Stanford Resident Training Competency Goals

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Goals and Objectives of the Stanford Neurosurgery Resident Training Program
The Department is committed to training neurosurgeons who are thoughtful, skillful, and
innovative. Almost all senior residents score highly on the ABNS written exam and every resident
graduating since 1985 who has taken the oral exam is ABNS board certified. Currently, our senior
and chief residents are each involved in about 350 index cases a year, but numerous complex
index cases of greatest educational value to a senior or chief resident still go uncovered. These
have increased significantly in recent years (AY 2007-2008 and 2009-2009) with our expansion to
23 clinical faculty members with Stanford admitting and operating privileges. We anticipate that
by the time we have filled out the increased complement of residents and added Santa Clara
Valley Medical Center, a minimum of 500 index cases of greater complexity will be available to
each of the six senior and chief residents.
Since 2004, the department has been among the top four neurosurgery departments in the
country in grant support from the NIH. The Program Director holds one of two R25 NIH grants for
Neurosurgery Resident Training in Research (2020-2014). This environment provides our
residents opportunities to obtain grant support (3 NRSA/NIH awards, 3 NREF awards, 2 Giannini
Foundation awards, one Christopher Reeve Paralysis Foundation grant, and one Elekta Resident
Research Grant in the last 6 years), to publish extensively (22 peer reviewed publications and 26
presentations at national meetings in 2008), and to earn recognition (the 2007 CNS Resident
Research Award, a citation for a top 10 score (by a PGY4 resident) on the ABNS written exam,
second place pair in the 2008 CNS SANS Challenge, and the 2004-2005 and 2008-2009 van
Wagenen Fellowships).
Of our last 16 graduates, eight hold full time academic appointments (at Stanford (3), Johns
Hopkins, Mount Sinai, North Carolina, Brown, Boston University, and Cedars-Sinai), and another
two maintain research interests at Stanford. Our current 2 chief residents have accepted
academic faculty positionsstarting July 2011, one at Duke and one at Stanford. We are
succeeding in our goal of training academic neurosurgeons.
1) The PGY 1 experience will consist of 13 four week rotations: 4 in General Surgery Skills (Adult
General Surgery, Pediatric General Surgery, ER-Trauma, SICU), 3 in Neurology (6 weeks each of
Neurology Consults and Neuro-ICU), 4 in Allied Clinical Neurosciences (Neuropathology,
Neuroradiology, Endovascular Neurosurgery, Stereotactic Radiosurgery), and 2 in Neurosurgery.
2) PGY-2 emphasizes the fundamentals of neurosurgical care and surgery as the resident cares for
neurosurgical patients as Junior Resident at Stanford University Hospital;
3) PGY-3 encourages greater primary responsibility in basic subspecialty neurosurgical care and
surgery as Senior Resident at Lucille Packard Children’s Hospital, Palo Alto VA Hospital, and Santa
Clara Valley Medical Center ;
4) PGY-4 initiates dedicated laboratory research, an enfolded clinical fellowship emphasizing
outcomes research, or their combination;
5) PGY-5 completes dedicated laboratory research, an enfolded clinical fellowship emphasizing
outcomes research, or their combination;
6) PGY-6 provides greater experience with primary responsibility for medical and surgical
management of neurosurgical cases as Senior Resident at SUH; and
7) PGY-7 permits additional experience with advanced techniques for the most demanding cases
and requires the development of administrative abilities as Chief Resident at SUH.
