Patient Care
- To demonstrate expertise with the techniques learned during the previous rotations.
- To demonstrate teaching role in the supervision of junior residents in patient care in the field of vascular surgery.
- To demonstrate expertise with all basic and advanced interventional procedures.
- To instruct a junior residents in basic diagnostic interventional procedures.
- To independently manage complex interventional procedures with minimal faculty supervision.
- To demonstrate appropriate rescue techniques for complications of interventional procedures.
- To read sufficient noninvasive vascular laboratory studies and perform interpretations under faculty supervision to qualify for the (RPVI) Registered Physicians Vascular Interpretation Exam
- To demonstrate expertise with procedures learned during the previous rotations.
- To demonstrate detailed knowledge concerning all arterial, venous and lymphatic disease processes, including diagnosis and treatment options, using interventional, open and medical management techniques.
- To assume responsibilities for supervision of the entire vascular service.
- To instruct junior residents in basic open operations.
- To independently manage complex vascular patients with minimal faculty supervision in both the outpatient and inpatient setting. Residents will provide patient care that is compassionate, appropriate and effective for the treatment of health problems and the promotion of health.
- Under appropriate supervision, the resident should be able to perform advanced vascular operations such as:
- Balloon angioplasty and stenting of lower extremity arteries
- Carotid endaretectomy Catheter based arteriography
- Elective aortic revascularization Femoropopliteal and femorodistal bypass
Medical Knowledge
- The resident should be able to demonstrate advanced knowledge of the medical management of atherosclerosis.
- The resident should understand the natural history of common vascular problems including but not limited to asymptomatic aneurysm, asymptomatic carotid stenosis, transient ischemic attacks, asymptomatic renal artery stenosis, claudication, rest pain, and tissue loss.
- The resident should be able to demonstrate detailed knowledge about the etiology, diagnosis, and treatment of the diabetic foot.
- The resident should recognize common angiographic abnormalities including atherosclerosis, embolism, aneurysm, and vascular dissection.
- The resident should demonstrate knowledge about the indications and outcomes for common vascular operations and endovascular procedures (lower extremity revascularization, aneurysm repair, carotid endarterectomy, mesenteric/renal bypass, and varicose vein ablation).
Practice-Based Leaning and Improvement
- Become proficient at evaluating patient care and surgical literature by participation in the Morbidity and Mortality conference and quality assurance processes.
- Attend all relevant conferences on the vascular surgery service
- Interpersonal and Communication Skills: Lead patient and family discussions regarding injured patients or those requiring emergency surgery with appropriate skill and compassion and exhibit maturity and respect in interactions with healthcare staff.
Professionalism
Exhibit appropriate use of ethical principles and the consideration of cultural and spiritual issues in medical decision-making and family and patient interactions.
Systems-Based Practice
Teach junior residents the multidisciplinary approach to patient care, identify and utilize resources to the patient’s benefit and effectively coordinate services for the patient. Knowledge of social work and long-term care issues, special needs of the geriatric and pregnant patients and those with disability is especially important.