Clinical Component

Navigating the Clinical Component

Comprehensive and Rewarding Clinical Practice

In this dynamic role, your clinical work will span a diverse caseload and a robust patient population, allowing you to fully utilize and expand your expertise in both spine and cranial procedures. With a case mix of approximately 70% spine and 30% cranial, you’ll care for a wide spectrum of adult and pediatric neurosurgical conditions. Deep brain stimulation (DBS) is part of the current practice, and there's demand for providers with skills in endovascular or minimally invasive techniques. Complex spine and endovascular aneurysm cases are referred out, creating a focused yet diverse practice environment.

Your week typically includes two clinic days and one to two dedicated OR days, all with protected time. Each clinic day involves a steady volume of up to 20 patients, supported by an experienced care team and Epic EMR for streamlined documentation. You’ll perform 2–3 surgical cases per OR day using the latest technology, including a Medtronic O-arm and Stealth navigation system. Surgical cases range from common spine interventions to more advanced cranial work, depending on your expertise and interest.

Support is strong and multi-disciplinary. Three autonomous APPs work across inpatient, outpatient, and OR settings, helping round on patients, manage discharges, and support call coverage. The inpatient experience is enhanced by a neuro-hospitalist team, ICU-trained trauma nurses, and a 30-bed neuro step-down unit. Physical therapy, occupational therapy, and neuro-rehabilitation services are available on-site through a 60-bed rehabilitation hospital.

  • Average of 2 clinic days/week with 20 patients/day
  • 1–2 protected OR days with 2–3 surgeries/day
  • 70% spine / 30% cranial case mix, including adult and pediatric patients
  • APPs support all settings: autonomous in clinic and surgical assist in OR
  • Epic EMR with dictation and scribe options
  • Onsite imaging, labs, and advanced surgical technology (O-arm, Stealth, C-arm)
  • Collaborative inpatient team including neuro-hospitalists and trauma-trained ICU nurses
  • 60-bed rehab hospital with comprehensive neurorehabilitation services
  • Adjunct academic title available; opportunities to teach medical students and residents
  • Call is home-based, shared 1:5–1:6, with daytime APP first-call support

This clinical environment is designed to let you focus on complex, meaningful work while ensuring that you’re never practicing in isolation. You'll be part of a system that believes in giving its surgeons the tools, time, and support needed to deliver exceptional care.

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