PGY 2 - Junior Resident
- Rotate 12 months on the AGH clinical adult neurosurgery service.
- One day per week devoted to teaching in the outpatient clinics.
- Prepare and present at least one didactic national neurosurgical conference.
- Begin preparation of at least one manuscript/book chapter in close collaboration with neurosurgical faculty
- Introduction to fundamentals of clinical education by being involved in the teaching of rotating medical students and residents from other services.
- Take SANS on-line self assessment examination at www.sans.cns.org
- Complete AANS/SNS on-line courses/lecture series available at the American Association of Neurological Surgeons website, "Education and Meetings" section.
- Attend all mandatory neurosurgical and neuroscience conferences.
- Prepare one lectures each semester for journal club, ethics and spine conferences.
- Pass Step III of the USMLE test by June 30th.
- Take written neurosurgical boards for practice.
- Maintain case log thru ACGME site and provide all required documentation for resident portfolio.
Reading List, Supplemental Reading
- Acute Management of Cerebral Ischemia: Focal and Global
- Basic Operative Technique
- Management of the Patient with Spine Instability
- Death and Dying in the ICU: Patient and Family Interactions
- Communicating with Patients
- MR Imaging and MR Angiography
Goals and Objectives
The primary goal of the PGY2 neurosurgical year is to augment and establish fundamental competency in the clinical neurosciences and critical care, as well as to establish and augment basic surgical and neurosurgical skills during daytime work hours and when on call.
The NS-2 resident will have close, daily personal interaction with the teaching faculty for each patient with whom he/she is involved. Operating room responsibility/involvement is secondary to critical care, outpatient experience and attendance at didactic lectures in the NS-2 year.
Medical Knowledge - The resident will be able to:
- Perform comprehensive neurosurgical histories and physicals on patients with elective, traumatic, emergency and non-emergency neurosurgical diseases/disorders.
- Review indications and interpretation of laboratory and radiographic imaging (CT/MR) studies.
- Take call with senior and/or chief resident and the attending staff backup learning time management and prioritization skills.
- Management head and spine/spinal cord injuries.
- Know basic neuroanatomy, neurophysiology and neuroradiology as a foundation for clinical neurosurgical problem-solving and decision making.
- Gain knowledge of the ethics and socioeconomics of neurosurgery.
- Clinical Procedures. (Refer to “Exhibit A” for Specific Knowledge and Performance requirements)
Utilizing: Written Board Exam
AANS on-line courses
Oral Exam evaluations
Skull Base Lab workshops
Bi-annual core evaluations & technical proficiencies.
Patient Care and Assessment – the resident will be able to:
- Attend all scheduled outpatient clinics with assigned faculty performing outpatient neurosurgical evaluations/treatment plan, history & physicals and to address patient/family psychosocial issues.
- Round alone and with resident team members writing comprehensive daily progress notes documenting all aspects of patient evaluations and treatment decisions.
- Manage critical care neurosurgical patients with traumatic and non-traumatic disorders/diseases and achieve competencies in: ventilator management, arterial line placement, and central venous and Swan-Ganz catheter placements.
- Assist in major surgical procedures and achieve competency in: basic opening and closing techniques for craniotomies and spinal procedures, placement of ventriculostomies and intracranial pressure monitors, twist-drill craniostomy, lumbar puncture and lumbar spinal drains, tongs/halo placement.
- Keep track of log of all procedures performed.
Utilizing: Observed Exam (clinic and rounds)
Bi-annual core evaluations & technical proficiencies
Patient survey/ Feed back cards
Practice Based Learning – The resident will be able to:
- Do an analysis of complications and their avoidance thru active involvement in weekly morbidity and mortality conference.
- Establish evidence-based guidelines approach to neurosurgical patient care.
- Participate in clinical neurosurgical research projects to develop basic competencies in writing abstracts, book chapters and/or articles.
- Develop teaching skills with medical students/residents rotating through neurosurgery from other services and other members of the healthcare team.
- Develop a personal program of learning to foster continued professional growth and development with guidance from the teaching staff.
Utilizing: Journal Club with Statistics
Set New/Evaluate Old Goals
Yearly Scholarship Logs
Systems Based Practice – The resident will be able to:
- Utilize computer resources within the system to access information to enhance patient care.
- Apply evidence-based information to clinical decision making in a cost effective manner.
- Develop competency for medical records completion
Utilizing: QI Team Projects
Interpersonal and Communication Skills: - The resident will be able to:
- Effectively communicate with other members of the healthcare team, patients and patients’ families.
- Develop appropriate patterns of interaction with other members of the resident team.
- Focus on and develop a compassionate approach to deal with patients, their illness and to the patients’ families.
Utilizing: Observed Exam
Professionalism – The resident will be able to:
- Exhibit good work habits such as reliability, preparation, cooperation and efficiency.
- Demonstrate compassion, respect and consideration for the patients and their families.
- Demonstrate a high level of professionalism at all times.
Utilizing: Project Professionalism/AMA virtual Mentor
360 degree evaluation (non-neuro staff, residents, self)
The faculty will evaluate the residents on the core competencies and technical proficiencies bi-annually based on the goals and objectives outlined above