With general surgery training, research time and my vascular fellowship combined, I did nine years training post-med school. My program does not have a vascular surgery fellowship, which was great from a resident standpoint because nobody would be able to out-chief me for open AAAs, aorto-bifems, and other awesome stuff. https://www.mdedge.com/sites/default/files/Document/April-2018/webvas18_1_digital.pdf. The vascular surgeon is trained in the diagnosis and management of diseases affecting all parts of the vascular system, excluding conditions that affect the vessels within the heart and brain. All vascular admissions to the Vascular Surgery unit at the Royal Hobart Hospital as well as inpatient referrals by other units over a 6‐month period were recorded on a database. It all depends on what you’re going to get called for. Consults will come in throughout the day and the intern/junior will go see them and report back to me. Cheers. If you want a career as a vascular surgeon, here is how competitive the medical specialty is to match into a vascular surgery residency. I am thankful for the training I've received in GS, but I also wasted a lot of time on various rotations that have zero bearing on me as a vascular surgeon in the future. Training in endovascular surgery has therefore become an important part of the vascular surgery curriculum.1 Current and projected numbers In 2014, a survey by the Vascular Society of Great Britain and Ireland of 2352 vascular surgery consultants across 95 NHS trusts established current work practices and highlighted projections for future service and training needs. Vascular surgery is normally conducted in a highly technical environment with a full complement of specialized equipment including noninvasive ultrasound technology, state-of-the-art computed tomography (CT), modern fluoroscopy, specialized instruments for open surgery, and postoperative intensive care units and wards staffed with experienced vascular nurses and junior doctors. They have limited elective time and we suspect this is a tactic to get their cases done. I'm applying to integrated vascular residency this coming season. Attending Call: q3 - giving a rough approximation I’d say that 1 in about every 3-4 calls they have to come in for something in the middle of the night. I have stopped pinching them more than three months ago. New comments cannot be posted and votes cannot be cast. Many Americans over the course of their lives will experience some form of vascular-related symptoms. 6 comments. I went to the doctor a couple days ago though about my hand and they referred me to a vascular surgeon and I’m getting a scan in the new year. I am a 20 year old man. Vascular Surgeons are the only vascular specialist able to provide all treatment options available for Peripheral Artery Disease or PAD. 332 votes, 166 comments. This includes minimally invasive endovascular techniques as well as open surgical procedures What is the split of open versus endovascular procedures and do you see endovascular becoming more popular/taking up a greater percentage of cases? Here’s a quick snapshot of what a vascular surgeon can do: Endovascular repair of abdominal aortic aneurysms, Open repair of abdominal aortic aneurysms, Endovascular repair of thoracic aortic aneurysms, thoracic aortic dissections and thoracoabdominal aneurysms, including hybrid aortic procedures, Open surgical reconstructions and balloon angioplasty and stenting in all vascular areas, Endovascular intervention, such as angioplasty and stenting, Bypass surgery and endovascular therapy for peripheral artery disease and gangrene of the limbs, Carotid endarterectomy and carotid artery stenting, Treatment for Carotid Body Tumors and other vascular tumors, Endovascular intervention and open bypass surgery for mesenteric and renal arteries, Endovenous laser therapy and open surgical intervention for varicose veins and venous ulcers, Endovascular and open surgical reconstruction for deep vein occlusions, Retroperitoneal exposure for spine surgery. Clinical. In the case of Vascular and Cardiovascular Surgery, a taskforce of vascular specialists was created, as described by Bonalumi et al. In the end I switched to radiology because the hours on vascular were just miserable and radiology gives me the possibility of going into IR. For almost half a year, due to my health anxiety, I have been pinching my abdominal wall veins pretty hard, resulting in possibly damaging them (or the nerves above them). What is the split of open versus endovascular procedures and do you see endovascular becoming more popular/taking up a greater percentage of cases? Cheers. They will be more slick with wires and catheters and those of us coming from GS will be more comfortable navigating around the abdomen, but I think at the end of our training and definitely within 3 years of practice, we're all probably the same. Vascular Graft Market 2019 Global Analyses – by New Development, Business Opportunities, Share Overview, Demand, Regional Demand and Growth Insight to … So you basically have a rapidly evolving field that can have a large positive impact for many people while using cutting-edge technology, power tools and loupes. Would you say that's representative of the type of surgery that you do on a daily basis? As