Program Details - Univ. of Rochester

(585) 276-5655
601 Elmwood Ave. Box 670

Rochester ,NY 14642
United States of America

Residency Program Information

Program Director: Howard J. Silberstein, MD, FAANS
Residency Coordinator(s):  Melanie Maryann Zandvoort
Coordinator Email(s):
Coordinator Phone(s):  (585) 276-5655

PROGRAM Details:
Year Training Program Established: 1948
# of Residents per Year: 2
Number of Neurosurgical Faculty: 12
Neurosurgical Department's Annual Case: 1795
Amount of Annual Book Fund per Resident: $3500 over 7 yrs
Dedicated Research Time:YES
During PGY Year:PGY 5
Resident Call Responsibilities: Residents must not be scheduled for more than six consecutive nights of night float. [The maximum number of consecutive weeks of night float, and maximum number of months of night float per year may be further specified by the Review Committee.] Maximum In-House On-Call Freq PGY-2 residents and above must be scheduled for in-house call no more frequently than every-third-night (when averaged over a four-week period). At-Home Call Time spent in the hospital by residents on at-home call must count towards the 80-hour maximum weekly hour limit. The frequency of at-home call is not subject to the every-third-night limitation, but must satisfy the requirement for one-day-in-seven free of duty, when averaged over four weeks. (1) At-home call must not be as frequent or taxing as to preclude rest or reasonable personal time for each resident. (2) Residents are permitted to return to the hospital while on at-home call to care for new or established patients. Each episode of this type of care, while it must be included in the 80-hour weekly maximum, will not initiate a new ?off-duty period?. We will insure that resident performance is not impaired by excess fatigue. Resident work schedules will be designed so that on the average, excluding exceptional patient care needs, residents will have at least one 24-hour block each week free of routine responsibilities and will be on-call in the hospital no more than every third night. The number of hours worked by an individual resident will vary from week to week, depending on the educational opportunities and patient care needs, but will not exceed the 80 hour work regulation. The goal is that the resident, who is on-call for the Emergency Room and for consultations for 24 hours, will be relieved from patient care responsibilities from 7:00 a.m. until 5:00 p.m. the following day, with the stipulation that the resident is expected to attend all conferences. The scheduled work week for post-graduate trainees will
Cadaver Lab: YES
How Often and What Type of Lab: The goal of the lab is to develop simple milestones for anatomic proficiency for residents that are body-site and resident-level appropriate. The skills lab is usually held six times a year at URMC times vary (either morning, afternoon or all day) in our dedicated Neurosurgery Skills lab. Objectives:1. Identify high-yield anatomic regions suitable for cadaveric review2. Work with industry to arrange for cadaveric labs that are anatomy site specific3. Develop pre-lab surveys/quizzes, intra-lab observation, and post-lab surveys that quantify resident comprehension and acquisitiona. Simple, repeatable, 3-5 objectives per lab per level, with good intra-observer reliabilityb. Would require active participation by faculty sponsor during labc. Objectives do not necessarily suggest participation in lab but competencies to be evaluated4. Labs are on a repeating/rotating q2-3 year schedule a. Allows for evaluation of residents at varying levels of training i. Beginner: PGY1-2ii. Intermediate: PGY 3-4iii. Advanced: PGY 5-6b. Chiefs (PGY-7) would be partly responsible for intra-lab evaluations, thus completing cycle of education/mastery5. Based on 4-6 labs per year (once every 2-3 months)Rationale:1. Orthopedics residency already requires cadaveric dissections as part of curriculum2. Cadaveric studies are useful adjunct in surgical training3. Allows for semi-quantifiable educational experience4. Also fosters industry partnershipsThe types of labs are typically spine and skull base.
Publication Requirement: Resident Research The resident is expected to undertake substantive research resulting?as a minimum?in publishing one report in a peer-reviewed basic science journal, and making one podium presentation at a significant national neurosurgical meeting. The resident also is expected to attend all neurosurgical educational conferences. A year dedicated to basic science or clinical research provides a unique opportunity for learning, investigation and analysis in a neurosurgical concentration and related disciplines. This year furnishes the resident with an otherwise unobtainable experience. The critical assessment and independent investigative analysis will serve him/her well, regardless of the chosen subspecialty area.
Primary Training Hospital: Strong Memorial Hospital
Additional Hospitals in Training Program: Highland Hospital; Rochester Regional Health System; Unity Hospital
Faculty names and specialties:
Number of Training Programs in Institution:

