Residency Training - Year Seven

During this year of training, the candidate will serve as chief resident. Chief residents in the Cedars-Sinai Neurological Surgery Residency Program are expected to reach goals and objectives in six areas. Those areas and the expectations to be achieved in each area for PGY7 are:

Patient Care

The chief resident will develop the ability to:

  • Gather accurately essential information about all presurgical patients, either directly or by managing more junior residents
  • Understand indications for and interpret the meaning of all laboratory and imaging studies used in neurosurgery
  • Devise patient care plans at the level of an independent neurosurgeon, under appropriate supervision from attending surgeons; and also guide more junior residents in evaluating and managing patients
  • Establish and implement effective patient-care plans, assuming the role of primary leader on the neurosurgery service, under appropriate supervision of an attending surgeons
  • Counsel patients on the risks, goals, limits and alternatives to all neurosurgical procedures
  • Demonstrate the ability to perform all major neurosurgical procedures at an independent level, under appropriate supervision of an attending surgeon

Medical Knowledge

The chief resident will develop the ability to:

  • Demonstrate an advanced knowledge of anatomy, physiology and pharmacology related to all aspects of neurosurgery
  • Demonstrate a familiarity with the neurosurgical literature appropriate for an independent surgeon capable of life-long learning
  • Manage and lead academic conferences

Practice-Based Learning and Improvement

The chief resident will develop the ability to:

  • Develop skills as a program builder and administrator of a neurosurgical service
  • Demonstrate a solid evidence-based approach to patient care at the level of a practicing surgeon
  • Demonstrate sound habits of personal scholarship and inquiry

Interpersonal and Communication Skills

The chief resident will develop the ability to:

  • Assist the Program Director in overseeing the, academic and clinical growth and development of junior residents
  • Instruct and nurture junior residents in all aspects of neurosurgical patient care (outpatient, inpatient and ICU settings)
  • Demonstrate the ability to interact efficiently and effectively with many different health care personnel in the pursuit of patient care and service management
  • Demonstrate leadership skills in the management of more junior residents

Professionalism

The chief resident will develop the ability to:

  • Demonstrate sensitivity and responsiveness to patients' culture, age, gender and disabilities
  • Demonstrate integrity and a commitment to patients that supercedes self interest, serving as primary neurosurgeon
  • Participate meaningfully in ongoing professional development by submitting research for peer review to journals and national professional meetings

Systems-Based Practice

The chief resident will develop the ability to:

  • Demonstrate an understanding of practice opportunities, practice types, health care delivery systems, and medical economics at a level that is expected of an independent neurosurgeon
  • Advocate high-quality patient care and assist patients and the responsible junior residents in dealing with system complexities
  • Guide junior residents in the practice of cost-effective health care and resource allocation through evidence-based medical practice that does not compromise quality of care
  • Understand practice management issues such as patient processing, evaluation and management coding, procedural terminology, documentation of services rendered, and other reimbursement process related issues in both inpatient and outpatient settings, serving as the primary provider of care