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NEUROLOGICAL SURGERY TRAINING PROGRAM
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Page 1: Neurological Surgery TraiNiNg Programneuro.memorialhermann.org/uploadedFiles/_Library... · I Trauma Center that involve neurological damage. The Spine Center also offers innovative

Neurological Surgery TraiNiNg Program

Page 2: Neurological Surgery TraiNiNg Programneuro.memorialhermann.org/uploadedFiles/_Library... · I Trauma Center that involve neurological damage. The Spine Center also offers innovative

What’s Inside01 Letter02 About the Program03 Scope of Services05 Additional Services06 Neurosurgery Training Program — Rotations — PGY Levels — Facilities — Benefits — Conferences — Neurosurgery Accreditation — Board Exam Requirements — Why Houston? — Extracurricular11 How to Apply11 MNI Facts12 Staff Listing

At UTHealth Medical School, our aim is to be the best – locally, nationally and internationally.

Our Mission:

To achieve this goal, we focus on:•Providingthehighestqualitycareandachievingthebestoutcomes•Providingthebestserviceandachievingthehighestpatientandreferringdoctorsatisfaction•Innovatingandtestingnewideas,advancingmedicineandsettingnewstandardsofcare•Teachingthenextgenerationtobethebest

The Residency Program of UTHealth MedicalSchool and the Vivian L. Smith Department of Neurosurgery

isdrivenbyextensiveaccesstocomplexneurosurgicalcasesattheMischerNeuroscienceInstitute(MNI)at

Memorial Hermann-Texas Medical Center.

WearecommittedtoprovidingthebestneurosurgicalcaretothecitizensofHouston,toleadingtheworldin

advancing the art and science of neurosurgery, and to producing the next generation of neurosurgical leaders.

Allaspectsofthismissionareintegratedintoourdailypractice.Clinicianscollaboratewithscientists,andallare

involved in teaching.

EachfacultyandstaffmemberinthedepartmentofNeurosurgeryhascompletecommitmenttothegoal

ofbeingthebestandtrainingthebest.Residentsareindividuallymentored,evaluatedandpromoted,andare

also regularly asked to evaluate the Program and participate in its continual improvement. Through this structure,

UTHealth Medical School residents develop into excellent and academically oriented neurosurgeons, positioned

to learn throughout their careers.

MNIhasbeenaleaderinbringinginnovationstothefieldofneuroscience,withalonglistoffirstsinthe

treatmentofstroke,multiplesclerosis,epilepsy,neurotrauma,brainaneurysmsandothercomplexneurological

conditions. We are proud of the dedication of our team of physicians and scientists and invite you to learn

moreaboutourResidencyProgramandourInstitute.

Sincerely,

Dear prospective resident,

arthur Day, m.D. VIce chAIr-educATIoN & ProgrAM dIrecTor

Dong H. Kim, m.D. dIrecTorANdCHAIRMAN

1

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Neuroscience ServicesThrough its affiliation with Mischer Neuroscience

InstituteatMemorialHermann-TexasMedical

Center, the Neurosurgery Residency Program at the

UTHealthMedicalSchoolisabletoofferresidents

a wide range of experience at the forefront of

medicine. From neuro-oncology to spine surgery,

cerebrovascularandendovascularsurgeryand

beyond,thenextgenerationofsurgeonshasat

its fingertips a wealth of opportunities for honing

their expertise.

Brain Tumor centerLedbyneurosurgeonandMischerNeuroscience

InstitutedirectordongKim,M.d.,themedicalteam

at the Brain Tumor Center provides outstanding care

forpatientswithalltypesofbraintumors.Themulti-

disciplinary team, including oncologists and radiation

specialists, offers patients a full range of treatment

options including surgery, chemotherapy and radiation.

MNIacquiredtheregion’sfirstLeksellGammaKnife

in 1993. To date, the multidisciplinary team has

treated more than 2,300 patients using the stereotactic

radiosurgeryinstrumenttoresolvebraintumors

andotherneurologicaldisorders.MNIandUTHealth

Medical School are at the forefront of advances to

prolong and improve the quality of life for patients

with these complex tumors.

cerebrovascular and Skull-Base NeurosurgeryTheskull-basesurgicalteamoffersacomprehensive,

advanced technological and multidisciplinary approach

todiagnoseandtreatcranialbasedisorders.MNIis

dedicated to providing the highest level of clinical

caretoourpatientsbyofferingthemostup-to-date

diagnostic and treatment modalities.