Educational Goals and Objectives of Training Year NS-1
Patient care: The resident will develop the ability to
Perform and document a comprehensive general, neurologic and neurosurgical history and physical
examination
Practice critical care skills as required for inpatient general surgery, neurology, and neurosurgery
Understand the indications for and interpret the meaning of presurgical laboratory studies and imaging
Develop patient care plans appropriate to a patient's presenting problems or postoperative course in
consultation with the chief resident or attending surgeon
Establish and implement effective patient care plans
Counsel patients on the risks, goals, limits, and alternatives to simple surgical and neurosurgical
procedures and more complex procedures under supervision of the chief resident or attending surgeon
Perform selected surgical procedures under direct supervision (e.g., ventriculostomies, VP shunt
placement, simple spine surgery and craniotomies, angiography)
Assist in major surgical procedures and perform those portions of such procedures, under supervision,
that are appropriate for his or her level of training
Work with health care professionals composing the general surgical, neurology or neurosurgery team
and other members of the health care team from other disciplines
Medical Knowledge: The resident will develop the ability to
Initiate a program of independent study in preparation for the ABNS primary examination
Demonstrate a solid foundation of knowledge of anatomy, physiology, and pharmacology related to
inpatient general surgical, neurology, and neurosurgery patients
Correctly interpret basic laboratory and radiological studies
Demonstrate a growing familiarity with classic and current aspects of the neurosurgical literature
Demonstrate a foundation for clinical general surgical, neurological and neurosurgery problem solving
and decision making
Practice-Based Learning and Improvement: The resident will develop the ability to
Demonstrate an ongoing and improving ability to learn from errors
Locate, appraise, and assimilate evidence from scientific studies related to common general surgical,
neurological, and neurosurgical problems
Identify areas of neurosurgical practice where current knowledge is inaccurate or inadequate, and
participate in clinical studies to improve the general fund of knowledge in neurosurgery
Construct and implement educational goals for instruction in different elective fields (e.g., general
surgery, neurology, neuropathology, neuroradiology, radiosurgery, endovascular neurosurgery)
Interpersonal and Communication Skills: The resident will develop the ability to
Provide compassionate ward and outpatient care as determined by patients, families, colleagues, and
auxiliary health professionals
Work effectively as a member of a health care team
Communicate effectively with other health care professionals on consulting services
Professionalism: The resident will develop the ability to
Demonstrate sensitivity and responsiveness to patients' culture, age, gender, and disabilities
Demonstrate integrity and a commitment to patients that supercedes self interest
Participate meaningfully in ongoing professional development by submitting research for peer review to
journals and national meetings
System Based Practice: The resident will develop the ability to
Understand the university-based practice of general surgery, neurology, and neurosurgery, including its
interactions with other health care organizations and how these elements of health care affect the
university practice
Advocate for quality patient care and assist patients in dealing with system complexities
Practice cost-effective health care and resource allocation through evidence-based medical practice that
does not compromise quality of care
Educational Goals and Objectives for Training NS-2
Patient Care: The resident will develop the ability to
Perform and document a neurosurgery history and physical examination, with emphasis on spinal and
complex neurosurgical disorders
Understand the indications for and interpret the meaning of laboratory studies and imaging as relates to
neurosurgery in general
Develop complex diagnostic and patient-management skills, including participation in busy outpatient
neurosurgical clinics
Establish and implement effective patient care plans
Counsel patients on the risks, goals, limits, and alternatives to neurosurgical procedures, with an
emphasis on spinal neurosurgery
Perform selected surgical procedures under direct supervision, focusing on spinal neurosurgery (e.g.,
lumbar and cervical laminectomies, lumbar discectomy, anterior cervical discectomy with and without
fusion)
Assist in major surgical procedures and perform those portions of the operation that are appropriate to
the resident's level of training under guidance
Competently perform inpatient procedures
Medical Knowledge: The resident will develop the ability to
Score above 200 on the ABNS primary examination
Demonstrate a solid foundation of knowledge of anatomy, physiology, and pharmacology related to
inpatient neurosurgery patients, pain management, and critical care neurology
Demonstrate an expanded familiarity with the neurosurgical literature, with special emphasis on spine,
