New Application: Vascular Surgery
Review Committee for Surgery
ACGME
515 North State Street, Suite 2000, Chicago, Illinois 60654  312.755.5000  www.acgme.org
PROGRAM FORMATS
Which of the following formats will be offered by the program? Check all that apply. [PRs Int.C.1.,
Int.C.2.]
Vascular surgery independent program that follows completion of an accredited general
surgery residency program (5+2 years)
Integrated vascular surgery program (5 years)
☐
☐
PARTICIPATING SITES
1. Provide the following information for each participating site [enter yes (Y) or no (N)] [PR I.B.3.a)-d)]
Program director appoints members of
the teaching faculty
Program director appoints the local
director
Program director appoints all residents
in the program
Program director determines all
rotations and assignments for all
residents and members of the teaching
faculty
Teaching conferences on site4
Site #1
Site #2
Site #3
Site #4
Site #5
☐Y☐N
☐Y☐N
☐Y☐N
☐Y☐N
☐Y☐N
☐Y☐N
☐Y☐N
☐Y☐N
☐Y☐N
☐Y☐N
☐Y☐N
☐Y☐N
☐Y☐N
☐Y☐N
☐Y☐N
☐Y☐N
☐Y☐N
☐Y☐N
☐Y☐N
☐Y☐N
☐Y☐N
☐Y☐N
☐Y☐N
☐Y☐N
☐Y☐N
3. For all integrated sites more than 30 miles from the sponsoring institution indicate: [PR I.B.4.a)]
Site #1
Site #2
Site #3
Will an equivalent program of lectures
☐Y☐N ☐Y☐N ☐Y☐N
and conferences be fully documented?
Will the residents commute to and from
☐Y☐N ☐Y☐N ☐Y☐N
this site?
If residents DO commute, will they take
☐Y☐N ☐Y☐N ☐Y☐N
overnight call?
If residents DO NOT commute,
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describe the living facilities.
Site #4
Site #5
☐Y☐N
☐Y☐N
☐Y☐N
☐Y☐N
☐Y☐N
☐Y☐N
If there is an integrated site with no teaching conferences, explain in the box below how residents
participate in conferences and educational activities when assigned to that site (i.e., via
teleconference, return to primary clinical site, etc.)
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PROGRAM PERSONNEL AND RESOURCES
Vascular Surgery
©2015 Accreditation Council for Graduate Medical Education (ACGME)
Updated 5/2015
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Program Director
1. Specify the percentage of time the program director will devote to program management and
administration, as well as to teaching, research, and clinical care in the sponsoring institution and
integrated sites [PR II.A.4.r)] ........................................................................................................ # %
2. Provide the following information about the program director:
a) Is the program director certified in vascular surgery by the American Board of Surgery (ABS)?
[PR II.A.3.b)] ........................................................................................................... ☐ YES ☐ NO
b) Is the program director’s term of appointment at least the length of the program + 1 year?
[PR II.A.2.a)] ........................................................................................................... ☐ YES ☐ NO
3. Will the program director make the residents aware of institutional policies and procedures
regarding academic discipline, resident complaints, and resident grievances? [PR II.A.4.j)]
..................................................................................................................................... ☐ YES ☐ NO
4. Describe how the program director will make residents aware of the policies and procedures.
[PR II.A.4.j).(1)]
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5. Will the program director prepare and implement a supervision policy that specifies lines of
responsibility for general surgery residents and vascular surgery residents when both are assigned
to the same service? [PR II.A.4.q)] ................................................................................ ☐ YES ☐ NO
a) Will the vascular surgery and general surgery program directors coordinate activities for the
integrated program? ................................................................................................ ☐ YES ☐ NO
If no, explain.
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b) Describe the planned relationship between vascular surgery and general surgery residents on
the vascular services, and specifically how the lines of responsibility are defined and what the
expected impact is of the vascular surgery resident on the educational experience of the general
surgery resident and vice versa.
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Faculty
1. In addition to the program director, will there be, for each approved residency position, at least one
full-time faculty member whose major function is teaching and supervising residents in the
program? [PR II.B.6.] .................................................................................................... ☐ YES ☐ NO
2. Will the terms of appointment for faculty members must be at least three years? [PR. II.B.7.a)]
..................................................................................................................................... ☐ YES ☐ NO
Other Program Personnel
Vascular Surgery
©2015 Accreditation Council for Graduate Medical Education (ACGME)
Updated 5/2015
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Is the program provided with sufficient professional, technical, and clerical personnel to support the
administration and educational conduct of the program? [CPR II.C.] .................................. ☐ YES ☐ NO
If no, explain.
