Picture4
[Curriculum]
[Childrens]
[Laboratory]
[Neurocritical Care]
[Parkland Chief]
[Parkland Junior]
[Neurology]
[Spine]
[Tumor]
[VA]
[Vascular Chief]
[Vascular Junior]
Laboratory Curriculum
 
NEUROANATOMY
UNIT OBJECTIVES
Demonstrate knowledge of anatomy that is pertinent to the diagnosis of diseases of the nervous system and the practice of neurological surgery.
    Discuss the clinical presentation in anatomical terms of syndromes of the brain and its coverings including:
      epidural hematoma
      acute subdural hematoma
      chronic subdural hematoma
      subgaleal hematoma
      injury to innervation of the scalp
    Discuss the syndromes produced by mass lesions affecting the cranial nerves including:
      suprasellar lesions
      lesion of jugular foramen
      lesion of internal auditory canal
      lesions or distortion at the incisura
    Review the expected effects of stroke or mass lesion at different locations within the brain stem and cerebellum.
    List the expected effects of destructive lesions in the basal ganglia and cerebellum.
    Describe the expected effects of ischemic or destructive lesions of the white matter tracts of the cerebrum.
    Discuss the expected effect of destructive lesions of specific regions of the cerebral cortex.
    Review the clinical presentation of strokes in the distribution of the supratentorial cerebral blood vessels.
    Discuss the relationship of the spinal nerves to the vertebral level of exit.
    Diagram the structures comprising the boundaries of the spinal neural foramina.
    Discuss the clinical manifestation of injury for each of the major peripheral nerves.
    Describe the anatomy and presentation of common entrapment syndromes of peripheral nerves including:
      thoracic outlet syndrome
      carpal tunnel syndrome
      ulnar nerve entrapment syndrome at wrist and elbow
      anterior interosseous syndrome
      posterior interosseous syndrome
      meralgia paresthetica
      peroneal nerve palsy
      tarsal tunnel syndrome
    Describe the surgical exposure of common peripheral nerve entrapments including:
      carpal tunnel
      ulnar nerve at elbow
      ulnar nerve at wrist
      lateral femoral cutaneous nerve
      peroneal nerve
    Discuss the clinical presentation and neurological deficits associated with common lesions of and injuries to the spinal cord and nerve roots.
COMPETENCY-BASED SKILL OBJECTIVES:
    Identify at the time of surgery:
      occipital artery
      superficial temporal artery
      frontalis muscle
      pterion
      inion
      asterion
      coronal suture
      sagittal suture
      middle meningeal artery
      sagittal sinus
      transverse sinus
      foramen rotundum
      foramen ovale
      foramen spinosum
      superior orbital fissure
      jugular foramen
      internal auditory canal
      superior sagittal sinus
      sigmoid sinus
      incisura
      each cranial nerve
      each named cerebral artery and vein
      components of the brain stem
      named structures on the floor of the fourth ventricle
      Foramina of Magendie and Luschka
      cerebral peduncles
      components of the cerebellum
      cerebellar tonsils
      brachium cerebelli
      vermis
      major supratentorial gyri
      supratentorial lobes
      sylvian fissure
      central sulcus
    Identify at the time of surgery structures visible in the lateral ventricles including:
      Foramen of Monro
      fornix
      caudate
      thalamus
      choroidal fissure
      named veins
      glomus of the choroid plexus
      hippocampus
    Identify the parts of the vertebral column, spinal cord, and nerve roots at the time of surgery including:
      spinous process
      lamina
      superior facet
      inferior facet
      pedicle
      pars interarticularis
      uncovertebral joint
      neural foramen and nerve root
      nerve root ganglion
      disc space
      vertebral artery
      dorsal column and lateral column of spinal cord
      intradural afferent and efferent rootlets
 
 
NEUROPHYSIOLOGY
UNIT OBJECTIVES
Demonstrate knowledge of physiology that is pertinent to the understanding of neurological disease.
 
