This rotation provides focused instruction by four fellowship-trained, board-certified vascular surgeons whose practice is limited to vascular surgery.
This rotation is intended to instruct residents in the fundamentals of vascular surgical care. At the conclusion of this rotation, residents should be able to accurately evaluate and provide postoperative care for patients with common vascular surgical problems such as rest pain, acute limb ischemia, and abdominal aortic aneurysm. Technical skills gained during this rotation should enable the resident to perform minor surgical procedures such as porta-cath insertion and amputation with guidance. Residents also learn effective presentation skills, clinical problem solving, and the culture of professionalism in surgery. Involvement in the care of more complex cases provides a foundation for upper level rotations.
Residents gain independence in managing common vascular surgical problems and more experience with complex problems such as cerebrovascular disease, subclavian steal syndrome, and ruptured abdominal aortic aneurysm. The operative experience is focused on more complex operations such as carotid endarterectomy, AV fistula, and femoro-popliteal bypass. Residents refine preoperative decision-making skills and learn to identify and manage surgical complications. Residents gain maturity through instruction of medical students and junior residents, M&M presentations, and increased leadership responsibilities.
This rotation is intended to prepare the resident for the independent practice of vascular surgery as part of general surgical practice. Experience with more complex issues in vascular surgery are intended to provide greater depth of understanding, refinement of technical skills, and to provide instruction in evolving techniques such as endovascular aneurysm repair. Under the auspices of appropriate supervision, residents independently manage complex vascular surgical problems by providing comprehensive surgical care. Leadership skills are refined through the independent responsibility of managing patients, residents, students, and mid-level providers on the service.