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Resources
1. Will the program provide the capability to perform both open and endovascular procedures of
sufficient breadth and volume to support the education of residents? [PR II.D.1.] ......... ☐ YES ☐ NO
If no, explain.
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a) In the table below provide the average number of defined category vascular procedures
performed in the associated general surgery program for each year since the last general
surgery program review.
Year
Case Number
Year
#
Year
#
Year
#
Year
#
Year
#
b) What was the least number of defined category vascular procedures performed by any
individual general surgery resident in the associated general surgery program since the last
program review? .................................................................................................................... [ # ]
2. Will the program provide a vascular laboratory? [PR II.D.2.] ......................................... ☐ YES ☐ NO
If no, explain.
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FELLOW APPOINTMENTS
Describe how each resident will be notified in writing of the required length of the program prior to
appointment in the program. [PR III.A.4.]
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Appointment of Fellows and Other Learners
Describe how the program director will ensure that a senior vascular surgery resident in an integrated
program or any vascular surgery fellow in an independent program functioning with a chief resident in
general surgery on the same service with the same junior residents, will not have primary responsibility
for the same patients. [PR III.D.2.]
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EDUCATIONAL PROGRAM
Program Goals and Objectives
1. Has the program director prepared written educational goals and objectives for the program?
Vascular Surgery
©2015 Accreditation Council for Graduate Medical Education (ACGME)
Updated 5/2015
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[PR IV.A.1.] ................................................................................................................... ☐ YES ☐ NO
2. Will the program director distribute the goals and objectives to the residents? [PR IV.A.1.]
..................................................................................................................................... ☐ YES ☐ NO
3. Has the program director distributed the goals and objectives to the members of the teaching
faculty? [PR IV.A.1.] ...................................................................................................... ☐ YES ☐ NO
Regularly Scheduled Didactic Sessions
1. Will there be at least biweekly review of all complications and deaths on the vascular service at all
participating sites? [PR IV.A.3.a).(1)] ............................................................................. ☐ YES ☐ NO
If no, explain.
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2. List regular, basic science, clinical science, morbidity and mortality, journal club, or other
conferences that are a part of the vascular surgery program at the sponsoring institution or at
integrated and non-integrated sites. If residents will give lectures, identify the PGY level. Add
rows as necessary. [PR IV.A.3.a).(2)]
Regular Conferences
(list topics for a complete academic year)
Individual in charge of the conference:
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Frequency of conference:
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Presenter
Faculty or
Name
Resident PGY
Title of Presentation
Site #
Basic Science Conferences
(list basic science topics for a complete academic year)
Individual in charge of the conference:
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Frequency of basic science conference :
Click here to enter text.
Presenter
Faculty or
Name
Resident PGY
Title of Presentation
Site #
Clinical Conferences
(list clinical conference topics for a complete academic year)
Individual in charge of the conference:
Click here to enter text.
Frequency of clinical conference :
Click here to enter text.
Presenter
Faculty or
Name
Resident PGY
Title of Presentation
Site #
Vascular Surgery
©2015 Accreditation Council for Graduate Medical Education (ACGME)
Updated 5/2015
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Clinical Conferences
(list clinical conference topics for a complete academic year)
Morbidity and Mortality Conferences
Name of faculty member in charge:
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Frequency of conferences:
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If the integrated sites are geographically so remote that joint
conferences cannot be held, is there a morbidity and mortality
conference at the sponsoring institution and at each integrated site?
☐ YES ☐ NO
Journal Club
(list Journal Club topics for a complete academic year)
Individual in charge of journal club:
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Frequency of Journal Club :
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Presenter
Faculty
or
Name
Resident PGY
Title of Presentation
Site #
Other (If applicable)
(list topics for a complete academic year)
Who is in charge of the conference:
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Frequency of conferences :
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Presenter
Faculty
or
Name
Resident PGY
Title of Presentation
Site #
3. Will there be organized clinical teaching at all participating sites? [PR IV.A.3.a).(3).(c)]
..................................................................................................................................... ☐ YES ☐ NO