Program Philosophy: The University of Rochester Department of Neurosurgery Residency Program?s mission is to train competent neurosurgeons that are capable of pursuing the neurosurgical career of their choice, whether that is one that is strictly clinical in the community or an academic career based in a University setting. This requires that the training be tailored to each resident?s desires and, at the same time, allows her/him to become an excellent clinical neurosurgeon. It is important that this mission be accomplished in an atmosphere of mutual trust, collegiality, and a high esprit de corps among both residents and faculty. It is also of paramount importance to this program that residents have sufficient time to maintain and enjoy a personal life, which may include a stable marriage and children. The Department of Neurosurgery at the University of Rochester Medical Center is committed to providing broad-based educational, research, and clinical experiences in all aspects of Neurosurgery including General Neurosurgery, Pediatric Neurosurgery, Vascular Neurosurgery, Complex spine, Epilepsy, Tumors, and Movement Disorders There is an unusually broad surgical experience provided by the University hospital with specialized faculty and complex cases. There is excellent clinical training with an emphasis on the residents performing much of the surgery with direct faculty supervision. With the addition of the active research programs, the clinical and intellectual climate allows each individual resident to become proficient in patient care and surgical skills, and to achieve academic excellence.
Outline of Rotations: Rotations Year 1 General Surgery - 3 months Neuromedicine ICU ? 3 months Neuropathology/Neuroradiology ? 3 months (6 weeks each service) Strong Memorial Hospital (SMH) Neurosurgery - 3 months Year 2 Strong Memorial Hospital (SMH) Endovascular - 6 months Strong Memorial Hospital (SMH) Neurosurgery - 6 months Year 3 Neurology ? 3 months Strong Memorial Hospital (SMH) Neurosurgery - 9 months Year 4 Highland Hospital (HH) - 6 months Strong Memorial Hospital (SMH) Endovascular - 6 months Year 5 Research Year/Enfolded Fellowship - Strong Memorial Hospital - 12 months Year 6 Unity Hospital Neurosurgery - 6 months Rochester General Hospital (RGH) - 6 months Year 7 Strong Memorial Hospital ? Chief Year - 12 months
Available Enfolded Fellowships: Endovascular, spine and skull base enfolded fellowships are offered.
% OF Finishing Residents Passing ABNS Oral Exam 1st over 5 years: 80%
Last 10 Finishing Residents Initial Job/Fellowship: Peripheral Nerve Fellowship, Mayo Clinic, MN; Assistant Faculty, Meritas Health Neurosurgery, KS; Rochester Regional Health System, NY; Neurosurgical Associates, PC, TN; San Antonio Military Medical Center, TX; Unity Health System, NY; University of South Florida, FL; Thomas Jefferson. PA; Cayuga Medical, NY; Rochester Regional Health System, NY; Sarasota memorial Hospital, FL; Children's Mercy Hospital, MO; University of Rochester Medical Center, NY; Unity Health System, NY;Associate Faculty, Kalispell Regional Healthcare, MT

Research Opportunities: The department has close associations with our colleagues in the Department of Neurology, and in the Divisions of Neuropathology and Neuroradiology as well as the Clinical Translational Science Institute. In addition, the department has close interactions with affiliated laboratories and research centers in both the medical center and adjacent university campus that include: Translational Pain Research (Markman) Neurooncology (Walter) Division of Glial Disease and Therapeutics (Nedergaard) The Center for Translational Neuromedicine (Nedergaard, Goldman) The Center for Neural Development and Disease (Gelbard) The Stem Cell Institute and Regenerative Medicine (Noble) Concepts, Actions and Objects Lab (Mahon) Program for Translational Brain Mapping (Pilcher/Mahon) The Department has been involved with a QI project, Unit Performance Program team project - CT Audit Rounds. This is an initiative involving three senior attendings and two residents to evaluate resident and APP imaging ordering habits in the neuro-medical intensive care unit utilizing an audit system; individualized feedback will be provided to residents and APPs; before and after ordering practices will be compared. A second UPP team project involving a senior faculty and PGY4 resident is looking at DVTs infection rates, outcomes and readmissions.
Research support personnel:
Research Funding/Grants:

Travel Allowance: YES
Conference Schedule: The Department has designated Friday's as our Resident Academic Day. Throughout the morning, different rotating conferences are scheduled, and attendance for residents and faculty is mandatory. Major topics include: Clinical lectures by neurosurgery faculty on topics of interest, including the "Indications" describing the favored approach to patient assessment, diagnosis and treatment (surgical or otherwise) of different neurosurgical conditions. Translational research conferences to review a topic of basic science research with direct translational relevance. Neuropathology case conferences to review notable neuropathological cases from the past month's citywide neurosurgical service (important teaching points for the written Boards). Neuroradiology/Neuropathology unknowns: an opportunity for "Socratic" learning of two topics commonly encountered on the written Boards. Clinical neuroanatomy, including hands-on cadaver dissection focusing on peripheral nerves and skull base approaches. Our newly renovated neurosurgical skills lab enables both proctored dissections and 24/7 access for resident self-study. Manual practice helps teach anatomic relationships and dexterous use of instruments. Lab equipment includes operative microscope, endoscope, surgical drills, radiolucent tables, C-arm X-ray, Mayfield head fixation, wall suction, and a collection of surgical instruments. Cranial microanatomy is studied using vessel-injected cadaveric specimen. Resident clinical lectures, focused on neurosurgery "fundamentals", that allow a resident to delve in depth into a topic and to develop a review resource for all residents in preparation for the Boards (presentations are archived and maintained on a central server). Combined Neurosurgery/Neuromedicine ICU conference. The Departments of Neurosurgery and Neuromedicine ICU review new initiatives and successes in the management of stroke, endovascular, ICH, SAH and TBI di

Number of Interview Sessions: 3
Length of Interview (Days): The 2-day interview process. We have three interview periods each year, which are scheduled over two days each. Applicants are encouraged to arrive at the hotel (of our choice) on Thursday evening prior to your interview date.The Friday activities start at 7:00am. Shuttle Service is provided. The morning will be devoted to presentations in our academic conference format. An overview of the department will be presented by Dr. Webster Pilcher, Chairman, followed by other neurosurgery faculty presentations. The latter part of the morning will include an introduction on Clinical and Translational Research in Neurosurgery and a tour of the Neurosurgery Research Labs followed by lunch. After lunch will be devoted to a tour of Rochester escorted by our residents, with time to return to your hotel before the evening activities. On Friday evening, the Department will host a cocktail hour with faculty and residents, then dinner follows with residents and applicants On Saturday morning, Interviews will start at 8:00am and will conclude by 1:30p.m.
Number of Applicants Interviewed: 34