Forcerebrovasculardiseases,MNI’smultidisciplinary

program involves a team of neurosurgeons,

interventional neuroradiologists, neurologists and

radiation specialists. The program offers a complete

spectrum of therapies, including the most effective

state-of-the-art surgical and endovascular techniques

andtechnologies,suchasahybridoperating

roomthatenablesadvancedimagingandmultiple

procedurestobeperformedsimultaneously.

TheMNIStrokeCenterwasrecentlyrecognizedasa

ComprehensiveStrokeCenterbyTheJointCommission

and the American Heart Association/American Stroke

Association. Comprehensive Stroke Center Certification

recognizesthosehospitalsthathavethespecialized

infrastructure, staff and training to receive and treat

patients with the most complex strokes. They must

meet stringent standards and requirements, including

advancedimagingcapabilities,around-the-clock

availabilityofspecializedtreatments,andstaffwith

the unique education and competencies to care for

complex stroke patients.

2 3

The Largest and Most Comprehensive Neuroscience Program in Texas

MischerNeuroscienceInstitute(MNI)isbuiltonafoundationof

long-termcollaborationbetweenMemorialHermann-TexasMedical

CenterandUTHealthMedicalSchool.MNIbringstogetherateam

of world-class clinicians, researchers and educators whose insights

and research findings are transforming the field of neuroscience.

PatientscometoMNIfromaroundtheworldfortreatmentofrare

andcommondiseasesofthebrainandspinalcord.

ThroughMNI,thephysiciansaffiliatedwithMemorialHermann

currently perform more neurosurgical procedures than any

otherhealthsysteminHoustonandisnationallyrecognized

forleading-edgemedicine.TheInstituteisconsistentlyranked

amongqualitybenchmarkingorganizationsasaleaderinclinical

qualityandpatientsafety.MNIwasthefirstcenterinTexas

and one of only a few institutions in the country to fully integrate

neurology,neurosurgery,neuroradiologyandneurorehabilitation

throughcomprehensive,specializedtreatmentcentersand

closecollaborationamongallinvolveddisciplines.

Inthelastthreeyears,MNIhasestablishedarangeofclinical

andacademicprogramsandhasrecruitednearlytwodozen

nationallyrecognizedspecialistsandsubspecialists.TheInstitute

isnowhometo10centersofexcellencethataresupportedby

a state-of-the-art neuroscience intensive care unit with 32 private

rooms and several other dedicated inpatient facilities to provide

a full continuum of care for neurological patients.

About the ProgramFacultyThe UTHealth Medical School Residency Program is a

unique,multidisciplinary,completelysubspecialized

arrangement.Thispermitsresidentexposuretoboth

neurosurgicalandnon-neurosurgicalcases.Organized

into multi-specialty teams, Mischer Neuroscience

Instituteprovidescomprehensivemedicalandsurgical

care for a wide range of neurological conditions in

adultsandchildren,includingcerebrovasculardisease

(stroke,aneurysmsandarteriovenousmalformations),

epilepsy,movementdisorderssuchasParkinson’s

diseaseanddystonia,metabolicdisease,pituitary

disorders,braintumorsandconditionsofthespine.

case VolumeInaffiliationwithMischerNeuroscienceInstitute,

the Program offers one of the largest neurosurgical

caseloads in the United States, with more than

4,500 surgical procedures per year. This permits a

significantresidentoperativeexperience,beginning

at the PGY-2 level. Residents at all levels typically

operate four days a week, with one day spent in a

subspecialtyclinicspecifictotherotation.

Single institutionAll residency training is completed at a single institution,

Memorial Hermann-Texas Medical Center. This allows

forallresidentstoworktogetheronadailybasisto

maintain the entire neurosurgical patient population.

TechnologyUTHealth Medical School is at the cutting edge of

technology, with physicians and staff continuously

discovering and implementing new treatments and

diagnostic tools. Advances used regularly in our

Programincludestate-of-the-artintraoperativerobotics,

neuro-endovascularlabs,interoperativeCT,Gamma

Knife®andcomputer-assistedsurgeryincluding

navigation and neuroendoscopy.

