Educational Activities/Teaching Conferences
SIGN IN ROUNDS
Chief Resident Sign-in Rounds are held 7 days per week from 6:45 -7:30am Monday- Thursday located in the Anesthesia Conference Room, B-4418 (M-Thurs). On Friday’s, Sign-in is held at 6:30 am in the Louise Slaughter Room (1-9555). All residents on service, attending neurosurgeons and nurse practitioners participate in: (1) formal presentations by the call resident of all new emergency and floor consults along with imaging studies; (2) a review of the care plan and imaging studies for new consults and for every in - patient on service; (3) assignment by the Chief Resident of responsibility for execution of the care and discharge plans to the incoming call resident and the team of 14 mid level providers (NPs and PAs). On the weekends, the on-call attending, usually with the on-call resident and Chief Resident, rounds on the in - patients on the service.
The majority of the conference schedule is captured in the Friday morning schedule of teaching conferences. After sign in rounds from 6:30 a.m. – 7:00 a.m., the formal conference schedule extends from 7:00 a.m. – 9:00 a.m. Resident outpatient clinic under the direction of Dr. Howard Silberstein, program director, and other attending staff incorporates the 11:00 a.m. – 5:00 p.m. time slot.
Neurosurgery Grand Rounds (7 – 9 a.m.)Neurosurgery Grand Rounds is attended by all faculty and residents. Grand Rounds incorporates formal presentations by residents on a topic of clinical interest (each resident presents two talks per year) or presentations by the resident in the laboratory regarding a research topic. Other offerings include clinical and basic science journal clubs, visiting professor presentations or case management conferences.
On a monthly basis, there is a mortality and morbidity conference, during which the resident staff, under the direction of the Chief Resident, presents the clinical and imaging data relating to all surgical complications and mortalities on service during the prior month. In selected cases, residents present articles from the Neurosurgical literature for consideration and discussion in relation to particular clinical cases. During this conference, surgical volumes, length of stay, cost – effectiveness and outcomes data are presented. These data are utilized to contextualize neurosurgical practice with respect to measures of quality and cost of care, and relevant mandates by health systems, insurance companies and governmental agencies.
During the year, presentations by faculty include case review conferences, spinal biomechanics conferences, “how I do it” conferences presented by faculty pertaining to every sector of operative neurosurgery, cadaver dissections prepared by the mid – level and junior residents, neuro-anatomy review conferences, and topic review conferences designed to assist the residents in board preparation. Examples of these latter conferences include reviews of basic principles of neuro-opthalmology, EEG interpretation, seizure diagnosis and management.
Throughout the year, on a monthly basis, Neuropathology and Neuroradiology unknowns are presented by Neuropathology and Neuroradiology faculty in an interactive fashion to improve diagnostic skills of the residents.
Monthly Quiz and Board Preparation. From 10:00 a.m. until 10:30 a.m. every week there is a 20 question quiz on a neurosurgical topics with each quiz prepared by a member of the resident staff. Quizzes are prepared in a written board exam format, and topic assignments are given at the beginning of the year. From 10:30 a.m. until 11:00 a.m. there is a discussion/presentation regarding the quiz questions and associated topics.
Every Thursday morning from 7:30 a.m. to 8:15 a.m. there is a multidepartmental conference during which clinical cases are presented along with imaging studies, neuropathological slides with discussion of diagnostic and therapeutic considerations of eath case. Residents and faculty from the departments of Neurosurgery, Neurology, Neuroradiology and Neuropathology attend this conference. Correlation of clinical findings with the case history is presented by the pertinent house officer and followed by a presentation of the imaging studies. Every effort is made to correlate clinical history and physical findings, including operative findings with the preoperative imaging.