PGY - 6


This year is structured to meet all of the Chief Resident Year requirements of the ABNS and the RRC. The Chief Resident has major or primary responsibility for patient management with faculty supervision and spends each day in the Operating Room. Patients are provided a clear understanding that the Chief Resident will be involved in decisions conceding their diagnosis as well as any operative procedures and follow-up care. The Chief Resident is administratively responsible for the direct supervision of the junior residents on the clinical service and rotates call equally with the other Chief Resident.

Patient care:

  1. Properly interpret all lab and neuroimaging studies.
  2. Counsel patients appropriately for obtaining informed consent for complex neurosurgical procedures.
  3. Refine operative skills needed to perform advanced neurosurgical procedures.
  4. Guide all aspects of patient management with faculty supervision.
  5. Provide exemplary patient care as a leader of a neurosurgery team, with delegation of appropriate tasks.
  6. Effectively teach students, nurses, and colleagues basics of neurosurgical patient care.

Medical Knowledge:

  1. Demonstrate advanced knowledge of all aspects of inpatient and outpatient neurosurgical practice.
  2. Demonstrate complex, efficient 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 leader of a health care team.
  3. Meet expectations on all 360 evaluations.

Systems-based practice:

  1. Lead the practice of neurosurgery in a quaternary care hospital.
  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. Demonstrate advanced knowledge of neurosurgical literature and apply this to clinical decision-making and patient management.
  4. Effectively organize and conduct neurosurgical departmental and interdisciplinary conferences.