Technical Expectiations

Residents are expected to keep a log of patients/procedures that they have been involved in. Recording date/diagnosis/procedure/operation and the level of surgical interaction (ie. 1st/2nd assist, primary operator). This can be recorded by a number of means, such as T-res.

3 Month Expectations 6 Month Expectations 9 Month Expectations
  • Application of Mayfield Pins
  • Carpal tunnel release
  • Positioning – Cranial and spinal
  • Insertion external ventricular drain and Camino monitor
  • Burr holes
  • Set up and balance microscopes
Previous 3 month expectations plus:

  • Craniotomy planning
  • Dural closure
  • Craniotomy closure
  • Spinal wound closure
  • Insertion of Ommaya reservoir
  • Ulnar nerve decompression, transposition
  • Lumbar spine – exposure to lamina
Previous 6 month expectations plus:

  • Craniotomy opening – supratentorial
  • Stereotactic frame application
  • Lumbar disc – exposure to the level of the disc

 

12 Month Expectations 15 Month Expectations 18 Month Expectations
Previous 9 month expectations plus:

  • Cervical disc exposure to the level of the disc
  • Craniotomy opening: suboccipital and parasaggital
  • Evacuate acute subdural and epidural hematomas
  • Nerve and muscle biopsies
  • Lumbar discectomy
  • Lumbar laminectomy
Previous 12 month expectations plus:

  • Evacuate intra-cerebral hematoma
  • Subpial resection
  • Resect intra-axial neoplasm – partial
  • Elevate skull fracture
  • Cervical discectomy
  • Insertion of ventriculo-peritoneal shunt
Previous 15 month expectations plus:

  • Resection of intra-axial neoplasm – complete
  • Expose carotid-optic cistern
  • Expose carotid artery
  • Cervical laminectomy
  • Cervical laminoplasty
  • Expose brachial plexus and sciatic nerve
  • Resection of peripheral nerve tumor
  • Primary peripheral nerve anastomosis
  • Percutaneous trigeminal rhizolysis
  • Pallidotomy
21 Month Expectations 24 Month Expectations 27 Month Expectations
Previous 18 month expectations plus:

  • Split Sylvian fissure
  • Expose/dissect intra-cranial cranial nerves
  • Remove convexity meningioma
  • Decompression of Chiari malformation
  • Trans-sphenoidal tumor removal
  • Cervical plate application (anterior)
Previous 21 month expectations plus:

  • Suture repair of carotid artery
  • Microvascular decompression of V and VII nerves
  • Temporal lobectomy – for trauma or neoplasia
  • Drill/resect anterior clinoid
  • Decompress syrinx
Previous 24 month expectations plus:

  • Remove carotid plaque
  • Dissect intra-cranial aneurysm
  • Expose and partially resect skull base tumor
  • Resection of intra-dural, extra-medullary tumor
  • Release tethered cord
  • Resection of vestibular schwannoma
  • Lateral mass screw – application
30 Month Expectations 33 and 36 Month Expectations
Previous 27 month expectations plus:

  • Corpus Callosotomy
  • Resection of intra-dural, intra-medullary tumor
  • Clip intra-cerebral aneurysm
  • Resection of “low-grade” AVM
  • Awake craniotomy and cortical mapping
Previous 30 month expectations plus:

  • AV dural-fistula, spinal and cranial, exposure and resection
  • Resection of skull base tumor – complete
  • Posterior circulation aneurysm clipping
  • Temporal lobectomy – for seizure control
  • Insertion of pedicle screws