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School of
Medicine

Neurological Surgery

Rotation Schedule

Rotation Schedule

The Neurosurgical Residency Program at Case Western Reserve University School of Medicine is seven years in length and designed to offer residents all opportunities necessary to achieve their professional goals within the field.

Traditionally, residency training is carried out primarily at two sites: University Hospitals Cleveland Medical Center and MetroHealth Medical Center (MHMC). As of July 1, 2015, third and fifth year neurosurgery residents will rotate to the Veterans Administration Medical Center. A varied patient mix at these institutions provides residents with a thorough exposure to the full range of neurological illnesses and surgical technologies. Residents are given steadily increasing autonomy for patient care during the clinical years. The program was recently given approval to begin a community rotation which was designed to maximize exposure to patients in the ambulatory setting and allow them to follow patients through every step of their care from preoperative evaluation through the postoperative period. The rotation will also provide a large volume of minimally invasive spine cases. Residents can spend time in their fifth or sixth year in basic or translational research as preparation for investigative aspects of academic careers. For those residents so inclined, enfolded fellowships and specialized clinical training may be pursued.

PGY1: The year is spent completing six months of Neurosurgery (3 months at UHCMC and 3 months at MHMC). The other six months is spent in the Neuroscience Intensive Care Unit (NSU) or on the Neurology service, where there is an introduction to neurocritical care. At the completion of the year, the resident should be able to see consults and manage patients as a junior resident.

PGY2: Neurosurgery residents in their second year of training spend most of their time on the wards at University Hospitals Cleveland Medical Center and three to six months at MetroHealth Medical Center. Residents are exposed to a variety of cases and surgical skills are developed. Attention is given to developing intensive care and floor service management skills. Time is spent with the chief resident as complex cranial openings are learned.

PGY3: Eight months of the year is spent on the clinical service at University Hospitals Cleveland Medical Center. Further development of patient management is encouraged and surgical responsibilities are increased. A rotation will be completed at the Wade Park Veterans Administration Medical Center as well as a rotation in Endovascular Neurosurgery and Stereotactic Radiosurgery here at UHCMC. Residents are also assigned to the Pediatric Neurosurgery service during the third year of training, although some time might be spent in Pediatric Neurosurgery during their second and fourth year.

PGY4: Most of the year is spent on the clinical service at University Hospitals. It is possible to complete a two month rotation in Angiography/Gamma Knife Radiosurgery. Residents are considered senior clinical residents at this level and are expected to manage critical care and service patients. Operative responsibilities are further increased and lead operative roles in complex surgical cases are provided under supervision.

PGY5 and 6: This time is spent in a basic science laboratory or completing an enfolded fellowship. Residents are afforded 18 months of time for academic pursuit research or enfolded clinical fellowships/specialized training. Limited weekend chief coverage is expected. Six months of this time will be spent as the academic chief resident, assisting with administrative as well as some clinical duties.

PGY7: Residents spend the year as chief resident at University Hospitals, alternating coverage on the two neurosurgical services. Successful completion and passing for credit of the written examination of the Primary Examination of the American Board of Neurological Surgery is required prior to this year.

CategoryJuly - SeptOct - DecJan - MarApr - Jun
PGY-1 NSU/Neurology Neurosurgery (MHMC) NSU/Neurology Neurosurgery (UHCMC)
PGY-1 Neurosurgery (MHMC) NSU/Neurology Neurosurgery (UHCMC) NSU/Neurology
PGY-1 Neurosurgery NSU/Neurology Neurosurgery(MHMC) NSU/Neurology
PGY-2 Neurosurgery (MHMC) Neurosurgery (UHCMC) Neurosurgery (UHCMC) Neurosurgery (UHCMC)
PGY-2 Neurosurgery (UHCMC) Neurosurgery (UHCMC) Neurosurgery (UHCMC) Neurosurgery (MHMC)
PGY-3 Angio/Gamma Knife VAMC Neurosurgery VAMC
PGY-3 VAMC Neurosurgery Angio/Gamma Knife Neurosurgery
PGY-3 Neurosurgery Angio/Gamma Knife VAMC Neurosurgery
PGY-4 Neurosurgery Neurosurgery Neurosurgery Neurosurgery
PGY-4 Neurosurgery Neurosurgery Neurosurgery Angio/Gamma Knife
PGY-5 Admin Chief Research/Enfolded Fellowship Research/Enfolded Fellowship Research/Enfolded Fellowship
PGY-5 Research/Enfolded Fellowship Admin Chief Research/Enfolded Fellowship Research/Enfolded Fellowship
PGY-5 Research/Enfolded Fellowship Research/Enfolded Fellowship Research/Enfolded Fellowship Research/Enfolded Fellowship
PGY-6 Research/Enfolded Fellowship Research/Enfolded Fellowship Admin Chief Research/Enfolded Fellowship
PGY-6 Research/Enfolded Fellowship Research/Enfolded Fellowship Research/Enfolded Fellowship Admin Chief
PGY-7 UH Chief UH Chief UH Chief UH Chief
PGY-7 UH Chief UH Chief UH Chief UH Chief

Call Responsibilities

CategoryCalls per Month
PGY-1 0
PGY-2 6
PGY-3 6
PGY-4 6
PGY-5 Chief coverage (1 weekend)
PGY-6 Chief coverage ( 1 weekend)
PGY-7 Chief Resident