Program Overview

University of Kentucky Neurosurgery Residency Program Overview:

The Neurosurgery Residency Program at the University of Kentucky provides training in clinical neurosurgery and related specialties as well as research.  Our goal is to provide an education in the theoretical and technical aspects of neurological surgery so that the resident will be equipped for either clinical practice or academic neurosurgery.

Below is a summary of time spent in each rotation.  The written description of each rotation is after the table. 

The Department offers each resident the opportunity to attend one national Neurosurgery conference a year.  Registration, travel, and lodging are all prepaid by the Department.  The Department also provides an annual educational fund via the purchase of new neurosurgical books based upon the level of training.

Rotations:

Most of the training is done at the UK Medical Center.  Neurosurgery rotations will include the VA Medical Center, UK Good Samaritan Hospital, as well as the possibility of subspecialty rotations.

PGY-7

The final year of the program is the Chief Resident year.  The Chief Residents alternate administrative chief duties every three months.  The administrative chief makes the call schedule, resident assignments, and assumes overall ownership of the UK neurosurgery service.  Both chiefs must be knowledgeable of the entire patient census, and the junior residents are able to review consults or ask for guidance from either chief at any time

PGY-6

Residents this year split their time between UK and research/subspecialty training.  Research projects established earlier in their residency continue or if subspecialty training is desired, spend his/her time at another institution.  It is usually Q4 chief call but should a PGY6 spend his/her subspecialty/research time at another institution, the other chief residents will be Q3 chief call.

PGY-5

This year is divided between research and the Veteran’s Administrative hospital.  Six months will be spent between the two with the VA neurosurgery service being managed by the PGY-5s.  Operative cases are staffed with the attending on call at the VA.  While on research, the PGY-5 will remain knowledgeable of the VA neurosurgery service in order to fulfill VA call responsibilities.  With no UK neurosurgery responsibilities, each PGY-5 resident is expected to have a productive year with regards to writing and publishing manuscripts.

PGY-4

This year is spent entirely on the neurosurgery service at the University of Kentucky.  Q4 call is paired with the PGY-2 residents and this resident provides guidance to the PGY-2s with regards to patient evaluation and management.  They assist the PGY-2s with all bedside procedures (ventriculostomy, cervical traction, etc…) and assumes the role of “floor chief” and supervises the interns on the service.  Each PGY-4 rounds on the floor census every day he/she is in the hospital.  Each PGY-4 resident will choose a research mentor in preparation of their PGY-5 year.

PGY-2 & PGY 3

The next two years are spent at the University of Kentucky on the neurosurgery service and neuroradiology services.  The junior resident is responsible for consultations, the management of all ICU patients, and supervising the interns in the care of the floor census.  At all times, a chief or senior level resident is available for assistance to the junior call resident.

PGY-1

The rotations of this internship are designed to fill the needs of those planning for a neurosurgical career.  This year of training is spent fulfilling the mandatory three months of critical care, a month on Neurology and a month split between Neuropathology and Neuroanatomy.  The rest of the year is spent on service.

Approximate Call Schedule

PGY1 at UK

In House UK Primary call every 3-4 days

PGY2 Junior Resident UK Neurosurgery

In House UK Primary call every 3-4 days

PGY3-4

In House UK Primary call every 3-4 days

PGY5 at UK

No primary call. Senior resident back up call q3-4

PGY5 VA Neurosurgery

Resident call M-F 6am-6pm

PGY6 at UK

Senior resident call q4.

PGY7 at UK

Senior resident call q4.

Operative Statistics

Didactics:

These are the weekly didactic conferences for the Neurosurgery Department.  Schedules may be subject to change on occasion.

Time
1st
2nd
3rd
4th
5th
Tuesday
6:45 - 7:15 AM
Pediatric/Movement
Disorder Conference
Spine Conference
Vascular Conference
Tumor Conference
 Wednesday 
6:45 - 7:45 AM
Grand Rounds 
M&M Conference
Grand Rounds
Grand Rounds
Resident/Faculty Meeting
Thursday
6:45 - 7:15 AM
Neuropathology
Critical Care
Journal Club
Epilepsy Surgery
Conference

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