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4 5

Additional Services

thenation–andfromMemorialHermannLifeFlight®air

ambulanceservice,whichprovideshigh-qualitycareandsafe

air transport for critically ill and injured patients via helicopter

and fixed-wing aircraft.

The Neurotrauma/Critical Care Program is an international

leader in research conducted on innovative treatments

following neurotrauma, including participation in several

multicenter trials.

Neuroscience research

TheUTHealthMedicalSchoolutilizesdiverseapproaches

to research, including molecular, transgenic and

electrophysiological techniques, coupled with state-of-

the-artfacilitiesandsupportservices,allowingbiomedical

studies, translational research, clinical trials, technology

development and assessment. Ongoing projects cover major

areas of neurological diseases, including stroke, aneurysm,

spinalcordinjury,braintumor,stemcells,neuroprotection,

hypoxicencephalopathy,epilepsy,traumaticbraininjuryand

Parkinson’sdisease.ProjectsaresupportedbytheNational

InstitutesofHealth,theVivianL.SmithFoundationfor

Neurologic Disease, the American Stroke Association and

other granting agencies.

Besidescollaborativeeffortswithinthedepartmentand

institution, UTHealth Medical School strongly encourages

facultymemberstoconnectwithscientistsworldwideto

exchangeinformationandknowledge,toestablisheffective

collaborationsinawiderangeofdisciplinesandtofacilitate

a concerted interdisciplinary and international effort in

scientific explorations.

Neuroradiology

MNIoffersdiagnosticimagingofthenervoussystem,including

myelography,computedtomography(CT)andmagnetic

resonanceimaging(MRI).Advanceddiagnosticmodalities

include: dynamic CT angiography and MR angiography,

perfusionCTandMRI,andfunctionalmagneticMRI(fMRI).

MNI’steamofexpertsanalyzestheseimagescloselyto

identifythebesttypeofinterventionforeachpatient.

Neuropathology

AfullrangeofdiagnosticservicesisavailableatMNIfor

neurosurgicalspecimensandautopsybraindiagnosis,

providing physicians with a comprehensive level of diagnostic

expertise.Complexbraintumorandneuro-oncologycasesare

presented in a multidisciplinary forum to discuss treatment

andmanagementduringMNI’sweeklyTumorBoard.

radiosurgery

AtMNI,neurosurgeonsusetheLeksellGammaKnifeas

aneffectivetreatmentmodalityforabnormalitieswithin

thebrain.Patientswhoundergostereotacticradiosurgery

have a greatly reduced incidence of potential complications

associated with craniotomy and with other forms of radiation.

MNIisalsooneofthefewfacilitiesinthenationtooffer

stereotactic spinal radiosurgery, delivered using the Varian

Trilogy®TXlinearaccelerator(LINAC).

Neurotrauma/critical care

TheneurotraumaprogramatMNIisinternationally

recognizedfortreatingthehighest-acuitypatientswith

brainandspinalcordinjuries,withneurointensivistsand

experienced mid-level practitioners staffing our dedicated

32-bedNeuroICUaroundtheclocktoprovideongoing

intensive care to critically ill patients.

Patientswithacuteneurologicalinjuriesbenefitfrom

MemorialHermann-TexasMedicalCenter’sLevelItrauma

center–oneofonlytwointheareaandthebusiestin

endovascular SurgeryMNIisaleaderinendovascularsurgery,performing

more than 150 endovascular aneurysm repairs

annually — more than any other medical center in

our area. This team of experts continually develops

andtestsgroundbreakingendovascularsurgical

technologies and techniques.

Pediatric NeurosurgeryTheteamatChildren’sMemorialHermannHospital

and UTHealth Medical School are world leaders in

pediatric neurosciences. Offering minimally invasive,

endoscopicbrainsurgeryandcomprehensive

diagnosis, evaluation and treatment of a wide range

of neurological disorders, they are at the forefront

of advancing treatment for pediatric patients.

