Neurosurgery

The goals of this experience are to works as a team, develop clinical skills, patient management strategies, in-depth understanding of patients assigned, fundamental operative skills and be able to articulate differential diagnosis and treatment options for faculty and residents. This sub-internship is designed to give the student maximum opportunity to see inpatients and outpatients with neurosurgical problems and to have a correlation with neuroanatomy, neurophysiology and neuropathology. A major portion of the time will be patient care oriented with specific subject-oriented assignments in the basic neurological sciences. Students are expected to round with their team, follow their patients, participate in operative cases, and present at teaching conferences. Students are strictly limited to PGY 1 Duty Hours, as required by YSM.
This subinternship is required for Yale School of Medicine students planning to enter the match for neurosurgery and is strongly recommended prior to outside sub-internship experiences.
Students from U.S. Medical Schools are encouraged to join us for a sub-internship experience at Yale as well. The restaurants are world class, the residents are team oriented and the faculty is supportive and approachable. The Elective Coordinator, Mrs. McLaughlin will interface with students and YSM to facilitate applications and schedules. Students who wish to have a more limited exposure to the field as an elective may choose a two-week rotation and outside students may wish to opt for a two-week experience if their scheduling is limited. Further information is available athttp://medicine.yale.edu/neurosurgery/index.aspx.

Length of Rotation: 4 weeks (maximum-4 students)

Scheduling Restriction: sub-I is on a full-time basis with hours to be arranged; 2 week rotation available with departmental approval

Student's Class Level: 3rd, 4th, 5th year

Prerequisite: N/A

Accept Visiting Students: yes

Learning Objectives:

  1. History skills. Gather the important information that is needed for the Neurosurgery history and complete a history in the medical record for at least 2 patients.
  2. Physical examination skills. Complete a pertinent physical examination for the evaluation of back pain, neck pain, and headache due to SAH and altered mental status (or coma) due to space occupying intracranial lesion. The student should demonstrate the ability to perform this pertinent physical examination while being observed by at least one attending or resident.
  3. Knowledge/diagnostic and treatment skills: Know about common neurosurgery conditions and their basic management.
  4. Attitude: Demonstrate professional responsibility in working as a team member with other members of the Neurosurgery care team, patients and families.
  5. Career/context: Know the training/career pathway for neurosurgery attending.

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The core of the elective is shadowing a neuropathologist at work. As experience is gained, core functions of tissue evaluation, processing and examination can be performed by the student.

Length of Rotation:2 or 4 weeks (maximum-2 students)

Scheduling Restriction:N/A

Student's Class Level: 3rd, 4th, 5th year

Prerequisite: Interest in neurological disciplines

Accept Visiting Students: yes

Learning Objectives:

  1. Knowledge/diagnostic and treatment skills: Know the intelligent analysis of structural features in tissues for a variable extensive diagnosis process.
  2. Laboratory procedural skills: Students will handle different types of tissue; procure, document and process patient tissues obtained from surgical resection or biopsy; provide histopathologic evaluation of specimens for special studies or case materials for molecular tests; finalize diagnostic reports; consult on intraoperative frozen section; and evaluate autopsy brain and spinal cord tissue including gross examination, histopathologic evaluation with special studies and finalization of an autopsy report.
  3. Attitude: Demonstrate professional responsibility in working as a team member with other members of the Laboratory medicine team.
  4. Career/context:Know the theoretical, technological, and clinical underpinnings of the specialty of Laboratory Medicine.

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