4. Will residents actively participate in the planning and presentation of required conferences?
[PR IV.A.3.b)] ................................................................................................................ ☐ YES ☐ NO
Patient Care
1. Briefly describe the settings and activities in which fellows will demonstrate manual dexterity
appropriate for their educational levels. Also indicate the methods used to assess competence. [PR
IV.A.5.a).(1).(a)] (Limit response to 400 words)
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©2015 Accreditation Council for Graduate Medical Education (ACGME)
Updated 5/2015
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2. Briefly describe the settings and activities in which fellows will develop and execute patient care
plans appropriate for their educational levels. Also indicate the methods used to assess
competence. [PR IV.A.5.a).(1).(b)] (Limit response to 400 words)
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3. Indicate the settings and activities in which fellows will develop the ability to competently perform all
medical, diagnostic, and surgical procedures considered essential. Also indicate the method(s) that
will be used to assess competence.
Competency Area
Settings/Activities
Assessment Method(s)
Performing operative procedures in the following defined list of categories:
Abdominal
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[PR IV.A.5.a).(2).(a).(i)]
Cerebrovascular
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[PR IV.A.5.a).(2).(a).(ii)]
Peripheral
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[PR IV.A.5.a).(2).(a).(iii)]
Complex
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[PR IV.A.5.a).(2).(a).(iv)]
Endovascular diagnostic
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[PR IV.A.5.a).(2).(a).(v)]
Endovascular therapeutic
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[PR IV.A.5.a).(2).(a).(vi)]
Endovascular aneurysm
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repair
[PR IV.A.5.a).(2).(a).(vii)]
Patient management, including Click here to enter text.
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determining an appropriate
diagnosis and operative plan,
providing pre-operative care,
and directing post-operative care
[PR IV.A.5.a).(2).(b)]
Assessing the vascular portion Click here to enter text.
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of angiography, computed
tomography (CT) scanning, and
magnetic resonance imaging
(MRI) and magnetic resonance
angiogram (MRA) images
[PR IV.A.5.a).(2).(c)]
The ability to accurately interpret Click here to enter text.
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non-invasive vascular diagnostic
tests, to include extremity
physiologic tests, and duplex
ultrasound examinations of the
carotid/vertebral arteries,
extremity arteries and veins, and
abdominal vascular structures
[PR IV.A.5.a).(2).(d)]
Medical Knowledge
Vascular Surgery
©2015 Accreditation Council for Graduate Medical Education (ACGME)
Updated 5/2015
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Indicate the activity(ies) (lectures, conferences, journal clubs, clinical teaching rounds, etc.) in which
fellows will demonstrate knowledge in each of the following areas. Also indicate the method(s) that will
be used to assess knowledge.
Area of Knowledge
Settings/Activities
Fundamental sciences, including Click here to enter text.
anatomy, biology, embryology,
microbiology, physiology, and
pathology as they relate to the
pathophysiology, diagnosis, and
treatment of vascular lesions
[PR IV.A.5.b).(1)]
Methods and techniques of
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angiography, CT scanning, and
MRI, MRA, and other vascular
imaging modalities
[PR IV.A.5.b).(2)]
Assessment Method(s)
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Practice-based Learning and Improvement
1. Briefly describe one learning activity in which fellows demonstrate the ability to investigate and
evaluate their care of patients, to appraise and assimilate scientific evidence, and to continuously
improve patient care based on constant self-evaluation and life-long learning. [PR IV.A.5.c)] (Limit
response to 400 words)
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2. Briefly describe one planned learning activity in which fellows engage to identify strengths,
deficiencies, and limits in their knowledge and expertise (self-reflection and self-assessment); set
learning and improvement goals; and identify and perform appropriate learning activities to achieve
self-identified goals (life-long learning). [PR IV.A.5.c).(1)-(3)] (Limit response to 400 words)
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3. Briefly describe one planned quality improvement activity or project that will allow fellows to
demonstrate an ability to analyze, improve, and change practice or patient care. Describe planning,
implementation, evaluation, and provisions of faculty member support and supervision that will
guide this process. [PR IV.A.5.c).(4)] (Limit response to 400 words)
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4. Briefly describe how fellows will receive and incorporate formative evaluation feedback into daily
practice. (If a specific tool is used to evaluate these skills, have it available for review by the site
visitor.) [PR IV.A.5.c).(5)] (Limit response to 400 words)
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5. Briefly describe one example of a learning activity in which fellows engage to develop the skills
needed to use information technology to locate, appraise, and assimilate evidence from scientific
studies and apply it to their patients' health problems. [PR IV.A.5.c).(6)-(7)] (Limit response to 400
words)
Vascular Surgery
