Description of Education Facilities
The main resident’s office is located at Saint Barnabas Medical Center.
It has six computer stations with access to most of the on-line neurological
teaching tools and state of the art audio-visual equipment including 42”
flat screen TV and the latest recording and editing equipment. All surgical
procedures are recorded via either headlight or microscope mounted TV
and stored on computer hard drives. Residents select appropriate cases
and edit them for presentation at weekly Ground Rounds which are attended
by all the neurosurgical attendings and residents, neuroradiologist and
residents in Radiology and invited guests. These recordings serve several
purposes. The resident can review the surgical procedures in which he/she
participated as many times as they feel necessary to fully understand
it. In the comfort of their office and with the use of other teaching
tools such as books or other information available through the computer
searches, they maximize their learning experience. There is a direct TV
feed from the OR to the resident’s room so that live surgery can
be observed. At the Grand Rounds, the recordings are used to point out
anatomical structures, pathology and surgical techniques. The resident’s
office contains independent computer stations for the residents with access
to Internet, New Jersey Medical School library and several medical search
engine programs. In addition to a general Medical Library at SBMC there
is a dedicated Otto York Neurosurgical library with large number of titles
and tapes and there are many standard neurosurgical, neuroradiological
and neurology texts available at the resident’s office. The well
endowed Neumann Neurosurgical Education Fund is used to pay for various
educational tools, activities, conferences and other educational activities
for the residents. The research is funded through the Sandra Christie
The program has adequate number of surgical procedures and formal educational
programs to provide excellent learning experience without resident being
overwhelmed by non-learning patient care activities. Both hospitals have
the most advanced information technology and computerized data retrieval
including medical records. All radiographic diagnostic studies are available
on PAC system and can be reviewed in the resident’s office. There
are six working computer stations in the resident’s office through
which they can access numerous on-line journals from several libraries.
A conference room with state of the art audio-visual system was recently
renovated with neurosurgical funds to be available for conferences. In
addition to routine pre, intra and post op care the residents are exposed
to working with frameless stereotaxy system, intra-operative electrophysiological
monitoring systems, the LINAC Cyberknife and Gamma knife radiosurgery
system and deep brain stimulation as well as epilepsy monitoring procedures.
They also participate in endovascular procedures and treatments of strokes.
The programmed educational activities include:
- Daily working rounds with an assigned attending and resident/attending
topic discussion with the appropriate attending. Daily working rounds
with neurointensivist at the Neurosurgical ICU.
- “Grand Rounds” working weekly case conferences with all neurosurgery
attendings and a neuroradiologist and radiology residents present. All
cases where surgeries were performed that week are discussed by the neurosurgical
residents including clinical presentation, and radiographic/ diagnostic
studies with specific emphasis on their correlation with the surgical
procedure. The neurosurgical residents also prepare/edit video recordings
of these procedures and present 5-7 minute clips which serve as an educational
tool for both learning the anatomy and surgical pathology as well as surgical
techniques followed by a formal power point presentation on the topic.
This is the main conference for the program of the week held at SBMC.
There is “Departmental Grand Rounds” conference with similar
format held weekly at HUMC.
- Chief of Service Rounds. A weekly conference with Program Director in resident’s
office at SBMC. In hospital cases with their clinical and radiographic
findings presented through the Magic Web computer system and their treatment
options are discussed. This is followed by semiformal presentation and
discussion on related topics. There is a similar conference at HUMC with
Dr. A. Fried.
- Combined neurology/neurosurgery/neuropathology conference every four weeks.
Non-malignant cases are discussed.
- Adult Tumor Board Conference once every 4 weeks at SBMC, twice a month
at HUMC. This is attended by neurosurgeons, neuroradiologists, neuropathologists,
radiation oncologists and medical oncologists and their residents. Malignant
cases are discussed.
- Pediatric Tumor Board Conference twice a month at HUMC.
- Bi-monthly mortality/morbidity conference at SBMC, monthly at HUMC.
- Combined neurosurgery/orthopedic spine conference at HUMC.
- Trauma Conference monthly at HUMC.
- Formal Neuroradiology conference presented by Dr. Gesner, Chief of Neuroradiology.
- Individual study course using personal computers with access to basic neurology/
neuroradiology/ neurosurgery/neuropathology texts in the resident’s office.
- Bi-monthly, in depth, didactic presentation by an attending on Neurosurgical,
Neurological,Orthopedic, ENT, Neuroradiology, and Neuropathology topic.
- About four nationally and internationally recognized experts are invited
to spend a day and present a talk as visiting professors each year starting
July 1, 2009.
- Yearly Epilepsy Symposium with nationally recognized speakers at HUMC.
- Yearly Neuro-oncology Symposium with nationally recognized speakers at HUMC.
- Monthly Journal Club.
- Residents scrub only on cases with educational value and assume progressively
increasing responsibility in operative and non-operative case management.
- Residents have access to orthopedic spine surgery cases under Dr. Casey
Lee and to scoliosis surgery under Dr. Dryer.
- Extended, specialized training in medical and surgical management of epilepsy
under the supervision of Drs. Eric Geller and Werner Doyle is given to
PGY1 and PGY 2 during their Neurology rotation. It is also available for
those interested in epilepsy as an elective in the fourth year of training
at the Comprehensive Epilepsy Treatment center, which is part of the Institute
of Neurology and Neurosurgery of RWJBarnabas Health. Residents are exposed
routinely to techniques of epilepsy diagnosis, monitoring and treatment
as well as electrophysiologic intraoperative monitoring in the Operating
room and in the Neuro intensive care unit.
- Microsurgery on animals in a laboratory at Hackensack University Medical
Center is part of each resident’s compulsory surgical education
in each year of their training. This includes performing increasingly
difficult tasks using microscope and specialized tools such as high speed
drills and micro instruments.
- Residents are exposed to pain procedures and osteopathic principles working
with Dr. R. Pak and Dr. D. Conyack at the pain center twice a week.
- Elective time can be arranged for interested residents in nationally or
internationally recognized centers with expertise in subspecialties not
available at RWJBarnabas Health or Hackensack University Medical Center
in the fifth year of the residency training program. The Chief Resident
spends four to six weeks at the Department of Neurosurgery and Orthopedics,
Spine at the III. Medical Faculty of the Charles University Prague, Czech Republic.
- Residents participate in the yearly national ”In service exam”.
The animal laboratory is located at the Hackensack University Medical Center.
In addition to animal laboratory for both large and small animals, there
is a cadaver facility where brachial plexus and peripheral nerve dissections
can be performed. There is a didactic protocol for animal surgery including
microsurgery for PGY 2 through PGY 6 residents.