Neurologic surgery of the spine deals with the evaluation, and medical and surgical treatment of diseases of the spine and spinal cord. It includes the in-depth study, prevention, diagnosis and treatment of the spinal cord, and spinal column disease, disorders and injuries by medical, physical and surgical methods.
Fellowship training at the Brigham and Women's Hospital provides broad educational experience in neurologic surgery of the spine which will complement training in the neurosurgery residency to promote further acquisition of knowledge and skills in the subspecialty.
The fellowship provides a broad exposure to clinical evaluation and appropriate patient selection for operative and non-operative management in both the inpatient and outpatient settings. The fellow will actively participate in the operative management of a wide range of spinal disorders including traumatic, degenerative, neoplastic and congenital conditions. Progressive responsibility in patient management is provided. A broad exposure to modern spinal instrumentation techniques is considered an integral part of the spinal neurosurgery fellowship experience and training. Clinical, anatomic, biomechanical, and neuroscience research are part of the educational experience and provisions are made for the successful completion of research projects.
A minimum of six months of fellowship training is spent in clinical activities in spinal neurosurgery under the direction of specified clinical faculty. The responsibility or independence given to fellows in patient care is dependent upon the fellow’s demonstrated knowledge, manual skill, experience in the complexity of the patient’s illness, as well as the perceived risks of the surgical management. A portion of the fellowship experience is allocated to training in an outpatient clinic or office setting which provides preoperative, perioperative and postoperative continuity of patient care. The fellowship provides opportunities for the fellow to engage in research relative to the subspecialty. The fellow will actively participate in scholarly activities and contribute to the education of neurosurgery residents and medical students. The fellowship has dedicated teaching conferences with participation of the fellow, the associated faculty, and residents of the sponsoring program. Participation of other affiliated disciplines is encouraged.