Neurovascular Resident Educational Objectives

Junior Resident

Understand the detailed anatomy of the extracranial and intracranial vertebral, carotid and spinal circulation including arterial branches, the venous system, and their nomenclature.  To recognize these structures on angiographic films.  To correlate the location of the vasculature with the respective neural compartments and supplied territory as visualized on tomographic imaging (CT and MRI).

Understand the concepts of cerebral blood flow, ischemic thresholds, intracranial pressure, cerebral perfusion pressure, and the impact of intracranial mass lesions.

Recognize common mechanisms of brain ischemia from cardiac, artery to artery, and small vessel occlusive etiologies, and their clinical manifestations and correlates on diagnostic imaging. 

Recognize common mechanisms of intracranial hemorrhage, their etiologies, and their clinical manifestations and correlates on diagnostic imaging.

Understand pathophysiologic mechanisms associated with the spectrum of traumatic brain injury, spinal injury, and stroke.

Recognize the broad spectrum of lesions responsible for subarachnoid hemorrhage, intra-cranial hemorrhage, and ischemic stroke.

Understand major principles of fluid, electrolytes, respiratory, coagulation, cardiac, and nutritional physiology and pathophysiology in relation to the neurologically injured patient, the stroke patient, and the post-operative patient. 

Understand the general principles of epidemiology of traumatic brain injury, spinal cord injury, and stroke. 

Senior Resident

Recognize current controversies in the literature regarding fundamental knowledge objectives achieved during Assistant Resident level.

Understand guidelines, outcome assessment, and novel concepts related to fundamental knowledge objectives achieved as Assistant Resident.

Apply this knowledge base to independent management decisions regarding those same entities, and supervise care by Assistant Residents and Interns related to those objectives.

Achieve certification in Advanced Cardiac Life Support (ACLS) or Advanced Trauma Life Support (ATLS).

Understand principles of hypothesis testing and statistical analysis as applied to clinical trials and critique of scientific manuscripts.

Chief Resident

Demonstrate mastery of the current literature related to fundamental knowledge objectives acquired as Resident.

Define scientific hypotheses in relation to controversies and evolving knowledge regarding the same objectives, and demonstrate the ability to interpret and adapt new knowledge to evolving patient care paradigms.

Supervise housestaff and medical student patient care team, and teach fundamental knowledge objectives at their respective levels during clinical rounds.

Demonstrate maturing fundamental knowledge in clinical and teaching conferences, specialty conferences, and in publications and scientific presentations.