The rotations of the surgical internship are designed to fill the needs of those planning for a neurosurgical career. There is an emphasis on pre- and post-operative care, emergency care of the trauma victim, management of the surgical patient, intensive care and neuro-critical care medicine, and the development of requisite surgical skills. We have recently added major rotations in the Neurosciences.
This year of training is split between rotations in general surgery and in the neurosciences. The one month rotations in the neurosciences include the following:
- Neurology In-patient Service
- Neurology Consultation Service
- Neurological Critical Care Unit
- combined Neuro-ophthalmology and Neuropathology
The remainder of the year is comprised of rotations through general surgery, plastic surgery, thoracic surgery, cardiac surgery, vascular surgery, pediatric surgery and the surgical intensive care unit.
PGY-2 and PGY-3
The next two years of residency (PGY-2 & PGY-3) are spent at the Johns Hopkins Hospital. The rotations, each of approximately 2 months, include the Brain Tumor Service, the Spine Service, the Neurovascular Service, and the neurological intensive care unit. The junior neurosurgery resident is responsible for the daily care of all hospitalized patients on his or her service and has a substantial operative experience during this time. Each service has its own specialty conference which the junior resident attends.
This year is divided into three blocks of four month intervals. One block is devoted to time at the Johns Hopkins Bayview Medical Center as a senior/chief resident. This rotation allows a complete experience in patient care beginning with outpatient programs and continuing to required hospitalizations, surgery, and postoperative care. A second block is devoted to the Pediatric Neurosurgery Service at the Johns Hopkins Hospital which provides exposure to all facets of this discipline on a very busy clinical service. The third block of time is devoted to the Walker service, where the resident focuses on functional and stereotactic neurosurgery. This includes, but is not limited to, epilepsy, movement disorders, stereotactic radiosurgery, pain and minimally invasive procedures. During this time on the Walker service, the PGY-4 has the opportunity to expand their cerebrovascular skills by serving as a senior resident on that service as well.
PGY-5 and PGY-6
These are the research years. There are opportunities for basic research, clinical research and clinical electives. Basic research opportunities are available in every Johns Hopkins department. Those interested in clinical research have established programs in the School of Public Health. We also have joint training programs with the National Institutes of Health. Experience in laboratories and institutions other than Johns Hopkins may be arranged if appropriate.
The final year of the program is the Chief Resident Year. The Chief Residents practice under the supervision of the faculty and are responsible for all aspects of patient clinical care on the three adult neurosurgery services, the Brain Tumor Service, the Spine Service, and the Neurovascular Service. Since the operative volume is large, the surgical experience is extensive. Another important component to this year is the outpatient clinic experience maintained by each Chief Resident under the supervision of the faculty .
Our program is fully compliant with the ACGME recommendations regarding resident on-call hours.