Functional and Stereotactic NeurosurgerySpecialists in functional and stereotactic neurosurgery

provide comprehensive evaluation and care for

patients with movement disorders, epilepsy,

obsessive-compulsivedisorderandcertainchronic

painsyndromes.Throughcollaborationbetweenthe

MischerNeuroscienceInstituteandtheUTMOVEClinic,

the Movement Disorders and Neurodegenerative

diseasesProgramhasestablishedatrackrecord

of outstanding care and excellent outcomes.

The Program offers minimally invasive and highly

effective treatment options for many difficult

neurological disorders and diseases. Patients with

movement disorders refractory to medication, such

asParkinson’sdisease,essentialtremoranddystonia,

areevaluatedbyamultidisciplinaryteamof

neurosurgery, neurology and neuropsychology

specialists to assess whether they are appropriate

candidates for a functional intervention.

Spine centerThe highly skilled spine surgeons at the Mischer

NeuroscienceInstituteandUTHealthMedicalSchool

perform more than 1,400 surgeries annually in new,

state-of-the-art facilities equipped with advanced

tools and dynamic imaging systems. The Spine Center

offers outstanding care of patients suffering from

traumatic spine injury, including the 10 to 20 percent

ofadmissionsthroughMemorialHermann-TMC’sLevel

ITraumaCenterthatinvolveneurologicaldamage.

The Spine Center also offers innovative procedures for

reliefofbackpain,includingtransforaminallumbar

interbodyfusion(TLIF),minimallyinvasiveapproaches

and disk replacement surgery.

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Residency by Year

rotationsThere are seven clinical services within our Residency

Program, each covering specific clinical material and

ledbydedicatedfaculty:

1)CriticalCare–VascularandTrauma(brainandspine)

2)Spine–Trauma

3)Spine–Electiveanddegenerative

4)Cranial

5)Cerebrovascular(openandendovascular)

6)Pediatrics/Functional

7)CHIEFService

Pgy levelsPgy-1

The goal of year one as a neurosurgery resident

at UTHealth Medical School is to gain a

comprehensive understanding of the concepts of

neurocritical care. This will provide the individual

neurosurgeonwiththeabilitytotakecareofthe

basiccriticalcareissuesrelatedtothenervous

system and all of the critical care issues that arise

in patients undergoing neurosurgical treatment.

The PGY-1 year is comprised of a full year learning

directly from our six fully trained neurointensivists

in neurosurgical critical care, with a six-month focus

oncerebrovascularcareandsixmonthscovering

neurotrauma. Every other weekend is spent on the

Neurosurgery service participating in surgical cases.

ThisintensiveyearintheNeuro-ICUwillalloweach

resident to track toward completing an infolding

fellowshipinneurocriticalcarebytheendofthe

residency.

Pgy-2

ThePGY-2yearconsistsofthreethree-monthblocks

inthefollowingsubspecialties:Spine–Trauma,

Pediatrics/Functional and Neurology; and one three-

monthblockastheNightFloatresident.

year July To DecemBer JaNuary To JuNe

PGY-1A NeurocriticalCare(CV) NeurocriticalCare(CV) NeurocriticalCare(T) NeurocriticalCare(T)

PGY-1B NeurocriticalCare(T) NeurocriticalCare(T) NeurocriticalCare(CV) NeurocriticalCare(CV)

PGY-2A Pediatrics/Functional Spine – Trauma Night Float Neurology

PGY-2B Spine – Trauma Pediatrics/Functional Neurology Night Float

PGY-3A Night Float Spine – Elective Cranial Spine – Trauma

PGY-3B Spine – Elective Night Float Spine – Trauma Cranial

PGY-4A Cerebrovascular Cranial Pediatrics/Functional Cerebrovascular

PGY-4B Cranial Cerebrovascular Cerebrovascular Pediatrics/Functional

PGY-5A Research(clinicalorbasicscience)

PGY-5B Research(clinicalorbasicscience)

PGY-6A Elective CHIEF Spine–Elective CHIEF

PGY-6B CHIEF Elective CHIEF Spine–Elective

PGY-7A Elective

PGY-7B Elective

The junior Spine – Trauma rotation provides the first

of several concentrated and systematic exposures to

the management of spinal disorders.

