PGY - 3


The trainees are considered "junior residents" during their R2 and R3 years. These years are clinical in nature and represent the trainee's initial intense exposure to Neurosurgery. During the 24 month period, each resident will complete:

  • 12 months clinical Neurosurgery at University of Iowa Hospitals and Clinics
  • 6 months clinical Pediatric Neurosurgery at University of Iowa Hospitals and Clinics
  • 6 months clinical Neurosurgery at the VA Medical Center

Patient care:

  1. Perform thorough history, physical, and neurological examinations with complete, accurate and timely documentation.
  2. Understand indications for and interpret lab and imaging studies.
  3. Counsel patients appropriately for obtaining informed consent for all neurosurgical procedures.
  4. Learn operative skills needed to perform more advanced neurosurgical procedures (e.g. ACDF, tumor craniotomy, lumbar instrumentation).
  5. Generate and implement patient care plans under chief resident and/or faculty supervision.
  6. Provide exemplary patient care as part of a neurosurgery team.

Medical Knowledge:

  1. Pass ABNS written examination at above the 10th percentile.
  2. Continue an effective self-study reading program including textbooks and literature.
  3. Demonstrate advanced knowledge of anatomy, physiology, and pharmacology related to peri-operative neurosurgical patients.
  4. Demonstrate complex and appropriate neurosurgical problem solving and decision making.


  1. Demonstrate professional behavior at all times including appearance, promptness, and interactions with patients, family, staff, and healthcare providers.
  2. Demonstrate sensitivity and responsiveness to patients' culture, age, gender, and disabilities.
  3. Demonstrate integrity and a commitment to patients that supercedes self interest.

Communication & Interpersonal skills:

  1. Provide compassionate patient care as determined by patients, families, colleagues, and ancillary members of the health care team.
  2. Work effectively as a member of a health care team, including teaching of medical students, residents, and ancillary healthcare providers.
  3. Meet expectations on all 360 evaluations.

Systems-based practice:

  1. Understand the practice of neurosurgery in a quaternary care hospital, including interactions with other health care organizations and how these elements of health care affect the university practice.
  2. Advocate for quality patient care and assist patients in dealing with healthcare system complexities.
  3. Practice cost-effective health care and resource allocation through evidence-based medical practice that does not compromise quality of care.
  4. Maintain a learning portfolio.

Practice-based learning:

  1. Demonstrate advanced information technology skills to access available patient-care and educational resources.
  2. Demonstrate an ongoing ability to learn from errors.
  3. Locate, appraise, and assimilate evidence from scientific studies related to clinical neurosurgical practice and neuroscience research.