COMPETENCY-BASED KNOWLEDGE OBJECTIVES:
Review the basic biology of the nerves including:
synthesis and movement of proteins in the nerve
membrane potential and membrane properties
ion channels
generation and conduction of an action potential
Discuss synaptic transmission including:
types of synaptic transmission
transmitter release
nerve-muscle transmission
chemical messengers
direct gated receptors
second messenger linked receptors
Describe the physiology of the sensory systems including:
sensory receptor physiology
anatomy of somatic sensory system
coding of modality specific sensory information
pain and analgesia
cortical integration of sensory perception
visual system
processing of information in the retina
processing of vision in the central visual pathways
columnar units of visual cortex
processing in the geniculate nucleus
visual perception of motion and form.
auditory system. Within this description review the processing of hearing in the cochlea and the central auditory pathways.
olfaction and taste
Discuss the physiology of the motor system including:
mechanisms of muscle contraction
muscle receptors, spinal reflexes
spinal reflexes concerned with position
brain stem reflexes controlling motion
vestibular nuclei control of movement and posture
red nucleus control of movement
cortical control of movement
cerebellar control of movement
regional and cellular organization of the cerebellum
functional divisions of the cerebellum
the role of the cerebellum in planning movement
basal ganglia
the anatomy of basal ganglia pathways
neural transmitters in the circuits within the basal ganglia
thalamus
Describe the attributes of the autonomic nervous system including both the sympathetic and parasympathetic systems.
Review the physiological basis of arousal and emotion. Include within this review the:
noradrenergic systems
limbic system. Include within this review the physiologic basis for emotion and memory
sleeping and sleep states
reticular activating system
Describe the higher cortical functions including:
anatomy of language
function of association cortex
Describe the physiological basis for cerebrospinal fluid production and reabsorption.
Review the physiological control of the cerebral vasculature.
Discuss, in detail, the physiology of the hypothalamus and pituitary, particularly as related to endocrinology
 
 
 
NEUROPATHOLOGY
UNIT OBJECTIVES
Demonstrate knowledge of neuropathology that is pertinent to the diagnosis of diseases of the nervous system and practice of neurological surgery.
 