tumor, trauma, vascular and functional neurosurgery and critical care issues
Demonstrate accuracy in clinical evaluation skills, including the correct interpretation of basic and
advanced laboratory and radiological studies
Practice-Based Learning and Improvement: The resident will develop the ability to
Demonstrate an ongoing and improving ability to learn from errors
Construct and implement educational goals for instruction in different elective fields (e.g., radiosurgery,
neuro-oncology, vascular neurosurgery, functional neurosurgery, spine disease)
Develop fundamental research skills that can be used to develop a fundable basic science research
proposal
Locate, appraise, and assimilate evidence from scientific studies related to common neurosurgical
problems, with emphasis on spinal and pediatric neurosurgery
Identify areas of neurosurgical practice where current knowledge is inaccurate or inadequate and
participate in clinical studies to improve the general fund of knowledge in neurosurgery
Interpersonal and Communication Skills: The resident will develop the ability to
Provide compassionate ward and outpatient care as determined by patients, families, colleagues, and
auxiliary health professionals, including joint neurosurgical spine, and multidisciplinary clinics
Work effectively as a member of a health care team, especially in an outpatient specialty clinic setting
Participate meaningfully in multidisciplinary conferences focused on specific neurosurgical fields (e.g.,
vascular, tumor and spine neurosurgery)
Professionalism: The resident will develop the ability to
Demonstrate sensitivity and responsiveness to patients' culture, age, gender, and disabilities
Demonstrate integrity and a commitment to patients that supercedes self interest
Participate meaningfully in ongoing professional development by submitting research for peer review to
journals and national professional meetings
Systems Based Practice: The resident will develop the ability to
Understand the university-based practice of neurosurgery, including its interactions with other health
care organizations and how these elements of health care affect the university practice
Advocate for quality patient care and assist patients in dealing with system complexities, especially in an
outpatient setting
Practice cost-effective health care and resource allocation through evidence-based medical practice that
does not compromise quality of care
Understand practice management issues, such as patient processing, evaluation, and management
coding, procedural terminology, documentation of services rendered, and other reimbursement process
related issues in outpatient clinic setting
Demonstrate an understanding of practice opportunities, practice types, health care delivery systems,
and medical economics
Educational Goals and Objectives for Training Year NS-3
Patient Care: The resident will develop the ability to
Perform and document a senior level neurosurgery history and physical, with special emphasis on quick
patient assessment and a concise communication for patients with immediately life-threatening
traumatic and vascular neurosurgical disorders
Understand indications for and interpret the meaning of routine and more complicated laboratory
studies and imaging, with an emphasis on pediatrics and traumatic nervous system injury
Devise patient care plans at a senior level, with the speed and accuracy needed for patients with
immediately life-threatening neurosurgical disorders, under appropriate supervision from attending
surgeons, while also managing busy outpatient clinics (PAVA and SCVMC)
Establish and implement effective patient care plans, assuming the role of leader on a health care team,
under appropriate supervision of an attending surgeon
Counsel patients on the risks, goals, limits, and alternatives to most neurosurgical procedures
Perform complex neurosurgery procedures (cranial and spinal) and begin to assist at the chief resident
level with a higher degree of independence
Instruct residents and medical students regarding their performance of selected noncomplex surgical
procedures appropriate to their level of training, acting as assistant to the chief resident in the
management of a busy neurosurgical service or as chief resident at PAVA and SCVMC
Medical Knowledge: The resident will develop the ability to
Score above 300 on the ABNS primary examination (for credit)
Demonstrate an advanced knowledge of anatomy, physiology, and pharmacology related to inpatient
and outpatient neurosurgery care, with special emphasis on traumatic nervous system injury and
vascular neurosurgical disorders
Demonstrate an advanced familiarity with the neurosurgical literature, with special emphasis on
traumatic nervous system injury and pediatric neurosurgery
Teach and mentor PGY-1 and PGY-2 residents
Practice-Based Learning and Improvement: The resident will develop the ability to
Demonstrate an advanced ability to learn from errors
Finalize the design of a research project to be carried out during the 4th year and submit a grant
proposal for its funding
Establish a solid evidence-based approach to patient care at a more senior level