The junior Pediatrics/Functional rotation has a dual

focus,combiningexposuretobothfunctional

and pediatric neurosurgery. Much of the functional

surgery is pediatric epilepsy.

The goal of the Neurology rotation is for the resident

to develop the clinical skills, professional attitudes,

andknowledgebaseforthepracticeofconsultation-

basedneurologythroughexposuretoneurological

disorders and approach to the neurological patient.

The experience prepares the resident to appreciate

the full spectrum of neurological illness, especially

that which is non-operative, and the role of neurosurgery

within these disorders, if any.

On Night Float, the resident will have increased

responsibilityinthemanagementoftheemergent

neurosurgical patient presenting to the ER or in transfer

and the perioperative management of in-hospital

urgencies and emergencies.

Pgy-3

ThePGY-3yearconsistsofthreethree-monthblocks

rotating in Spine – Elective, Spine – Trauma and Cranial.

Thereisanadditionalthree-monthblockonNightFloat.

The Cranial rotation has a primary focus in independently

performing fundamental procedures in general

neurosurgery. Basic principles are taught and

significantportionsofsurgeriesinsubspecialty

areas are performed, including vascular, epilepsy,

functional and tumor neurosurgery.

The mid-level spine resident is expected to attain

competency in the performance of straightforward

spinal procedures at all levels of the spine. They

will have exposure to spinal trauma injuries and will

participate in many elective spine surgeries, gaining

further understanding of degenerative spine diseases.

Pgy-4

ThePGY-4yearconsistsoftwothree-monthblocks

on Cranial and Pediatrics/Functional rotations,

andonesix-monthCerebrovascularblock.

TheCerebrovascularrotationpreparesthe

neurosurgicaltraineestobecompetentinthe

complete range of endovascular and surgical

neurovascular interventions to treat tumors and

vascular diseases affecting the nervous system.

Electiveandmorefocusedsubspecialtyrotations

beginaftertheresidentshaveachievedcore

competence in neurocritical care, pediatrics,

cranial and spine surgery.

Pgy-5

Theresearchyear(PGY-5)willbeadedicatedbasicor

clinical science academic training experience chosen

bytheresident,tobeapprovedonanindividualbasis.

Residentsareencouragedtosubmitabstractsfororal

presentations at national neurosurgical meetings, as

well; the department supports a minimum of one

trip a year for each resident for oral presentations at

national neurosurgical meetings.

Thefinaltwoyears(PGY-6,7)willallowsignificant

residentautonomyandthepossibilityofacertified

infolding fellowship or additional research time.

6 7

Neurosurgery Training Program

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Pgy-6

PGY-6 residents will spend six months on the

neurosurgical chief-of-service rotation at Memorial

Hermann-TMC,emphasizingtumor,neuro-oncology,

cerebrovascular,andotherdisordersandtheirsurgical

treatments. Participants will spend this time as

chiefresidentandareresponsible,onanalternating

basis(switchingeveryotherweekwiththeirservice

counterpartPGY-6co-chief),fortheadministration

of the service and the smooth functioning of the

operating room schedule.

Residents will spend three months on an advanced

elective spine rotation, learning management of

complex degenerative spine and peripheral nerve

diseases.Inaddition,theywillbegiventheopportunity

to rotate for three months with senior faculty to acquire

additionalexpertiseinareasofsubspecialtytraining

suchasspine,cerebrovascular,endovascular,tumor,

epilepsy,skullbaseorstereotacticsurgery.

Pgy-7

The PGY-7 year is spent exclusively pursuing a focused

area or areas of clinical interest to the resident.

Thisyearprovidesabroadopportunitytofinelytune

one’soperativeskillsandprovideoversightfortheentire

management of the patient population on the service.

Theyearcanbecomprisedofacombinationofvarious

electiverotationsorcanbetailoredtoallowtheresident

to pursue an infolded fellowship.

Facilities

Founded in 1925, Memorial Hermann-Texas Medical

Center is a private, non-profit, nonsectarian teaching

institution.Itservesastheprimaryteachinghospital

forUTHealthMedicalSchool.Itwasthefirsthospital

to open in the world-renowned Texas Medical Center.

