Two tracks are offered in the Peripheral Vascular Surgery Fellowship program. One is a purely clinical track. The other combines basic science and/or clinical research with several clinical rotations during the first year, followed by a second year of strictly clinical training.
During the first year, you will spend time in the outpatient clinic, the noninvasive vascular laboratory, the duplex ultrasound area, CT Core Laboratory, in addition to hospital clinical services. Basic endovascular and open operative skills will be acquired through rotations with the vascular staff surgeons. The total length of time spent in each rotation ranges between six and twelve weeks.
The fellow in the combined research/clinical track also gains exposure to and experience in these clinical areas during the first year. Thus, clinical and operative skills can be maintained for this fellow. All fellows will take emergency call and provide cross-coverage of the hospital services on weekends, to allow compliance with duty hours.
The second year, you will be assigned to a staff vascular surgeon for quarter-long rotations. Advanced endovascular training will be acquired by additional time spent with the interventional vascular radiologists and with the staff vascular surgeons in the endovascular operating room suite. Fellows may be the Chief Resident for three months during the second year, based on their ability and performance.
Basic endovascular skills will be acquired during the first year. Endovascular training is performed at Saint Marys Hospital and in an endovascular suite in the operating room area. 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 has a large aortic aneurysm practice (250 to 300 cases per year), of which 50 to 60% of repairs are repaired with endovascular-stent devices in the thoracic or abdominal aorta, including the use of branched/fenestrated grafts. The Division participates in many clinical trials, including endovascular research trials such as the use of the Gore Excluder and Medtronic Talent Devices and the CREST Carotid Stent Trial. There is a carotid artery stent program at Mayo Clinic.
Since January 2006, each fellows spends between six and twelve weeks on an off campus endovascular rotation in Sioux Falls, South Dakota (230 miles from Rochester). The fellows perform between 80 and 150 endovascular procedures during a six-week rotation, including carotid artery stents. Although the endovascular volume within the Division of Vascular Surgery is high, this rotation is highly popular among the fellows because of the clinical volume of cases and the quality of teaching provided.
|Off Campus Rotation (Sioux Falls)
|Vascular Medicine/Duplex Ultrasound
|Off Campus Rotation (Sioux Falls)
There are formal basic science, clinical and endovascular curricula which conform to that outlined by the Association for Program Directors in Vascular Surgery. The curriculum has been designed to correspond with Simulation Center activities and Journal Club readings. 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 at least two clinical or basic science research studies to major regional and national vascular surgery society meetings and for publication in peer-reviewed journals.
The division has close affiliations with M.D. and Ph.D. researchers in the Department of Physiology and Cardiology. Depending on the interest of the applicant, many basic science research opportunities are available including: spinal cord blood flow as it relates to thoracoabdominal aortic aneurysm repairs, neointimal hyperplasia, endothelial function and pathogenesis of inflammatory abdominal aortic aneurysms. The Division would consider other areas of investigation if it relates to your interests.
Fellows take call once every 5 to 6 days depending on the off-site rotation schedule and absences.
Moonlighting is not permitted during this fellowship.
There are several multidisciplinary and vascular surgery conferences each week, including a bi-monthly morbidity and mortality conference, bi-monthly case conference and weekly multidisciplinary Vascular Grand Rounds. An endovascular case management conference meets once per month.
To ensure you gain proficiency and develop the corresponding technical skills, your performance is monitored throughout this program. You are formally evaluated by your supervising faculty member following the completion of each clinical rotation; and then meet with the program director to review these evaluations. In addition, you regularly evaluate the faculty to ensure your educational goals are being met.