Clinical Training Program

Curriculum Residency Training Program

Information Resources for Medical Students and Others Interested in Neurosurgery

Our neurosurgical residents are exposed to high clinical volume, direct patient care and are expected to gain mastery of clinical and operative skills under the guidance of experienced attending neurosurgeons. It is essential that residents are exposed to each subspecialty in sufficient depth and breadth to become fully competent. Every trainee receives a focused experience in each of the main subspecialties, working in close conjunction with an expert senior attending physician who is a leader focused in brain tumor, vascular, functional, pediatric, peripheral nerve, skull-base or spine.

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Program Curriculum Overview

Curriculum - Complex Operations

All program phase locations are at Mass General’s main campus unless another location is specified.

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PGY-1
  • General Surgery [6 months]
  • Neurosurgery & ICU [3 months]
  • Neurology Service [3 months]
PGY-2 + 3
  • East Junior / Radiosurgery [4 months]
  • West Junior [4 months]
  • Boston Children's Hospital [4 months]
  • North Junior [4 months]
PGY-4 + 5
  • Research / Fellowship
PGY-6 + 7
  • East Senior / Chief Resident [4 months as R6 Senior and 4 months as R7 Chief
  • West Senior / Chief Resident [4 months as R6 Senior and 4 months as R7 Chief
  • North Chief Resident [4 months as R6 Senior and 4 months as R7 Chief

Program Curriculum
Year One :: PGY1

MGH Etherdome MM and Rounds

Spine Rounds with Dr Borges

General Surgery [6 months]

Residents spend 6 months rotating on general surgery, critical care, trauma and other surgical specialty rotations developing operative skills and management of complex medical and surgical patients.

Neurosurgery & ICU [3 months]

Residents focus on all aspects of the management of neurological and neurosurgical patients in the neuroscience ICU focused on intracranial pressure, management of IV fluids and basic management of acute neurological, cardiac and pulmonary issues common to these patients.

Neurology Service [3 months]

Residents develop expertise in the neurological exam and diagnostic workup of neurological disease. Rotations on inpatient and outpatient neurological services include advanced neurology, Neuro-oncology, neurovascular, stroke, epilepsy, movement disorders and pediatric neurology.

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Year Two :: PGY2+3

Curriculum - Dr Curry

A patient consult with Dr Martuza
East Junior [4 months]

Residents focus on the surgical and nonsurgical management of spinal, functional and pediatric diseases. Residents are exposed to the breadth of spinal disorders including degenerative disease, tumors, deformity and peripheral nerve. In addition, residents are exposed to functional neurosurgery including deep brain stimulation, epilepsy surgery and surgery for pain. Residents care for the surgical and nonsurgical management of pediatric cranial and spinal disease.

West Junior / Radiosurgery [4 months]

Residents focus on the surgical and nonsurgical care of brain tumor patients. In addition to the surgical skill, residents take part in the treatment and planning of single fraction radiosurgery, proton beam radiosurgery and the linear accelerator (LINAC).

Boston Children's Hospital [4 months]

Residents rotate at the Boston Children’s Hospital to gain additional experience in the clinical and surgical management of pediatric patients.

North Junior [4 months]

Residents focus on the management of vascular (open and endovascular) cases where they are exposed to surgical, nonsurgical and endovascular techniques. In addition the residents focus on trauma, general neurosurgery and spine to operate on a breadth of neurosurgical cases.

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Year Four & Five :: PGY4+5

Research @ Neurosurgery Home

Research / Fellowship

Years 4 and 5 are dedicated to research, clinical fellowships or pursuing advanced degrees. Clinical responsibilities are proportionately decreased. During the first research year, the residents take night call 1-2 times per week. The second year of research is free of any clinical responsibilities. Residents take the written neurosurgery boards during this time.

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Years Six & Seven :: PGY6+7

Cochlear Implant

East Senior / Chief Resident [4 months as R6 Senior and 4 months as R7 Chief)]

The East Senior/Chief assumes a large role in the operative and clinical management of complex spine, pediatric and functional cases. There is a special emphasis on complex spinal disease (degenerative, deformity and neoplasm). In addition, residents have an extensive exposure to functional neurosurgery, including deep brain stimulation, epilepsy surgery and surgery for pain. Residents are exposed to the breadth of pediatric neurosurgery during this rotation as well. There is considerable responsibility for the teaching and supervision of other residents

West Senior/Chief Resident [4 months as R6 Senior and 4 months as R7 Chief]

The West Senior/Chief Resident plays a large role in the operative and clinical management of complex tumor cases ranging from intraaxial, extra-axial, skull base and pituitary tumors. Residents gain an extensive experience in the surgical management of brain tumors with the use of cutting edge intraoperative mapping, intraoperative imaging, endoscopic and endonasal techniques and novel minimally invasive techniques. There is considerable responsibility for the teaching and supervision of other residents.

North Chief Resident [4 months as R6 Senior and as R7 Chief)]

The North Chief Resident is the administrative chief resident. The North Chief has his or her own office, administrative assistant and performs a wide spectrum of cases including trauma, cerebral hemorrhage and a variety of spinal cases. The North Chief resident is also in charge of the call schedule, the operating room assignments and has considerable responsibility for the teaching and supervision of other residents. The Vascular Chief resident plays a large role in the surgical (open vascular) and nonsurgical management of open and endovascular neurosurgical cases. The resident performs diagnostic angiograms and participates in coiling and embolization endovascular neurosurgical procedures.

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