1. UCSF Neurosurgery Residency
Nicholas M. Barbaro, MD
Professor, Program Director
UCSF

2. General information Seven years Three residents per year
UCSF internship
Six year Neurosurgery residency
Three residents per year

3. Internship Neurology – 1 month Rotations General surgery Trauma
Emergency Room
Vascular surgery
Otolaryngology
Cardiac Surgery
Neurosurgery
Orthopedics

4. PGY - 2: UCSF Junior Parnassus Campus
Three four-month rotations covering specific faculty practices
Primarily inpatient
First six-months on 88 hour “extension”

5. PGY - 3 UCSF Spine UCSF Pediatrics
More complex spine
UCSF Pediatrics
Children’s Hospital of Oakland Pediatrics
Peter Sun, MD Site Director
Two months (alternating with no coverage)
Neurology
One month vascular neurology
One month “elective” neurology

6. PGY - 4 UCSF Senior SF Veterans Administration Hosp Chief
Vascular rotation, primarily Michael Lawton
San Francisco General Chief Resident
Level 1 Trauma
General surgery interns
SF Veterans Administration Hosp Chief
General neurosurgery
Center of Excellence for functional neurosurgery

7. PGY - 5 Research 2/3 receive NRSA or other (NREF) funding
Protected time – no routine call

8. PGY – 6: UCSF Chief Vascular Chief Tumor Chief Spine Chief
All vascular surgery
Pediatric service (complex cases)
Tumor Chief
Tumor service
Functional service
Spine Chief
Rotate administrative duties
Grand rounds, OR schedule

9. PGY - 7 Transitional year Required radiosurgery
Resident-driven electives
Any aspect of clinical neurosurgery
Research – basic or clinical
Formerly “Clinical Instructor” year

10. Cases: 6 months (partial)
Tumors
Intra-axial: 153
Extra-axial: 65
CPA: 26
TS: 57
Vascular
Aneurysm clipping: 88
AVM: 61
EC-IC: 5
CEA: 9
Peripheral nerve: 15
Adult shunts: 85
Spine
Cervical: 137
T-L fusion: 189
T-L no fusion: 112
Tumors: 28
MVD: 24
Epilepsy: 19
Chiari: 13
DBS: 37
Bur hole Bx: 41

11. Cases: 6 months (partial)
Moffitt pediatric
VPS: 61
Tumor: 15
MM repair: 25
Craniosyn: 16
Epilepsy: 10
Chiari: 7
CHO (4 months)
VPS: 5
Tumor: 15
MM repair: 7
Craniosyn: 2

12. SFGH: 6 months Trauma crani: 28 Tumor: 4 Vascular: 3
Cervical spine: 17
T-L fusion: 6
T-L non-fusion: 5
Other: 24

13. SFVA: 4 months Tumor: 5 Vascular: 2 DBS: 21 Spine instrumented: 39
Spine non-instrumented: 30
Spine tumor: 3
Other: 18

14. Academics Thursday is for education Instructive Case Conference
Selective OR for 1 Chief Resident
Instructive Case Conference
Grand Rounds
Combined NS, Neurol, Neurorad, Neuropath Conference
Neuroscience Course
2 hours per week
Andrew Parsa, Paul Larson
Lunch conference

15. Preparation for Academic Career
Modeling academics throughout the residency
Three paper requirement
Grant Writing
Large infrastructure: Grant support, statistics, epidemiology
Protected research year

16. Academic Success Academic Success Six years: 11 graduates
2 Academic fellowship
7 Academic practice
2 Private practice
Peer-reviewed publications
47 published
22 In press

17. Resident Awards AANS Bittner Award CNS Dandy Clinical Fellowship
David Cahill, MD Memorial Award (spine)
Mahaley Award for Clinical Excellence
Michael Goldberger Award (neurotrauma)
ISSLS Award (Volvo)
Ronald Tasker Young Investigator Award
Van Wagenen Fellowship
SFNS: Edwin Boldrey, Henry Newman, Kaiser

18. Other Residency Highlights
Mentoring program
Resident representation of Resident Education Committee
Participation in GMEC and Resident Council

19. Summary Strengths in clinical an academic training Expanding program
Emphasis on training future academicians