specific questions come up, I’d be more than happy to try and answer those. Typical day from a general surgery resident standpoint:  The usual census ranges anywhere from 6-25. There’s very little middle ground and I don’t think this specialty was ever meant to be any other way. It is rewarding to have the ability to tailor each operation to achieve the best outcomes for individual patients in the goal of improving quality of life, limb salvage, or risk reduction for stroke or aneurysm rupture. They have completed an intense training in General and Vascular Surgery which allows them to manage these diseases with treatment alternative ranging from medical management to operative intervention. Go home anywhere between 1700 on a good day to 2100 on a bad day, see what cases are coming up in the week, read up on them, dinner, play with my kid, play with my wife, go to bed (not in any particular order). Although there have been landmark strides made in the field over the last 30 years, it still today remains  an incredibly challenging and dynamic field from a patient care and research standpoint. Risk factors include previous surgery, intra‐abdominal pathology, … Hey, great write up. We develop long-term longitudinal relationships with our patients similar to surgical oncologists and they will come back with other issues. I’ve had weeks where I was home by 1700 every night and one week where the earliest I got home was 2100 and even 0100 that one night. The problem is, they eventually find their way to our service because they're local and often don't want to be transferred somewhere else. This post will be cataloged on the wiki for posterity. The Integrated Vascular Surgery Residency Program at the University of Washington was recently granted approval by the ACGME. Hahaha. I am now starting to get a bit of pain in my legs as well... help meee. Lifestyle: This is highly variable, but vascular surgeons tend to work a fair bit more than other specialties. 9400 W. Higgins Rd., Suite 315 Rosemont, Ill. 60018-4975. I’m scared though, especially since it’s getting worse. No redness or discoloration is visible. If the hours were better I would have gone into vascular 100%... do not go into this field unless you want work to dominate your life. Although everything is moving towards more endo, I don't envision a scenario where it's all endo for there will always be a need for (and the practitioners to provide) good open surgery. I don't like how they look, but mostly, I can like feel them, and I hate that most. Like rugby, vascular surgery is a team sport, and not for the faint of heart. Manageable MS only health problem. Not overweight, non smoker, low blood pressure. https://www.youtube.com/watch?v=Z6WKuPFYnbQ&list=PLZpDzANLjPtX7eRfNzFjQpcq_N2-bRS3O. Inpatient vs Outpatient: Each attending does one full day of clinic a week and half day of veins. What vascular surgery do you consider to be urgent? I have amazing mentors who throughout my residency never complained and just did work in front of them. The data were analysed to evaluate the number of inpatient consultations, the reason for the consultation and its outcome. Shortages in staff, operating theatre space and intensive care beds has led to a significant reduction in the provision of surgical care. What’s not to like? r/VascularSurgery: A place to share ideas, experiences, advances, and questions regarding Vascular Surgery as a specialty, procedures, etc. Anyone know any good books or good anki deck? [clinical] vascular surgery elective resources for m3? Maybe 80/20 at most one day from an overall caseload standpoint. Division of Vascular Surgery, National‐Local Joint Engineering Laboratory of Vascular Disease Treatment, Engineering and Technology Center for Diagnosis and Treatment of Vascular Diseases, Guangdong Engineering Laboratoty of Diagnosis and Treatment of Vascular Disease, The First Affiliated Hospital, Sun Yat‐sen University But you really have to take this with a grain of salt because geographics will play a large role in how you’re compensated as well as how your contract is structured, your wRVUs, etc. Hope this helps. Can I just ask what type of residency you switched to? This thread is archived. I’ve decided not to because I don’t want to get locked into something that is 2 years away and lot can happen in that time. We're starting to really ramp up the TCARs that we're doing and also do stents occasionally. Welcome to /r/MedicalSchool: An international community for medical students. Trained at a level-one trauma, tertiary “privademic” center. A place to share ideas, experiences, advances, and questions regarding Vascular Surgery as a specialty, procedures, etc. I’m a 46 year old female. There are days where it is relentless and sick patients keep rolling through the door and they require attention not tomorrow, but today. And where? We are having a problem at my hospital in that the vascular surgeons are flooding our emergency list with their 'urgent cases'. This isn’t general surgery where we fix a hernia or take a gallbladder out and never see them again. There are mid-levels to otherwise staff a full day of clinic everyday on their own for postop evals, surveillance, etc. When interviewed about personal interest in vascular surgery, general surgery residents cite concern for loss of vascular patients to other interventionalists as a possible deterrent to pursuing the field. Program lengths vary from 5-7 years, depending on research requirements. 