The sixth and seventh year residents return to the Medical University Hospital and the MUSC Children’s Hospital as chief residents. The large clinical service at these hospitals is divided into two separate services, with one chief resident assigned to each service. During this two year period, each chief resident will rotate between the two services at approximately three month intervals. Each chief resident will be involved in all levels of inpatient and outpatient clinical care, with increasing responsibility based on the individual’s experience and ability. The seventh year resident will have additional administrative duties, including the organization of clinical neurosurgery conferences.