This is a full immersion year on the neurosurgery service at Ronald Reagan. Skills attained throughout the year include the management of the critically ill neurosurgical patient, performance of all bedside procedures, continued development of basic operative neurosurgical technique, development of neurological diagnosis and formulation of treatment plans for all new consultations and emergency room admissions. The year is built around a Q3 call schedule (Operative, Call, Post-call). Case coverage at Ronald Reagan includes the full gamut of neurosurgical practice including trauma, tumor, vascular, spine, pediatric and functional.