Demonstrate senior level critical appraisal of evidence from scientific studies in the neurosurgical
literature, with emphasis on traumatic nervous system injury and pediatric neurosurgery
Identify areas of neurosurgical practice where current knowledge is inaccurate or inadequate and
participate in clinical studies to improve the general fund of knowledge in neurosurgery
Interpersonal and Communication Skills: The resident will develop the ability to
Provide compassionate ward and outpatient care at a senior level as determined by patients, families,
colleagues, and auxiliary health professionals, serving as the primary provider of care at PAVA and
SCVMC
Work effectively as the leader of a health care team in both inpatient and outpatient settings
Participate meaningfully in multidisciplinary conferences, serving as the primary representative of
neurosurgical practice at PAVA and SCVMC
Professionalism: The resident will develop the ability to
Demonstrate sensitivity and responsiveness to patients' culture, age, gender, and disabilities, especially
in the setting of providing care to the indigent and underserved
Demonstrate integrity and a commitment to patients that supercedes self interest, serving as primary
neurosurgeon at PAVA and SCVMC
Participate meaningfully in ongoing professional development by submitting research for peer review to
journals and national professional meetings
System Based Practice: The resident will develop the ability to
Demonstrate an understanding of practice opportunities, practice types, health care delivery systems,
and medical economics though participation at a chief level in a variety of health care delivery settings
(LPCH, PAVA, SCVMC)
Advocate for high-quality patient care and assist patients in dealing with system complexities, especially
in the setting of providing care for the indigent or underserved
Practice cost-effective health care and resource allocation through evidence-based medical practice that
does not compromise quality of care
Understand practice management issues such as patient processing, evaluation, and management
coding, procedural terminology, documentation of services rendered, and other reimbursement process
related issues in both inpatient and outpatient settings, serving as the primary provider of care (PAVA
and SCVMC)
Educational Goals and Objectives for Training Year PGY-4
This is a dedicated research year; residents during this year of training participate in clinical duties or
activities only when required for coverage for their peers’ vacation or academic meetings
Patient Care: The resident will develop the ability to
Understand indications for and interpret the meaning of routine and complex laboratory studies and
imaging
Counsel patients on the risks, goals, limits, and alternatives to most neurosurgical procedures
Medical Knowledge: The resident will develop the ability to
Score above 400 on the ABNS primary examination (for credit)
Demonstrate an advanced knowledge of anatomy, physiology, and pharmacology related to inpatient
and outpatient neurosurgical care
Demonstrate an advanced familiarity with the neurosurgical literature
Demonstrate the ability to evaluate and synthesize hypotheses regarding basic scientific investigations
Practice-Based Learning and Improvement: The resident will develop the ability to
Demonstrate an ongoing and improving ability to learn from errors
Demonstrate a high capacity for work and intensity in a basic science research environment
Develop problem solving skills that can be used to design, implement, analyze, and report basic science
research that is relevant to the clinical arena
Establish sound research and research-related problem-solving habits, including the establishment of
familiarity with relevant research literature
Become an integral component of a research team
Continue a research project, refine a research plan and submit additional grant proposals
Learn significant features of outcomes research and clinical epidemiology
Interpersonal and Communication Skills: The resident will develop the ability to
Communicate effectively with all members of the research team
Utilize communication and interpersonal skills to effectively participate in and lead research projects
Communicate research results effectively and persuasively through written and oral presentations
Professionalism: The resident will develop the ability to
Demonstrate a commitment to academic and scientific integrity through participation in Departmentsponsored educational forums on basic and clinical research
Participate meaningfully in ongoing professional development by submitting research for peer review to
journals and national meetings
Educational Goals and Objectives for Training Year PGY-5
This is a second dedicated research year; residents during this year of training participate in clinical
duties or activities only when required for coverage for their peers’ vacation or academic meetings
Patient Care: The resident will develop the ability to
Understand indications for and interpret the meaning of routine and complex laboratory studies and
imaging
Counsel patients on the risks, goals, limits, and alternatives to most neurosurgical procedures
