Residency Level:
Surgical Rotation:
Length of Rotation:
PGY 4
Vascular Surgery
Two Months
Goals and Objectives
Patient care:
 Master the evaluation and preoperative assessment, postoperative care and nonoperative care of
the vascular surgery patient
 Master the management skills required to independently evaluate the vascular surgery patient,
develop your own plan for the patient and communication of the plan to the appropriate level of
supervision
 Diagnosis and management of the complex vascular patient with multi-level inflow obstruction
 Diagnosis and management of extra-anatomic bypass procedures and distal fem-tibial bypass
procedures
 Diagnosis and management of post-procedure complications, i.e. graft infection, graft thrombosis
 Operative management of extra-cranial carotid occlusive disease
 Take ownership in care of the patient
 Master mechanisms and criteria for endovascular surgical interventions
 Diagnostic evaluation of arterial disease, including the role of duplex scanning, angiography, CT
Scanning and MRI
 Care of the patient with venous disease and venous stasis disease
 Clear and timely documentation of daily progress notes
 Develop a strong work ethic
 Develop appropriate safe hand offs
 Master the ability to care for vascular surgery emergencies in the role as the senior surgical
resident on call
Technical skill:
 After obtaining skill set and with appropriate supervision perform major vascular procedures,
intra-abdominal and peripheral for occlusive and aneurysmal disease, including endo-vascular
techniques
 Peri operative management of the complex and/or complicated vascular patient
 With appropriate supervision perform major vascular reconstructive procedures
 With appropriate supervision perform vascular access procedures, procedures for venous disease
 With appropriate supervision perform vascular anastomoses.
 Learn to master Doppler evaluation for arterial and venous disease
Medical knowledge:
 Pathophysiology of arterial occlusive and aneurysm disease and venous insufficiency
 Demonstrate evidence of continued increase in vascular surgery core knowledge from basic
surgical texts, additional readings and the SCORE curriculum as noted below
 Anatomy, physiology, hemodynamics of the arterial and venous systems
 Obtain a broad knowledge base of vascular surgery and other surgical specialties
 Study and prepare for the ABSITE
 Anatomy and physiology of the arterial and venous systems
Practice-based learning and improvement:
 Participate actively in M and M conferences, daily chief conferences and journal clubs
 Understand and when possible participate in SCOAP projects
 Learn to critically read the literature
 Master the IT resources available to you to develop a commitment to lifelong learning and
education
Interpersonal and communication skills:
 Develop the appropriate skills to provide efficient, concise, patient presentations
 Master text paging, emailing, etc.
 Develop strong doctor patient relationships using counseling and education of patients and their
families
 Learn to master EPIC to provide proper documentation in the electronic medical record
 Learn to properly consult other specialty services in a professional manner
Professionalism:
 Respect every patient regardless of social or other circumstances
 Log cases appropriately
 Log your duty hours using My Evaluations appropriately and in a timely fashion
 Complete all required clinical and residency documents in a timely fashion
 Demonstrate sensitivity to age, gender and culture of patients and other members of the health care
delivery team
 Learn to be punctual
 Always exemplify professional attire, appropriate grooming and hygiene
 Demonstrate honesty, integrity and leadership skills
Systems-based practice:
 Demonstrate the effective communication with referring physicians throughout the Swedish health
care system
 Keep patients’ safety foremost while discharging patients in a timely fashion
 Demonstrate time management and organizational skills while adhering to work hour regulations
 Gain an understanding of the importance of discharge planning and the writing of timely discharge
orders to the overall throughput of patients in our system
SCORE CURRICULUM CATEGORY 18: VASCULAR − ARTERIAL DISEASE
Diseases/Conditions
Operations/Procedures
BROAD
ESSENTIAL − UNCOMMON
• Acute limb ischemia
• Embolectomy/thrombectomy artery
• Peripheral arterial emboli
• Above knee amputation
• Acute arterial thrombosis
• Below knee amputation
• Compartment syndromes
• Toe amputation
• Diabetic foot infections
CATEGORY 18: VASCULAR − ARTERIAL
DISEASE
FOCUSED
• Cerebrovascular occlusive disease
COMPLEX
• Aortoiliac occlusive disease
• Aorto-iliac/femoral bypass
• Chronic visceral occlusive disease
• Ilio-iliac/femoral bypass
• Renal artery occlusive disease
• Femoral-popliteal bypass
• Femoropopliteal occlusive disease
• Profunda endarterectomy
• Infrapopliteal occlusive disease
• Infrapopliteal bypass
• Upper extremity occlusive disease
• Other endarterectomy
• Buerger disease
• Composite leg bypass graft
• Fibromuscular dysplasia
• Revise/re-do lower extremity bypass
• Cystic medial necrosis
• Arm bypass, endarterectomy, repair
• Behcet disease
• Celiac/SMA endarterectomy/bypass
• Aortic aneurysms
• Renal endarterectomy/bypass
•Visceral arterial aneurysms
• Femoral-femoral bypass
• Peripheral arterial aneurysms
• Axillo-femoral bypass
• Aortic dissection
• Axillo-popliteal-tibial bypass
• Claudication
• Transmetatarsal amputation
• Hypercoagulable syndromes
• Carotid body tumors
•Vascular graft infections
• Aortic thrombosis
• Thoracic outlet syndrome
• Upper extremity amputation
• Disarticulation
• Elective repair infrarenal aortoiliac aneurysm
• Repair femoral aneurysm
• Repair popliteal aneurysm
• Repair suprarenal abdominal aortic aneurysm
• Repair thoracoabdominal aortic aneurysm
• Repair thoracic aorticaneurysm
• Carotid endarterectomy
• Reoperative carotid surgery
• Excise carotid body tumor
• Direct repair aortic arch branches for CNS symptoms
•Vertebral artery operation
•Vascular ultrasound
• Angioscopy
• Balloon angioplasty
• Transcatheter stent
• Other endovascular graft
• Endovascular repair aortic aneurysm
• Endovascular repair other aneurysm
• Endovascular thrombolysis
• Pseudoaneurysm repair/injection
• Explore post-op bleed, thrombosis, infection
• Graft thrombectomy/revision
• Excise infected vascular graft
• Repair graft-enteric fistula
• Sympathectomy
• Harvest arm vein
• Thoracic outlet decompression
• Repair ruptured aortic aneurysm
SCORE CURRICULUM CATEGORY 19: VASCULAR − VENOUS
Diseases/Conditions
Operations/Procedures
BROAD
ESSENTIAL − COMMON
•Venous thrombosis/embolism
•Venous insufficiency and operation for varicose veins
• Thrombophlebitis, including suppurative
• Sclerotherapy, peripheral vein
•Venous stasis and chronic venous insufficiency
• Insertion vena caval filter
•Varicose veins
COMPLEX
•Venous embolectomy/thrombectomy
•Venous reconstruction
• Non-reconstructive venous ulcer operation
• Repair arteriovenous malformation
SCORE CURRICULUM CATEGORY 20: VASCULAR − ACCESS
Diseases/Conditions
Operations/Procedures
BROAD
ESSENTIAL − COMMON
• Percutaneous vascular access for dialysis
• Percutaneous vascular access
• Arteriovenous graft/fistula
• Revision arteriovenous access