Contact Information

Lakesha Cross
Education Coordinator
lakesha.cross@osumc.edu
The Ohio State University Wexner Medical Center
Department of Neurological Surgery

Develop Advanced Skills and Experience

Residents in Ohio State’s accredited, seven-year Neurosurgery program develop progressively more advanced skills and experience each year, including added responsibilities such as clinical teaching and medical student education. The program can prepare residents to pursue fellowship training — including endovascular, peripheral nerve, functional, neuro-oncology, pediatric, skull base and spine subspecialties — or an academic faculty track. 

Training spans multiple disciplines, from Neurology, Neurosciences, and General Surgery, to Physical Medicine and Rehabilitation and others, in Ohio State’s innovative hospitals and clinics.

Some rotations may take place in Ohio State’s affiliated institutions, such as Nationwide Children’s Hospital — one of the nation’s largest pediatric ambulatory networks, operating the second busiest emergency department in the country. Nationwide Children’s Hospital and The Ohio State University Wexner Medical Center offer a combined, categorical, Accreditation Council for Graduate Medical Education (ACGME)-accredited child neurology residency

Areas of Focus

Residents rotate during five of the seven post-graduate years (PGY): PGY1-3 and PGY 6-7. PGY4 and PGY5 include time to pursue research or other areas of interest.

During rotations, residents see patients in Ohio State’s outpatient neurosurgery clinic at least once each week, while inpatients are seen at The Ohio State University Wexner Medical Center and James Cancer Hospital and Solove Research Institute.

Residents discuss cases with the attending faculty, including a review of the indications for the procedure, medical and surgical alternatives and neuroradiology studies. Postoperative outpatients are discussed and outcomes are reviewed with the operating residents.

Areas of focus include:

  • Tumor surgery, including the use of gamma knife radiation
  • Vascular surgery, including aneurysm treatment
  • Endovascular neurosurgery, including coiling, arteriovenous malformations and skull base approaches to the cranium
  • Spine surgery, including herniated discs in the cervical, thoracic and lumbar area, interspinal tumors and vascular formations (including all stages of complex spine procedures with fixation and fusion)

Curriculum Overview

Pediatric Neurosurgical Rotations

Residents rotate at Nationwide Children’s Hospital during PGY2 and PGY6. During this rotation, residents gain experience managing complex pediatric conditions. These include congenital abnormalities, tumors, vascular abnormalities and trauma, working in one of the nation’s leading pediatric emergency departments.

Surgical Intensive Care Rotations

Surgical intensive care unit (SICU) training is part of the General Surgery rotation at OSU Wexner Medical Center, assigned for two months during the PGY1. The SICU team is directed by a staff and a critical care specialist, and the team has co-management responsibilities with the primary surgical service.

Residents learn to manage shock, sepsis, myocardial disease, multiple organ failure and respiratory failure and other postoperative complications. Residents also gain experience in endotracheal intubation, invasive monitoring and ventilator management. Teaching rounds take place daily.

PGY2 residents gain SICU co-management responsibilities at a more advanced level. They'll manage complex neurosurgical patients, including:

  • Patients with head injuries involving increased intracranial pressure
  • Patients with intracranial vascular disease
  • Complications of vascular disease, such as intracranial hematoma and vasospasm

In PGY6 and PGY7, residents are responsible for communicating with and teaching medical students who are in PGY2 and PGY3. This includes specialized training in procedures such as intracranial monitoring, ventriculostomy, lumbar puncture, arterial and subclavian lines.

PGY4 and PGY5 — Academic Focus

PGY4 and PGY5 are generally devoted to nonclinical activities such as research. During these years, the resident may pursue independent research in Neurosurgery in one of the many Ohio State laboratories, in areas such as tumor research, spinal cord injury research or others. Residents may pursue a PhD and clinical research expertise in endovascular neurosurgery, gamma knife and specialized study of tumors.

Department Conferences

The neurosurgery curriculum includes multidisciplinary conferences for additional, focused knowledge on diverse topics. They range from lectures on fundamental neurological surgery principles to highly specialized discussions and case studies of areas such as skull base surgery, brain tumors and deep brain stimulation.

Neurosurgery Grand Rounds
7 – 9 a.m. Thursday, weekly
B050 James Conference Room

Neurosurgery Combined Grand Rounds with Neurology
8 – 9 a.m. first Thursday
B050 James Conference Room

Deep Brain Stimulation Conference
4 – 5:30 p.m. Monday, weekly
S-1044 Davis Center

Pituitary Conference
5 – 7 p.m. first Wednesday
S-209 Doan Hall

Skull Base Conference
7 – 8 p.m. Tuesday, weekly
S-209 Doan Hall

Journal Club 
6 – 7:30 p.m. fourth Thursday

Brain Tumor Board
9 – 10 a.m. Thursday, weekly 
S-209 Doan Hall


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