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PGY 1/Internship: For neurosurgery residents entering
at the intern level, we offer a neurosurgical internship that meets the
ACGME requirements of acquisition of fundamental clinical skills, including
at least 6 months of surgical disciplines other than neurological surgery.
Specific rotations vary from year to year based on the intern's needs
and the quality of available rotations. Surgical rotations typically include
General, Trauma, Plastic, Pediatric, ENT, and Orthopedic Surgeries. The
Neurology requirements for Neurosurgery residency are often met during
this year with rotations on Ambulatory Neurology, Neuroophathalmology
and Pediatric Neurology. Non surgical rotations include Intensive Care,
Emergency Medicine, and Endocrinology. The intern will spend at least
one month on the Neurosurgical service.
PGY 2/NS 1: Six (6) months of clinical neurosurgery on
the cerebrovascular, spinal, trauma service, pain/functional/stereotactic
surgery; six (6) months on pediatric neurosurgery service.
The first year resident works under the supervision of the chief resident
and faculty at the University Hospital. During this year he/she is responsible
for the work-up of all patients on the assigned service including most
adult neurosurgery patients. He/she is involved in establishing diagnosis
and treatment plans as well as performing diagnostic studies such as myelograms
and lumbar punctures. He/she performs minor surgical procedures such as
peripheral nerve decompressions, burr holes, ventricular punctures and
simple biopsies. This resident is actively involved in intensive neurosurgical
critical care, monitoring techniques and post-operative patient management
under the supervision of the chief resident. He/she is involved in conference
presentations and student teaching. The last six (6) months of his first
year are on the pediatric neurosurgery service.
During the second six months of the first year, the junior resident works
under the supervision of the attending staff responsible for the pediatric
neurosurgical patients. He/she is involved in the admission and work-up
of all pediatric patients. He/she participates in diagnosis and treatment
plans, as well as reviewing diagnostic studies. He/she assists and performs
surgical procedures in the operating room to the level of his/her abilities.
This resident is responsible for the pediatric neurosurgical clinics,
including; craniofacial, brain tumor and spina bifida clinics.
PGY 3/NS 2: Six(6) months of pediatric neurosurgery service.
Six (6) months of clinical neurosurgery on the cerebrovascular, spinal,
trauma service, pain/functional/stereotactic surgery.
In the first six months of the second year, the junior resident continues
on the pediatric service. His/her responsibilities and expectations become
somewhat more advanced as he/she develops basic competency in the care
of pediatric patients.
During the second six months of the second year, the resident returns
to the adult service. At this time, he/she is spending more time in the
operating room, particularly on spinal and fundamental cranial surgery.
PGY 4/NS 3: The third neurosurgical year is considered
the research year. Residents become involved in ongoing basic science
research and are encouraged to initiate clinical science projects of personal
interest. During this year, the resident is expected to take a more active
teaching role in the weekly basic science/board review conference. This
year offers more opportunity to attend conferences held at UMMC and in
the community in related disciplines such as Neurology, Neuropathology
and Neuroradiology. This resident may also attend the Cook County Board
Review Course and other educational opportunities directed specifically
towards the Neurosurgery Board Examination that residents take for assessment
each year until it is taken for credit and passed. Clinical rotations
can be arranged during this year to fulfill any persisting requirements.
The resident remains clinically active during this year by participating
in the routine Neurosurgery in house call rotation.
PGY 5/NS 4: The resident at this level assumes a more
senior role on the adult and pediatric neurosurgical services. This resident
is assigned to one subspecialty area within Neurosurgery (Vascular, Oncology,
Pediatrics, Trauma, Spine, Function/Stereotactic, Intensive Care) for
one or two month blocks at a time. This year is dedicated to development
of advanced diagnosis and management skills. The resident is expected
to work towards completion of research projects started in the previous
year.
PGY 6/NS 5: Senior resident at the VA hospital. General
adult neurosurgery.
The senior resident at the VA Hospital is responsible for all neurosurgical
patients and activities at the VA Hospital. This involves: 1) the neurosurgical
clinics, 2) the emergency room, and 3) all admissions and consults at
this institution. This resident is expected to evaluate all patients,
to initiate treatment plans, and to be responsible for any operative intervention
of these neurosurgical patients. VA teaching conferences require direct
participation of this resident. This resident is also assigned to the
adult spine service, attending spine clinic, participating in spine conference
and performing elective spinal surgery.
PGY 7/NS 6: Chief resident of the entire neurosurgical
service at the University Hospital.
The chief resident on the neurosurgical service at the University Hospital
is the administrative resident of the entire program. This resident's
responsibilities include organizing and scheduling teaching conferences,
teaching residents and medical students, and scheduling presentation of
patients to attending and consultants. Educational programs such as journal
clubs, grand rounds, and special lectures are the responsibility of this
resident. At this level of training, the resident is expected to perform
complex procedures such as clipping aneurysms, skull base surgery and
epilepsy surgery.
Note: Due to Mississippi licensure requirements, all applicants must
submit both the USMLE Steps 1 and 2 results before an interview can be
granted.
Note: Call schedule for all neurosurgery residents adheres
to the ACGME mandate. The call schedule for junior residents averages
every fourth night for in-house-call with the frequence being less in
most cases. Chief resident and senior resident alternate home-call every
two nights and every other weekend. Residents attend all national meetings
at which they have a oral paper or poster presentation.
CONFERENCE SCHEDULE
The Neurosurgical Clinical Conference (Wednesdays at 7:00 AM)*
Basic Science Conference (Wednesdays at 9:00 AM)*
Neuropathology Conference (4th Wednesday of each month)*
Faculty Staff / M & M Conference (Last Wednesday of each month)*
Neurological Conferences (Neurosurgery/Neurology Grand Round - Wednesdays
at 8:00 AM)*
Neuroradiological Conference (Weekly)
Neurosurgery Journal Club (final week of each month )*
Neurovascular Conference (Residents and Faculty - Wednsedays at 4:00 PM)
Epilepsy Conference - Adult (Every other week on Monday at 8:30 AM)
Epilepsy Conference - Pediatric (Every 1st and 3rd Thurdays of each month
at 8:00 AM)
Craniofacial Conference ( Last Friday of each month at 2:00 PM)
Prenatal Disorders Conference (2nd Thursday of each month at 12:00 PM)
Neuroscience Research Conference ( Monday 9:30 AM)
Pediatric Tumor Board (Wednesday 3:00 PM)
Multidisciplinary Discharge Planning ( Monday 8:00)
Mandatory for all residents *
CLINICS
Weekly
Adult Neurosurgery Clinic 5 - Monday
Pediatric Clinic - Friday, AM
VAMC Clinic - Friday
Monthly
Blake Myelomeningocele
Multidisciplinary Clinic -1st & 2nd Thursday
Pediatric Brain Tumor Clinic
Multidisciplinary - 4th Thursday
FACILITIES
University Hospital
Batson Hospital for Children
Veteran's Administration Hospital
Methodist Rehabilitation Hospital
Wiser Hospital for Women and Infants
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