©2015 Accreditation Council for Graduate Medical Education (ACGME)
Updated 5/2015
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The description should include:
 Locating information
 Using information technology
 Appraising information
 Assimilating evidence information (from scientific studies)
 Applying information to patient care
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6. Briefly describe how fellows will develop teaching skills necessary to educate patients, families,
students, and other health professionals. [PR IV.A.5.c).(8)] (Limit response to 400 words)
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Interpersonal and Communication Skills
1. Briefly describe one learning activity in which fellows demonstrate interpersonal and communication
skills that result in the effective exchange of information and collaboration with patients, their
families, and health professionals. [PR IV.A.5.d)] (Limit response to 400 words)
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2. Briefly describe one learning activity in which fellows develop competence in communicating
effectively with patients and families across a broad range of socioeconomic and cultural
backgrounds, and with physicians, other health professionals, and health-related agencies. [PR
IV.A.5.d).(1)-(2)] (Limit response to 400 words)
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3. Briefly describe one learning activity in which fellows develop their skills and habits to work
effectively as a member or leader of a health care team or other professional group. In the example,
identify the members of the team, responsibilities of the team members, and how team members
communicate to accomplish responsibilities. [PR IV.A.5.d).(3)] (Limit response to 400 words)
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4. Briefly describe how fellows will be provided with opportunities to act in a consultative role to other
physicians and health professionals. [PR IV.A.5.d).(4)] (Limit response to 400 words)
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5. Briefly describe how fellows will be provided with opportunities to maintain comprehensive, timely,
and legible medical records, if applicable. [PR IV.A.5.d).(5)] (Limit response to 400 words)
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Professionalism
Briefly describe the learning activity(ies), other than lecture, by which fellows demonstrate a
commitment to carrying out professional responsibilities and an adherence to ethical principles,
including: compassion, integrity, and respect for others; responsiveness to patient needs that
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©2015 Accreditation Council for Graduate Medical Education (ACGME)
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supersedes self-interest; respect for patient privacy and autonomy; accountability to patients, society,
and the profession; and sensitivity and responsiveness to a diverse patient population, including to
diversity in gender, age, culture, race, religion, disabilities, and sexual orientation. [PR IV.A.5.e).(1)-(5)]
(Limit response to 400 words)
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Systems-based Practice
1. Briefly describe the learning activity(ies) through which fellows demonstrate an awareness of and
responsiveness to the larger context and system of health care, as well as the ability to call
effectively on other resources in the system to provide optimal health care. [PR IV.A.5.f)] (Limit
response to 400 words)
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2. Describe the learning activity(ies) through which fellows achieve competence in the elements of
systems-based practice: working effectively in various health care delivery settings and systems,
coordinating patient care within the health care system; incorporating considerations of costcontainment and risk-benefit analysis in patient care; advocating for quality patient care and optimal
patient care systems; and working in interprofessional teams to enhance patient safety and care
quality. [PR IV.A.5.f).(1)-(5)] (Limit response to 400 words)
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3. Describe an activity that fulfills the requirement for experiential learning in identifying system errors
and implementing potential systems solutions. [PR IV.A.5.f).(6)] (Limit response to 400 words)
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4. Briefly describe the learning activity(ies) through which fellows demonstrate the ability to apply
knowledge of the roles of different specialists and other health care professionals in overall patient
management. [PR IV.A.5.f).(7)] (Limit response to 400 words)
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Curriculum Organization and Resident Experiences
1. Will the curriculum in an integrated program include core surgical education experience of 24
months, which may include: general surgery, cardiac surgery, thoracic surgery, congenital cardiac
surgery, cardiothoracic surgery, critical care, urology, gynecology, neurological surgery, plastic
surgery, burn surgery, trauma, surgical critical care, pediatric surgery, abdominal and alimentary
tract surgery, basic and advanced laparoscopic skills, head and neck and endocrine surgery,
surgical oncology, and transplantation? [PR IV.A.6.a).(1)] ................................. ☐ YES ☐ NO ☐ N/A
2. Will the curriculum in an integrated program include three years of documented educational
experiences concentrated in vascular surgery? [PR IV.A.6.a).(2)] ...................... ☐ YES ☐ NO ☐ N/A
3. What will be the maximum number of months dedicated to research? [PR IV.A.6.a).(3)] ............. [ # ]
4. Will residents in an integrated program complete the last two years of their vascular surgery
