Curriculum for Fellowship in Neurosurgery (Brain and Spine)
Program Overview
The certificate programme in Neurosurgery envisages to impart comprehensive clinical and research interest in Neuro surgery.
Objectives:
- To provide advanced training in Neurosurgery (Brain and Spine)
- To develop expertise in managing patients with Brain and spine disorders.
Curriculum Structure
The programme typically spans one year and is divided into several postings.
Clinical Postings:
- Neurotrauma ( Brain and Spine Trauma)
- Neurointensive care
- Neuroimaging
- Brain & Spine Clinics
- Neurosurgery Operation Theatre
- Neuro- rehabilitation
Curriculum:
-
Traumatic brain injuries
- Intensive trauma care
- Decompressive craniectomy
- ACF repair
- Cranioplasty
-
Traumatic spine injuries
- Percutaneous pedicle screw fixation ( MISS)
- Laminectomy and decompression
- Minimally invasive fixations
- Stroke
-
Vascular Neurosurgery
- DSA
- Coiling
- Clipping
- AVM management – Surgery/Embolisation/ SRS
-
Brain tumours
- IONM ( Intraoperative Neuro Monitoring)
- Awake craniotomy
- Neuro Navigation based biopsy
- Meningioma surgery
- Glioma surgeries
-
Skull base surgeries
- Skull base surgeries
- Transnasal Transsphenoidal endoscopic surgery
- Extended skull base endoscopy
- CP angle surgeries
- Microvascular decompression
- Supraorbital mini craniotomy procedures
- ACF repair
- Optic nerve decompression
- Spine tumours
-
Degenerative spine disorders
- ACDF
- Anterior corpectomy and fusion
- TLIF
- Microdiscectomy( Tubular/ Endoscopic interlaminar)
- Transforaminal endoscopic discectomy
- UBE (Unilateral biportal endoscopic discectomy)
- MISS
- Percutaneous fixation with bone cement augmentation
- Vertebroplasty/ kyphoplasty
-
Congenital spine disorders
- Chiari malformations
- Myelomeningocele
- CV junction anomalies
- Split cord malformation
-
Hydrocephalus
- Endoscopic 3rd ventriculostomy
- VP shunt
- Programmable shunt
- other CSF diversion procedures
-
Stereotactic and Functional Neurosurgery
- Stereotactic biopsy
- Deep Brain Stimulation
- Epilepsy surgery
-
Emergency bed side procedures
- Intubation
- Central line insertion
- EVD
- Tracheostomy
- t drill
Electrolyte disturbances
Seizures
Neural Rehabilitation and Neurophysiotherapy
Neuro imaging
- Brain and spine imaging
- DSA
Case-based discussions
Journal Club
Teaching Methods:
- Lectures
- Case discussions
- Journal clubs
- Clinical rotations
- Hands-on training in procedures
Core Competencies
Candidates should acquire the following competencies:
- Comprehensive knowledge of neuro anatomy and neurophysiology, pathophysiology, and clinical manifestations of brain and spine disorders
- Skills in interpreting and explaining various Neuro imaging modalities
- Proficiency in the diagnosis and management of Traumatic Brain and Spine injuries.
-
Expertise in diagnosing, evaluating and planning management of
- Neurovascular disorders including aneurysms and AVMs.
- Brain and spine tumours
-
Exposure and assisting skills in
- Endoscopic skull base procedures
- endoscopic spine and MISS
- Stereotaxy and Deep brain Stimulation
- Ability to perform and assist bed side procedures like intubation , central venous catherisation, EVD
- Diagnosis and management of Electrolyte disturbances
- Proficiency in Neurointensive Care
- Proficiency in Neuro rehabilitation.
- Excellent communication and interpersonal skills
Evaluation
Candidates will be evaluated through a combination of:
- Clinical evaluations by attending Neurosurgeons
- Log Book
- Publications
Additional Considerations
- Interprofessional Collaboration: Foster collaboration with other healthcare professionals (e.g., Neurointensive care team, Trauma team, neurology nurses, dieticians, social workers)
- Quality Improvement: Encourage participation in quality improvement initiatives
- Patient Education: Emphasize the importance of patient education and counselling
- Ethics: Address ethical issues in Neurosurgery practice.
- Simulation-based Learning: Incorporate simulation for procedural skills and crisis management
By following this curriculum and emphasizing core competencies, the certificate program will produce well-rounded Neurosurgeons capable of providing excellent patient care and contributing to the field of Neurosurgery.
No. of Seats : 2
Eligibility : MCh/ DrNB (Neurosurgery)
Course Coordinators :
- Dr. Ipe V George (Senior consultant –Neurosurgery),
- Dr. Shyam Balasubramanian (Senior Consultant – Neurosurgery),
- Dr. Jijo J Joseph (Consultant – Neurosurgery),
- Dr. Abdul Rahim Shaan (Consultant – Neurosurgery)
Disclaimer : This programme is not recognised by NMC/State medical councils and intended only for skill upgradation.