The Neurosurgery Residency program consists of clinical, research, and academic training. In addition to following the Department’s training schedule, Residents are expected to attend departmental conferences and actively participate in individual and faculty research endeavors.
Our residency program is a seven-year training program, and includes 48 months of clinical neurosurgery experience. Residents spend 12 months serving as the chief resident, surpassing the minimum standard set by the American Board of Neurological Surgery.
First Year (PGY-1)
First year residents intern at both Elmhurst Hospital Center and The Mount Sinai Hospital. At Elmhurst Hospital Center, residents spend one month in General Surgery, one month in the Trauma and Surgical Intensive Care Unit, and six months in Clinical Neurosurgery and Neurotrauma. Interns also spend one month in Plastic and Reconstructive Surgery and three months in the Neurosurgery and Neurology Intensive Care Unit (NSICU) at The Mount Sinai Hospital.
Second Year (PGY-2)
As a resident, your second year of training is spent as a junior resident at The Mount Sinai Hospital. Residents follow a Q 4 day call schedule, which consists of two operative days, one call day, and one post-call day.
Third Year (PGY-3)
Residents maintain their junior resident status during their third year of training, and continue to follow the Q 4 day call schedule.
Fourth Year (PGY-4)
The fourth year of our residency program is reserved primarily for research. Research residents have 12 months of elective and research time with protected time for academic research versus focused clinical experience.
Fifth Year (PGY-5)
During your fifth year, six months will be reserved for elective research. The remaining six months you will serve as chief resident at Mount Sinai Beth Israel, focusing on neurosurgical oncology surgery.
Sixth Year (PGY-6)
During your sixth year of training, you’ll serve as the chief resident at Elmhurst Hospital Center for six months and then at The Mount Sinai Hospital for six months. At Elmhurst Hospital Center, the resident runs the neurosurgery service with increase autonomy. At The Mount Sinai Hospital, the chief resident role is to manage one of the three sub-services (as the other two services will be managed by the chief resident).
Seventh Year (PGY-7)
Residents spend their last year of training as the chief resident at The Mount Sinai Hospital. They manage the sub-services for three month blocks. The Red Service is primarily vascular and pediatrics, the Blue Service is primarily tumor and function, and the White Service is primarily spine. The chief residents get to choose which services they are assigned to.
We offer a number of departmental conferences and meetings. Residents are expected to attend and participate in the following events: Radiology Conference on Tuesdays and Thursdays from 7:00 to 8:00 am, Grand Rounds on Wednesdays from 7:00 to 9:00 am, and the Resident Educational Conference on Fridays 7:00 to 8:00 am.
Teaching rounds are directed by the neurosurgical ICU director and every Monday morning in the ICU. All patients on the neurosurgical service are seen and discussed. Often, attendings will lead nonscheduled teaching rounds. Chief residents also lead patient rounds with all trainees on service, twice per day.
Neuroradiology teaching and work rounds are held three mornings each week at 7:00 am. All pre- or post-op radiology studies are reviewed and discussed, so trainees can gain experience reading films and discussing surgical options.
Grand Rounds are held every Wednesday from 7:00 to 9:00 am. During these two hours, faculty; visiting professors; residents; and students give formal presentations in neurosurgery, neurology, neuropathology, neuroradiology, basic and translational research, and other timely issues.
Journal Club is held once each month and is directed by an attending with a particular interest and expertise in that month’s topic. Articles on a particular topic are chosen and presented by the residents and followed by an open discussion of the paper’s merits.
Brain Tumor Radiosurgery Board
Coordinated by Isabelle Germano, MD, the Brain Tumor Board meets every Thursday from 9:00 to 10:00 am. In this multidisciplinary meeting, patients with brain tumors are evaluated by physicians from the Departments of Neurosurgery, Neurology, Neuropathology, Neuroradiology, Radiation Oncology, Neoplastics, and Rehabilitation Medicine. Residents from these departments also participate in discussions regarding patient care and management.
Spine Tumor Board
Spine Tumor Board, coordinated by Arthur Jenkins, MD, and Isabelle Germano, MD, meets weekly on Fridays from 9:30 to 10:00 am. During this time, patients with spine tumors are evaluated by physicians from the Departments of Neurosurgery, Neurology, Neuropathology, Neuroradiology, Radiation Oncology, Neoplastics, and Rehabilitation Medicine. Residents from these departments also participate in discussions regarding patient care and management.
Basic Science and Clinical Correlation Course
The Basic Science and Clinical Correlation Course—coordinated by Thomas Naidich, MD, and Tanvir Choudhri, MD—meets each Friday from 7:00 to 8:00 am. The course covers a variety of topics including the anatomy and physiology of the cranial nerve (year one), spinal cord and peripheral nerves (year two), and the cerebrum and cerebellum (year three).