PGY - 1

Overview

This is directed at acquiring fundamental clinical skills as required by the American Board of Neurological Surgeons (ABNS) and the Residency Review Committee (RRC). The year is organized as follows:

  • Neurosurgery: 6 months
  • Neuro-Otology
  • Surgical Trauma
  • Neurology Clinic/EEG
  • Critical Care
  • Neurology – Stroke Service
  • Neuro-Ophthalmology

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. Learn to counsel patients appropriately for obtaining informed consent.
  4. Learn basic operative skills such as tying, suturing, instrument and tissue handling.
  5. Manage common post-operative complications.
  6. Learn to provide exemplary patient care using a team approach

Medical Knowledge:

  1. Complete ABNS basic clinical skills requirements via rotations in neurosurgery, general surgery, neurology, neuro-ophthalmology, critical care and orthopedics.
  2. Pass USMLE step 3 examination.
  3. Establish an effective self-study reading program including textbooks and literature.
  4. Demonstrate a solid foundation of knowledge of anatomy, physiology, and pharmacology related to peri-operative surgical patients.
  5. Develop a foundation for clinical problem solving and decision making.

Professionalism:

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

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