ConferencesSIGN IN ROUNDS. Chief Resident Sign-in Rounds are held 7 days per week from 7-7:30 a.m. (6:30 a.m. on Wednesday) in the MRI suite. 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 9 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. MONDAY MORNING CASE MANAGEMENT CONFERENCE. From 6:30 a.m. – 7:00 a.m. every Monday morning, case management conference, with discussion led by a faculty member, is held, during which challenging cases from the prior week’s surgery are presented and discussed. WEDNESDAY CONFERENCES. The majority of the conference schedule is captured in the Wednesday 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. – 10:00 a.m., followed by a weekly board review quiz and discussion from 10:00 a.m. – 10:45 a.m. Resident outpatient clinic under the direction of Dr. Robert Bakos, 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. Neurosurgery 101 (9 – 10 a.m). During the first 3 months of the year, Neurosurgery 101 is focused upon the acute care of Neurosurgery patients, in the emergency room and ICU settings. Topics of interest include the management of head and spinal cord injury, subarachnoid and intracranial hemorrhage, stroke, spinal fractures, ICU care of patients with elevetated intracranial pressure, vasospasm, management of seizures and status epilepticus, etc. These lectures are given by the Chief and Senior residents, as well as Neurosurgery and external faculty. Practical “how I do it” discussions of ventriculostomy and lumbar drain placement, application of halos, trauma and decompressive craniotomies are presented early in the year for the education of the junior residents who will confront these responsibilities while on call. During the remaining 9 months of 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, there is a Neuropathology conference in which the prior month’s most challenging cases are reviewed by a Neuropathology faculty member. This is an interactive conference in which residents are expected to interpret the histopathological findings in each case and arrive at a diagnosis. In addition, 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. Weekly 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 10:45 a.m. there is a discussion/presentation regarding the quiz questions and associated topics. Neuroradiology/Neurosurgery/Neurology/Neuropathology Conference. 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. Neurology Grand Rounds. Every Friday morning from 9:00 a.m. until 10:30 a.m. Neurology Grand Rounds is held and attended by Neurosurgery faculty and residents who are not occupied in the operating room.
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