COMPETENCY-BASED KNOWLEDGE OBJECTIVES:
General Neuropathology
Describe the techniques available for examination of surgical specimens from central nervous system, peripheral nervous system, skeletal muscle, pineal and pituitary.
Review the use of standard chromatic, histochemical and selected immunohistochemical stains employed in the evaluation of surgical specimens from the central nervous system, peripheral nervous system, skeletal muscle, pineal and pituitary.
List the techniques available for morphological examination of cerebrospinal fluid and the abnormalities observed in cerebrospinal fluid from patients with meningeal carcinomatosis, meningeal lymphomatosis, pyogenic meningitis and aseptic meningitis.
Central Nervous System
Describe the gross and histopathological features and, when applicable, the genetic basis of the following congenital and perinatal disorders:
encephaloceles and cranial meningoceles
myelomeningoceles and meningoceles
hydromyelia
diastematomyelia and diplomyelia
syringomyelia and syringobulbia
Chiari I malformation
Chiari II malformation
Dandy-Walker malformation
arachnoid cysts
porencephaly
aqueductal stenosis
subependymal germinal matrix hemorrhages
posthemorrhagic hydrocephalus
periventricular leukomalacia (white matter infarcts)
Describe the gross and histopathological features and characteristics of the causative agents of the following infectious diseases:
cranial and spinal epidural abscesses
cranial and spinal subdural abscesses
pyogenic bacterial meningitis and ventriculitis
brain abscesses
tuberculous meningitis and tuberculomas
central nervous system sarcoidosis
central nervous system cryptococcosis
central nervous system mucormycosis
central nervous system toxoplasmosis
central nervous system cysticercosis
Herpes simplex encephalitis
central nervous system HIV infections
central nervous system cytomegalovirus infection
Describe the gross and histopathological features of the following vascular lesions:
acute, subacute, and remote infarcts
border zone and watershed infarcts
manifestations of embolic infarcts including those secondary to atheromatous embolization and embolization from extracoporeal pumps
vasculitis including temporal arteritis, primary central nervous system vasculitis, granulomatous angiitis, and Wegener's granulomatosis
moyamoya
hypertensive intracerebral hemorrhages
lobar intracerebral hemorrhages
amyloid angiopathy
malformations including arteriovenous malformations, cavernous angiomas, venous angioma and capillary telangiectases
Vein of Galen "aneurysms"
saccular aneurysms
infectious ("mycotic") aneurysms
giant aneurysms
traumatic and dissecting aneurysms
venous and dural sinus occlusive disease
vascular malformations of the spinal cord
spinal cord infarcts
Describe the gross and histopathological features of the following traumatic lesions:
skull fractures
entrance and exit gunshot wounds of the skull
gunshot wounds of the brain including internal ricochet
epidural hematomas
acute subdural hematomas
chronic subdural hematomas
recent and remote cerebral contusions
traumatic intraparenchymal hemorrhages
diffuse axonal injury
traumatic cranial nerve injuries
spinal cord injuries
cerebral herniation syndromes
fat embolization
central nervous system trauma in infancy
central nervous system radiation injuries
manifestations of prior surgical intervention
Describe the gross and histopathological features and, when applicable, the metabolic basis for the following intoxications and deficiency states:
hypoxic-anoxic encephalopathy
carbon monoxide intoxication
ethanol intoxication
alcoholic cerebellar degeneration
central pontine myelinolysis
CNS complications of diagnostic agents including contrast material
CNS complications of antimicrobial therapy
CNS complications of antineoplastic therapy
CNS complications of "street drugs"
Wernicke's encephalopathy and thiamine deficiency
Subacute combined degeneration and B12 deficiency
Describe the gross and histopathological features of the following demyelinating diseases:
multiple sclerosis
progressive multifocal leukoencephalopathy
HIV vacuolar myelopathy
postinfectious encephalomyelitis
Describe the gross and histopathological features and the metabolic basis for the following leukodystrophies:
adrenoleukodystrophy and adrenomyeloneuropathy
Krabbe's disease
metachromatic leukodystrophy
Describe the gross and histopathological features and, when applicable, the genetic basis for the following dementias and degenerations:
Alzheimer's disease including familial forms
vascular dementia including Binswanger's disease and cerebral autosomal dominant arteriopathy (CADASIL)
Pick's disease
other fronto-temporal dementias
Creutzfeldt-Jacob disease and other prion diseases
Parkinson's disease
diffuse Lewy body disease
Huntington's disease
amyotrophic lateral sclerosis
paraneoplastic degenerative diseases
Describe the gross and histopathological features and, when applicable, the biochemical and genetic basis for the following metabolic diseases:
Wilson's disease
Tay Sachs disease and other GM-2 gangliosidoses
neuronal ceroid-lipofuscinoses
hepatic encephalopathy
Reye's syndrome
stopathological features and, when applicable, the grading criteria for the following central nervous system neoplasms:
diffuse fibrillary astrocytomas
gemistocytic astrocytomas
anaplastic astrocytomas
glioblastoma multiforme including giant cell glioblastoma and gliosarcomas
pilocytic astrocytomas including cerebellar, diencephalic, dorsal exophytic pontine, and cerebral pilocytic astrocytomas
subependymal giant cell astrocytomas
pleomorphic xanthoastrocytoma
oligodendrogliomas including anaplastic oligodendrogliomas and mixed oligoastrocytomas
ependymomas including myxopapillary ependymomas
subependymomas
choroid plexus tumors
colloid cysts
gliomatosis cerebri
gangliocytomas and gangliogliomas
dysembryoplastic neuroepithelial neoplasms
central neurocytomas
medulloblastomas
atypical teratoid/rhabdoid tumors
primitive neuroectodermal tumors and cerebral neuroblastomas
olfactory neuroblastoma
spinal paragangliomas
meningiomas including meningothelial (syncytial) fibrous, transitional, psammomatous, angiomatous, and papillary meningiomas
anaplastic and malignant meningiomas
meningeal hemangiopericytomas
other meningeal mesenchymal tumors
meningeal melanomatosis and melanomas
hemangioblastomas
lipomas
primary central nervous system lymphomas
metastatic carcinomas including leptomeningeal carcinomatosis
teratomas
dermoids and epidermoids
schwannomas including acoustic neurinomas or vestibular schwannomas, schwannomas of other cranial nerves, and spinal root schwannomas
Describe the gross and histopathological features and the genetic basis for the following tumor syndromes:
Neurofibromatosis type 1
Neurofibromatosis type 2
von Hippel-Lindau syndrome
Tuberous sclerosis
Cowden syndrome
Turcot syndrome
 
