| The pediatric neurosurgery fellowship has
been in existence at the Children's Hospital of Michigan since
July 1987. It's designed to provide a full range of pediatric
neurosurgical experience including congenital hydrocephalus,
other forms of hydrocephalus, myelodysplasia, oncology, epilepsy,
trauma as well as pediatric neurological and pediatric intensive
care exposure. Basic science exposure is available through
participation in basic ultrastructural and neuroendocrinologic
studies of hydrocephalus funded by a Children's Hospital grant
and performed in association with Dr. Jerry Mitchell of the
anatomy department. Protected time, with no clinical responsibilities
is provided for this. This fellowship is expected to be for
one year and may extend up to two years depending on the candidate's
desire, research and satisfactory accomplishments during the
training. Prerequisites for this program are completion of
an internship and basic training in neurosurgery, either in
this country or by another organized training program in the
world. Applicants must also be lincensable by the State of
Michigan.
Multidisciplinary care is the emphasis of the pediatric neurosurgical
fellowship. The service participates in a number of multidisciplinary
programs including: closed head injury, neuro-oncology clinic,
epilepsy program, myelodysplasia clinic and craniofacial clinic.
By a positive exposure to multidisciplinary care and a close
working relationship with multiple specialties, the fellow
acquires excellent general pediatric skills and makes the
transition that is often lacing in adult neurosurgical settings
to team based care
The operative exposure is generous. More than 2,000 procedures
are performed including more than 60 brain tumors, 20 complex
craniofacial procedures as well as numerous simple craniosynostosis
operations, multiple exposure to simple and complicated shunt
problems as well as surgical treatment of epilepsy, stereotaxis,
dorsal rhizotomy, peripheral nerve and congenital spine abnormalities.
There is limited operative management of head injury since
in the pediatric population it is usually a non-surgical problem
but a significant number of severe head injuries are managed.
Didactic instruction is offered in the neurosurgical conferences,
and the neuroradiology conference as well as the monthly clinicopatholigical
conference. The department of critical care medicine as well
as the imaging department, neurology and pediatrics all play
a very active role in the education of the fellows. The fellows
are also supported in their attendance at a major pediatric
neurosurgical meeting.
Job description: Direct and supervise the management of inpatient
neurosurgical patients. Participate in preoperative planning,
surgical management and postoperative management of patients.
Participate in and help plan educational program for residents
both pediatric and neurosurgical as well as the entire section
of pediatric neurosurgery. Plan and participate in clinical
research projects both ongoing and new. Participation in Wednesday
morning Wayne State University conferences as well as Children's
Neuroradiology conference on Friday is mandatory. |
Hydrocephalus
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