Neurological Residency Program Rotation Schedule

The Neurosurgical Surgery Residency Program at University Hospitals Cleveland Medical Center, in collaboration with Case Western Reserve University School of Medicine, is designed to offer residents all the necessary opportunities to achieve their professional goals within the field.

PGY1 Clinical Training

The PGY1 year is focused on general clinical care and general neuroscience. At the completion of the year, the resident should be able to see consults and manage patients as a junior resident.

  • 6 months of neurosurgery at UH Cleveland Medical Center
  • 6 months in the Neuroscience Intensive Care Unit (NSU) and other general neuroscience rotations (neuroradiology, neurotology, neurology)

PGY2 Clinical Training

The PGY2 year allows for both apprenticeship rotations and time on the general neurosurgery service to continue to build service management skills, clinical decision making, and surgical skills.

  • 4 months Pediatric Neurosurgery at UH Rainbow Babies & Children’s
  • 4 months Adult Neurosurgery at UH Cleveland Medical Center
  • 4 months Functional Neurosurgery atUH Cleveland Medical Center and UH Ahuja Medical Center

PGY3 Clinical Training

The PGY3 year is focused on providing increased autonomy in service management at UH Ahuja Medical Center, providing exposure to endovascular surgery, and continuing to develop surgical skills.

  • 4 months UH Ahuja Medical Center
  • 3 months Neuroendovascular
  • 5 months Adult Neurosurgery at UH Cleveland Medical Center

PGY4 Clinical Training

The PGY4 year allows residents to take a more senior role in service management and gain increasing lead operative roles in complex surgical cases under supervision.

  • 4 months Spine (UH St John Medical Center and Southwest General)
  • 8 months adult Neurosurgery UH Cleveland Medical Center

PGY5 Elective

Residents have a dedicated elective year to pursue research, advanced degrees, or additional training. Limited weekend coverage is expected. This time will be spent as the academic chief resident, assisting with administrative as well as some clinical duties. Examples of prior resident pursuits include:

  • CAST accredited Neurocritical Care fellowship
  • Advanced degrees (MPH, MBA)
  • Basic science research
  • Clinical research

PGY6 Clinical Training

  • Successful completion and passing for credit of the written examination of the Primary Examination of the American Board of Neurological Surgery is required prior to this year. 12 months chief resident at UH Cleveland Medical Center.

PGY7 Elective/Fellowship

  • Residents may opt to pursue additional subspecialty training, a CAST accredited fellowship, or additional research.