Medical Knowledge: The resident will develop the ability to
Perform above the 50th % ile level of the ABNS primary examination (for credit)
Demonstrate an advanced knowledge of anatomy, physiology, and pharmacology related to inpatient
and outpatient neurosurgical care
Demonstrate an advanced familiarity with the neurosurgical literature
Demonstrate the ability to evaluate and synthesize hypotheses regarding basic scientific investigations
Practice-Based Learning and Improvement: The resident will develop the ability to
Demonstrate an ongoing and improving ability to learn from errors
Demonstrate a high capacity for work and intensity in a basic science research environment
Develop problem solving skills that can be used to design, implement, analyze, and report basic science
research that is relevant to the clinical arena
Establish sound research and research-related problem-solving habits, including the establishment of
familiarity with relevant research literature
Become an integral component of a research team
Learn significant features of outcomes research and clinical epidemiology
Interpersonal and Communication Skills: The resident will develop the ability to
Communicate effectively with all members of the research team
Utilize communication and interpersonal skills to effectively participate in and lead research projects
Communicate research results effectively and persuasively through written and oral presentations
Professionalism: The resident will develop the ability to
Demonstrate a commitment to academic and scientific integrity through participation in Departmentsponsored educational forums on basic and clinical research
Participate meaningfully in ongoing professional development by submitting research for peer review to
journals and national meetings
System Based Practice: The resident will develop the ability to
Demonstrate an understanding of practice opportunities, practice types, health care delivery systems,
and medical economics
Educational Goals and Objectives of Training Year PGY-6
Patient Care: The senior resident will develop the ability to
Gather essential and accurate information about all presurgical patients, either directly or through the
management of more junior residents
Understand indications for and interpret the meaning of all laboratory studies and imaging used in
neurosurgery
Devise patient care plans at a level approaching that of an independent neurosurgeon, under
appropriate supervision from the chief resident and attending surgeons; and also guide more junior
residents in the evaluation and management of patients
Establish and implement effective patient-care plans, assuming, at times, the role of primary leader on
the neurosurgery service, under appropriate supervision of a chief resident or an attending surgeon
Counsel patients on the risks, goals, limits, and alternatives to all neurosurgical procedures
Demonstrate the ability to perform many major neurosurgical procedures at an independent level,
under appropriate supervision of a chief resident or attending surgeon
Manage and administrate the complexities of a large clinical and academic service
Medical Knowledge: The senior resident will develop the ability to
Demonstrate an advanced knowledge of anatomy, physiology, and pharmacology related to all aspects
of neurosurgery
Demonstrate a familiarity with the neurosurgical literature approaching that of an independent surgeon
capable of life-long learning
Manage and lead academic conferences
Participate actively and lead conferences in a manner that demonstrates a high level of global
awareness regarding clinical neurosurgery, basic and applied research, and understanding of the
literature, neurosurgical education, and program building
Practice-Based Learning and Improvement: The senior resident will develop the ability to
Manage and administrate the complexities of a large clinical and academic service
Develop skills as a program builder and an administrator of the neurosurgical service
Demonstrate a solid evidence-based approach to patient care at the level of a practicing surgeon
Demonstrate sound habits of personal scholarship and inquiry
Interpersonal and Communication Skills: The senior resident will develop the ability to
Assist the Chief Resident, PD and faculty in overseeing the personal, academic, and clinical growth and
development of junior residents
Instruct and nurture junior residents in all aspects of neurosurgical patient care (outpatient, inpatient,
and ICU settings)
Demonstrate the ability to interact with many different health care personnel with efficiency and
efficacy in the pursuit of patient care and service management
Demonstrate leadership skills in the management of more junior residents
Professionalism: The senior resident will develop the ability to
Demonstrate sensitivity and responsiveness to patients' culture, age, gender, and disabilities
Demonstrate integrity and a commitment to patients that supercedes self interest, serving as primary
neurosurgeon
Participate meaningfully in ongoing professional development by submitting research for peer review to
journals and national professional meetings
Systems Based Practice: The senior resident will develop the ability to
