Overall Educational Goals

PGY6 - HUP Vascular Surgery

  1. Patient Care
    1. Demonstrate a solid understanding of out-patient care and the fundamentals of operative technique
    2. Demonstrate competence in the outpatient evaluation and treatment of patients with vascular disease.
    3. Learn importance of vascular management and clinical in-patient care
    4. Work with health care professionals, including those from other disciplines, to provide patient-focused care
  2. Medical Knowledge
    1. Formulate strong knowledge base in vascular basic science and patho-physiology
    2. Introduction to clinical medicine and the correlation with clinical care.
    3. Develop the didactic and experiential database
    4. Sufficient didactic and experiential exposure and training in the noninvasive vascular laboratory to develop the knowledge and skill to enable the graduating vascular resident to be able to sit for the ARDMS examination and attain RVT (registered Vascular Technologist) or RPVI certification and be prepared to be the director of noninvasive vascular laboratory.
    5. Adequate didactic and experiential exposure and training in the conception, design, conduct, regulatory monitoring, safety, analysis and reporting of clinical research trials to be prepared to act as a principal investigator on human clinical trials in an appropriate, responsible, safe, compliant, and effective fashion, and to advance our understanding of vascular disease itself and how to manage patients afflicted with vascular disease.
  3. Practice-Based Learning and Improvement
    1. Incorporation of educational conference, faculty evaluations, and self assessment to daily practice.
    2. Develop a pattern of continual education to keep abreast of the developments and improvements in our field to maintain delivery of state of the art care.
    3. Facilitate learning of students, residents and other health care professionals.
  4. Interpersonal and Communication Skills
    1. To communicate and work effectively with all health care providers and hospital employees.
    2. To be able to communicate information to the patient and family effectively.
  5. Professionalism
    1. To demonstrate compassion and respect for patient and family
    2. To uphold patients’ privacy and rights.
    3. To perform under the highest ethical standards.
    4. To demonstrate sensitivity and responsiveness to patients’ culture, age, gender, and disabilities.
  6. System-Based Practice
    1. Demonstrate the ability to work and navigate through all hospital systems.
    2. Practice cost-effective health care and resource allocation that does not compromise quality care
    3. Demonstrate the ability to work effectively with other hospital employees.
    4. Understand how patient care and other professional practices affect other health care professionals, the health care organization.

On a more specific note pertaining to the clinical months, the education will begin with basic angiographic skills. Initially, the fellows will learn percutaneous and open arterial and venous puncture and cannulation, basic wire and catheter manipulation, and adequate knowledge of all anatomy. As the year progresses, they will learn basic understanding and familiarization of angioplasty balloon, stents and other devices, familiarization of fixed and mobile angiography units and the ability to perform iliac and lower extremity arteriogram and intervention. In terms of open procedures, they will learn fundamental vascular anatomy and exposure. For example, dissecting and exposing carotid arteries, lower extremity vessels and the aorta will be stressed. As they have already completed a general surgery residency, basic surgical skills are already understood. Finer more refined technique will be taught such as suturing anastomoses with small sutures. Understanding and learning how to perform operative procedures and the conduct of the operation will be stressed. Fellows will learn the importance of ischemic timing, anticoagulation regimens and the conduct of the overall operation from start to finish. Careful teaching of clinical judgment will be important. For instance, they will learn when intervention for carotid stenosis is indicated and whether carotid endarterectomy or carotid stenting is best. Fellows will also be expected to understand preoperative, perioperative and postoperative management by participating in outpatient and inpatient care. This will be supervised by daily rounds and time spent in office hours. Overall, the clinical rotations will not be different from month to month. However, each month will offer a large variety of cases and patients which can be tailored to the specific fellow’s abilities and needs.

In terms of research months, fellows may participate in a university-offered statistics course in their first assigned research month. Fellows will be instructed on management of and participation in clinical trials. They will also participate in clinical studies within the institution. They will be taught about obtaining Instituitional Review Board approval, formulating hypotheses, accruing and gathering data, processing the data to prove or disprove the hypothesis and other aspects of clinical research. Ultimately, these projects will lead to publications in peer-reviewed journals as well as presentations at local, regional and national meetings. Faculty mentorship at all levels will be provided. This educational process will continue throughout the research rotations of both years. During the research months, fellows will also spend time in the noninvasive vascular laboratory. Initially, they will observe studies and then begin to perform and interpret them as time progresses.