education in the same institution? [PR IV.A.6.b)]................................................ ☐ YES ☐ NO ☐ N/A
Vascular Surgery
©2015 Accreditation Council for Graduate Medical Education (ACGME)
Updated 5/2015
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5. Will residents in an integrated program perform a minimum of 500 operations, to include 250 major
vascular reconstructive procedures? [PRIV.A.6.c)] ............................................ ☐ YES ☐ NO ☐ N/A
6. Will fellows in an independent program perform a minimum of 250 major vascular reconstructive
procedures? [PR IV.A.6.d)] ................................................................................ ☐ YES ☐ NO ☐ N/A
7. Does the curriculum for residents in all programs, regardless of format, include a final year with
chief resident responsibility on the vascular surgery service at the primary clinical site or at an
integrated site(s)? [PR IV.A.6.e)] ................................................................................... ☐ YES ☐ NO
8. Briefly describe how resident experiences, regardless of the program format, will include the
following: (Limit responses to 400 words each)
a) primary responsibility for continuity of patient care, including ambulatory care, inpatient care,
referral and consultation, and utilization of community resources [PR IV.A.6.f).(1)]
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b) progressive senior surgical responsibilities in the total care of vascular surgery patients,
including pre-operative evaluation, therapeutic decision-making, operative experience, and postoperative management [PR IV.A.6.f).(2)]
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c) participation in providing consultation with faculty member supervision [PR IV.A.6.f).(3)]
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(1) Will residents have clearly defined educational responsibilities for other residents, medical
students, and professional personnel? [PR IV.A.6.f).(3).(a)]............................... ☐ YES ☐ NO
If no, explain.
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(2) Will these teaching experiences correlate basic biomedical knowledge with the clinical
aspects of vascular surgery? [PR IV.A.6.f).(3).(a).(i)] ......................................... ☐ YES ☐ NO
If no, explain.
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d) experience in the application, assessment, and limitations of non-invasive vascular diagnostic
techniques [PR IV.A.6.f).(4)]
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e) experience with outpatient activities [PR IV.A.6.f).(5)]
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(1) Will the residents spend, on average, one half-day per week in the outpatient setting? [PR
Vascular Surgery
©2015 Accreditation Council for Graduate Medical Education (ACGME)
Updated 5/2015
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IV.A.6.f).(5).(a)] .................................................................................................. ☐ YES ☐ NO
If no, explain.
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Fellows’ Scholarly Activities
1. Describe how fellows will be provided instruction in critical thinking, design of experiments, and
evaluation of data. [PR IV.B.1.a)] (Limit response to 400 words)
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2. Will fellows participate in clinical and/or laboratory research? [PR IV.B.2.a)] ................. ☐ YES ☐ NO
If no, explain.
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EVALUATION
1. Will the fellows’ semiannual assessment include a review of each resident’s operative experience to
ensure breadth and balance of experience in the surgical care of vascular diseases? [PRV.A.2.d)]
..................................................................................................................................... ☐ YES ☐ NO
2. Describe how the program director will ensure that the operative experience of individual residents
in the same program is comparable. [PR V.A.2.d).(1)] (Limit response to 400 words)
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FELLOW DUTY HOURS IN THE LEARNING AND WORKING ENVIRONMENT
Clinical Responsibilities
1. Indicate whether surgical teams include the following: [PR VI.E.2.]
Attending surgeons ....................................................................................................... ☐ YES ☐ NO
Residents at various PG levels ..................................................................................... ☐ YES ☐ NO
Medical students (when appropriate) ............................................................................ ☐ YES ☐ NO
Other health care providers ........................................................................................... ☐ YES ☐ NO
Explain any “NO” responses:
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2. Describe how the work of the caregiver team is assigned to team members. [PR VI.E.3.]
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Teamwork
1. Describe how the program director will ensure residents collaborate with fellow surgical residents,
and especially with faculty members, other physicians outside of their specialty, and non-traditional
health care providers, to best formulate treatment plans for an increasingly diverse patient
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©2015 Accreditation Council for Graduate Medical Education (ACGME)
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population. [PR VI.F.2.]
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a) Describe the planned role of faculty members from all disciplines other than vascular surgery in
the education of program resident.
