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Programs on probation
Forum: General resident issues
Last Post: Guest
2 hours ago
» Replies: 27
» Views: 3,833
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Directory4U
Forum: General Discussion
Last Post: StevenAlkah
8 hours ago
» Replies: 0
» Views: 25
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Call Frequency as an Atte...
Forum: General interest
Last Post: Focus
04-27-2024, 05:59 PM
» Replies: 2
» Views: 402
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How are clinical vs. basi...
Forum: On the trail
Last Post: Guest
04-27-2024, 04:09 PM
» Replies: 3
» Views: 374
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Pgy3
Forum: General resident issues
Last Post: Guest
04-26-2024, 12:54 AM
» Replies: 1
» Views: 394
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WUSTL Pre-screen
Forum: Sub-internships
Last Post: Guest
04-25-2024, 08:59 PM
» Replies: 5
» Views: 1,303
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<240 Step2: Options?
Forum: USMLE
Last Post: Guest
04-25-2024, 08:59 PM
» Replies: 3
» Views: 436
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UChicago North Shore
Forum: Sub-internships
Last Post: guest033456
04-25-2024, 08:34 PM
» Replies: 0
» Views: 180
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usc vs utah
Forum: Sub-internships
Last Post: Guest
04-25-2024, 09:07 AM
» Replies: 4
» Views: 676
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Choosing sub Is for stude...
Forum: Sub-internships
Last Post: Guest
04-23-2024, 08:43 PM
» Replies: 5
» Views: 615
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Those with childrern duing residency - how did you fare? |
Posted by: Guest - 08-29-2020, 12:19 PM - Forum: General Discussion
- Replies (6)
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I'm curious to know how those with children and spouses that also work full time fared during residency. Has anyone noticed common patterns among neurosurgeon-parents that are sometimes ignored? I am curious how those who managed to foster a close relationship with their children pulled it off.
I wouldn't be surprised if resident-parents missed their children's first steps, first words, first day at school etcetc. Maybe I'm wrong?
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Inova Fairfax Neurosurgery Meet & Greet |
Posted by: Inova - 08-27-2020, 08:48 PM - Forum: Sub-internships
- No Replies
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Hello prospective applicants!
The neurosurgery residency program at Inova Fairfax is hosting a virtual meet & greet on Zoom. Come learn what makes our program unique and an exciting feature of Northern Virginia/D.C neurosurgery! All residents will be in participation. Faculty attendance will include both our chairman and program director.
When: Tuesday, September 1, 5-6PM EST
Where: Zoom
How to register: https://inova.zoom.us/meeting/register/tJUucOGgrjgjG9TT6cB1taHwtSnaBwK34_rO
E-mail contact: marisol.rivera@inova.org (program coordinator)
Best of luck this season! Hang in there through all the weirdness.
Cheers,
Inova neurosurgery residents
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Best MRI resource for med students |
Posted by: donut2023 - 08-27-2020, 02:32 PM - Forum: General interest
- Replies (2)
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Hello,
I am looking for an atlas some some sort for learning MRI of the brain and spine.
Any websites or books you guys can recommend? A comprehensive resource with basic anatomy (from diff views) would be great.
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Virtual Meet Up |
Posted by: BCM Neurosurgery - 08-27-2020, 12:35 PM - Forum: Sub-internships
- No Replies
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Hi prospective applicants,
We will be hosting a virtual meet up for MS4s. Learn more about our residency program next month during our Virtual Sub Internship on 9/2 and 9/30. For more information or to register, email gina.collier@bcm.edu.
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Pediatric Spine |
Posted by: Guest - 08-24-2020, 09:09 AM - Forum: General interest
- No Replies
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Whats the deal with pediatric spine?
Seems like its been traditionally dominated by the ortho guys.
Where are some good places to get actual good training in this area?
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Call system in small programs |
Posted by: Guest - 08-23-2020, 01:02 AM - Forum: General resident issues
- Replies (16)
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I am interested to hear about the different call systems especially for small programs 1 or 1-2-1 per year...Is it typical for PGY4 and 5 to take 7 calls per month? How other programs protect their senior residents from primary calls? Night float system? It really sucks to take frequent primary calls during senior years.
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Case volume vs research - defining high tier programs |
Posted by: Guest - 08-22-2020, 07:09 PM - Forum: On the trail
- Replies (26)
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This is just for brain storming, it is not intended to hurt anyones ego!
It has been the trend in medicine that research output and grants funding determines the reputation and ranking of residency programs. This was automatically reflected on surgical specialties as well, including neurosurgery. In the way that you see many programs that benefit from their undergrad or research reputation to hold the label "high tier" or competitive, despite low case volume. Examples are plenty, including Yale, Stanford, Columbia, and many others.
That is the same reason why for a long time the minimum requirement for graduation was 400 cases and only recently was changed to 800!
Kinda ridiculously low number! It is intuitive that you need much more than this to be a competent surgeon, and certainly taking 2 years off your senior years of residency for "protected research" is not helping, nor does having attendings who are great but very hands on! Otherwise more of the likes of Dr. Death will be out there.
Associated with all of this is the arbitrary definition of "high tier" programs. What really is a high tier program ? How could one program define itself as high tier while their residents graduate with 1200-1500 cases, regardless on how many residents they take per year ?! This has lead to many stories of new graduates from some of those programs suffering at their new place of hire, and some of them were let go. They are great researchers, but not competent surgeons!
A better definition of surgical tiers should be the number of cases done (as senior or lead surgeon) at time of graduation and the associated level of autonomy, in a way that:
- High tier - >2000 cases with reputation of supervised autonomy
- Middle tier - 1500-2000 cases
- Low tier - < 1500 cases
Of course per the ACGME definition a senior or lead surgeon has to do more than just opening and closing the wound to be able to log the case.
Certainly if the residents' interest is more directed towards basic science research, then their choice of such institutions is ideal. However, the programs still should not enjoy the definition of high tier only because they are good at handling lab animals for 2 years. It's incredibly counterintuitive to being a "surgeon"!
God bless!
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Louisiana Programs |
Posted by: Match - 08-18-2020, 11:11 PM - Forum: On the trail
- Replies (14)
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Louisiana has 3 programs: Tulane, LSU NO and LSU Shreveport. Looks like each one takes 2 per year. Anyone knows about their case volume and autonomy ?
I heard Shreveport is the busiest ?!
LSU NO alternates 1/2 residents per year. Tulane and Shreveport take 2 each. I was a resident in one of those.
Given that Louisiana has a "medical review board" system which makes it hard to sue physicians, all of these programs provide excellent autonomy and most attendings are very hands-off, sometime "stay home" level of hands-off.
As far as cases, Tulane joined forces with Ochsner hospital to increase their volume.
Tulane-Ochsner - around 3000-3500 cases per year
LSU NO - around 1200-1500 cases per year
LSU Shreveport - around 4000-4500 cases per year
Shreveport does more cases because it is the only place in the North. Still, NO is a nicer place to live. It will be volume vs location.
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