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Emory University Residency Program
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Emory University Neurosurgery
Residency Program Founded in 1947 Only neurosurgery training program in the metropolitan region of 6 million people and is one of 2 in the state of Georgia (10 million) 7 training years, 3 residents accepted each year Faculty of 18 neurological surgeons 3 in endovascular neurosurgery 4 in neuro-critical care 3 in neuro-ophthalmology 3 in Interventional Neuroradiology
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Emory University Neurosurgery Residency Program Directors
Nelson M Oyesiku 2005- present Timothy Mapstone 2001 – 2005 Daniel L. Barrow George T. Tindall George Perret
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Emory Program Philosophy
“We did not come to play, we came to win… THE BEST…PERIOD.” Nelson Oyesiku, MD, PhD, FACS Residency Program Director
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Emory Program Philosophy Residency Review Committee
Stands for: R – Reading R- wRiting C- Cutting
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Goals of the Program To produce fully trained residents who:
Have passed the written examination of the ABNS and are tracking to board certification in neurological surgery. Are ready to join the staff of a university teaching hospital or private practice, and are ready to establish independent research units in either basic or clinical science and establish a successful practice of clinical neurosurgery. Technically proficient Excellent clinical judgment A thorough knowledge of related disciplines, including basic neuroscience, neurology, neuropathology and neuroradiology Are able to critically evaluate the neurosurgical literature and evaluate their clinical practices. Are able to clearly formulate a hypothesis and collect data. Are capable teachers of neurosurgery.
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Emory Program Philosophy: What will we do for you?
Opportunity Clinical Material Teaching Academic Development Career Support
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Emory University Neurosurgery
Residency Program 5446 operative neurosurgical procedures are performed annually making this one of the top programs in clinical volume. EUSOM Hospitals Emory University Hospital (EUH) Emory University Crawford Long Hospital (CLH) Grady Memorial Hospital (GMH) 2 children’s hospitals – Henrietta Egleston Hospital (HEH) and Scottish Rite Children’s Hospital (SRH)
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Emory University Neurosurgery
Residency Program Research Facilities The resident participates in a defined research project. This may be a clinical or basic science project that provides the resident with a mentored assignment to develop investigative and analytic skills for a future academic career. The research facilities utilized by the training program span the Emory University campus. Dr. Erwin Van Meir – NIH RO1 - neuro-oncological lab Dr. Hadjipanayis - NIH KO8 - viral vectors in brain tumors - at the Winship Cancer Institute Dr. Gross (NIH RO1) & Dr. Boulis (Howard Hughes) - Functional Neurosurgery Laboratories - pain and movement disorders and neuronal regeneration - at the Woodruff Memorial Research Building. Dr Oyesiku - NIH RO1 - molecular biology and imaging of pituitary adenomas - at the Woodruff Memorial Research Building Research at other locations on the Emory University campus and at other institutions such as Yerkes Primate Center Georgia Tech (Biomedical Engineering) Emory Graduate Neuroscience Program Centers for Disease Control American Cancer Society
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Emory University Neurosurgery
NIH Funding EUSOM Department of Neurosurgery is ranked #20 in NIH funding (2011 data). Total 2011 funding is $2,572,848 and includes 5 NIH ROI 2 NIH KO8 1 NIH R25 3 NIH R21 1 Howard Hughes Investigator 12-industry funded grants
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Emory University Neurosurgery
Residency Program Undergraduate Teaching Approximately medical students rotate on the neurosurgical service at Emory, approximately half of whom are EUSOM medical students, and the other half from medical schools around the country and some from Europe, Latin America, and Asia. The students rotate through the various hospitals depending on their interests and the workloads at the hospitals. There are usually 2 students at EUH and one student at GMH, CLH or HEH at any given time. The Department is used for undergraduate medical teaching by EUSOM. Approximately 14 externs and senior EUSOM medical students rotate each year. Medical Student Summer Research Electives: EUSOM students with an interest in neuroscience take a 6 week summer elective research rotation in the Dept. of Neurosurgery research labs – Dr Gross, Dr Oyesiku and Dr Van Meir have all participated in this program.