Demonstrate an understanding of practice opportunities, practice types, health care delivery systems,
and medical economics at a level that approaches that of an independent neurosurgeon
Advocate high-quality patient care and assist patients and the responsible junior residents in dealing
with system complexities
Guide junior residents in the practice of cost-effective health care and resource allocation through
evidence-based medical practice that does not compromise quality of care
Understand practice management issues such as patient processing, evaluation and management
coding, procedural terminology, documentation of services rendered, and other reimbursement process
related issues in both inpatient and outpatient settings, serving as the primary provider of care
Educational Goals and Objectives of Training Year PGY-7
Patient Care: The chief resident will develop the ability to
Gather essential and accurate information about all presurgical patients, either directly or through the
management of more junior residents
Understand indications for and interpret the meaning of all laboratory studies and imaging used in
neurosurgery
Devise patient care plans at the level of an independent neurosurgeon, under appropriate supervision
from attending surgeons; and also guide more junior residents in the evaluation and management of
patients
Establish and implement effective patient-care plans, assuming the role of primary leader on the
neurosurgery service, under appropriate supervision of an attending surgeon
Counsel patients on the risks, goals, limits, and alternatives to all neurosurgical procedures
Demonstrate the ability to perform all major neurosurgical procedures at an independent level, under
appropriate supervision of an attending surgeon
Manage and administrate the complexities of a large clinical and academic service
Medical Knowledge: The chief resident will develop the ability to
Demonstrate an advanced knowledge of anatomy, physiology, and pharmacology related to all aspects
of neurosurgery
Demonstrate a familiarity with the neurosurgical literature appropriate for an independent surgeon
capable of life-long learning
Manage and lead academic conferences
Participate actively and lead conferences in a manner that demonstrates a high level of global
awareness regarding clinical neurosurgery, basic and applied research, and understanding of the
literature, neurosurgical education, and program building
Practice-Based Learning and Improvement: The chief resident will develop the ability to
Manage and administrate the complexities of a large clinical and academic service
Develop skills as a program builder and an administrator of the neurosurgical service
Demonstrate a solid evidence-based approach to patient care at the level of a practicing surgeon
Demonstrate sound habits of personal scholarship and inquiry
Interpersonal and Communication Skills: The chief resident will develop the ability to
Assist the PD and Resident Education Committee in overseeing the personal, academic, and clinical
growth and development of junior residents
Instruct and nurture junior residents in all aspects of neurosurgical patient care (outpatient, inpatient,
and ICU settings)
Demonstrate the ability to interact with many different health care personnel with efficiency and
efficacy in the pursuit of patient care and service management
Demonstrate leadership skills in the management of more junior residents
Professionalism: The chief resident will develop the ability to
Demonstrate sensitivity and responsiveness to patients' culture, age, gender, and disabilities
Demonstrate integrity and a commitment to patients that supercedes self interest, serving as primary
neurosurgeon
Participate meaningfully in ongoing professional development by submitting research for peer review to
journals and national professional meetings
Systems Based Practice: The chief resident will develop the ability to
Demonstrate an understanding of practice opportunities, practice types, health care delivery systems,
and medical economics at a level that is expected of an independent neurosurgeon
Advocate high-quality patient care and assist patients and the responsible junior residents in dealing
with system complexities
Guide junior residents in the practice of cost-effective health care and resource allocation through
evidence-based medical practice that does not compromise quality of care
Understand practice management issues such as patient processing, evaluation and management
coding, procedural terminology, documentation of services rendered, and other reimbursement process
related issues in both inpatient and outpatient settings, serving as the primary provider of care
The educational rationale for this program is multifaceted: curricular, pedagogic and research-directed:
1) Recent technological developments such as Endovascular Neurosurgery (EVNS), Stereotactic
Radiosurgery (SRS), Minimally Invasive Complex Spine Surgery (MICSS), and Endoscopic Pituitary
and Skull Base Surgery (EPSBS) have prompted the ABNS to mandate training in EVNS and SRS
and encourage training in MICSS and EPSBS; in turn, Stanford has expanded its training and
facilities in these areas.
