Neurosurgery Residency Curriculum

PGY 1 - General Surgery internship and Neuro-intensive Care

  • Three months of General Surgery including plastic and reconstructive surgery, vascular surgery and surgical ICU
  • Three months of Neurointensive care under the supervision of Dr. Panayiotis N. Varelas, Director of the Neurointensive Care Unit
  • Three months of Neurology
  • Three months of Neurosurgery

PGY 2/4/6 - Clinical Neurosurgery years

  • Call this year is one in four in-house. Approximate number of operative days is 10 per month. The junior resident can expect to perform about 200 cases this year. Call duties include ICU calls, floor and ER consults, as well as management of post-operative patients. Floor responsibilities are minimized with the assistance of four PAs. The junior resident spends three-month rotations with each of the subdivisions of the clinical service designated:
    • Clinical services at HFH main campus include:
      • Neuro-oncology/Spine/Epilepsy - Drs. Rock, Lee, Seyfried, Schwalb and Air
      • Neuro-vascular/Trauma/Spine - Drs. Mahmood, Kole and Abdulhak
    • Clinical services at West Bloomfield campus include:
      • Neurooncology/Spine/Vascular/Functional- Drs. Malik, Kalkanis, Chedid, Schwalb, Seyfried
  • The resident takes neurosurgery written boards for self-assessment every year and for credit at PGY 5

PGY 3 - Clinical electives

  • Four months of Pediatric Neurosurgery at Cincinnati Children's Hospital
  • Three months of Functional Neurosurgery
  • Three months of Peripheral Nerve Surgery at University of Michigan
  • Two month of Neuroradiology and Endovascular

PGY 4 - Second clinical Neurosurgery year

  • The PGY 4 year is another clinical year, similar to the PGY 2 year, but with more responsibility and particularly more advanced training in the operating room. During this year, the residents have increasing opportunity to be first assistant in the operating room and actually perform surgical procedures as the primary surgeon with the senior staff. Both PGY 2 and PGY 4 years include extensive experience with critical care patient management in the dedicated neurosurgical intensive care unit. During this year each resident chooses a research mentor and starts planning for projects during the PGY5 research year.

PGY 5 - Research and clinical electives

  • One month of Radiation Oncology under the supervision of Salim Siddiqui, M.D., Ph.D.
  • 11 months of clinical or basic research at the resident's discretion. The research project is determined towards the end of the PGY-4 year.
  • One month of Neuropathology consisting of lectures three days/week from 7 to 9 am
  • This year is protected from call responsibilities except for when a junior resident on service is on vacation. The resident attends the RUNN (Research Updates in Neuroscience for Neurosurgeons) course during this year.

PGY 6 - Senior clinical Neurosurgery year

  • 12 months at Henry Ford Hospital - West Bloomfield Campus, a Henry Ford community satellite - During this rotation, the resident works primarily with Drs. Malik, Kalkanis, Chedid, and Seyfried with a focus on vascular, oncology and spine surgery. There is strong non-physician practitioner support at West Bloomfield allowing the resident to participate extensively in the operating room and out-patient clinics.

PGY 7 - Chief Neurosurgery year

  • This year the resident functions as the chief resident. It is during this time that the resident has the opportunity to learn supervisory techniques. The resident works directly with the Chairman and Program Director for six months each and has the responsibility to supervise their respective service. The chief resident who works with the Chairman also has the administrative responsibility for coordinating conferences, Morbidity and Mortality rounds, and the operative schedule for the entire department. The remaining 6 months are spent running the Vascular/Spine service. The chief residents have the opportunity to work with all faculty and to be involved with the more complex neurosurgery problems. During this time the resident also assumes a more direct role in decision-making at the outpatient level with every patient and has the responsibility to directly follow these patients in the hospital and in the postoperative clinic. During this year the resident is again focused on continuity of patient care with the resident participating in preoperative and postoperative assessment and on development of operative techniques with increased responsibility in the operating room.
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