AsoneofonlytwocertifiedLevelItraumacenters

in the Greater Houston area, the hospital provides

24-hour emergency and trauma care to more than

40,000 patients a year. Memorial Hermann Life

Flightairambulanceserviceoperatesafleetof

six helicopters, providing emergency rescue and

air transport services to a multi-county area.

The adult neurosurgical service at Memorial Hermann-

TMCislocatedonthe5thand7thfloorsintheJones

Pavilion of the hospital.

The5thfloorcontainsa48-bedpatientcareunit.

The7thfloorisa32-bedneurosurgicalintensive

care unit, which provides comprehensive critical care

management around the clock for critically ill patients.

Pediatric neurology and neurosurgery patients are

caredforatChildren’sMemorialHermannHospital,

attheChildren’sNeuroscienceCenter.

Benefits

Paid leave

•Vacation:twoweeksforPGY-1andthreeweeks

forPGY-2andabovepercontractyear

•SickLeave:12workingdayspercontractyear

with a rollover cap of 30 working days

•EducationalLeave:fiveworkingdaysper

contract year

insurance Programs at No cost to resident

•Comprehensivemedicalcareplan

•dentalinsurance

•Visioninsurance

•$100,000basiclifeinsurance

•disabilityinsurance

•Accidentaldeathanddismembermentinsurance

•Professionalliabilityinsurance

other Benefits

•dependentmedical,dentalandvision

insuranceavailableatgrouprates

•Supplementaldisabilityinsurance

•Paidandunpaidleavesofabsence

•Tax-deferredannuityplans

•Uniformsandbadgesatnocost

•PaidmembershipinHarrisCountyMedical

Society and The Texas Medical Association

resources Provided by Program

•Start-uplibrary

•Pairofsurgicalloupes

•Leadaprons

•Spineandskullmodels

•$1,000annualbookstipend

•Paidconferenceattendance

•Othertravel(asapproved)

Conferences

grand rounds

Neurosurgery Grand Rounds were designed with

resident education as the primary focus. They are

held in the Medical School Building, on Thursdays at

8a.m.Thesessionsaredividedintorecurringtopics

including neuroradiology, neurology, neuro-oncology,

epilepsy, neuro-ophthalmology, neuro-endocrinology

and neuropathology.

resident curriculum conference

IntheResidentCurriculumConference,ledby

Dr. Day, residents prepare and review all aspects

of neurosurgical knowledge and evidence. Also

in attendance are physician assistants, medical

students and nurse practitioners. Each topic is reviewed

once every two years, so each resident will have

completedeachcyclethreetimesbygraduation.

Visiting Professor lecture Series

Throughout the year, the department hosts prominent

figures in the field of neurological surgery lecturing

on their areas of interest.

Visiting professor days usually consist of a pre-dinner

withresidentsonly,highlightedbyaone-hourlecture,

followedbyaprivateeducationalsession,oneon

one with the speaker and residents.

Program STiPeND*

PGY-1 $46,739

PGY-2 $48,489

PGY-3 $49,801

PGY-4 $51,812

PGY-5 $54,340

PGY-6 $56,101

PGY-7 $57,994

PGY-8 $59,443

*effective date: 06/24/2013

reSiDeNT aND Fellow STiPeNDS2013-2014 acaDemic year

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Neurosurgery Accreditation

Throughout the history of the Neurosurgery Residency

Program, the Department of Neurosurgery has made

significantaccomplishments.In2010,afterjust

three years as a Program, the Accreditation Council

forGraduateMedicalEducation(ACGME)granted

us the maximum accreditation and also approved

an additional residency position. The Program

currently accepts two residents per year for seven

years of training.

Board Exam Requirements

All residents are required to take the American Board

of Neurological Surgery primary written examination

onanannualbasis.Satisfactoryprogressmustbe

shownbeforetheresidentadvancestothenextlevel

oftraining.Theexaminationmustbepassedforcredit

prior to the chief residency year.

The Neurosurgery Residency Program also holds

“mock”oralboardstoassistinexamination

preparation for our residents.

Recognition for the resident who achieves the highest

primary exam score is given at the end-of-year

ceremony.Inaddition,theProgramoffersanaward

fortheresidentwhohasbeenthebiggestteam

player each year.

Why Houston?

