SELECT SINSA - Inpatient Acting Internship- Neurosurgery
DIRECTOR FOURTH YEAR DEPARTMENT COURSES:Christina Notarianni, M.D.
SELECTIVE CATEGORY: Inpatient Acting Internship
ADMINISTRATIVE CONTACT:, LaToya Hemphill 675.8865, Rm #3-406
LOCATION: LSUHSC - Shreveport
NUMBER OF STUDENTS PER 4 WEEK BLOCK: 2, Maximum
SELECTIVE AVAILABLE DURING BLOCKS: All
COURSE CODE: SINSA NON-LSUHSC STUDENTS: YES, only ones interested in Neurosurgery
Overview of Selective:
To prepare the student for an internship and residency in neurosurgery. This selective is designed to enhance clinical skills in neurological and neurosurgical disease and critical care medicine, including diagnosis, examination, and management of neurosurgery patients.
Goals and Objectives:
The student will gain more in depth knowledge on the management of neurosurgical patients with a variety of neurosurgical conditions.
· Correctly perform comprehensive neurological examinations and correlate their findings to pathologic conditions in an inpatient settings.
o The student will participate daily on inpatient rounds at LSU and examine patients daily, reporting to the chief resident
o The student will know how to manage and examination of comatose patients by performing exams on daily rounds in ICU with chief resident and neurosurgery faculty.
o Correctly explain and if possibly perform the steps of brain death evaluation.
· Correctly workup neurosurgical patients in an outpatient setting, identifying non-surgical and surgical interventions of treatment.
o The student will participate in at least one outpatient clinic with an attending every week, taking a history and physical exam, interpreting radiologic studies and constructing a treatment plan under the direction of the attending surgeon.
· Understand the basic steps of common neurosurgical operative procedures for cranial and spinal conditions by participating in surgery daily.
· At least one night of overnight call to experience how to manage emergency calls and surgical interventions as needed.
· Present one patient at the weekly case conference whereby a powerpoint presentation of the brief history, exam and imaging studies are presented with a brief discussion of the pathologic condition.
The student will demonstrate professionalism and gain understanding of basic aspects of a neurosurgery practice.
· Participate in all daily morning rounds with the neurosurgical team at LSUHSC, including film review and examination of inpatient ICU and floor neurosurgical patients under the supervision of neurosurgical chief residents.
· Document attendance to the weekly neurosurgery case conference on Wednesday afternoons where residents present a neurosurgical case including history, physical exam, imaging studies, and intervention with a literature review on the disease topic.
· Participation in faculty and resident clinics, including workups of patients during clinic.
Reading Resources for Rotation:
1. Greenberg Handbook of Neurosurgery
2. Essential Neurosurgery by Andrew Kaye
· Online Resource: Neurosurgery Gray Matter: An Educational Overview, located on the Congress of Neurological Surgeons Website at: http://w3.cns.org/education/sans.asp
A final evaluation will encompass the student’s performance on rounds, skills in performing a neurological examination, fundamentals of knowledge, performance in case conference presentation, and professionalism. Professionalism is defined as punctuality, interaction with faculty, staff, and patients, and maturity. There will be no written or oral examination.