Neurosurgery at North Shore University Hospital–-Residents become familiar with the workings of the hospital and the clinical neurosurgical service while they are mentored in basic clinical and operative skills.
Neurology–-Residents learn to perform a comprehensive neurological history and physical examination, as part of the inpatient and consult services. They are taught concepts of anatomical and etiological localization of neurological disorders. The resident will understand fundamentals of neurological problems such as movement disorders, neuromuscular diseases, seizures, chronic pain and acute and chronic alterations of mental status.
Neurosurgical ICU–-Residents get focused training in concepts and skills of ICU management, including fluid and electrolyte balance, ventilation, alimentation, line placement, hemodynamic management of patients with cerebrovascular disease, and they learn Northwell Health’s approach to complex patient problems. This includes the special context of neurological examination, the recognition of neurological and neurosurgical emergencies and the management of intracranial pressure and CSF drains.
Anesthesiology–-Residents learn endotracheal intubation techniques and principles of operative anesthetic management in the operating room, including intravenous and inhalational control of intracranial pressure and fluid and blood replacement.
Peripheral nerve–-For one month, residents will spend one day a week with the orthopedic hand surgery service under the mentorship of Dr. Peter Stein. Residents will receive a concentrated learning experience in the evaluation and surgical management of common peripheral nerve compression syndromes of the upper extremity.
Stereotactic radiosurgery–-The Northwell Health Center for Stereotactic Radiosurgery and Radiation Therapy is located on the North Shore University Hospital campus and is under the direction of Dr. Michael Schulder. Dr. Schulder is a world-renowned neurosurgeon who received advanced training in stereotactic radiosurgery at the University of Florida and at the Brigham and Women’s Hospital, and he is a member of the International Stereotactic Radiosurgery Society.
Neurosurgery at Long Island Jewish Medical Center–-This rotation features concentrated experience in pediatric neurosurgery and epilepsy surgery, along with general neurosurgical practice. Cohen Children's Medical Center, an integrated facility on the Long Island Jewish Medical Center campus, is a nationally recognized pediatric hospital. Neurosurgical care is provided by three fellowship-trained and board-certified pediatric neurosurgeons. This rotation teaches residents the fundamentals of pediatric neurosurgery that they will apply as senior and chief residents on the Long Island Jewish Medical Center site. The Northwell Health Epilepsy Program includes full-time epileptologists and a four bed unit for inpatient video EEG monitoring.
Neuroradiology/neuropathology–-Residents learn the radiological approach to image interpretation at the North Shore University Hospital campus, which is staffed by four fellowship-trained neuroradiologists. This includes instruction in functional neuroimaging using functional MRI and diffusion tensor imaging (DTI), and positron emission tomography. Neuropathology instruction is under the auspices of two fellowship-trained neuropathologists and includes understanding techniques and interpretation of intraoperative pathology, immunohistochemistry and molecular genetics. Residents take call on the neurosurgery service during this rotation, which provides them with the opportunity to strengthen their management and operative skills.
Neurosurgery—Residents devote their time to increasing neurosurgical management and operative skills as junior residents at the North Shore University Hospital, Long Island Jewish Medical Center and Lenox Hill Hospital campuses. At North Shore University Hospital, residents are introduced to the principles of stereotactic radiosurgery and participate in patient planning and treatment.
Neurosurgery—Residents have a more senior role on the service. They spend more time in the operating room and are able to instruct first-year residents and mid-level providers in aspects of neurosurgical care. They gain further experience in stereotactic radiosurgery.
Endovascular surgery—This is performed at the hospital by Dr. Henry Woo, Dr. Avi Setton and Dr. Jeffrey Katz. Residents learn the basic principles of catheter selection and indications for endovascular treatment of cerebral aneurysms, arteriovenous malformations, tumors and stroke. Endovascular treatments are done as part of the Cerebrovascular Surgery Program.
Residents are encouraged to pursue basic or clinical research at the Feinstein Institute for Medical Research, within the hospital setting, or at the Donald and Barbara Zucker School of Medicine Campus. All research proposals are submitted to the Program Director for approval during the PGY-2 year, to ensure that they are scientifically rigorous and that the resident can submit the project for external funding or a research award. Residents will take a limited amount of call during their research experience in order to maintain clinical skills.
Residents have the option of continuing their research for a second year. In certain cases, when planned from the start, they may be able to complete the work needed towards a PhD from the Elmezzi Graduate School of Molecular Medicine (based at the Feinstein Institute for Medical Research).
Residents who choose to pursue an in-folded clinical fellowship this year may train as CAST approved fellows in cerebrovascular, functional, neuro-oncology, or neurotrauma/critical care. Resources for training in these subspecialty areas currently exist at Northwell Health.
Residents play a key role in managing the inpatient service and in the instruction of junior residents. They are expected to take a proactive role in surgical education and must demonstrate a readiness to assume greater surgical responsibility. The PGY-6 residents are in charge of making rounds and leading the house staff team when the chief resident on the service is not available. This year will allow residents to mature in their clinical and operative skills in preparation for their chief resident year.
The senior resident also coordinates with the hand surgery service regarding scheduled peripheral nerve operations. The resident coordinates with the neurosurgery chief resident and the program director when participating in those surgeries under the auspices of the hand surgery attending.
The chief residents are responsible for the clinical and administrative management of the neurosurgical services at the hospital. This includes overseeing resident preparation for conferences, assigning surgical cases to the other residents and finalizing the resident call schedule. They are expected to have mature clinical and surgical judgment and to use this year to refine these skills in preparation for neurosurgical practice or post-residency fellowship training.