HUH

A dedicated inpatient neurosurgery floor is available along with a dedicated neurosurgical ICU. Overflow of neuro ICU patients go to an adjacent general surgical ICU. EEG monitoring and TCD are available 24 hours. Also available are CT, MRI and MRA, intraoperative MRI, diagnostic and interventional angiography, radiation oncology and Gamma Knife. Four operating rooms are available with microsurgical capabilities. Intraoperative navigational equipment along with two dedicated engineers comprises the neurosurgical team in stereotactic surgery. The outpatient facilities for the adult service are located at HUH in the Professional Building. Neurological surgery patients are seen by different faculty members Monday thru Friday. The resident in the research year participates in the Chairman's clinic on Wednesday. On all other days of the week, the residents participate in the clinics when they are not in the operating rooms or on the neurosurgery floors.

CHM

A dedicated neurosurgery floor is available along with a pediatric ICU. The pediatric hospital has available to the pediatric patients CT, MRI PET scan, and diagnostic and interventional angiography. One dedicated operating room and one additional room is available to neurosurgery daily. The outpatient facilities are located in the hospital, with several neurosurgery clinics each week. The resident rotating on the pediatric service participates in the clinic with various staff.

DRH

This is a Level I trauma center and also a Hazardous Material Center. Neurosurgery has a dedicated floor and a dedicated neurotrauma ICU. A neurointensivist, a member of the neurosurgery faculty, supervises the care of the neurosurgery patients and the residents rotating on this service. There is no dedicated outpatient facility; patients are seen in the HUH clinic. Residents also follow patients sent to the Rehabilitation Institute of Michigan (RIM) with weekly rounds.

Neurosurgery residents participate in the daily clinics held by various faculty members. The resident in the research year has a dedicated experience in outpatient care by working with the Chairman in his clinic one day per week for 12 months. Other residents work with various faculty members in clinic when the operative schedule permits. The chief resident assigns the junior residents to outpatient clinics when feasible. The resident in the outpatient clinic is responsible for the evaluation of new patients by performing all history and physical exams, reviewing diagnostic information and discussing the patient's management with the attending faculty member. Major therapeutic and diagnostic decisions are made with the attending faculty and the resident. The resident becomes proficient in discussing diagnosis and surgical procedures with the patient and the family and obtaining informed consent. The resident on the dedicated outpatient rotation evaluates the patients postoperatively.