Facebook Twitter YouTube Newsletter Signup

Policy Manual


A resident will be promoted when, in the opinion of the faculty, the resident has performed acceptably and demonstrated mastery of the knowledge and skills at the current level and has no non-academic performance matters which warrant attention by the Program Director.


Residents will be evaluated, in writing, at least twice a year by the faculty. The Program Director will meet with each resident to discuss the evaluation.

A. ACGME Milestones evaluation and a written 360º evaluation addressing all six competencies is completed on all residents by the attendings, faculty, and select support staff every six months.

The American Board of Neurological Surgery exam is taken for self-assessment by all junior residents. Residents in their PGY4 year are encouraged to take the exam for credit. Residents may not complete this residency without having passed the written exam.

Resident Supervision & Responsibility

Our staff direct and document proper supervision of residents at all times. The attending physician has the overall responsibility for the care of the individual patient, and supervision of residents involved in the care of that patient. However, residents must assume progressively increasing responsibility according to their level of education, ability, and experience.

The level of responsibility given to each resident is determined by the teaching staff, and may vary with the clinical circumstances and the training level of that resident. Residents will be provided with prompt, reliable systems for communication and interaction with supervisory physicians. Faculty members must always be immediately available for consultation and support.
Evidence of resident supervision must be documented in the form of signed notes in patient charts, and other records such as an indication of the level of attending presence in procedure notes.

Progressive Responsibility

Resident participation in and responsibility for operative procedures including the entire neurosurgical spectrum will increase progressively throughout the training period.

Duty Hours

  • The Program Director has established an environment that is optimal for both resident education and patient care, while ensuring that undue stress and fatigue among residents is avoided. Residents will not be required to perform excessively difficult or prolonged duties regularly. Residents work schedules are designed so that, on average, excluding exceptional patient care needs, residents will average at least one day out of seven free of routine responsibilities and be on-call in the hospital no more often than every third night. Different rotations may require different working hours and patterns. There will be adequate backup so that patient care is not jeopardized during or following assigned periods of duty.
  • A distinction is made between on-call time in the hospital and on-call availability at home vis-a-vis actual hours worked. The ratio of hours worked to on-call time will vary, particularly at the senior levels, and therefore necessitates flexibility.
  • During on-call hours, residents are provided with adequate sleeping, lounge, and food facilities. Support services are such that the resident does not spend an inordinate amount of time in non-educational activities that could be discharged properly by other personnel.