As the fourth largest city in the country, Houston is

filled with great diversity. Nestled among meandering

bayous,toweringpinesandverdantparkland,

Houston is a character-rich “third coast” city that

roughly 6 million people call home.

TheweatherinHoustonisfavorable.Withanaverage

winter temperature of 55 degrees, opportunities for

outdoor recreation take place all year round.

Locals and visitors also converge on the Museum

districtforafternoonsexploringthearea’s19art-and

culture-filled institutions. Houston is one of the few

U.S.citiestoboastresidentcompaniesinallmajor

performancedisciplines:symphony,ballet,operaand

theater.Forthosewhoenjoydiningout,Houston’s

culinarysceneisvibrantandnationallyacclaimed,

with world-class chefs preparing foods hailing from

allculturesandinfluences.

Extracurricular

UTHealth Medical School hosts numerous resident

events each year to increase camaraderie and just

have fun! These events include the annual Christmas

Party, Post ABNS Exam Party, End-of-Year Dinner and

other planned social events to let loose outside the

auspices of the Program.

Each year, the neurosurgery residents and clinical

faculty come together for the Annual Texas Neurosurgery

Residency Training Programs Conference, a one-day

educational conference created for participants

to display and discuss current research projects.

All six neurosurgery residency training programs in

Texas participate. Preceding the conference is a fun

andspiritedSoftballTournament–UTHealthMedical

School took the title in 2012!

How to Apply

residency

Applicationsaresubmittedstrictlythroughthe

ElectronicResidencyApplicationSystem(ERAS)using

theNationalResidencyMatchProgram(NRMP).

Application Requirements:

• USMLEStep1andaminimumpassingscoreof200

• Threelettersofrecommendation(preferably

fromotheracademicneurosurgeons)

• Researchexperienceispreferred,butnotrequired.

UTHealthMedicalSchoolacceptsInternationalMedical

Graduates(IMG)whomeetthequalificationslisted,

in addition to completing USMLE Step 1, 2 and 3,

all with a minimum score of 200, and having a valid

ECFMG Certificate.

Fellowships

UTHealth Medical School currently has fellowships

inCombinedOpenCerebrovascular/Endovascular

Neurosurgery;MinimallyInvasiveandComplexSpinal

Surgery; Endovascular Surgical Neuroradiology; and

Epilepsy Surgery, Brain Mapping and Functional

Neurosurgery.

Ifyouareinterestedinapplyingforafellowship,you

must have completed an ACGME-accredited Residency

Program in Neurological Surgery to qualify.

For more information, please contact Brooke Beasley,

education coordinator, at [email protected]

or 713.704.7375.

Visit our website:

neuro.memorialhermann.org/residency

Neurosurgery Centers of Excellence

CerebrovasculardiseaseandStroke

Critical Care and Neurotrauma

Neuromuscular Disorders

Neuro-oncology

Neurorehabilitation

Pediatric Neurosurgery and Neurology

Restorative Neurosurgery and Neurology

Spine Surgery

MNI Facts

• Thefirstneurosurgerycentertoofferalladvancedmodalitiesof

treatment – expert microsurgery, interventional neuroradiology/

endovascularsurgeryandGammaKniferadiosurgery–for

complex lesions.

• ThefirstandonlyhospitalinTexastoreceiveJointCommission

designation as a Comprehensive Stroke Center.

• Thefirstcentertoconductanational,multicentertrial

for hypothermia in head injury.

• ThefirstfacilityinHoustonandoneofthefirstintheUnited

States to test the clot-dissolving drug tPA for acute stroke.

• ThefirstcenterinHoustontotestandprovetheefficacy

of three disparate treatments for stroke prevention: carotid

surgery; administration of antiplatelet drugs, including aspirin;

and patent foramen ovale closure.

• Thefirstfacilityintheregiontodovagalnervestimulation.

We remain the No. 1 program in the United States in

thenumberofvagalnervestimulatorsimplantedin

epilepsy patients.

• Webroughtthefirstclinicalmagnetoencephalography(MEG)

sensor to Houston and recently updated the technology to

the new Magnes 3600 WH.

