Neurological surgery residency

UC Davis Medical Center

The University of California, Davis Medical Center (UCDMC) is a nationally recognized academic medical center that serves a 65,000-square-mile area in Northern and Central California. As the academic referral center for a catchment area that includes 33 counties and over 6 million people, UC Davis admits more than 40,000 patients per year and handles nearly 1 million patient visits. Serving as the only inland Level 1 adult and pediatric trauma center in Northern California, the emergency room sees over 76,000 patients per year and has a world class neurotrauma program. Ranked by the US News and World Report as one of the nation’s best hospitals in 11 adult medical specialties and 5 pediatric medical specialties, UCDMC is home to one of 47 comprehensive cancer centers in the country and provides advanced specialty care in 150 medical fields.

The Department of Neurological Surgery

The UC Davis Department of Neurological Surgery includes 10 clinical faculty with subspecialty interests in neurooncology, functional/epilepsy surgery, open and endovascular neurosurgery, pediatric neurosurgery, skull base surgery, minimally invasive cranial neurosurgery, peripheral nerve, complex and minimally invasive spine surgery, and neurocritical care. Residents also rotate at Kaiser Permanente Sacramento Medical Center, which includes a faculty of 15 neurosurgeons covering the entire spectrum of acute and elective neurosurgical care.

We participate in the National Resident Matching Program, with one new intern matched to the program each year. The training curriculum is designed to provide our residents with a comprehensive experience in all aspects of neurosurgery, including rotations in neurocritical care, neuroradiology, and neurology. Below is the current template for the 7-year training program:

 

JUL/AUG/SEP

OCT/NOV/DEC

JAN/FEB/MAR

APR/MAY/JUN

PGY1

Neurosurgery (UCDMC)

Neurocritical Care

Basic Neuroscience

Neurosurgery (UCDMC)

PGY2

Neurosurgery (UCDMC)

Neurosurgery (UCDMC)

Neurosurgery (UCDMC)

Neurosurgery (UCDMC)

PGY3

Neurosurgery (Kaiser)

Neurosurgery (UCDMC)

Neurosurgery (UCDMC)

Elective: Pediatrics

PGY4

Elective: Neurooncology

Elective: Neurovascular

Neurosurgery (UCDMC)

Neurosurgery (UCDMC)

PGY5

Research

Research

Research

Research

PGY6

Neurosurgery (UCDMC)

Neurosurgery (UCDMC)

Neurosurgery (Kaiser)

Neurosurgery (Kaiser)

PGY7

Chief Resident (UCDMC)

Chief Resident (UCDMC)

Chief Resident (UCDMC)

Chief Resident (UCDMC)

o Neurosurgery (UCDMC) = inpatient neurosurgery service at UCDMC
o Neurocritical Care = includes intubations/anesthesia and ICU procedures
o Basic Neuroscience = neurology (general), neurology (movement disorders/epilepsy), and neuroradiology
o Neurosurgery (Kaiser) = inpatient neurosurgery service at UCDMC, including peripheral nerve service
o Elective: Pediatrics = inpatient/outpatient pediatric neurosurgery at UCDMC
o Elective: Neurooncology = inpatient/outpatient adult neurooncology at UCDMC, including medical and radiation oncology/radiosurgery
o Elective: Neurovascular = inpatient/outpatient adult and pediatric neurovascular including stroke clinic, endovascular at Kaiser, open vascular at Kaiser, extracranial vascular at Kaiser
o Research = laboratory research or enfolded clinical fellowship

The core neurosurgery clinical rotations are completed at the UC Davis Medical Center main campus in Sacramento. Elective rotations occur at UCDMC and its adjacent clinics, as well as Kaiser Permanente Sacramento Medical Center which is located 9 miles from the UCD campus.

PGY1 – The first year of training is divided between inpatient neurosurgery at UCDMC, and elective rotations in neurocritical care/anesthesia and clinical neurosciences (neuroradiology, and inpatient and outpatient neurology including stroke, epilepsy, and movement disorders).

PGY2 – The second year of training is focused on inpatient neurosurgery at UCDMC, with increasing patient care responsibility and frequent inpatient call. During this year, residents develop expertise in acute neurosurgical care, providing overnight care for patients in the emergency department, intensive care units, and hospital wards. This is a year focused on developing basic neurosurgical skills – patient evaluation and workup, differential diagnosis, and formulating treatment plans. There is also significant operative experience in this year, with graduated responsibility and independence.

PGY 3 and 4 – The third and fourth years of training provide increasing exposure to the operating room, with involvement in more advanced cases. Residents share their time between the inpatient neurosurgical service at UCDMC, the inpatient neurosurgical service at Kaiser Permanente Sacramento Medical Center, and elective neurosurgical rotations in: (1) pediatric neurosurgery, (2) neurooncology, and (3) vascular neurosurgery. These elective rotations include outpatient (clinic) and inpatient experiences, and provide exposure to clinics in medical oncology, radiation oncology, and neurovascular/stroke. Residents actively participate in clinical care conferences and present patients and clinical topics at weekly academic meetings.

PGY 5 – The fifth year of training is intended to focus residents on their subspecialty area(s) of interest, with time spent in clinical or basic science research. During this time, residents have very limited clinical responsibilities and are able to focus their time on academic pursuits focused on their particular interests. There are numerous opportunities for residents to work in research projects directed by clinical faculty, and/or to collaborate with research faculty in other clinical or basic science departments across the campus at UC Davis. An enfolded clinical fellowship is an option for this year, if it meets a resident’s particular career goals. During this year, the PGY5 resident is responsible for coordinating the department’s monthly journal club meeting.

PGY 6 – The sixth year of training prepares residents for their Chief Resident year. Time is split between the inpatient neurosurgical service at UCDMC, partnering with the Chief Resident to help manage the clinical service and participate in more advanced and complex surgical procedures. The second half of the year is at Kaiser Permanente Sacramento Medical Center, where the PGY6 functions as the "Kaiser Chief" participating in complex cranial and spine operations. During this year, the PGY6 resident alternates chief weekend call with the PGY7 resident and serves as "acting chief" when the PGY7 is away.

PGY 7 – The Chief Resident year is entirely focused on the inpatient neurosurgical service at UCDMC. During this year, the Chief Resident leads morning rounds, develops the resident call schedule, coordinates time away/vacation requests, and is responsible for assigning residents for presenting at academic department conferences (morbidity & mortality and preop conferences).

 

Program Information

 

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