Length and Rotation
The residency program in Neurological Surgery at UMMC is six years in length. PGY1 residents complete surgical rotations and two of the required three months of neurology experience. Residents in the second year rotate on the University Hospital neurosurgical service. During the third year, residents complete a six month rotation at Shock Trauma (where they gain additional intensive care training), one month of neurology training, and five months of elective (typically includes neuropathology).
PGY4 is designed as an elective year: most residents join one of the Division's research laboratories while others residents elect outside rotations to gain their research training or a specialized clinical experience. Fifth year residents serve a twelve month rotation as senior resident on the University Hospital and Baltimore Veterans' Affairs Hospital neurosurgical services. Chief Resident status is attained in PGY6.
Board Requirements
Each resident is required to take the written examination of the American Board of Neurological Surgery annually for self-assessment, and in the 4th or 5th year for credit. The examination must be passed before attaining Chief Resident status.
Conferences
Clinical teaching is carried out in a wide variety of weekly conferences. The weekly Resident Teaching Conference focuses on a broad range of neurosurgical topics and allows for close interaction between faculty and residents. Wednesday morning conferences consist, on a rotating schedule, of case presentations, mortality and morbidity analysis, and neuropathology discussions. Working conferences with the Division of Neuro-radiology are held each Monday afternoon. Other weekly conferences include Gamma Knife, Basic Science, Neuro-Oncology, Spine, and Epilepsy. Each Wednesday morning, NeuroCare Grand Rounds provide residents with a forum for discussion with visiting professors and local experts.
Research
The Department maintains two laboratories in the Medical School. The Cerebrovascular Research Laboratory, under the direction of J. Marc Simard, M.D., PhD studies cellular mechanisms regulating cerebral blood with a primary focus on patch clamp study of ion channel function in cerebral smooth muscle. Lawrence Chin, M.D. heads the Neuro-Oncology Laboratory, which is devoted to the study of growth factor biology in brain tumors. These basic science endeavors are complemented by on-going clinical trials of pharmacological agents for treatment of cranial and spinal trauma, cerebral vasospasm, and brain tumors.
Application
Applications are due November 1 the year preceding the match deadline. To receive an application form please write to:
Department of Neurosurgery
University of Maryland Medical Center
22 South Greene Street, S-12-D
Baltimore, MD 21201
For further details please call: 410-328-6034 or email: Residency Coordinator
Special Features
Located three blocks from Baltimore's Camden Yards, the University of Maryland Medical Center was founded in 1807 and opened the nation's first teaching hospital in 1823. The Medical Center, in cooperation with the University of Maryland School of Medicine, has always acknowledged the close relationship between excellent patient care, comprehensive medical training, and substantive scientific research, and is today guided by that vision as it develops new laboratory facilities, patient care centers, and an extensive new research library.
The Department of Neurological Surgery serves patients at three separate, but physically connected, medical facilities located on the UMAB campus, all constructed or renovated within the last twelve years: The Gudelsky wing of the University of Maryland Hospital, added in 1994; The R Adams Cowley Shock Trauma Center, built in 1984; and The Baltimore Veterans Affairs Hospital, completed in 1993.
The UMMC faculty complete over 2000 adult and pediatric surgical procedures annually, a case load that has increased 15% over the past two years. The majority of procedures are performed at the University Hospital. Four dedicated operating rooms provide faculty with new operative microscopes, an image guided stereotactic system, intraoperative angiographic capability, and electronic imaging technology. The Department's Gamma Knife Center houses further specialized equipment for the treatment of intracranial tumors and AVMs. Intensive Care is provided in a neurosurgery-directed, state-of-the-art unit in the new Gudelsky building. The Department is jointly responsible for coordinating the Neurotrauma Program at the Shock Trauma Center and the Neuro-Oncology Program at the University of Maryland Hospital. Outpatients are seen at several clinics on the UMMC campus. The faculty team has expertise in diverse areas of research and clinical sub-specialties: six full-time faculty specialize in the treatment of cerebrovascular disorders, epilepsy, brain tumors, skull base surgery, spinal abnormalities, trauma, and pediatric disorders.
The core faculty are supported by a team of joint faculty in neurology, radiology, and neuropathology, and by a large roster of clinical part-time faculty. This program's success is rooted in the breadth and balance of this faculty expertise: residents have the opportunity to develop their general neurosurgical skills while gaining valuable experience in subspecialty areas. The faculty, through a combination of diverse surgical experience, frequent clinical conferences, and an intensive program of research, provide residents with the skills necessary to be successful contributors to their field.
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