Neuroendovascular Surgery

Sites: MGH
Director(s): Christopher Ogilvy, Alberto Puig
Prerequisites: HMS Principal Clinical Experience (Core Clinical Clerkships) or equivalent
Offered: Closed
Location: MGH - Mass. General Hospital (3)
Open to Exclerks: Yes (may be restricted for international students)
Description: The Endovascular Neurosurgery rotation will provide the medical student with an introduction to the field of cerebrovascular neurosurgery. This rotation will represent an excellent time for the medical student to learn the basics of cerebrovascular anatomy, endovascular technique, and the management of vascular neurosurgery patients. The student will work and round with the East Neurosurgical Service, where they will be involved in the critical care & floor management of patients with cerebrovascular disease, and have the opportunity to take part in a diverse array of endovascular procedures that occur daily. This rotation affords the medical student the ability to participate in all endovascular neurosurgery procedures. Instruction comes from a multidisciplinary group of six full time attendings, as well as two fellows and neurosurgery residents. This hands-on instruction will be supplemented with weekly teaching sessions with Dr. Ogilvy covering the following topics: 1. Basic cerebrovascular anatomy, vascular access, and basic cerebral angiography, 2. Atherosclerotic disease (including carotid and vertebral artery disease) and stroke, 3. Vascular malformations (including AVM, venous anomalies, telangiectasias, cavernous malformations), and 4. Cerebral aneurysms. The student will also be expected to attend a multidisciplinary cerebrovascular conference on Friday mornings. The conference presents patients who are encountered in hospital consultations or problematic cases, as well as patients seen in the outpatient setting with films for review. At the completion of the rotation, the medical student will have a working knowledge of the basic vascular lesions and the endovascular treatment methods used in endovascular neurosurgery.
Incorporation of Basic Science Content and Evidence-Based Medicine:
The current literature on endovascular treatment methods and neurovascular disease will be incorporated directly into the weekly didactic sessions.
Grade Criteria:
Honors with Distinction: Excellent summative evaluation Honors: Good summative evaluation Satisfactory: Adequate summative evaluation Unsatisfactory: Unsatisfactory summative evaluation