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2. Describe how the program director will ensure residents assume personal responsibility to complete
all tasks to which they are assigned (or which they voluntarily assume) in a timely fashion. Describe
how these tasks are completed in the hours assigned, or, if that is not possible, how residents learn
and utilize the established methods for handing off remaining tasks to another member of the team
so that patient care is not compromised. [PR VI.F.3.]
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3. Will lines of authority be defined by the program, and assure that all residents have a working
knowledge of expected reporting relationships to maximize quality care and patient safety?
[PR VI.F.4] .................................................................................................................... ☐ YES ☐ NO
Maximum Frequency of In-House Night Float
Briefly describe resident night float rotations, including: (a) the number of consecutive nights of night
float; (b) the maximum number of consecutive weeks of night float per year; (c) the maximum number
of months of night float per year; and (d) the frequency of night float rotations. [PR VI.G.6.] (Limit
response to 400 words)
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©2015 Accreditation Council for Graduate Medical Education (ACGME)
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INSTITUTIONAL OPERATIVE EXPERIENCE
For the most recent complete academic year, provide the data requested below for each site that
participates in the program. Provide the data requested in the column labeled “Currently done by VS
Fellows or Residents” only if the institution already sponsors an ACGME-accredited vascular surgery
program in a different format.
INCLUSIVE DATES:
Aneurysm-Repair
Open rep infrarenal aortoiliac ruptured
Open repair infrarenal
aorto-iliac elective
Endovascular rep
abdominal aorto-iliac
Endovascular repair of
Iliac artery
Repair suprarenal aortic
aneurysm
Thoracic aortic aneurysm
Endovascular repair
thoracic aortic aneurysm
Thoracoabdominal aortic
aneurysm
Femoral aneurysm
Popliteal aneurysm
Other major aneurysms –
defined category credit
Other major aneurysms
Subtotal - Aneurysm
Repair
Cerebrovascular
Carotid endarterectomy
Reoperative carotid
surgery
Transcatheter placement
carotid artery stent
Excise carotid body tumor
Vertebral artery operation
Direct repair aortic arch
branches
Transluminal balloon
angioplasty brachiocephalic
Click here to enter a date. To Click here to enter a date.
Currently
Currently done by
Available
done by
VS
for VS
GS
Fellows/
Resident
Residents Residents
Primary
Site
Site #2
Site #3
Total
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©2015 Accreditation Council for Graduate Medical Education (ACGME)
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Transluminal atherectomy
- brachiocephalic
Transcatheter place of
intravascular stent, noncoronary
Cervical bypass aortic
arch branches
Embolectomy/thrombecto
my by neck or thoracic
incision
Other major
cerebrovascular defined category credit
Subtotal Cerebrovascular
Peripheral Obstructive
Aorto-ilio/femoral
endarterectomy
Aorto-ilio/femoral bypass,
prosthetic
Aorto-ilio/femoral bypass,
vein
Transluminal balloon
angioplasty aorta or iliac
Transluminal atherectomy
aorta or iliac
Transcatheter placement
of intravascular stent
aorta
Ilio-iliac/femoral
endarterectomy
Excise infected graft,
abdomen or chest
Repair graft-enteric/
aorto-enteric fistula
Femoral, profunda
endarterectomy
Femoral-popliteal bypass,
vein
Femoral-popliteal bypass,
prosthetic
Transluminal balloon
angioplasty femoralpopliteal
Currently
Currently done by
Available
done by
VS
for VS
GS
Fellows/
Residents Residents Resident
Primary
Site
Site #2
Site #3
Total
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
Vascular Surgery
©2015 Accreditation Council for Graduate Medical Education (ACGME)
Updated 5/2015
Page 14 of 18
Transluminal atherectomy
femoral-popliteal
Endarterectomy,
superficial femoral popliteal
Infrapopliteal bypass,
vein
Infrapopliteal bypass,
prosthetic
Transluminal balloon
angioplasty, tibioperoneal
Transluminal