2) Recent studies have shown superior learning in training programs organized around small teams
which allow both greater subspecialty focus and better mentoring through faculty-resident
relationships with greater resemblance to apprenticeship (c.f., Schneider JR, et al,
Implementation and evaluation of a new surgical residency model. J Am Coll Surg 2007;
205:393-404); the flexibility of scheduling afforded by the proposed incremental half resident
FTE and 4 month long rotations permits exposure of small teams to novel areas;
3) A 24 month research block free of on-call responsibility (except to cover absences for
educational courses, national meetings, and vacations) enhances appreciation of the scientific
bases of neurosurgery and fully utilizes the resources provided by our recent receipt of an NIH
R25 Resident Research Training Award (one of only two received by a neurosurgical training
program)
As depicted in the Block Diagram below, focused training in new areas will occur as follows:
1) EVNS in PGY-1 (1m, partial), PGY-6 (4m dedicated), and PGY-7 (4m, combined);
2) SRS in PGY-1 (1m, partial), PGY-3 (4m, combined), and PGY-7 (4m, combined);
3) MICSS in PGY-7 (4m dedicated); and
4) EPSBS in PGY-7 (4m, combined).
The greater number of residents and the more numerous rotations (4 months vs the current 6 months in
length) allows division into smaller teams, with two or three residents assigned to a pair of faculty
members. This permits adding rotations in novel techniques without deleting current rotations of value
and encourages closer faculty-resident mentoring.
The 24 month block of PGY-4,5 is dedicated to research, either in the laboratory or in an enfolded
clinical fellowship (such as EVNS or SRS) emphasizing outcomes analysis. Call responsibility is limited to
covering special situations (educational courses, national meetings, and other residents’ vacations).
Block Diagram
PGY
I (3)
II (3)
III (3)
IV (3)
V (3)
VI (3)
VII (3)
July - Oct
Nov-Feb
Mar - June
Surgery (16 weeks):
Adult GS, Ped GS, ERTrauma, SICU
Junior NS-A: SUH
(Tumor-SRS)
Neurology (12 weeks):
(Neuro consult, ICU);
Neurosurgery (8 weeks)
Junior NS-B: SUH
(Functional-Spine)
Allied Clinical Neuroscience
(16 weeks):
NRad, NPath, EVNS, SRS
Junior NS-C; SUH
(Vascular-EVNS)
Senior NS-A: PAVAH
(Spine, PN, Tumor)
Senior NS-B: LPCH
(Pediatric NS)
Senior NS-C:
SCVMC (Trauma)
Clinical Elect / Research
Clinical Elect / Research
Research / Clinical Elect
Research / Clinical Elect
Senior NS A:
Vascular-Endovascular
Chief NS A: Min Invasive
Complex Spine
Senior NS B:
Pediatric NS
Chief NS B: SRS-Endo-Micro for
Skull Base and Pituitary Tumors
Clinical Elect / Research
Research / Clinical Elect
Senior NS C:
Functional-Spine
Chief NS C: Micro-Endo
Vascular
Faculty to Resident Ratio
Key Faculty:
23
Active Residents On Duty:
14
Non-active Residents:
3
(In Program but Doing Research/Other Training)
The teaching program at Stanford which includes the following:
Topic
Frequency
Friday
1) Neurosurgery Grand Rounds
Weekly
7 am
2) Neurology Grand Rounds
Weekly
8 am
3) Visiting Professor Case Presentation
Weekly
9--12am
4) Tumor Board
Weekly
12:15-1:15 pm
5) Didactic Session
Weekly
1:15-4 pm
Teaching sessions at SCVMC include the following:
Topic
Frequency
Day
Time
1. Cranial Trauma Conference
weekly
Monday
7 am
2. Spinal Trauma Conference
weekly
Tuesday
7 am
3. Elective Cranial Case Review
weekly
Wednesday
7 am
4. Elective Spinal Case Review
weekly
Thursday
7am
To ensure full participation of these residents in the education program at Stanford, they will have no
clinical responsibilities at SCVMC on Friday from 7 am to 5 pm and, instead, will attend all Friday
teaching sessions at Stanford. On Friday, the Stanford Neurosurgery Program academic day, the SCVMC
residents will participate fully in the teaching program at Stanford.
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