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Major Operative Experience: Emory University Hospital
Craniotomy 568 Aneurysms 112 Vascular Malformations 32 Tumor 235 Epilepsy 29 Trans-sphenoidal/ Pituitary 160 Spine 157 CSF Diversion 105 DBS 129 EVDs 218 LDs 87 Total 1314 Radiosurgery 158 IR Aneurysm Embolization 325
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Major Operative Experience: Emory University Hospital Midtown
Spinal Neurosurgery 593 Craniotomy 82 Endoscopic 4 Total 679
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Major Operative Experience: Children’s Healthcare of Atlanta at Egleston
Craniotomy 7 Tumor Surgery Epilepsy Surgery 48 Trauma 36 Craniofacial Reconstruction 9 Spinal Neurosurgery 13 Tumor Dysraphism 12 CSF Diversion 1 Total 146 CHOA one of the largest pediatric health care system in nation, 235 beds (430 ECH+SRH)
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Major Operative Experience: Children’s Healthcare of Atlanta at Scottish Rite
Craniotomy 49 Tumor Surgery 35 Epilepsy Surgery 14 Trauma 12 Craniofacial Reconstruction 42 Spinal 29 Tumor 5 Dysraphism 20 4 CSF Diversion 300 Total 432
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Major Operative Experience: Grady Memorial Hospital
Trauma Craniotomy 87 Non-trauma Craniotomy 14 Aneurysms 6 Tumor 37 Spine 152 Cervical 97 Thoracic 22 Lumbar 33 Major Case Total 448 Consults 606 Largest hospital based EMS in nation, 1000 beds, 250,000 ED visits, 4000 trauma admission/year
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SNS Bootcamp Host Participating Programs Louisville
Medical University of South Carolina Kentucky Wake Forest University of North Carolina South Florida Duke University of Alabama Medical College of Georgia Miami Puerto Rico Memphis University of Virginia Virginia Commonwealth
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Sanjay Gupta on Emory’s SNS Bootcamp
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Major Operative Experience: Wellstar Kennestone
1311 beds in the system 633 licensed beds at flagship Hospital at Kennestone Referral network of 5 hospitals 500 Cases annually: 70% complex spine Cranial and spinal trauma Endoscopic neurosurgery Cyberknife
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Resident Caseload Summary
Emory University Hospital 1314 Emory University Hospital Midtown 679 Egleston Hospital 146 Scottish Rite Hospital 432 Grady Memorial Hospital 446 Wellstar - Kennestone Hospital 500 TOTAL 3517
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Resident Rotation Schedule
PGY-1 Neurosurgery Internship: General Surgery, Neurology, ENT, Anesthesia, Ortho Spine, Neuro ICU, Pediatric ICU PGY-2 Emory University Hospital Junior Residents PGY-3 Grady Memorial Hospital Junior Resident and electives – Neuropathology, Neuroradiology, Neuro-ophthalmology, Endovascular , Radiosurgery PGY-4 Pediatric Rotation and Emory University Hospital Midtown Rotation PGY-5 Research and/or Electives PGY-6 Research/Electives and Grady Memorial Hospital Senior Resident PGY-7 Emory University Hospital Chief Residents
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Courses Courses attended by residents during 2011-12 academic year:
NASBS Skull Base Surgery Workshop for Senior NS Residents New Orleans, LA 6th Annual CNS 3D Surgical Anatomy Course for Senior Residents, Chicago Burr Ridge, IL Spring Georgia Neurosurgical Society, Sea Island, GA 5th Annual Skull Base Course in Pittsburgh, PA, Allegheny General Hospital Microsurgical Approaches & Techniques Symposium, Little Rock, AR AANS Special Resident Course: Skull Base Techniques MERI, Memphis, TN AANS Fundamentals in Spinal Surgery Resident Course, spine Education and Research Center, Burr Ridge, IL Aneurysm Workshop, University of Miami STL, Research Techniques Training AANS/CNS Cerebrovascular Section “Hands-On” Resident Endovascular Practicum Advanced Open & Endoscopic Techniques in Complex Skull Base Surgery, Jefferson Unversity, NY AANS Special Resident Course – Spinal Deformity & Peripheral Nerve, Baltimore, MD Emory 3rd Annual Intraventricular & Skull Base Neuro-Endoscopy Course Annual Meeting of the American Society of Stereotactic and Functional Neurosurgery, SFO CNS 3D Surgical Anatomy, Texas Medical Center, Houston
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Conference Schedule Weekly Grand Rounds Weekly Didactic Sessions
Weekly Resident Board Review Weekly Subspecialty-Oriented Case Conference with Attendings Monthly Journal Club Quarterly Visiting Professorship Yearly Cadaveric Dissection
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NINDS Neurosurgery R25 Grant 2009-2014
PI: Nelson M Oyesiku $75,000 grant provided for one resident annually Funding for travel to one conference of the resident’s choice End of year conference for recipients across the country to present research and exchange ideas Mentoring provided throughout the year on project Recipient placed on fast track by NIH for K08 reward upon completion of residency
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Resident Awards Sponsor Award Brandon Miller 2012 AANS/CNS
Robert J. Dempsey, MD Cerebrovascular Research Award $15,000 Jon Riley 2011 CNS CNS Resident Award Vladimir Dadashev 2010 GA Neurosurgical Society The Best Paper Presentation Carrie Muh 2008 Musella Foundation and Heroes of Hope Research Grant Sanjay Dhall Council of State Neurosurgical Societies Socioeconomic Fellowship Vaninder Chhabra 2006 Lady's Auxillary Veterans of Foreign Wars $50,000 2007 Cushing's Fellowship $25,000 Globus Spine $2,500
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Academic Benefits ACGME accredited program (Passed audit in 2008)
4 interns this year, 3 every other year Wide range of research opportunities – Winship Cancer Institute, CDC, ACS, Yerkes Primate Center, Georgia Tech, Georgia State, collaboration with orthopedics and interventional neuroradiology Book fund $2000/resident Custom surgical loupes ordered and paid for by department for each resident Expenses paid for RUNN and/or AFIP conferences Full reimbursement for regional/national meeting presentations (with peer-reviewed journal submission) Chief Resident all-expense paid conference-of-choice trip Full-time editor for publication preparation Full-time database manager Full-time business manager
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Oral Board Prep Mock oral exams held twice a year utilizing the ABNS format
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Portfolio Transitioning to housing portfolios on New Innovations.
