Intern (PGY-1)

The Intern (PGY-1) year consists of the following rotations:

  • Neurosurgery (6 months)
  • Neurology (3 months)
  • Critical Care(3 months)

The PGY-1 year is structured so that the Intern is exposed to various services (noted above) to develop skills in general inpatient management, gain an understanding of the function and daily operations of those services in addition to the operations and functions of ULH.  Under the guidance of Dr. Kerri Remmel, Chair of Neurology at University of Louisville, each PGY-1 will spend three months with Neurology.  This three-month rotation will expose PGY-1 residents to the management of general neurological medical conditions.  In addition, a three-month rotation in Critical Care is required, where the resident develops skills in general inpatient management, gains an understanding of the function and daily operations of the service, and acquires skills in specific areas that are pertinent to neurosurgical practice.  The remaining six months are spent on the neurosurgical service.

Junior Resident (PGY-2)

The PGY-2 year is spent on the Red Service.  While on the Red Service, the PGY-2 is primarily responsible for covering consults at Jewish Hospital (JH) while also spending their year based at ULH.  The PGY-2 resident is supervised by the Chief Resident and receives direct operative mentorship from faculty throughout the duration of the PGY-2 year. 

Senior Resident (PGY-3)

Residents in their PGY-3 and beyond are considered to be in their senior years of training.  The PGY-3 year is structured as a clinical neuroscience year, which includes three months of pediatric neurosurgery at Norton Children's Hospital, three months of functional at Jewish Hospital, three months of endovascular at University Hospital, and three months of spine at University and Jewish Hospitals.

Senior Resident (PGY-4)

The year will be spent in Research.  The PGY-4 year is expected to pass the American Board of Neurological Surgery board exam for self-assessment by their PGY-4 year, and he or she will be expected to pass for credit during his or her PGY-5 year.  

Senior Resident (PGY-5)

By the PGY-5 year, the resident is expected to take the ABNS written exam and pass. If this is the case, the resident will spend the year on spine, tumor, and vascular neurosurgery at University Hospital.

Administrative Chief Resident (PGY-6)

The PGY-6 becomes the Administrative Chief Resident, and assumes the primary responsibility of the day-to-day operation of the University of Louisville Hospital and Jewish Hospital service for the entire academic year.  He or she will assume the highest clinical and operative duties as well as a significant amount of administrative duties.  These duties will include day-to-day operations of the neurosurgical clinical services, supervision of the junior, intermediate, and senior residents as well as rotating residents and medical students, and assignments of residents to the operating rooms and other procedures.  With the approval of the program director, the Chief Resident assigns the junior and intermediate residents to clinic, in house call, and vacation schedules with the approval of the Program Director.

The PGY-6 year will also provide an opportunity to finely tune operative skills and provide oversight for the entire management of the patient population on the service, utilizing the consultative opportunities provided by the attending staff.  Upon the completion of the PGY-6 year, the resident should be able to manage the full spectrum of neurological disease and to understand the mechanisms of and needs for supervision at every level of resident education.

The PGY-6 will be able to assume total care of any patient with any neurosurgical problem and to establish the foundation of a career in either academic or community based practice.  In addition, the PGY-6 will be able to do the following:  counsel and educate patients and their families, use technology to support own education, facilitate the learning of students and other health care professionals, work effectively with others as the leader of a health care team, demonstrate sensitivity and responsiveness to patients’ culture, age, gender, and disabilities, and assist patients in dealing with health care system complexities.

Academic Chief Residents (PGY-7)

The PGY-7 becomes the Academic Chief and will take on the responsibilities of coordinating and facilitating the education-related tasks.  This will reduce the administrative load of the Chief to allow him or her to focus on administrative details such as call assignment and resident manpower allocation, case assignments, and service management. 

The following activities are the responsibility of the Academic Chief

  • Coordination of Didactics:
    • Topic selection and scheduling in conjunction with faculty oversight
    • Assignment of presentations to residents
  • Teaching/coordination assistance with cadaver labs
  • New Intern/ Resident integration
    • Bedside teaching/mentoring to help new residents become familiar with routines and standards of the neurosurgery service in the various locations we staff
    • Didactic presentations to familiarize residents with knowledge and concepts critical to effective participation in the service.
  • Encouragement of academic engagement
    • Maintaining a list of available courses and conferences and encouraging resident attendance/ participation throughout their training
    • Coordinating with the Administrative Chief (6th year Chief) to facilitate resident participation in conferences and courses, and presentation of research/ results of academic productivity
  • Logistical support and availability for senior residents
    • Participation in the senior call pool as needed/ appropriate to prevent excessive strain on senior resident
    • Maintain availability to staff emergent/ major cases when Chief/ senior residents are unavailable

Each PGY-7 year will vary in its requirements based on the activities inherent to the planned educational experiences.  Different rotations will commit varying amounts of time when the academic chief is unavailable his/her self; however, careful consideration should be given to making appropriate provision for this element of the academic chief year when planning the years activities.