69% Upvoted. - I have no issues with the 0+5 model and actually almost re-entered the match as a PGY-2 to try and obtain one of those slots. With the new IR residency, will IR continue to branch into varying fields, ... help Reddit App Reddit coins Reddit premium Reddit … Contemporary vascular surgery is also heavily technology dependent, and has manifested itself in the ability to perform hybrid procedures whether that is sewing in iliac/subclavian conduits for a complex EVAR or femoral endarterectomies and stenting to create ipsilateral in-line flow to the foot. I don't know how you do it, but cheers to you. I go through labs, I/Os and various notes from the overnight team. Cookies help us deliver our Services. My father was diagnosed with stage IV prostate cancer while I was a first year medical student. My attendings are averaging probably around 65 hours a week, but this can vary from as short as 40 some weeks to 80-90 other weeks. I do not smoke, rarely drink alcohol and drink a lot of water. I will then go see it and discuss plan with attending. Being the chief of the service, I usually wake up around 0500 and get to the hospital around 0530. Cheers. https://vascular.org/career-tools-training/vascular-training-programs. Vascular Surgery Residency. A large chunk of our consults are intraoperative from other services that get into trouble and call for help or iatrogenic injuries in the ICU during catheter placement. They also feel uncomfortable and some are slightly painful when I lift my arms, probably because they tighten, or after I touch them for some time. Currently you will either go the traditional route (5+2) whereby you do a general surgery residency (5-7 years) and then a standard 2-year fellowship in vascular surgery. I would just see my entire night evaporate in front of me. If I was enough of a masochist to do surg it would've been vascular. Vascular injury during laparoscopy is associated with significant morbidity and up to 23% mortality. I mean is there any fellowships or advanced training in specific procedures? I began walking everyday for 30 minutes and started to wear compression socks, but the veins on my feet are hurting a lot. How do you feel about the 0+5 programs? I'm sure there are things I have forgotten. What possible reason could there be for the report to conclude that everything is fine? During my residency, nothing was worse than the ER calling me with a cold leg. Followed by some sort of dialysis access work be it fistulgram or creation or de-clot. If everything goes well and we have no add-ons, we’re at signout for the night float team by 1645 or we catch them later on after we’ve wrapped up all the floor issues and done our postop checks. You will either become enamored with it or you won’t. By using our Services or clicking I agree, you agree to our use of cookies. Not for me, but cheers. At my institution it is actually quite cordial, and where I am heading for my fellowship is much the same since everyone is under the same umbrella of a heart and vascular institute. My home institution is offering a stipend while I’m in fellowship and guaranteed $500K salary for two years if I signed right now. Being a vascular surgeon, you are going to be very good-looking (because this field attracts such beautiful people) and thus many of the staff will not leave you alone. It’s ridiculous. Reasons why to do vascular surgery:  Full disclosure I just posted a similar answer on SDN recently and so I’m just gonna copy and paste what I wrote not too long ago. VASCULAR SURGERY From the Society for Vascular Surgery A look at the future of vascular surgery Frank J. Veith, MD, New York, NY; and Cleveland, Ohio I would first like to thank Dr Perler and the Society for Vascular Surgery (SVS) for the singular honor of giving the Eleventh John Homans Lecture. Breakfast. My colour has never been great but the last several weeks my right hand has been red and swollen with some bruising. My father is an IM hospitalist and mentioned a colleague who shows up at 7 each day and every now and then he’ll find notes from 11:30PM from this dude. Do you think the surgeons they produce are as competent as those who do 5+2? Is Vascular Surgery destined for outpatient venous work, amputations, and the less common (but still relatively high-volume) EVARs, CEAs, bypasses, and high-end emergency hospital case? With rapidly evolving new technology available, it is important that alternatives be chosen that are effective in the long-term care of patients with vascular disease. Hi fellow applicants - It's that time of year, when 2020's spreadsheets wither and die and the 2021 specialty specific … On a day-to-day basis I would say that our working relationship with IR is much better than IC. Vascular surgery has a unique set of characteristics in the medical landscape that some practitioners will find appealing and others abhorrent. The Society for Vascular Surgery Vascular Quality Initiative (SVS VQI) was first established in 2011 as a national collaborative effort including 18 regional groups across the United States and hosted by the Society for Vascular Surgery