Peripheral Nervous System
    Describe the gross and histopathological features and, when applicable, the genetic and biochemical basis for the following disorders of peripheral nerves:
      compressive and traumatic neuropathies
      leprosy
      diabetic and uremic neuropathy
      Charcot-Marie-Tooth disease
      Guillain-Barre syndrome
      sympathetic dystrophy
    Describe the gross and histopathological features of the following neoplastic and tumorous disorders of peripheral nerves:
      peripheral schwannoma
      neurofibromas
      malignant peripheral nerve sheath tumors
      spinal root and peripheral nerve root cysts
Pituitary and Pineal
    Describe the gross and histopathological features of the following pituitary conditions:
      pituitary adenomas including null cell adenomas, growth hormone secreting adenomas, prolactin secreting adenomas, ACTH secreting adenomas, and oncocytomas
      craniopharyngiomas including adamantinomatous and squamopapillary craniopharyngiomas
      Rathke pouch (cleft) cysts
      pituitary involvement by metastatic neoplasms
      lymphocytic hypophysitis
      pituitary infarcts including pituitary "apoplexy"
      pituitary lesions resulting from closed head trauma
      empty sella syndromes
    Describe the gross and histopathological features of the following lesions of the pineal:
      germinomas
      teratomas and embryonal carcinomas
      pineoblastomas and pineocytomas
      metastatic carcinoma
Skull and Spine (including intervertebral discs)
    Describe the gross and histopathological features of the following disorders of the skull:
      dermoids and epidermoids
      hemangiomas
      osteomas
      chordomas
      solitary and multifocal eosinophilic granuloma
      Paget's disease including secondary osteosarcoma
      metastatic carcinomas
      plasmacytoma including myeloma
    Describe the gross and histopathological features of the following disorders of the spine and intervertebral discs:
      herniated intervertebral discs
      pyrophosphate disease including involvement of ligamentum flavum
      tumoral calcinosis
      hemangiomas
      chordomas
      eosinophilic granulomas
      metastatic carcinomas including epidural metastases
      plasmacytoma including myeloma
      lymphomas
      primary bone tumors
      spinal osteomyelitis including tuberculous and fungal spinal osteomyelitis
Eye and Orbit
    Describe the gross and histopathological features of the following ocular lesions:
      retinoblastomas
      ocular melanomas
    Describe the gross and histopathological features of the following orbital lesions:
      optic nerve gliomas
      optic nerve meningiomas
      orbital lymphomas and pseudotumors
      orbital metastases
Miscellaneous
    List the gross and histopathological features found in temporal lobectomy and cerebral hemispherectomy specimens removed during epilepsy surgery.
    Review the gross, histopathological, and cytopathological features that can be observed in shunt revision specimens.
    Describe the gross, histopathological, and cytopathological features that can be observed with indwelling pump and intrathecal catheter specimens.
    Cite the techniques for examination of foreign objects removed from the nervous system and the need for documentation of chain of custody when of potential legal significance.
    Describe the histopathological features of myotonic dystrophy and central core myopathy and list the potential implications of these diseases with regard to adverse anesthetic reactions including development of malignant hyperthermia.
 
 
NEUROPHARMACOLOGY
UNIT OBJECTIVES
Demonstrate knowledge of pharmacology that is pertinent to the treatment of neurological disorders and diseases which affect the nervous system.
 
COMPETENCY-BASED KNOWLEDGE OBJECTIVES:
    Review basic cellular neurotransmission. In the course of this review discuss:
      the synapse
      membrane potentials
      ion pumps
      ion channels
      transmitter secretion
      transmitter identification
    Define and discuss receptors and receptor pharmacodynamics including:
      receptor classification
      receptor identification
      dose response curves
      agonists and antagonists
      receptor modulation
    Discuss the neurotransmitter acetylcholine in detail. Include within the context of the discussion:
      cholinergic receptor classification
      functional aspects of cholinergic receptors
      synthesis, storage, and release of acetylcholine
    Discuss the catecholamine neurotransmitters (norepinephrine and dopamine) in detail. Include within the context of the discussion:
      biosynthesis of catecholamines
      storage and release of catecholamines
      anatomy of catecholamine receptors
      adrenergic receptors
      dopaminergic receptors
    Discuss the neurotransmitter serotonin in detail. Include within the context of the discussion:
      anatomy of serotonin receptors
      biosynthesis, storage and release of serotonin
      sub-types of serotonin receptors
    Discuss the neurotransmitter glutamate in detail. Include within the context of the discussion
      biosynthesis, storage and release of glutamate
      ionotropic glutamate receptors
        NMDA receptors and subunits
        non-NMDA receptors and subunits
      metabotropic glutamate receptors
        Group I metabotropic receptors and subunits
        Group II metabotropic receptors and subunits
        Group III metabotropic receptors and subunits
      role in neurological disorders
    Discuss the neurotransmitters GABA and glycine in detail.
      synthesis, uptake, and release
      physiology and pharmacology
      clinically relevent agonists and antagonists of GABA and glycine receptors
    Discuss the peptide neurotransmitters.
    Describe the pharmacology of each of the drugs used to treat neurological disorders.
 
