Department and Faculty
From the program director
Mayo Clinic was one of the earliest institutions to offer subspecialization in neurosurgery, beginning at the turn of the century with Charles Mayo, M.D., and Emil Beckman, M.D. In 1919, the Section of Neurologic Surgery was established at Mayo, with Alfred Adson as its first chair. Numerous esteemed colleagues followed including, Collin MacCarty, Thoralf Sundt Jr., David Piepgras, and Fredric Meyer followed as eminent chair-people.
Now under the leadership of Dr. Robert Spinner, the Department of Neurologic Surgery exists as one of the largest neurosurgical practices in North America, covering all subspecialties in neurosurgery. We have world-renowned experts in every field.
Mayo Clinic has long been a leader in education, and it exists as the largest graduate medical institution in the country. Given its unique position with multiple sites across the country and large practice volume, you will benefit from opportunities that are unavailable at any other institution. Further, education exists as one of Mayo Clinic's core values and is supported throughout the institution.
In addition, our program offers two full years of elective time where residents can tailor their program to their interests. This includes basic and translational research, clinical research programs, and off-site rotations. Unparalleled training with significant flexibility allows for unique and personalized training you would not be able to get elsewhere.
We look forward to meeting you soon!
David Daniels, M.D., Ph.D., FAANS
Neurologic Surgery Residency Program Director
Associate Professor of Neurosurgery and Pediatrics
Assistant Professor of Pharmacology
The Department of Neurosurgery at Mayo Clinic is one of the largest in the United States. Each year, the entire spectrum of neurosurgical conditions and diseases is treated essentially at one site, which ensures an unparalleled training experience.
Many cases are straightforward neurosurgical problems, which include brain tumors, cerebral aneurysms, and spinal disease. This allows you to become skilled in the management of typical neurosurgical problems. However, many complex cases are nationally or internationally referred to Mayo neurologists and neurosurgeons for evaluation and treatment. These difficult cases often require a multidisciplinary team approach to patient care, which broadens your educational opportunities.
The average neurosurgical caseload at Mayo Clinic in Rochester, Minnesota, is approximately 5,000 major operations a year, including:
- 1000 operations for brain tumor
- 175 operations for trauma
- 325 operations for vascular diseases (aneurysm, arteriovenous malformation [AVM], carotid, bypass)
- 150 endovascular procedures
- 250 transsphenoidal operations
- 400 operations for functional disorders (epilepsy, movement, pain).
- 325 peripheral nerve procedures
- 1,350 spinal procedures, including 140 for intraspinal tumor and 350 cases of complex spinal disease involving instrumentation
- Average chief resident operative caseload is approximately 450 operations a year
The cumulative case volume at Mayo Clinic in Minnesota, Arizona, and Florida, is 10,000 cases.
Mayo Clinic neurosurgery residents have access to several state-of-the-art skills labs for refinement of their techniques outside the operating room. These include cadaveric labs with full endoscopic and microscopic support, a rat-based microvascular anastomosis lab, the Peris-Celda anatomy dissection lab, the Center for Procedural Skills Mastery, and a microsurgical dry lab within the resident work area at Mayo Clinic Hospital — Rochester, Saint Marys Campus, our main teaching hospital.
Additionally, four formal courses on open skull base techniques, endoscopic skull base techniques, microvascular anastomoses, and peripheral nerve surgery are completed by all residents prior to graduation, with further opportunities for formal instruction available to interested residents.
In addition to caring for patients in their clinical practices, Mayo Clinic's neurosurgery faculty members are committed to teaching and facilitating the resident's development as a neurosurgeon. Many of the department faculty have published and lectured extensively and are well-regarded for their specialty and subspecialty expertise. All residents have close and frequent contact with these individuals throughout the training experience.
Advisers and mentors
At the start of the PGY-2 or PGY-3 year, you will select or be assigned to neurosurgery faculty mentors. This relationship is established early in residency to encourage longitudinal development of a mentoring relationship, and to promise access to faculty members for advice throughout residency.
Mentors are expected to give close attention to your goals, objectives, and spectrum of operative experience throughout the training program. The mentor can also help you choose a research project, give guidance about post-residency career planning, and serve as an advocate in post-training placement.
The chair is also intimately involved in the counseling and guiding of residents both during and after their tenures. Annual meetings are arranged between you and the department chair and the vice chair of research to provide another mentoring perspective, individualize your training program, and discuss options for advanced subspecialty training pertaining to your career and professional aspirations.
Many prominent neurosurgeons visit Mayo Clinic each year. They present their work at scheduled conferences and morning lectures and participate in hospital rounds. These visits are scheduled to include time for informal interaction between the visitor and residents.