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Paul Boone, m.D. Clinical Assistant Professor Vivian L. Smith Department of Neurosurgery

raul J. cardenas, m.D. Clinical Assistant Professor Vivian L. Smith Department of Neurosurgery

P. roc chen, m.D. Assistant Professor Vivian L. Smith Department of Neurosurgery

H. alex choi, m.D. Assistant Professor Vivian L. Smith Department of Neurosurgery

mark Dannenbaum, m.D. Assistant Professor Vivian L. Smith Department of Neurosurgery

Joseph c. Hsieh, m.D. Assistant Professor Vivian L. Smith Department of Neurosurgery

Sigmund Hsu, m.D. Neuro-Oncology Assistant Professor Vivian L. Smith Department of Neurosurgery

Dong Kim, m.D.DirectorMischerNeuroscienceInstitute

Professor and ChairmanVivian L. Smith Department of Neurosurgery

arthur l. Day, m.D.Director of Clinical EducationMischerNeuroscienceInstitute

Program DirectorNeurosurgery Residency

Pgy 6 Sean meiner, m.D. UTHealth Medical School

Pgy 6 yoshua esquenazi levy, m.D. University of Anahuac, Mexico

Pgy 5 Shane abdunnur, m.D. Medical College of Virginia

Pgy 5 Victor lo, m.D. RoyalCollegeofSurgeonsofIreland

Kadir erkmen, m.D. Neuroendovascular Surgery Fellow

emitseilu iluonakhamhe, m.D. Neurocritical Care Fellow, 2nd year

Not Pictured

albert Fenoy, m.D. Assistant Professor Vivian L. Smith Department of Neurosurgery

Stephen Fletcher, D.o. Associate Professor Division of Pediatric Neurosurgery

michele Johnson, m.D. Assistant Professor Vivian L. Smith Department of Neurosurgery

Daniel H. Kim, m.D. Director Spinal Neurosurgery and Reconstructive Peripheral Nerve Surgery

Professor Vivian L. Smith Department of Neurosurgery

ryan Kitagawa, m.D. Assistant Professor Vivian L. Smith Department of Neurosurgery

Silky Patel, m.D. Clinical Assistant Professor Vivian L. Smith Department of Neurosurgery

Kiwon lee, m.D.DirectorNeurocritical Care

Associate ProfessorVivian L. Smith Department of Neurosurgery

David Sandberg, m.D.Associate Professor and ChiefDivision of Pediatric Neurosurgery

Pgy 4 Sebastian Villarreal, m.D. UTHealth Medical School

Pgy 4 edward Hsu, Ph.D., m.D. Taipei Medical University, Tawain

Pgy 3 ali Hassoun Turkmani, m.D. Damascus University, Syria

Pgy 3 wesley Jones, m.D. Texas Tech University Health Science Center School of Medicine

Pgy 3 Saint-aaron morris, m.D. UTHealth Medical School

Karanbir Kern, m.D. Neurocritical Care Fellow, 1st year

Tareq almaghrabi, m.D. Neurocritical Care Fellow, 1st year

Karl Schmitt, m.D. Assistant Professor Vivian L. Smith Department of Neurosurgery

Scott Shepard, m.D. Director GammaKnifeRadiosurgery Assistant Professor

Vivian L. Smith Department of Neurosurgery

Nitin Tandon, m.D. Associate Professor Vivian L. Smith Department of Neurosurgery

george williams, m.D. Assistant Professor Vivian L. Smith Department of Neurosurgery

Bilal rana, D.o. Assistant Professor Vivian L. Smith Department of Neurosurgery

Jay-Jiguang Zhu, m.D. Neuro-Oncology Assistant Professor Vivian L. Smith Department of Neurosurgery

geoffrey Zubay, m.D. Clinical Assistant Professor Vivian L. Smith Department of Neurosurgery

Pgy 2 Jessica Stark, m.D. Louisiana State University School of Medicine in New Orleans

Pgy 2 Daniel monsivais, m.D. University of Texas Medical Branch at Galveston School of Medicine

Pgy 1 Keith Kerr, m.D. UTHealth Medical School

Pgy 1 Stephen Katzen, m.D. Texas Tech University Health Science Center School of Medicine

12 13

Full-time Clinical Staff 2013 - 2014 Residents

Fellows

Notes

Staff Listing

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