 
NEURORADIOLOGY
UNIT OBJECTIVES
Demonstrate an understanding of neuroradiological imaging and interventions as they specifically relate to neurosurgical patients.
 
COMPETENCY-BASED KNOWLEDGE OBJECTIVES:
    Describe the precautions which should be taken when performing radiologic examinations.
    Identify the normal anatomical structures of the skull on antero-posterior, lateral, Towne, and submental vertex radiographs.
    List the indications for carotid and cerebral angiography.
    Review the potential complications to intravenous contrast agents and discuss the management of same.
    Identify the major arteries and veins of the neck and brain on angiograms.
    Describe the concepts of computerized tomographic (CT) scanning.
    Identify the normal anatomical structures of the scalp, skull, dura, brain, and cranial vasculature on CT scans.
    Describe the concepts of magnetic resonance (MR) scanning. Review the various imaging sequences which may be obtained.
    Identify the normal anatomical structures of the scalp, skull, dura, brain, and cranial vasculature on MR scans.
    Recognize common traumatic injuries which may be detected by skull radiographs including:
      linear skull fractures
      depressed skull fractures
      pneumocephalus
      foreign bodies
    Recognize common pathologic conditions which may be detected by skull radiographs including:
      neoplasms
      fibrous dysplasia
      congenital bone diseases
      metabolic bone disorders
      infections
    Recognize common traumatic injuries which may be detected by head CT including:
      skull fractures
      pneumocephalus
      intracranial hematomas
        epidural
        acute subdural
        chronic subdural
        intraparenchymal
        intraventricular
      cerebral contusions
      subarachnoid hemorrhage
      foreign bodies
    Recognize common pathologic conditions which may be detected by head CT including:
      ischemic infarction
      venous infarction
      hydrocephalus
      cysts
      tumors
      cerebral edema
      infections
      congenital abnormalities
      infections
    Recognize common traumatic injuries which may be detected by head MR scans including:
      pneumocephalus
      intracranial hematomas
        epidural
        acute subdural
        chronic subdural
        intraparenchymal
        intraventricular
      cerebral contusions
      diffuse axonal injury
    Recognize common pathologic conditions which may be detected by head MR scans including:
      ischemic infarction
      venous infarction
      hydrocephalus
      cysts
      tumors
      cerebral edema
      vascular occlusions
      infections
      congenital abnormalities
    Identify the normal anatomical structures of the craniovertebral junction on plain radiographs.
    Review the radiographic diagnoses of platybasia and cranial settling.
    Describe the plain radiographic findings of common traumatic injuries to the craniovertebral junction including:
      occipital condyle fractures
      atlanto-occipital dislocation
      Jefferson fractures
      posterior atlas fractures
      dens fractures
      axis body fractures
      hangman's fracture
      atlas and axis facet fractures
      atlanto-axial rotatory dislocation
    Distinguish between orthotropic and dystropic os odontoideum.
    Describe the common congenital abnormalities of the craniovertebral junction.
    Recognize common spinal congenital abnormalities on plain radiographs.
    Recognize common spinal traumatic injuries which may be detected by plain radiographs including:
      vertebral body fractures
      facet fractures and dislocations
      posterior element fractures
      transverse process fractures
      vertebral subluxation/dislocation
    Recognize common spinal degenerative conditions which may be detected by plain radiographs.
    Discuss the indications for CT and MR scanning of the spine in the setting of trauma.
    Describe the CT scan appearance of each of the traumatic spinal lesions previously listed.
    Describe the MR scan appearance of:
      spinal ligament injury
      traumatic disc herniation
      spinal cord contusion
      spinal epidural hematoma
    Recognize common spinal degenerative conditions which may be detected by MR including:
      disc degeneration
      disc herniation
      degenerative spinal stenosis
      facet hypertrophy
      osteophyte formation
      foraminal stenosis
      degenerative spondylolisthesis
      degenerative scoliosis
      ossification of the posterior longitudinal ligament
    Identify spinal and spinal cord tumors on CT and MR scans.
    Discuss the indications for spinal myelography.
    Review the indications for spinal angiography.
    Discuss the use of both the radiographic contrast and radionuclide shuntogram in evaluating neurosurgical patients
 
 
PRACTICE MANAGEMENT, LEGAL AND SOCIOECONOMIC ISSUES
UNIT OBJECTIVES
Demonstrate an understanding of the principles of practice management and the business aspects associated with the delivery of health care.
 
