The PGY-1 or "Internship" spent at UTMB Jennie Sealy Hospital is designed to provide the trainee with a broad background in surgical principles and care of the surgical patient. Six months of this year is spent on the neurosurgery service as an integral member of the team. Apprenticeship in basic procedures (ventriculostomy, ICP monitor and central line placements) is important in this first year. The resident is expected to gain understanding of the management of diseases affecting all organ systems and not just those commonly seen in neurosurgical patients. They are expected to become proficient in the management of ICU issues related to airway management, ventilator management, IV access, monitors of cardiac function, management of cardiac dysfunction and arrhythmias, pulmonary dysfunction, issues related to bowel dysfunction and nutrition, pressor management.
This rotation is also meant to serve as an introduction to the coordination required between services in the management of the critically ill surgical patient. This goes along with exposure to the operating room, and the intern may expect to be involved in at least 150 cases this first year. Three months are spent in one month intervals on rotations including in SICU, Neuropathology, and Neurophysiology. The remaining three months are spent on NCCU service. The resident is expected to become familiar with electrophysiological tests including but not limited to electromyography, nerve conduction velocity, electroencephalography, somatosensory evoked potentials, motor evoked potentials, cortical mapping, brainstem auditory evoked potentials, visual evoked potentials, facial nerve monitoring, electronystagmograms, and urodynamic studies.