Neurosurgical education mirrors the broader shift in medical education from an apprenticeship model to an emphasis on achieving milestones.1, 2, 3,10,11 Consequently, training programs are adapting to meet the ACGME core competencies, but currently, there is no standardized neurosurgery residency technical curriculum.

While performance in the OR remains the ultimate gauge of technical competence and autonomy, the OR is not always an ideal training environment for early trainees who have not had