Objectives

The objective of the training program is to provide the resources, facilities, and opportunity for the trainee to fully meet the Royal College Objectives of Training in the Specialty of Neurosurgery and become a fully trained neurosurgeon who:

  1. Is clinically competent, thus able to demonstrate:
    • A comprehensive and thorough knowledge of neuroscience, neuroanatomy, neurophysiology and neurosurgical disorders.
    • Expertise in neurological and systemic history-taking and physical examination.
    • Expertise in the diagnosis, investigation and management of neurosurgical disorders
    • A broad knowledge base of related disciplines, including neurology, neuropathology, neuroradiology, neuro-oncology and neuropsychology.
    • Technical excellence in all common aspects of operative neurosurgery.
    • A comprehensive knowledge of operative preparation, operative strategy, complication avoidance and management, post-operative care and follow-up.
  2. Will pass the Royal College of Physicians and Surgeons of Canada Surgical Foundations Examination, by the end of PGY 3 year.
  3. Will pass the Royal College of Physicians and Surgeons of Canada Specialty Examinations in Neurosurgery
  4. Develops skills as an efficient communicator, collaborator, medical manager, health advocate, scholar and professional as defined by the Royal College CanMeds Program.

The development of competence in clinical neurosurgery requires the trainee:

  1. To master the principles of surgery.
  2. To become expert in the basic sciences of the nervous system and the diseases of the nervous system – to include all of neuroanatomy, neurophysiology, pathology and pathophysiologic mechanisms of neurologic disease.
  3. To be expert in clinical neurosurgery:
    • Obtaining a detailed and accurate neurologic history and to carry out a thorough and accurate neurologic examination.
    • Localizing the neuroanatomical site of disorder and formulate a differential diagnosis based on a critical evaluation of the symptoms and signs.
    • Devising a methodical and efficient method of investigation
    • Constructing and enacting a management scheme – cognizant of the natural history of the disorder, all treatment options and their risk/benefit considerations
    • To develop the necessary technical skills to perform neurosurgical procedures. Including: all the critical steps and nuances of: preparing a patient for a neurosurgical operation, avoiding operative and post-operative complications and managing them if they do occur, and managing the post-operative patient in the short and long term.
  4. To understand the fundamentals of neuroanesthesia, neurology, neuroradiology, neuroophthalmology, neuropathology, neuroendocrinology.

Following completion of training, the resident should have the knowledge and skills to manage the following problems:

  1. Craniocerebral and spinal trauma, and to provide basic primary care for multiple injuries.
  2. Cerebrovascular disease including ischemic cerebral disease, subarachnoid hemorrhage, spontaneous intracerebral hemorrhage, aneurysms, fistulae and all forms of vascular malformations.
  3. Cerebral and spinal cord neoplasms.
  4. Degenerative disc disease and all of its complications
  5. Common pediatric neurosurgical disease.
  6. Peripheral nerve, brachial plexus and lumbosacral plexus disorders.
  7. Epilepsy
  8. Pain syndromes and movement disorders.

Following completion of training, the resident should be competent at all aspects of a specialist physician (CanMEDS roles): Medical Expert, Communicator, Collaborator, Manager, Health Advocate, Scholar and Professional.