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Curriculum

The neurosurgical program at LSUHSC-S is a six-year program following the PGY-1 year (usually accomplished at LSUHSC-S), and includes at least one year of research. Participation in research and the acquisition of research skills is required, with a department publication requirement of two papers per year.

The duties and objectives are reviewed at least annually with the residents and the education committee. A goal of the program is to provide outstanding clinical training and surgical experience to the resident. Pre-op, OR, and post-op teaching stress a progressively responsible patient management training opportunity.

General Resident Requirements

  • Minimum of two papers per year
  • One prospective research trial
  • Meeting and/or conference attendance as per abstract or paper accepted
  • Presentations at Case Conferences and with Visiting Professors

Description and Objectives

PGY-1 (NS 0)
Successfully complete rotations in general surgery, neurology, neuropathology, neurosurgery, and neuroradiology.  Coordinate with chairman to formulate a research project.  Become knowledgeable in the physiology of pre and post operative care and develop a knowledge base in surgical disease pertaining to various organ systems.  On-call as required by the rotations in compliance with regulations. Show evidence of learning and undertaking progressively responsible patient management. May take the ABNS written boards for practice.

PGY-2 (NS 1)
Become comfortable with minor neurosurgical procedures, specifically lumbar puncture, external ventricular drain placement, and burr hole placement.  Develop a knowledge base in basic and clinical neurosurgery, including a thorough understanding of basic neurological examinations for spinal cord injury, the criteria for brain death determination, the anatomy of the cranial vault, leptomeninges, subarachnoid space, and major cerebral blood vessels, and the anatomy, physiology, and pathology of cranial nerves and spinal cord.  Learn fundamentals of head trauma, spinal cord injury and critical care management. Become proficient in basic post-operative neurosurgical management. Become comfortable with placement of head-frames for stereotactic radiosurgery procedures and learn basic radiosurgery planning. Learn management of critical care patients.  On call responsibilites will be limited to three months of night float during the entire year and no more than two weekend calls per month during all other months.  Discuss a preliminary individual learning plan with the Chairman.  Publish two papers.  Teach medical students in lecture and on daily rounds.  Edit video from OR cases and present at least 36 cases with evidence of literature search in Case Conference. Take the ABNS written boards for practice. Show evidence of learning and undertake progressively responsible patient management.
PGY-3 (NS 2)
Become comfortable with basic cranial and spine surgery in both adult and pediatric patients, assuming a more active role in the OR.  Further develop knowledge base in clinical neurosurgery and critical care.  Augment skills in managing complex neurosurgical conditions such as head and spinal cord trauma, aneurysms and other neurovascular disorders, and skull base tumors.  Become comfortable with simple and complex planning for stereotactic radiosurgery procedures. Continue building on critical care patient management skills. On call responsibilities will be limited to three months of night float during the entire year and no more than two weekend calls per month during all other months. Discuss and revise (as necessary) an individual learning plan with the Chairman.  Publish two papers. Teach medical students in lecture and on daily rounds.  Edit video from OR cases and present at least 36 cases, in more depth and with literature search, at Case Conference. Take the ABNS written boards for practice. Show evidence of learning and undertake progressively responsible patient management.
PGY-4 (NS 3)
Become comfortable with most neurosurgical cases and perform surgery with moderate supervision. Develop a deeper understanding of the differences in treating pediatric patients, learn modes of seizure localization, understand the principles involved in management of movement disorders.  Become proficient in the comprehensive management of all categories of neurosurgical patients, including those with cerebrovascular disorders. Continue building on critical care patient management skills.   On-call average for the LSU service is no more than two weekend nights a month and for the VA/WK service, home call with at least one in seven days off per week.  Discuss and revise (as necessary) the individual learning plan with the Chairman.  Publish two papers.  Teach medical students in lecture and on daily rounds. Develop an organized plan for the research year.  Edit video from OR cases and present at least 36 cases, in more depth and with literature search, at Case Conference. Take and pass the ABNS written boards for credit. Show evidence of learning and undertake progressively responsible patient management.

 

PGY-5
Complete research project. Be involved in basic science neuro lab and complete an anatomical project in skull base lab and a spine project in the biomechanics lab.  Discuss and revise the individual learning plan with the Chairman, and take the ABNS written boards for credit if not passed in the PGY4 year. Publish two papers. Teach medical students in lecture. Home chief call taken approximately one weekend per month.
PGY-6 (NS 4)
Perform most neurosurgical cases with minimal supervision.  Develop knowledge base concerning more complex neurosurgical procedures, focusing attention on subspecialties. Show thorough knowledge of the management of trauma, spine, and complex cerebrovascular patients.  Have an appropriate understanding of advanced neuro-critical care, and knowledge of the biomechanics of the spine, cranial base anatomy, management of all tumors encountered in neurosurgical practice. Demonstrate proficiency in stereotactic radiosurgery planning and treatment.  Continue building on critical care patient management skills. Formulate evidence-based treatment plans.  Publish research project and at least one additional paper.  Teach medical students in lecture and on daily rounds.  Function as alternate chief resident, rotating at-home call.  Discuss and revise (as necessary) the individual learning plan with the Chairman.  Edit video from OR cases and present at least 36 cases, in depth and with literature search, at Case Conference.  Show evidence of learning and undertaking progressively responsible patient management.

 

PGY-7 (NS 5)
Perform all neurosurgical approaches with minimal supervision; perform independently with attending physicians acting as consultants.  Demonstrate independent proficiency in stereotactic radiosurgery planning and treatment and critical care patient management. Adequately function as chief resident, showing mastery of administrative duties.  Responsible for call and leave schedules.   Teach medical students in lecture and on daily rounds. Successfully complete publication of research project and all publication requirements.   Present at least 36 cases, in depth and with literature search, at Case Conference, and show evidence of learning and undertaking progressively responsible patient management.

Neuroscience Training Areas

Neurology: The Neurology Service consists of twelve attending physicians as a consult service. Their residency program began in 2005 and our residents rotate through the service. The opportunity is available to participate in weekly neurology grand rounds, joint clinical trials, and symposiums.
Neuropathology: Residents attend neuropathology conferences and brain cutting. The Neuropathology Department is an active participant in our multi-disciplinary case conferences.
Neuroanatomy: Residents have use of the microsurgery cadaver laboratory for self-study of various microsurgical approaches. The faculty holds teaching conferences on surgical neuroanatomy, including study of brain sections, brain cutting, and review of neuroimaging.
Neurophysiology: Neurophysiology training is largely acquired through conferences and self-study. This includes resident board-review courses, whereupon "key topics" relevant to the ABNS-released lists are studied and discussed.
Neuroradiology: The PGY1 resident participates in neuroradiology training including diagnostic and therapeutic cases. Further training can be arranged as requested by the resident. The Neuroradiology Department is an active participant in our multi-disciplinary case conferences.
EEG: Residents are introduced to diagnosis, evaluation, surgery, and follow up of patients with potentially curable forms of epilepsy. Residents will attend clinic, multidisciplinary case conferences, and operative procedures with intraoperative EEG and brain mapping.

Lectures Presented by Residents for Medical Students

Click on the links below to see samples of resident presentations: