Anesthesiology rotation at North Shore University Hospital
On this rotation the residents learn basic principles of anesthesiology including the use of intravenous and inhalational agents and of muscle relaxants. They are taught the principles of intraoperative homeostasis, avoidance of injury from surgical positioning and emergence from anesthesia. In addition, the resident learns the principles of control of intracranial pressure during surgery and the indications for the use of blood products. Residents participate in endotracheal intubation of patients under the supervision of the attending anesthesiologists.
Neurosurgical ICU rotation at North Shore University Hospital
This experience provides 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 the systems 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. The residents learn to identify patients requiring neurocritical care and learn the principles of critical care management and the systems approach to the care of patients with complex illness.
Clinical Neurosurgery rotation at North Shore University Hospital
NSUH is where the majority of clinical neurosurgical training takes place. Junior and mid-level residents split their time between managing the inpatient service, assisting in operating room, and seeing consults on the floors and in the emergency room. Senior residents manage the service under attending supervision and have increasing responsibilities in the operating rooms. NSUH has a 16-bed Neurosurgical ICU, staffed by dedicated neurointensivists, with a dedicated mobile CT scanner. Annually, there are over 2,000 neurosurgical cases at NSUH. Endovascular surgery is based here, as is the stereotactic radiosurgery program. Other technological capabilities include intraoperative MRI and three surgical navigation stations.
Clinical Neurosurgery rotation at Long Island Jewish & Cohen Children’s Medical Center
The residents at LIJ/CCMC manage an integrated service. Annually, there are approximately 300 pediatric neurosurgical cases and over 400 adult neurosurgical cases. In addition, most surgery for epilepsy is done here. There are two dedicated surgical navigation stations in the ORs.
Neurology rotation at North Shore University Hospital
The resident on neurology works as a team member of the neurology staff and functions as a neurology junior resident. The objectives of the rotation are to provide the resident with adequate exposure to the evaluation and treatment of variety of neurologic pathology, not all of which is surgical. Residents have the option of rotation on pediatric neurology and/or neuroophthalmology services.
Neuroradiology/Neuropathology rotation at North Shore University Hospital
Residents spend four weeks in Neuropathology and receive Neuroradiology experience together with their Neurology rotation. Intensive instruction is provided by fellowship-trained faculty from each service. At the conclusion of this rotation, the residents should be familiar with the advanced interpretation of CT, MR, and angiographic images, be able to recognize histological patterns of common neurosurgical diseases, and understand contemporary diagnostic methods of immunopathology and molecular genetics.
Peripheral Nerve rotation
This rotation is designed to offer residents protected time to have a concentrated learning experience in peripheral nerve surgery. Residents will participate in surgery for patients with compression of the median and ulnar nerves, primarily.
Stereotactic Radiosurgery rotation
This rotation is designed to offer the residents protected time to have a concentrated learning experience in stereotactic radiosurgery (SRS). During a 3-month period, residents will spend one day a week in the SRS Center at the Center for Advanced Medicine near the LIJMC campus. This facility houses the Gamma Knife Perfexion along with two state-of-the-art linear accelerators (linacs) equipped with full stereotactic technology.
Residents will participate in single-session frame based SRS with the Gamma Knife, including frame placement, imaging, treatment planning, the treatment itself, frame removal, and post-treatment patient assessment. They will participate in linac-based frameless treatments including single-session and fractionated SRS. This will include patients undergoing SRS for treatment of spine tumors.
This rotation is designed to offer the residents protected time to have a concentrated learning experience in endovascular neurosurgery. During a 3-month period, residents will spend 3 days a week in the endovascular suite at NSUH with the Endovascular team. Residents will participate in diagnostic and therapeutic angiographic procedures, including aneurysm coiling and embolization of arteriovenous malformations and of tumors.