Progressive Responsibility

As with all medical and surgical training, neurosurgical residency is built on junior residents slowly assuming small degrees of increasing responsibility as they demonstrate broader and deeper skill sets. Intrinsic to this model of education is mentorship. At the junior resident level this mentorship translates into a lifelong relationship with one's chief and senior residents who most closely and frequently supervise early education. Junior residents are critical to the successful functioning of our busy service; they must quickly learn to integrate substantial knowledge with new clinical skills while navigating the complex environment of a large academic teaching hospital. Residents learn to effectively communicate relevant portions of clinical situations by first discussing cases with senior residents; they function as extensions of their more senior counterparts by collecting data, synthesizing information and proposing solutions. Two junior residents at Yale-New Haven Hospital work in concert with each other by splitting these clinical, educational, and operative activities.

There follows in 3-month blocks rotations based at the WHVAMC and YNHH. For this year there is a weekly continuity clinic, a day weekly at the Gamma Knife Center while at the VA, and Increased operative and non-operative patient care responsibility. Major conference presentations are largely the responsibility of the resident assigned to YNHH but the resident at the VA attends all conferences at YNHH. Residents in this interval will also develop research plans, prepare grant applications, and read for the primary examination. Further detail is provided in sections below.

Teaching is a critical component of progress throughout the Program for all levels. Students provide feedback through *EValue.