Portfolio Categories Papers/chapters Presentations Grants/awards Research reports/objectives/summaries Rotations Case learning Courses attended/ write ups SANS wired Letters of accommodation from peers/patients CV Boards scores Power points of any talks M&M, GR, J club License/BLS/ACLS Case logs Teaching
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Quality Improvement Program
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Academic Development Tracks
Unique opportunity to train under true Physician-Scientists in various disciplines Designed to maximize benefit derived from research/elective time Flexibility exists to further tailor to the needs of each individual resident
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Academic Development Tracks
3 Months Didactic time: on campus graduate level courses, off campus symposia, workshops, seminars 3 Months Core Labs: Rotations through a minimum of 6 core laboratories which provide exposure and mentorship 12 to 18 months research: Resident and mentor identified in Core Lab rotation engage in meaningful dedicated research project
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Academic Development Tracks
Clinical Research/Evidence Based Medicine Track Director: Sanjay Dhall, MD Neuro-Oncology Track Director: Costas Hadjipanayis, MD, PhD Functional/Stereotactic Track Director: Robert Gross, MD, PhD Cerebrovascular Track Director: C. Michael Cawley, MD Spine Track Director: Sanjay Dhall/Gerald E. Rodts, MD
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Match Statistics 2006 2007 2008 2009 2010 2011 2012 for Applicants 164
2006 2007 2008 2009 2010 2011 2012 for Applicants 164 166 172 3.5% increase; interviewed 31ppl 221 29% increase; interviewed 32ppl 257 16% increase; interviewed 38ppl 248 3.5% decrease; interviewed 51 ppl; ranked 48. 253 interviewed 40; ranked 34. Accepted 3 2 4 Medical School Emory U. Penn. U T Houston MUSC U. Florida Columbia Tulane U. Fla Ohio State Boston Univ Case Western Harvard St Louis Univ Univ of CT Johns Hopkins Med Coll GA Brown UTSW Northwestern Rank 1 6 5 10 7 9 14 11 13
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Annual Neurosurgery Charity Softball Tournament
Work hard, play hard Annual Neurosurgery Charity Softball Tournament
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Journey of a Neurosurgery Resident
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Resident Alumni 2011 Vladimir Dadashev Neurological Surgery, PC
Great Neck, NY Physician Jess Schuette Emory University Endovascular Fellow Tomoko Tanaka University of Missouri Assistant Professor Raymond Walkup Peachtree Neurosurgery Atlanta, GA, PC 2010 Vaninder Chhabra Kaiser Permanente, Fontana, CA Carrie Muh Duke University Peds NS Sachin Shah
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Resident Alumni 2009 Sanjay Dhall Emory University
Chief, Grady Hospital Assistant Professor 2008 Luis Tumialan The Barrow Institute Faculty Spine Surgery Jeremy Ciporen Kaiser Permanente Sacramento, CA Physician 2007 Michele Johnson University of Texas, Houston 2006 Frank Lin Kennestone Hospital Alexander Poisik Memorial Neuroscience Center Hollywood, FL
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Resident Alumni 2005 Jonathan Hall Private Practice St. Petersburg, FL
Physician Jonathan Zhang Weill Medical College, Cornell University Methodist Hosp Texas Cerebrovascular & Endovascular Assistant Professor 2004 Patrick Tomak Connecticut Neuroscience, PC Bryan Barnes Georgia Neurological Surgery 2003 Prithvi Narayan St. Christopher’s Hospital For Children, Philadelphia, PA Pediatric NS Gordon Tang Eastbay Neurosurgery & Spine, Berkley, CA
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Thank You!
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