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Neurosurgery Residency Fosters the Next Generation of Leaders

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Medical residency is a pivotal step in every physician’s journey to the bedside. These supervised clinical training programs provide post-graduate trainees with hands-on experience providing patient care and performing research under expert guidance.

Neurosurgeons train for seven years. These residencies are extremely competitive with institutions vying for the best candidates from across the country.

Michael DiLuna, MD, program director, neurosurgery residency, recently sat down to discuss what sets the Yale program apart from other elite academic medical institutions.

What is your pitch for Yale’s neurosurgery residency program?

We are a well-established, premier academic program. Our residents train at a high-volume, urban medical center and see the entire breadth of neurosurgery. During their research years, they can engage in a broad spectrum of research opportunities and attain individual funding for their research to jump start their academic career.

Many of our residents get their first choice of fellowship or end up in a high-level academic practice. They’re among the most competitive residents in the job market after they leave because employers know we're training the future leaders of academic surgery.

For those who may wonder about the quality of our training, or ask themselves about future employment, they should look at our graduates. They routinely end up at top institutions throughout the country, including staying right here at Yale.

Our residents have the opportunity to make the most of all the resources and firepower of Yale University, Yale School of Medicine, and Yale New Haven Health. This is an ideal, fertile ground for anybody looking to build an academic career. This is something that sets us apart from other programs.

What makes the Yale neurosurgery program unique?

One of the first things that comes to mind is the culture. As the director I’m very involved in cultivating our culture but also, because we're drawing from all corners of the globe, everybody comes together and forms this pseudo family.

This program is seven years long which is longer than other residencies in other disciplines. Because of that, we are often celebrating marriages and births. Our residents are arriving to us in their late 20s or early 30s. They could spend 20% of their lives with us and a lot can happen in that time.

It’s a really transformative period in people’s lives. It’s a testament to our residents and our program that everyone supports everyone else as they go through it.

Also, when you spend that much time in an institution or working with people every day, you really bond. That's part of the culture and the climate here. But it's also the nature of neurosurgery, and the length of the training program, that they end up really getting to know each other and making friends for life.

The most common searches about neurosurgery residency online include lifestyle and salary. How does Yale compare?

We’re fortunate to be located in New Haven. Our residents live downtown, on the shoreline, a bit further up in the woods. They can experience all these different lifestyles and settle into the one that suits them best. They're certainly among the highest paid in the country. The pay is very competitive, particularly when you take into consideration that you're going to be in the Northeast, an expensive part of the country.

What makes Connecticut such a great place to live and work for residents?

New Haven is between New York and Boston and you get the shoreline and the wooded trails. It's really a one place to meet all needs. Our geography is completely unique which makes this such a special place from a lifestyle perspective. I don’t know anywhere else where you have easy access to beaches and equally easy access to skiing. You get the energy and excitement of Boston and New York but can pivot to the peace and quiet of the Litchfield Hills, if that's what you're looking for.

Do you find that that our residents historically take advantage of that?

Absolutely, they do. When they're off, they’re taking advantage of everything we have to offer, and a lot of the time, they’re doing it together. It’s that togetherness that, I think, really sets our program apart from our peers.

What is the portrait of our ideal incoming resident?

They are committed to the field of neurosurgery and committed to excellence. They are hardworking, collaborative, and thrive in a team environment. They will be a future leader pushing the needle forward and driving our field forward in the future.

Neurosurgery is an incredibly diverse field and home to pediatrics, vascular neurosurgery, spine, and so many other categories of practice. Do residents fall into any one category or is the interest spread across all the areas of the field?

Early on they're fairly undifferentiated, and as they start engaging in patient care they find what fits best with their academic interests and their personality types. Certainly, when they're done, they're trained as a general neurosurgeon, but they get a niche interest that comes from the exposure they receive coming through the program. We do whatever we can in our power to foster those interests.

What kind of exposure do residents get to our senior faculty?

Because we're very large, and one of the largest hospital, by beds, in the country, they see a high volume of patients. So there's no shortage of exposure to the range of pathology they see in neurosurgery. The residents are good about identifying mentors in their field of interest or whomever their personalities seem to work with best.

Once they identify a mentor or a field, link them up with proper mentorship, which sometimes can be outside of neurosurgery. It may be a research interest or in hospital administration or business. We do what we can to foster and facilitate that throughout their seven years. That sets them up for fellowships and jobs once they leave us.

What is the one thing you’d like everyone to know about the people who come through the program?

Our residents graduate highly proficient, independent neurosurgeons. So much so that, when they graduate, they often get their first choice of whatever they want in their career.

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Jason Tomaszewski
Communications Officer - Neurosurgery

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