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Goals and Objectives PGY5

Upon completion of the PGY5 year, NS residents will be expected to meet the following educational goals and objectives:

Patient Care

  • Construct a plan of management for more complex nervous system problems (i.e.: craniosynostosis, spinal dysraphism, spasticity, cerebral and spinal arteriovenous malformations, aneurysms, skull-base tumors, etc.)
  • Assess patients and plan management with minimal preceptor assistance
  • Begin to supervise others in providing patient care
  • Provide supportive and compassionate care to patients and their families

Demonstrate surgical proficiency in: 

  • Patient positioning
  • Knowledge of specific procedure
  • Speed and efficiency
  • Knowledge and use of instruments
  • Flow of operation
  • Intraoperative judgment
  • Use of assistants
  • Respect for tissue

Surgical Specifies

  • Demonstrate ability to stop bleeding from venous sinuses and aneurysms
  • Perform endoscopic drainage of cysts, shunt catheter placement, ventriculostomy
  • Perform epilepsy surgery
  • Perform complex spinal instrumentation
  • Perform transsphenoidal surgery
  • Demonstrate the ability to remove simple extraaxial tumors
  • Perform carotid endarterectomy
  • Perform movement disorder surgery
  • Gamma Knife surgery

Medical Knowledge

  • Demonstrate a more detailed knowledge of normal and abnormal anatomy and physiology of the central and peripheral
  • Demonstrate more detailed working knowledge of disease processes of the nervous system

Practice-based Learning and Improvement

  • Provide instruction about neurological problems to more junior residents and clinical clerks
  • Instruct junior residents in neurosurgical operative techniques
  • Demonstrate sound habits of personal scholarship and scientific inquiry
  • Demonstrate an ongoing improving ability to learn from errors

Interpersonal and Communication Skills

  • Communicate with patients and their families, explaining disease processes and treatment options, including benefits, risks, and possible complications in comprehensible terms
  • Work in a cooperative and sensitive manner with other health care personnel
  • Give and receive advice in an objective, mature manner

Professionalism

  • Respect patient's right to privacy
  • Demonstrate sensitivity to the sexual, ethnic, cultural and religious characteristics of patient and family
  • Demonstrate knowledge of the ethical and legal aspects of neurosurgery
  • Be honest, reliable, and respectful in working with patients and colleagues

Systems-based Practice

  • Practice cost effective medicine
  • Apply evidence-based medicine to clinical practice