atherectomy,
tibioperoneal
Transcatheter place of
intravascular stent, noncoronary
Excise infected graft,
peripheral
Revise lower extremity
bypass
Arterial embolectomy/
thrombectomy by leg
incision
Graft thrombectomy
Adjunct vein cuff or AVF
Harvest arm vein
Composite leg bypass
graft
Re-do lower extremity
bypass
Other major peripheral defined category credit
Subtotal - Periph
Obstructive
Abdominal Obstructive
Celiac/Superior
mesenteric artery
endarterectomy, bypass
Renal endarterectomy,
bypass
Embolectomy/thrombecto
my, renal
Transluminal balloon
angioplasty, renal
Currently
Currently done by
Available
done by
VS
for VS
GS
Fellows/
Residents Residents Resident
Primary
Site
Site #2
Site #3
Total
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
Vascular Surgery
©2015 Accreditation Council for Graduate Medical Education (ACGME)
Updated 5/2015
Page 15 of 18
Primary
Site
Site #2
Transluminal
#
#
atherectomy, renal
Transcatheter place of
#
#
stent, renal artery
Subtotal - Abdominal
#
#
Obstruct
Upper Extremity
Open brachial artery
#
#
exposure
Arm bypass,
#
#
endarterectomy, repair
Transcatheter place of
intravascular stent, non#
#
coronary
Thoracic outlet
#
#
decompression
Embolectomy/thrombecto
#
#
my, by arm incision
Subtotal - Upper
#
#
Extremity
Extra-Anatomic
Axillofemoral bypass
#
#
Axillopopliteal-tibial
#
#
bypass
Femoral-femoral bypass
#
#
Subtotal - Extra-Anatomic
#
#
Thrombolysis/Mechanical Thrombectomy
Transluminal mechanical
#
#
thrombectomy
Thrombolysis,
transarterial,
#
#
transcatheter
Exchange of thrombolysis
#
#
catheter
Subtotal Thrombolysis/Mechanical
#
#
Thrombectomy
Miscellaneous Endovascular Therapeutic
Endovascular place of
iliac artery occlusion
#
#
device
Transcatheter therapy,
#
#
infusion non-thrombolysis
Transcatheter retrieval of
#
#
intravascular foreign
Currently
Currently done by
Available
done by
VS
for VS
GS
Fellows/
Residents Residents Resident
Site #3
Total
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
Vascular Surgery
©2015 Accreditation Council for Graduate Medical Education (ACGME)
Updated 5/2015
Page 16 of 18
Transcatheter arterial
occlusion or embolization
Transcatheter place of
wireless sensor
Pressure measurements
from wireless sensor
Subtotal - Miscellaneous
Endovascular
Therapeutic
Trauma
Repair Thoracic Vessels
Repair Neck Vessels
Repair Abdominal
Vessels
Repair Peripheral
Vessels
Fasciotomy
Subtotal - Trauma
Total Major
Venous
Portal-systemic shunt
Operation for varicose
veins
Sclerotherapy, peripheral
vein
Embolectomy/thrombecto
my, venous
Endoluminal ablation
Operations for venous
ulceration
Venous reconstruction
Transluminal balloon
angioplasty, venous
Transluminal mechanical
thrombectomy, venous
Thrombolysis,
transvenous,
transcatheter
Exchange of thrombolysis
catheter
Interruption of IVC
Repair A-V Malformation
Subtotal - Venous
Endovascular-Diagnostic
Currently
Currently done by
Available
done by
VS
for VS
GS
Fellows/
Residents Residents Resident
Primary
Site
Site #2
Site #3
Total
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
Vascular Surgery
©2015 Accreditation Council for Graduate Medical Education (ACGME)
Updated 5/2015
Page 17 of 18
Arteriography
Venography
Angioscopy
Intravascular ultrasound
Subtotal - Endovascular
Diagnostic
Miscellaneous Vascular
Exploration of artery
Post-operative
exploration for bleed,
thrombosis, infection
Major vascular ligation
Inject pseudoaneurysm
Spine exposure
Sympathectomy
Lymphatic procedure
Other miscellaneous
vascular procedure
Subtotal - Miscellaneous
Vascular
Vascular Access
A-V fistula
A-V graft
Percutaneous-other
access
Revision, A-V access
Subtotal - Vascular
Access
Amputations
Amputation, Digit
Amputation,
transmetatarsal
Amputation, below knee
Amputation, above knee
Amputation, upper
extremity
Amputation closure,
revision
Subtotal - Amputations
Total Minor
Total Operations
Primary
Site
#
#
#
#
Site #2
#
#
#
#
Site #3
#
#
#
#
Total
#
#
#
#
#
#
#
#
#
#
Currently
Currently done by
Available
done by
VS
for VS
GS
Fellows/
Residents Residents Resident
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
Vascular Surgery
©2015 Accreditation Council for Graduate Medical Education (ACGME)
Updated 5/2015
Page 18 of 18