Intermediate
There are a number of online resources for Neurosurgery, available through ebrain. Neurosurgery SAC has mapped individual Intermediate Stage syllabus topics to ebrain, which are available here. ebrain is a resource that can be used by both trainees and trainers to support continuous professional development. (Please note that the ISCP is not responsible for the content of external sites)
Intermediate Training Stage ST4 - ST5
Intermediate Stage Overview
During the intermediate stage trainees will consolidate the theoretical knowledge and clinical skills gained during the initial training stage. They will develop their surgical judgement, decision making and operative competencies in the following conditions:
- Cranial trauma: including the general management of the head injured patient; surgical management of cranial trauma; neuro-intensive care of the head-injured patient; the role of post-traumatic neurological rehabilitation
- Intracranial haemorrhage: including the operative management of space-occupying spontaneous intracerebral haematomas; surgical aspects of the multi-disciplinary management of aneurysmal subarachnoid haemorrhage SAH
- Hydrocephalus: including the assessment and operative management of adult patients with communicating and non communicating hydrocephalus; the assessment of children with hydrocephalus; emergency external ventricular drainage in children with acute hydrocephalus
- Neuro-oncology: including the multi-disciplinary management of patients with intracranial neoplasia; image-guided surgery applied to the management of patients with intracranial tumours; the operative management of supra-tentorial intrinsic tumours; the operative management of convexity meningiomas
- CNS sepsis: including the general management of CNS infections e.g. ventriculitis, cerebral abscess, subdural empyema and spinal epidural abscess; the operative management of cerebral abscess by burr hole aspiration
- Spinal trauma: all aspects of the non-operative management of spinal injury patients
- Spinal oncology: including the general management of patients with malignant spinal cord compression and basic surgical management of patients with malignant spinal cord compression
- Degenerative spinal disorders: including the surgical management of lumbar compressive radiculopathies by lumbar microdiscectomy and associated microsurgical decompressions; the surgical management of compressive cervical myeloradiculopathies
By the end of the intermediate stage trainees will have acquired the necessary clinical and operative skills with sufficient experience to manage without direct supervision a range of adult emergency conditions together with selected, life saving emergency intervention in children. They will be competent to undertake all the common surgical approaches and to perform selected microsurgical procedures included in the Operative Competency Schedule.
Click on Workplace Based Assessments to view the assessment forms including DOPS and PBAs