COMPETENCY-BASED KNOWLEDGE OBJECTIVES:
    Discuss the ethical and moral factors associated with the practice of neurosurgery.
    Review the role of the neurosurgical leadership in the community and hospital setting.
    Explain the neurosurgeon's responsibilities in terms of health care cost containment.
    Review the features and relationships of the healthcare system including:
      treatment facilities
      third party payment systems
        Medicare
        Medicaid
        employer-provided insurance
        private insurance
      physician practice organizations
      medical equipment manufacturers
      pharmaceutical companies
    Recite the rules and regulations of the training hospital(s) as they pertain to the practice of neurosurgery in which the residency is performed.
    Name the institutional and social service agencies in your community and review their role in the overall management of neurosurgical patients.
    Demonstrate a knowledge of the rules and regulations of your State Medical Board.
    Discuss the concept of informed consent.
    Discuss mandatory reporting laws.
    Discuss issues pertinent to the topic of the impaired physician.
    Name and describe the local, regional, and national neurosurgical organizations including their purposes, roles, activities, and interactions.
    Discuss the importance of tracking morbidity, mortality, and patient outcomes.
    Review the career options available at the completion of neurosurgical residency in detail including:
      private practice
      academic practice
      subspecialty fellowship
      research
      administration
      military
    Discuss post-residency fellowship training program availability, application process, and career usefulness.
    Describe the types and characteristics of surgical practice organizations including:
      solo practice
      group practice
        partnership
        professional association
        corporation
      academic practice
      Health Maintenance Organizations (HMO)
        Preferred Provider Organizations (PPO)
        Individual Practice Associations(IPA)
        staff model (Kaiser-Permanente type)
      Federal
        Department of Veterans Affairs
        Military
        Public Health Service
    Discuss hospital payment systems (e.g., DRGs, per diem rates) and describe their incentives and how they affect hospital profitability.
    Discuss the role and influence of national quality oversight and review organizations for hospitals and health plans (JCAHO, NCQA).
    Discuss the history, changes, eligibility, funding, and problems associated with the Medicare program.
    Describe the Medicare program features, such as eligibility, funding, administration, federal-state relationship, benefits, and payment methods.
    Discuss federal funding of graduate medical education and how current federal budget allocations and proposals for changes in funding affect or will affect neurosurgical training programs.
    Discuss the significance of the following issues as they relate to the practice of neurosurgery:
      legislative/regulatory requirements
        Americans with Disabilities Act
        Clinical Laboratory Improvement Amendments (CLIA)
      Federal/professional regulatory institutions
        Health Care Financing Administration (HFCA)
        Joint Commission on Accreditation of Healthcare Organizations (JCAHO)
        Occupational Safety and Health Administration (OSHA)
      miscellaneous
        affirmative action
        equal opportunity
        sexual harassment
    Discuss the common causes of malpractice actions and effective measures to reduce the risk of malpractice complaints.
    Describe the ways, means, and reasons physicians influence the political process at the national, state, and local level.
    Discuss the demographics of neurosurgeon distribution, numbers, workload studies, and workforce needs.
    Outline the requirements for certification by the American Board of Neurological Surgery.
    Formulate a strategy to evaluate personal and professional considerations in making a career choice.
    Appraise the importance of family involvement in making career choices, including geographic location.
COMPETENCY-BASED SKILL OBJECTIVES:
Demonstrate an ability to interact effectively, professionally, and respectfully with:
patients and their families
fellow residents
allied health care personnel
hospital staff
medical students
faculty physicians
referring physicians
Demonstrate the ability to maintain accurate and current medical records.
Discuss neurosurgical career options with:
faculty
peers
family
non-faculty neurosurgeons and other mentors
Accumulate information about post-residency career options.
Create and keep current a resume/curriculum vitae.
Record CPT codes for office visits and procedures performed on service.
Accurately document H&P and consultations according to the AMA-CPT E&M documentation guidelines.

Last Updated Feb 2013