Patient Safety Organization [] (www.vqi.org).The VQI was built upon regional quality groups (Fig. I have had interactions with those in the 0+5 model and found them to be quite competent and I think it all evens out in the end. The specialty evolved from general and cardiac surgery, and includes treatment of the body's other major and essential veins and arteries. Gives a list of training programs and various paradigms. But someone has to do it, might as well be us vascular surgeons... Stupid sexy ortho can't always take the credit. Each resident depending on their interests will graduate with around 6-10 months on the vascular service over the course of 5 years. I had that surgery!". Press J to jump to the feed. - On a daily basis, the most common procedure is a lower extremity angiogram with or without some sort of intervention. I only found (Advanced Aortic) any others? Sort by. You pick the job you take, so of course you know the hours and the situation. Press question mark to learn the rest of the keyboard shortcuts. My Neurologist recently recommended physical therapy for weakness on my right side which I assumed was due to the MS. - It's fairly common and although it goes in waves, we crank out 1-2 CEAs a week between all the surgeons combined. We'll save it in our wiki for future reference! We are a not-for-profit professional medical society, composed primarily of vascular surgeons, that seeks to advance excellence and innovation in vascular health through education, advocacy, research, and public awareness. Additional sources to peruse if interested: Read “Taking the Gamble as Vascular Surgeons” on Page 3 by Dr. Zeltzer. He's half right and half wrong. That all vascular surgeons are grumpy and hate their lives. In my MRA report it is stated that my vertebral arteries are elongated and tortuous, however the conclusion states everything is "normal". So what does that make me then? This is all I have for now. They call if they have questions, but do an awesome job of making sure these patients don’t fall through the cracks and get the follow-up they need. Fellowships: https://vascular.org/career-tools-training/vascular-training-programs. Was planning on doing vascular as I absolutely LOVE everything about it...it has a large variety of procedures, it’s very technical and it’s just straight up baller honestly. I was in vascular surgery, i was unhappy and seriously thinking of suicide, I was honestly expecting the text in this post to be, "Don't.". Although there have been landmark strides made in the field over the last 30 years, it still today remains an incredibly challenging and dynamic field from a patient care and research standpoint. Or you can go directly into vascular surgery and match into an integrated program right out of medical school. Abstract Surgical site infections (SSI) substantially increase costs for healthcare providers because of additional treatments and extended patient recovery. I appreciate how their mindset, preparation and training has brought them to a point where they are just really really good. save hide report. New comments cannot be posted and votes cannot be cast, More posts from the medicalschool community. Reddit; Summary. Anyone who is already a practicing attending or fellow would be able to lend more insight. 7 In this exhaustive report, the institution of Hub hospitals for urgent and emergency patients, supported by satellite Spoke hospitals, was detailed described. Press question mark to learn the rest of the keyboard shortcuts. Background: Just finished a traditional 5-year general surgery residency and about to begin fellowship. Approach with extreme caution, pick a good program with staff who have an honorable work ethic and motivated, you don’t want to work 90 hours a week for assholes. Masochist squared? 15 Surveyed residents and medical students are concerned about the lifestyle associated with vascular surgery. From what I've researched about arterial tortuosity it doesn't seem to be normal at all, at least not in the non-elderly. Journal of Vascular Surgery ® aims to be the premier international journal of medical, endovascular and surgical care of vascular diseases. Small profile on Dr. Conte at UCSF explaining his outlook on being a vascular surgeon. Operate all throughout the body and on every vessel outside of the brain and heart. My call as a fellow will be q3 for the next two years, but the above written was in regards to what my attendings in residency are doing. I’ll do the more complex cases or since I am going into vascular, I’ll even do the angios to get better with my wire skills and get comfortable with the sizes and lengths of various sheaths, catheters, balloons, etc. It's true. By using our Services or clicking I agree, you agree to our use of cookies. I was his cheerleader and coach as he fought against the illness that eventually took his life, and learned that healing becomes the most important when a cure is out of reach. This is a great place to start. We have 2 hybrid ORs and 3 vascular surgeons. Spoke with my PD and he told me to stay in GS and that I wouldn't regret my training. I have really enjoyed spending time with our IR guys because they're so eager to teach and just all around fun guys to be around. 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