Neurosurgical Spine Fellowship

The Department of Neurosurgery at Houston Methodist Hospital offers a Neurosurgical Spine Fellowship Program accredited by CAST (The Committee on Advanced Subspecialty Training) and under the directorship of Paul J. Holman, MD

The purpose of the fellowship is to train fellows with a highly refined clinical acumen and surgical skill set that will allow them to most effectively treat any type of spinal malady. At Houston Methodist we have approximately 3,500 spine surgeries performed - providing an excellent opportunity to excel in spinal surgery, both technically and clinically. Given the need for more spine surgeons, it is important to train well rounded fellows as this will have a large impact on our community.


The fellow will be expected to lead rounds, formulate plan of action for patient care, teach residents, and perform meaningful research. Responsibilities include seeing patients in the outpatient setting as well as rounding on inpatients and functioning as an educator in the department with the expectation of teaching residents in the clinic and operating room. There is also a two-month rotation at MD Anderson Cancer Center under the supervision of Dr. Shaan Raza.

The fellow will also be expected to participate in clinical research in the following areas:
  • Clinical outcomes for adult spinal deformity patients undergoing fusion with patient specific instrumentation
  • Applications and clinical outcomes for patients undergoing surgery with robotic guidance
  • Applications and outcomes for interlaminar and endoscopic spinal surgical approaches
  • Clinical and radiographic outcomes for carbon fiber pedicle screw applications in spinal fusion for metastatic disease

At the conclusion of the fellowship, the fellow will have mastered patient selection for surgery, operative decision-making, technical details of spine surgery including instrumentation and minimally invasive endoscopic approaches, and care of the post and perioperative spine patient.

To apply, please submit your most updated CV to Corina Gutierrez at 


To be considered for the Neurosurgical Spine Fellowship, certain requirements must be met:

  • Be of good professional character with at least three letters of recommendation attesting to your academic and personal qualifications
  • Graduate of a U.S. or Canadian Medical School accredited by the Liaison Committee on Medical Education (LCME), or a medical school outside the United States and Canada with a current valid certificate from the Educational Commission for Foreign Medical Graduates (ECFMG)
  • Graduate of an ACGME-accredited or RCPSC-accredited (Canadian) neurosurgery training program
  • All applicants must have taken and passed all three steps of USMLE exams; DO graduates must have taken and passed all three steps of COMLEX USA.
  • Applicants must be eligible for licensure (Physician-in-Training permit or Full license) by the Texas Medical Board
  • Training is from July 1 through June 30 (no exceptions) 


Program Coordinator

Corina Gutierrez, MBA

Department of Neurosurgery

6560 Fannin, Suite 944

Houston, TX 77030


Program Director
Paul J. Holman, MD
Houston Methodist Neurological Institute
Department of Neurosurgery
6560 Fannin St.
Scurlock Tower, 9th Floor
Houston, TX 77030