Six months of the first year you will be assigned to the vascular surgery service, including the outpatient clinic, operating room, interventional radiology suite and cardiac catheterization lab. You will spend additional time in the noninvasive vascular laboratory and duplex ultrasound area.
During this time, basic endovascular skills will be acquired as well as open surgical techniques, through rotations with the vascular staff surgeons and the interventional vascular radiologists, as well as our interventional cardiologists. The total length of time spent in this area will be approximately three months.
One month of research experience allows the fellow to attain skills in clinical research projects.
The second year, advanced endovascular training will be acquired by additional time spent with the interventional vascular radiologists, staff interventional cardiologists, and with the staff vascular surgeons in the interventional radiology suite and cardiac catheterization lab.
You will participate in, and perform, a large volume of vascular surgery operations and endovascular procedures. You will work under the direction of a staff vascular surgeon, being given graded levels of responsibility based on your abilities. In addition, a three-month rotation to Mayo Clinic Rochester, Minn., will enhance your open vascular surgical experience.
Basic endovascular skills will be acquired during the first year. This training will be done in conjunction with the vascular staff surgeon, the interventional vascular radiologist, and interventional cardiologist. The goal is for you to double the minimum endovascular requirements set forth by the Association for Program Directors in Vascular Surgery and the American Heart Association.
The Division of Vascular Surgery also has a large abdominal aortic aneurysm practice (80 cases per year), of which 80% of repairs are accomplished with endovascular-stent devices. The division is active with several endovascular research clinical trials, including the use of the Aptus Device and those devices that have already achieved FDA approval. There also is an active carotid artery stent program with participation in two trials (ACT I and CHOICE).
There are several multidisciplinary and vascular surgery conferences each week. An endovascular case management conference meets once per week. There are formal basic science, clinical, and endovascular curricula which conform to that outlined by the Association for Program Directors in Vascular Surgery. Additional seminars and lectures in general and cardiovascular surgery and the allied medical fields are available for attendance as well. Education is enhanced by selected lectures given by consultants at the Mayo Clinic and through the Visiting Faculty Member program. The division invites several prominent surgeons to Mayo Clinic each year.
Clinical research is expected of all fellows. You will submit your clinical or basic science research studies to the major regional and national vascular surgery society meetings. Publication of research in peer-reviewed journals is encouraged. All fellows will be required to complete a clinical research project prior to completion of the fellowship. Ample support is available through Mayo for support of the research efforts including financial support for presentation at regional/national meetings.
Moonlighting is not permitted during this fellowship.
Your performance will be monitored closely to ensure that clinical knowledge, judgment, and technical skills meet the expectations of the Division. You will be evaluated formally by the supervising faculty member after each clinical rotation.
You also will evaluate the faculty to ensure that your educational needs are being met. The Division incorporates 360-degree reviews from the surgical, critical care, cardiology, and radiology staff; the physician assistants; and the paramedical personnel in the outpatient clinics and in the operating rooms and interventional areas.