Department of Neurosurgery Curriculum: PGY-1

PGY 1/NS 1: Multiple Services

1. Neurosurgery NSUH: Residents become familiar with the workings of the hospital and the clinical neurosurgical service while they are mentored in basic clinical and operative skills.

2. Neurology: Residents learn to perform a comprehensive neurological history and physical examination, as part of the inpatient and consult services. They are taught concepts of anatomical and etiological localization of neurological disorders. The resident will understand fundamentals of such neurological problems as movement disorders, neuromuscular diseases, seizures, chronic pain and acute and chronic alterations of mental status.

3. Trauma: The Trauma service at North Shore University Hospital, a Level I Trauma Center, is run by a full-time team of trauma surgeons. Residents learn the basic principles of trauma management, following patients from the ER, through needed surgery, and the Surgical ICU.

4. Neurosurgical ICU: this experience provides the resident with focused training in concepts and skills of ICU management, including fluid and electrolyte balance, ventilation, alimentation, line placement, hemodynamic management of patients with cerebrovascular disease and the systems approach to complex patient problems. This includes the special context of neurological examination, the recognition of neurological and neurosurgical emergencies and the management of intracranial pressure and CSF drains.

5.General Surgery: Residents learn contemporary principles of general surgery including wound management, laparoscopic approaches and general operative skills.

6.Anesthesiology: Resident learn endotracheal intubation techiniques, principles of operative anesthetic management in the operating room, including intravenous and inhalational control of intracranial pressure and fluid and blood replacement.

7.Otolaryngology: Residents spend a month on the ENT service at Long Island Jewish Medical Center, which is the main resident teaching site for ENT residents in our System. Residents learn basic principles of the evaluation of patients with disorders of the head and neck and of the ears, and the indications for surgical versus medical management. This includes instruction in the principles of endoscopic surgery and the alternative of open surgical approaches to the anterior skull base.

8.Orthopedic spine: Residents spend a month on the Orthopedic Spine service at NSUH. He/she learns biomechanical principles appropriate for the management of patients with spinal disorders from the orthopedic viewpoint, and will understand the options of surgical versus nonsurgical management of such patients.