Block Rotations


The OGME-1 rotation schedule follows those prescribed by the AOA and ACOS with an emphasis on building a strong surgical, medical, critical care and neuroscience foundation. OGME-1 rotations therefore have four months of general surgery, including time on the surgical critical care service.

Surgery – Four to five months on the surgery trauma and critical care services

General Peds / Pediatric ICU – One month

Neuroradiology – One month

Neurology – One month

Neurosurgery – Five months

The intern will attend all academic sessions of the parent service as well as attending the neurosurgery academic activities on Tuesday afternoons.

Neurosurgical text requirements will be limited, but a rudimentary neurosurgery, neuroanatomy and neurophysiology reading schedule will be strongly encouraged from texts such as Neurology and Neurosurgery Illustrated (van Gijn, Lindsay, Bone, and Callender), and Principals of Neurosurgery (Rengacherry, Ellenbogen).


The OGME-2 year will be focused heavily on pre- and post-operative neurosurgical management, with significant exposure to intra-operative neurosurgery (particularly opening and closing of wounds, surgical exposures and wound management).

On-Service Neurosurgery – Up to eight months, divided into two or three sessions.

Neurology – Two months

Neuroradiology – One month

Research – One month

In addition, special courses will be incorporated including on-line modules along with virtual patient care and surgical simulation classes through the Carilion Clinic Experiential Learning Center. Text assignments will be principally oriented to neuroanatomy, neurophysiology, neuroradiology, neurology, and general neurosurgical care during the OGME-2 year.


The OGEM-3 year will have a similar emphasis with greater expansion of responsibilities in pre and post operative management and a greater exposure to intra-operative experience. Operative experience will focus on advancing techniques and mastery of basic neurosurgical operations.

On-Service Neurosurgery – Up to seven months, divided into two or three sessions

Neuroradiology – One month

Research – One month

Interventional Neuroradiology – two months

Residents will also participate in the Congress of Neurological Surgeons “SANS” course. Finally, residents will participate in the INOVA Neuropathology and Neuroradiology “short” course in Bethesda, Maryland, and the AANS/CNS and ACOS conferences. Texts utilized during the OGME-3 year will continue to emphasize neuron-anatomy, neurophysiology and general neurosurgery.


The OGME-4 and 5 years shift emphasis towards acquisition of neurosurgical technical skills and the development of intra-operative acumen. A significantly greater portion of the resident’s day will be spent in the operating room with the core faculty, as well as adjunct faculty, experiencing a wide variety of neurosurgical procedures.

On-Service Neurosurgery – Six months

Research – One month

Interventional Neuroradiology – Three months

Electives – up to six months

Additional courses during this year will include an ATLS refresher course, and the AANS/CNS, ACOS conference and the Research Update in Neuroscience for Neurosurgeons (RUNN) course in basic neuroscience held in Woods Hole, Massachusetts.

The resident will also participate in modules from the AMA modules of core competency on-line course. There will be a heavy emphasis on surgical texts and manuals during the OGME-4 year.


On-Service Neurosurgery – Six months

Research – One month

Interventional Vascular/Endo-Vascular Neurosurgery – Three months

Brain surgery at INOVA-three months

Additional courses include the AMA core competency on-line course, the CNS Self Assessment in Neurological Surgery (SANS) test course, and the Chicago written board review course as well as the AANS/CNS and ACOS conferences. There will be a heavy emphasis on surgical texts, manuals and current journals during the OGME-5 year.


The OGME-6 year will focus on the refinement of the gamut of neurosurgical skills acquired including surgical technique, pre and post operative patient care, scholarly investigation, and leadership skills. The resident will serve as a Chief resident the 12 months on the neurosurgery service.

During this period, the resident will act as a junior staff and will be responsible for leading a neurosurgery team of mid level residents, junior residents, interns, medical students, physician assistants and physician assistant students. The resident will also be responsible for call assignments, back-up call duties, academic scheduling, procurement of visiting professors, support of resident recruitment and interview procedures, and overall documentation of all neurosurgical academic activities.

Additional courses during the OGME-6 year will be the AANS Goodman Oral Boards preparation course, the AANS/CNS conference and the ACOS conference as well as pre-practice support courses. There will be a heavy emphasis on current journals during the OGME-6 year.


A seventh train year is planned to be initiated no later than 2015. This year, in the middle of the residency, will focus principally on research. Access to world class research facilities and projects will be provided. An option of an imbedded subspecialty fellowship will be provided.