Department of Neurological Surgery

Chief (PGY7) Responsibilities

Green Chief Resident (Administrative Chief): The Green Chief resident serves as a nexus for management and communication of a complex interdisciplinary surgical department, with practical emphasis on systems based practice, communication and professionalism skills. In this 6-month rotation, the resident supervises the educational and quality management activities of the service, and assigns duty schedules and operative cases for residents on the Green service. The resident performs complex posterior fossa procedures for tumor and microvascular decompression, complex spine reconstruction, tumor and vascular malformation operations, mesial temporal resections for epilepsy, intracranial monitoring, etc. The Green Chief resident is also the administrative chief resident for the Department of Neurological Surgery during that rotation.
Gold Chief Resident: This 6-month rotation is focused on neurovascular surgery (aneurysm, AVM, cavernous malformation, carotid endarterectomy, cerebral vascular bypass), surgical neuro-oncology (primary and metastatic brain tumors, meningiomas) and skull base surgery (acoustic neuroma, pituitary adenoma and skull base neoplasms), and complex spinal surgery. This Chief resident assigns duty schedules and operative cases for residents on the Gold service and directs all resident activities and duty assignments.

Educational Objectives:

  • To provide experience as the administrative resident for the OHSU Neurosurgical Residency Program.
  • To offer experience in the triage of emergency care, surgical priorities, and organization of resident, operative and support resources for the Department’s day to day clinical activities.
  • To offer experience as a teacher-in-training.
  • To make supervised independent decisions about key clinical care issues (admission, discharge, care setting transfer, operation).
  • To achieve competency in the most complex range of neurosurgical procedures including difficult tumors, cortical resection, posterior fossa lesions, and spinal reconstruction.

Outpatient experience is concentrated in the following rotations:

OHSU Junior Resident: The junior residents attend a faculty staffed and resident directed neurosurgical outpatient clinic on Wednesdays. They are responsible for initial consultation, operative decision-making and post-operative follow-up of all clinic patients and participate in the operative management of these patients, depending on appropriate match between training and case level.

Doernbecher Senior Resident: The Senior resident sees all new clinic consultations, manages in-hospital care, and sees patients back in definitive post-operative clinic follow-up, with supervision by the attending surgeon.

VA Medical Center Senior Resident: The VA Senior Resident is responsible for all clinic consultations, inpatient care, and post-operative follow-up on the service, with assistance from a physician’s assistant and supervision by faculty.

OHSU Gold Senior Resident: The Gold Senior Resident is responsible for new and follow-up clinic evaluations of skull base/neuro-oncology and neuro-vascular patients, with assistance from a physician’s assistant and supervision by faculty.

OHSU Green Senior Resident: The Green Senior Resident supervises the work of the junior residents in a faculty staffed and resident directed neurosurgical outpatient clinic, which is held weekly in the University Hospital as a means of developing independent clinical decision making ability, and fostering teaching skills development.

The outpatient clinics in each institution also constitute a major teaching venue since attendance is mandatory for the faculty and the residents. Outpatient clinics are held every day at the Center for Health & Healing, a faculty staffed and resident directed neurosurgical outpatient clinic is held on Wednesdays and a weekly outpatient clinic is held at the Portland VAMC.