Residency in Neurosurgery, Zucker School of Medicine at Hofstra/Northwell
PGY-1 / NS-1: multiple services
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 – Residents 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 participate in linac-based frameless treatments including single-session and fractionated SRS. This includes patients undergoing SRS for treatment of spine tumors.
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.
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.
PGY-2 / NS-2: Neurosurgery, Neuroradiology, and Neuropathology
Neurosurgery—Residents devote their time to increasing neurosurgical management and operative skills as junior residents at the North Shore University Hospital campus. At North Shore University Hospital, residents are introduced to the principles of stereotactic radiosurgery and participate in patient planning and treatment.
PGY-3 / NS-3: North Shore University Hospital
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 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.
PGY-4 / NS-4: Research
Residents are encouraged to pursue basic or clinical research within the hospital setting at the Feinstein Institute for Medical Research, the Zucker School of Medicine Campus, or Cold Spring Harbor Laboratory. The partnership between Cold Spring Harbor Laboratory and Northwell Health, established in 2015, has provided neurosurgery residents, students and faculty the opportunity to work with leaders in basic neuroscience, cancer biology, quantitative biology and genomics. All research proposals are submitted to the program director for approval during the PGY-3 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.
PGY-5 / NS-5: Research and Advanced Training
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).
PGY-6 / NS-6: Senior resident North Shore University Hospital and Lenox Hill Hospital
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.
PGY-7 / NS-7: Chief resident at North Shore University Hospital
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.