Neurosurgery Residency

Overview

The Division of Neurosurgery at the Department of Clinical Neurological Sciences at the Schulich School of Medicine & Dentistry at Western University consists of nine consultant neurosurgeons, with clinical and academic interests encompassing the full scope of neurosurgery. The clinical caseload is one of the largest in Canada with an excess of 1600 operative cases per year.

A well-founded subspecialty organization within the Division has provided excellent training for the residents in all aspects of neurosurgery. Areas of particular interest include neurovascular and endovascular surgery, epilepsy and functional neurosurgery, neuro-oncology and complex spinal disorders. The neurosurgery program is the only one in Canada with a 100% success rate among its Canadian trainees.

Dr. Faizal Haji was featured in a resident spotlight in his PGY6 in 2017. Read his experience here.

General Organization

Neurosurgery is a six-year program starting at the PGY1 level. The PGY1 and PGY2 years are regarded as core surgical training years and include six months of neurosurgery, three months of paediatric neurosurgery, three months of internal medicine, two months of general surgery, two months of ICU, one month of emergency medicine, one month of anesthesia, one month of pediatric critical care and five months of other surgical rotations, which usually includes two months on the trauma service. Rotations in orthopedics (spine) and plastic surgery are encouraged during this period. The PGY4 year includes six months of neuropathology, three months of paediatric neurosurgery and three months of neurosurgery. The PGY5 year includes nine months of research and three months of neurosurgery. The PGY6 year includes nine months of neurosurgery and three months of neurology. There is a 12-month "senior" year beginning in the last quarter of the PGY5 year.

Residency Downloads

Application

Application Process

Currently, the neurosurgery program only accepts applicants through the Canadian Resident matching Service (CaRMS).


Selection Criteria

From the list of candidates, individuals are selected who have shown primary interest in neurosurgery as determined from their applications. Primary interest may be proven through: taking an elective rotation in neurosurgery; reference letters from neurosurgeons with whom the candidate has had elective experiences; personal attestation can be shown in the form of an essay, discussing the candidate's primary interest in neurosurgery (same as personal letter).

Programming

Seminars

Seminars in basic neuroscience occur on a bi-weekly basis, being provided for the residents within the Divisions of Neurology and Neurosurgery. Guest research and neuroscientific seminars are held throughout the year through the two programs "Perspectives in Neuroscience" and the "London Neurosciences Association". These latter seminars would amount to approximately 20 - 30 per year. Other seminars in basic and clinical neuroscience are provided on an ad hoc basis through the various rounds within the Department of Clinical Neurological Sciences, the Journal Club, and through resident requests.


Research

The residents are encouraged to undertake definite periods of research (in the PGY-3 to 6 years, amounting to a minimum of 6-12 months) which will provide them with, at a minimum, an introduction to the scientific discipline underlying research, but with the encouragement to go on to postgraduate degrees in neuroscience. The resident is encouraged to follow his or her own interest in this regard and hence, such training may be attained within the resources of the division (adult models of ischemia, various aspects of brain tumors, and epilepsy), within the university basic neuroscience departments, the Robarts' Research Institute or at another academic institution.

Resident Publications

Lau JC, Kosteniuk SE, Macdonald DR, Megyesi JF. Image-guided Ommaya reservoir insertion for intraventricular chemotherapy: a retrospective series. Acta Neurochir (Wien). 2018 Jan 5. doi: 10.1007/s00701-017-3454-z. [Epub ahead of print] PubMed PMID: 29305723.

Wolf A, Kondziolka D. Brain metastases: radiosurgery. Handb Clin Neurol. 2018;149:129-135. doi: 10.1016/B978-0-12-811161-1.00010-4. PubMed PMID: 29307350.

Lau JC, MacDougall KW, Arango MF, Peters TM, Parrent AG, Khan AR. Ultra-High Field Template-Assisted Target Selection for Deep Brain Stimulation Surgery. World Neurosurg. 2017 Jul;103:531-537. doi: 10.1016/j.wneu.2017.04.043. Epub 2017 Apr 17. PubMed PMID: 28427973.

Joswig H, Zarnett L, Steven DA, Stienen MN. A Consult Is Just a Page Away: A Prospective Observational Study on the Impact of Jinxing on Call Karma in Neurosurgery. Can J Neurol Sci. 2017 Jul;44(4):420-423. doi: 10.1017/cjn.2016.457. Epub 2017 Feb 21. PubMed PMID: 28219453.

Bierer J, Wolf A, Lee DH, Rotenberg BW, Duggal N. Bilateral caudate nucleus infarcts: A case report of a rare complication following endoscopic resection of a tuberculum sellae meningioma. Surg Neurol Int. 2017 Sep 26;8:235. doi: 10.4103/sni.sni_192_16. eCollection 2017. PubMed PMID: 29026671; PubMed Central PMCID: PMC5629865.

Joswig H, Haji FA, Martinez-Perez R, Steven DA, Boulton MR. Rapid Recovery from Paraplegia in a Patient with Foix-Alajouanine Syndrome. World Neurosurg. 2017 Jan;97:750.e1-750.e3. doi: 10.1016/j.wneu.2016.10.101. Epub 2016 Oct 26. PubMed PMID: 27794514.

Facilities

  • London Health Sciences Centre - Victoria Campus & University Campus
  • Children's Hospital of Western Ontario
  • Robarts Research Institute

The Neurosurgical training program takes place at the London Health Sciences Centre, consisting of two campuses. Adult neurosurgery occurs at University Hospital, which is attached to the Schulich School of Medicine & Dentistry, Western University, and the Robarts Research Institute. Pediatric neurosurgery takes place at the Children's Hospital of Western Ontario, Victoria Hospital. The regional trauma centre is also part of Victoria Hospital.

Why CNS?

  • Large, broad clinical experience
  • Flexibility to explore academic interests
  • Close academic association with Neurology
  • Caliber of teaching faculty
  • Flexibility of rotation structure
  • Support and flexibility for residents to pursue research in and outside of London
  • Support for residents to attend courses and conferences
  • Chance to train his some of the giants of neurosurgery history

Residency Life

Neurosurgery residents complete their residency training over the course of six years. During this time they have the opportunity to learn from leaders in neurosurgery research, education, and clinical care.

Residents complete rotations at all three of London’s hospitals (University Hospital, St. Joseph’s Health Care London, and Victoria Hospital). Rotation areas include:

  • Consult medicine
  • Clinical care medicine
  • Otolaryntology
  • Infectious diseases
  • Neurology
  • Neuropathology

Contact

CNS Department Contact
Lisa Baker-Spiller
Education Co-ordinator
lisa.bakerspiller@lhsc.on.ca
phone: 519-663-3696
fax:519-663-3982

Program Director, Division of Neurosurgery
Fawaz Siddiqi - MD, MBA, FRCPC, FACS
phone: 519-685-8300 x55355
London Health Sciences Centre
University Hosptial
339 Windemere Road
London Ontario Canada
N6A 5A5