Training - Year One

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 the PGY1 are:

Patient Care

The resident will develop the ability to:

  • Provide patient care that is compassionate, appropriate, and effective.
  • Perform a concise and focused history and physical examination.  The H&P should be focused and should represent the team plan of care, including the appropriateness of weight loss surgery for the patient.
  • Execute patient care plans, under the direction of the Senior and Chief Resident, Fellow, and Attending surgeon. 

Medical Knowledge

The resident will develop the ability to:

  • Demonstrate basic knowledge of established clinical sciences, with application of this knowledge to care of patients with neurological disorders.  Specifically, the Junior resident must be aware of:
    • various neurosurgical techniques
    • complications attributable specific to each neurosurgical technique
  • Critically evaluate and demonstrate knowledge of scientific information various neurosurgical procedures.  Specifically, the junior resident will be responsible to give a critical assessment of assigned journal articles during the monthly Journal Club conference.

Practice-based Learning and Improvement

The resident will develop the ability to:

  • Demonstrate the ability to investigate and evaluate care of the patients on the service, to appraise and assimilate scientific evidence, and to continuously improve patient care based on constant self-evaluation and life-long learning.  The Junior Resident must be aware the expected complications as related specifically raised intracranial pressure, spinal disease, hydrocephalus and neurovascular disease.
  • Identify strengths, deficiencies, and limits in one’s knowledge and expertise.
  • Set learning and improvement goals.
  • Systematically analyze practice and implement changes with the goal of practice improvement.  One means is by helping the Chief Resident maintain a daily tally of morbidities and mortalities on the service.
  • Incorporate evaluation feedback into daily practice.
  • Locate, appraise, and assimilate evidence from scientific studies related to the respective patients’ health problems.  This is formally done during Journal Club conferences.
  • Use information technology to optimize learning.
  • Practice evidence-based approach to patient care.
  • Participate in monthly M+M conferences where patient outcome is critically evaluated. 

Interpersonal and Communication Skills

The resident will develop the ability to:

  • Demonstrate interpersonal and communication skills that result in the effective exchange of information, including collaboration with patients, their families, and health professionals.
  • Ability to cross a broad range of socioeconomic and cultural backgrounds in one’s interpersonal and communication skills.
  • Effectively communicate with physicians and other health professionals.
  • Maintain comprehensive, timely, and legible medical records.  This includes dictating discharge notes immediately, and no later than within 24 hours.  
  • Help the Chief Resident maintain daily database of patient care team census, including morbidities and mortalities.

Professionalism

The resident will develop the ability to:

  • Ensure that patient care responsibilities supersede personal interests
  • Respect HIPAA regulations of patient privacy, autonomy.
  • Be sensitive and responsive to diversities in patient population.
  • Maintain a high standard of ethical behavior.
  • Commit to the continuity of patient care.  This includes ensuring thorough and safe transference of care during off hours.

Systems-based Practice

The resident will develop the ability to:

  • Demonstrate an awareness of a larger context and system of health care, including effectively using resources to provide optimal health care.
  • Practice high quality cost-aware patient care
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