Coverage and Conferences
At Parkland Memorial Hospital, our main teaching facility, on-call coverage is provided by a neurosurgery chief resident, two neurosurgery junior residents, and two general surgery PGY-1 residents. At the junior level, the neurosurgery residents share coverage with the two general surgery residents rotating on the service at any one time, resulting in the neurosurgical resident rotating on every fourth night. The chief resident is off every other weekend. Each PGY-2 and PGY-1 resident is off two weekends/month.
At Zale Lipshy Pavilion—William P. Clements Jr. University Hospital, the chief resident, two senior residents, and a junior resident provide the coverage. Since this institution does not have an emergency room, no in-house coverage is required. The residents alternate and cover evenings on a weekly basis. Again, the chief resident is off every other weekend with the PGY-2 neurosurgery resident off two weekends/month. Senior residents are also off every other weekend.
The Dallas VA Medical Center resident takes home calls during the week and has every other weekend off. The resident at Children’s Health provides coverage every third week alternating with the two pediatric fellows. The resident is off call two out of three weekends.
The call schedule and coverage is designed to be in compliance with ACGME guidelines for an 80-hour work week.
Several mandatory didactic conferences take place weekly and monthly throughout the year. Our monthly morbidity and mortality conference features resident presentation of each month's cases, with emphasis on identifying management decision-making processes. Each week, surgical spine, tumor and cerebrovascular conferences are held. Residents and faculty bring their challenging cases to discuss operative planning and to participate in resident, student and nurse education. There are also weekly epilepsy and trauma conferences that residents may attend, as well as quarterly pituitary conferences.
Journal Club occurs monthly and is devoted to a general overview of the month's new literature with focused debate over timely issues.
A few times a year through our laboratory science courses, an afternoon session occurs. These sessions consist of approach courses and training seminars that include presentations, discussions, and hands-on training with cadaveric dissections, spine instrumentation, open vascular procedures, or endovascular training using simulators.
Conferences regularly attended by residents: