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Rotation Schedule - Neurosurgery at MedStar Georgetown

Internship:

This year is important in providing the necessary background knowledge and skills to begin training in neurosurgery as a junior resident. It includes rotations in of general surgery, trauma and critical care. Three months are spent in neurology and another three as the intern on the MedStar Georgetown neurosurgery service. The residents are expected to develop basic surgical skills, learn techniques for procedures in the intensive care unit, as well as acquire knowledge necessary for neurological diagnosis during this year.

PYG-2: Junior resident

The first year of neurosurgery training is split between the clinical neurosurgery services at MedStar Georgetown University Hospital and the MedStar Washington Hospital Center. The residents learn to evaluate patients in the outpatient settings of the clinic and emergency room, as well as to manage neurosurgical patients on the busy inpatient services. The patient population are quite different at the 2 hospitals, and the residents will gain significant exposure to neurotrauma at the MedStar Washington Hospital Center. An emphasis is placed on gaining experience in the neurosurgical ICU at both affiliates. The residents will take major part in basic neurosurgical procedures in the operating room.

PGY-3: Mid-level resident

This year is split between the Children's National Medical Center (CNMC) and MedStar Georgetown University Hospital. At CNMC, the residents are expected to acquire critical knowledge in all aspect of pediatric neurosurgery including the management of shunts and pediatric brain tumors. They will also play major roles in procedures for craniofacial reconstruction, tumor resection and epilepsy.

PGY-4: Research

This year is reserved for clinical and basic science research. The area of research is chosen by the resident, in consultation with the neurosurgical faculty, with considerations of long-term career plans. The resident is expected to present the data of this research at national neurosurgical conferences, and publish the results in peer-review journals.

PGY-5: Senior Resident

For 6 months, the residents are at the MedStar Georgetown University Hospital as the senior resident on the clinical service. Functioning with increasing autonomy, the residents continue to refine the skills needed for more advanced neurosurgical procedures, and manage the inpatient service under the supervision of the chief resident. The other half of the year is split among radiosurgery, neuro-radiology and peripheral nerve surgery. The residents are expected to take part in procedures involving the Gamma knife, Cyberknife® and endovascular interventions. The MedStar Georgetown Neurosurgery program is one of very few with a dedicated peripheral nerve rotation.

PGY-6: Chief Resident

This is the chief residency year of training. In addition to being responsible for the daily activity of the inpatient neurosurgical team at both hospitals, the chief residents refine the management and surgical skills necessary for graduation from the training program and entrance into practice. Along with the program director, the chief residents administer the conference schedule, and monthly quality assurance reports.

The time-line for training is summarized in the Rotational Block Diagram.