divided among the neurocritical care (NCC) service, neuroradiology, neuropathology, and endovascular neurosurgery. All of these services benefit from world-class faculty who provide direct instruction and supervision of neurosurgical trainees. These interdisciplinary efforts are reinforced with shared didactic conference schedules.
As an NCC resident, interns collaborate with rotators from anesthesiology, neurology, interventional radiology, and internal medicine residents to care for critically ill patients with a range of neurologic and multisystem injuries. As neuroendovascular residents, interns learn the procedural principles of diagnostic angiography and are exposed to management of various neuroendovascular pathology, such as large vessel occlusions, aneurysms, dissections, and vascular malformations.