Assistant Program Director
Matthew J. Dougherty, MD
Pennsylvania Hospital: The Nation's First
About the Program
The Vascular Surgery Fellowship at Pennsylvania Hospital is a two-year fellowship and was one of the first accredited vascular fellowships in the United States. The program has been continuously accredited by the Association of Program Directors in Vascular Surgery (APDVS) and ACGME since 1993 and was re-accredited without citations in 2017. Dr. Keith Calligaro, Chief of Vascular Surgery, has served as Program Director for 25 years. He completed his vascular fellowship at Montefiore Medical Center/Albert Einstein School of Medicine in New York under the direction of Frank Veith, MD. Dr. Matthew Dougherty, Assistant Program Director and Director of Endovascular Services, has been a faculty member since 1992. He completed his vascular fellowship at the Mayo Clinic in Rochester, MN. Dr. Douglas Troutman completed his vascular fellowship at Pennsylvania Hospital in Philadelphia and joined the program as a faculty member in 2013. The service has a full complement of health care providers assigned to the service during the day, including our vascular nurse practitioners [Ellen Malone, ACNP-BC, (Lead APP) and Kristen Borzomati, ACNP-BC. Night and weekend coverage is provided by senior general surgery residents and nurse practitioners (Advanced Practice Practitioners). Vascular fellows do not take in-house call.
Dr. Matthew J. Dougherty
Dr. Keith D Calligaro
Dr. Douglas A. Troutman
The program offers a unique opportunity to learn advanced complex vascular procedures in a tertiary-care hospital with state-of-the art equipment with close personal attention by the faculty. The vascular fellows gain extensive vascular experience in all aspects of vascular care, including complicated open thoracic and aortic operations, carotid and lower extremity arterial surgery, complex endovascular interventions to treat aortic, carotid, mesenteric, renal and lower extremity pathology, along with procedures frequently performed in clinical practice that are omitted in many fellowships, such as hemodialysis access construction and endovascular maintenance, office-based venous procedures, and endovascular PAD interventions in our office-based access center. The reputation of the attending vascular surgeons and Pennsylvania Hospital draws patients from 2-3 hours away for complex vascular problems.
There are two vascular operating rooms, both with fixed imaging ceiling-mounted fluoroscopy. Radiologists and cardiologists do not have access to these rooms. All endovascular procedures performed by the fellows are done under the direction of the attending vascular surgeons in the hospital, but also at a nearby ambulatory access center where the fellows have the opportunity to gain experience doing these procedures in the non-hospital setting.
The staff is very academically oriented with its members having served as President of the Society for Clinical Vascular Surgery, Eastern Vascular Society, and Eastern Surgical Society. They have served or are currently serving on the Executive Council of the APDVS, the Vascular Surgery Board of the ABS, and the Editorial Board of the Journal of Vascular Surgery. Up to 2017, Dr Calligaro has given 238 invited lectures, been involved in 177 abstract presentations at regional and national meetings, and has been a co-author of 136 peer-reviewed articles. He has been widely published in academic aspects of vascular surgery, graft infections, and the role of the non-invasive vascular laboratory in EVAR surveillance. Dr. Dougherty has given 19 invited lectures, been involved in 116 abstract presentations at regional and national meetings, and has been a co-author of 92 peer-reviewed articles. He is widely published in complex aortic surgery and hemodialysis access. Dr. Troutman has given 4 invited lectures, been involved in 21 abstract presentations at regional and national meetings, and has been a co-author of 14 peer-reviewed articles. He has published in areas relating to the non-invasive vascular laboratory. Fellows are expected to publish a minimum of 1-2 manuscripts annually but some have published 5-8 papers per year. Since 1992, we hold an Annual Pennsylvania Hospital Vascular Symposium with the most renowned vascular surgeons in the United States serving as speakers and with active participation by our vascular fellows. Medical students from the University of Pennsylvania also rotate on the service, and the attending surgeons, fellows, and nurse practitioners all actively participate in their education.
The hospital is located in the historic section of center city Philadelphia, which is a safe, affordable, vibrant area of the city and within walking distance of outstanding restaurants, social events including major concerts, and sporting activities.
What we are looking for in an applicant
We are interested in applicants looking for a broad-based experience in both complex procedures such as open thoracic and aortic surgery and more commonly performed procedures such as hemodialysis access and venous interventions. Just as importantly, we are looking for individuals interested in the academic aspect of being a vascular surgeon and being actively involved in clinically based projects. Lastly, interacting well with others including other health-care providers and the operating room team.
Responsibilities of the First-Year Fellow
- O.R. and endovascular responsibilities 2-3 days per week. The other 2-3 days the responsibilities of the first year fellow include:
- Attend non-invasive vascular laboratory one day per week where hands-on studies will be performed, studies interpreted, and time given to prepare for the RPVI exam, which is required before taking the vascular boards.
- Attend arterial clinic one day per week where out-patients will be clinically evaluated and managed.
- Attend venous clinic one day per week where office-based venous procedures including radiofrequency ultrasound-guided ablations, sclerotherapy, stab avulsions will be performed.
- Participate in clinical research. At least 1-2 clinical papers are expected per year.
- On-call every other week from home alternating with second year fellow.
- Attend conferences (see schedule).
- Assume O.R. and endovascular responsibilities when on-call and when second year fellow is away at conferences and on vacation.
- Round daily on in-patients with second year fellow and the members of the vascular service. Each fellow will assume primary responsibility for the cases that he/she has scrubbed on.
Responsibilities of the Second-Year Fellow
- On-call every other week from home to alternate with first year fellow.
- Assume O.R. and endovascular responsibilities four days per week, when on call, and when first year fellow is away at conferences and on vacation.
- Clinical evaluation and management of out-patients in arterial clinic one day per week.
- Clinical evaluation and management of in-patients in the hospital.
- Attend conferences (see schedule).
- Round daily on in-patients with first year fellow and the rest of the vascular service. Each fellow will assume primary responsibility for the cases that he/she has scrubbed on.
- Thursday at 7:00 am: "Rutherford's Textbook of Vascular Surgery Conference" where chapters in the book are reviewed.
- Friday 1st and 3rd of the month: case presentations with participation of a vascular service with a fellowship from another local university hospital
- Friday 2nd of the month: Endovascular lecture given by the first year fellow
- Friday 4th of the month: Research/Journal Club
Outside conferences and symposium – most national and regional society meetings.
Annual Pennsylvania Hospital Vascular Symposium (April): speakers include the most renowned vascular surgeons in the United States. Our vascular fellows actively participate in the symposium by presenting cases. The meeting in April 2017 is the 25thanniversary of the symposium.
Satisfactory completion of a Residence Review Committee (RRC)- approved five-year General Surgical Residency and licensure in Pennsylvania.
How to Apply
Apply through the NRMP matching process.