Didactic Clinical Curriculum in Vascular Diseases

measurement of segmental pressures in the lower extremity

Overview

The didactic component of the clinical education for the Vascular Medicine Training Grant involves a rich assortment of educational opportunities including formal lectures on vascular disorders, case conferences, and journal clubs. While the bulk of the formal training for this program will consist of the existing clinical rotations and K-12 course offerings an additional lecture series on Vascular Medicine topics will be developed within the first year of the Training Grant.

Formal Course Electives for Specialty Training in Vascular Medicine

The outline of this course will follow the format and topics included in the upcoming (first ever) Vascular Medicine Board Review (Chicago June 16-19 with Dr. Thom Rooke (Adjunct clinical mentor, Advisory board member, Chair of Vascular Medicine Section) as the Chairman. Lectures will be provided on a weekly basis in the Gonda Vascular Center auditorium. These topics will evolve as new advances and procedures are introduced into clinical practice. In addition, these lectures offer an excellent opportunity to introduce topics related to vascular research for drug testing and out-come measures.

  • Vascular Biology: (4 h) The pathobiology of atherosclerosis will be highlighted including plaque rupture and thrombogenesis. These lectures will review vascular development including the role of stem cells and angiogenesis. In addition, smooth muscle, vascular matrix and adventitial development and physiology will be reviewed.
  • Connective Tissue Disease and Vasculitis: (3 h) These lectures will review the epidemiology, pathology, clinical presentation and treatment of patients with vasculitic diseases. These lectures will be divided by major classification of vasculitic disorders involving small, medium and large vessels.
  • Vasospasm and Upper Extremity Diseases: (1 h) This lecture will review the epidemiology, pathophysiology, clinical presentation, evaluation and treatment of patients with upper extremity vascular diseases.
  • Lymphedema: (1 h) The epidemiology, pathophysiology, clinical presentation, evaluation and treatment of patients with lymphedema will be reviewed.
  • Arterial Occlusive Disease: (2 h) The epidemiology, pathophysiology, clinical presentation, evaluation and treatment of patients with intermittent claudication and other lower extremity arterial occlusive diseases will be reviewed.
  • Aneurysms and Arterial Dissection: (2 h) The epidemiology, pathophysiology, clinical presentation, evaluation and treatment of patients with aneurysmal diseases and arterial dissections will be reviewed.
  • Venous Diseases: (4 h) These lectures will include both primary and secondary venous valvular incompetence, acute venous thromboembolism and chronic post-phlebitic syndrome. The epidemiology, pathophysiology, clinical presentation, evaluation and treatment of patients with both acute and chronic venous diseases will be reviewed.
  • Vascular Laboratory Testing: (2 h) The laboratory evaluation of patients with arterial, venous and lymphatic disorders will be reviewed including physiologic, ultrasound, cross-sectional and nuclear imaging modalities.
  • Hemostatic and Thrombophilic Testing and Screening: (3 h) These lectures will review the current and evolving methodologies for laboratory testing for thrombotic and hemostatic disorders.

Weekly and Monthly Seminars involving Vascular Topics

In addition to the didactic lectures provided in the new elective course on Vascular Medicine there are many weekly and monthly seminars of interest to the trainee. It is anticipated that the majority of these seminars will be attended by the trainee.

  • Vascular Teaching Conference: This is a monthly lecture (3rd Thursday) provided primarily by consultants in Vascular Medicine but also other internal and external consultants, and is devoted to the clinical practice of vascular medicine. The goal of this lecture is to present general topics of interest to health care providers interested in the evaluation and treatment of patients with vascular diseases. The trainee will be expected to present one of these lectures during their training period.
  • Vascular Interesting Case Conference: This biweekly lecture (1st and 3rd Fridays) is provided by consultants and trainees in the Gonda Vascular Center. This conference is intended to review interesting cases and novel therapies in vascular diseases. The trainee will be expected to present at these lectures during their training period preferably on a patient they have seen or laboratory evaluation that they have overseen.
  • Vascular Surgery Conference: This is a weekly conference (Tuesday mornings) provided by colleagues in vascular surgery. Each week 3 - 4 interesting vascular surgical cases are presented and the relevant literature summarized.
  • Vascular Journal Club: This journal club is held bi-monthly in the evening either at a nice restaurant or at a consultant's home. Two - three recent journal articles are critically reviewed at each meeting, one by a trainee and one - two by a vascular consultant.
  • Cardiovascular Grand Rounds: This is a weekly conference (Friday mornings) provided by colleagues in cardiovascular medicine in addition to a host of visiting professors. Each week, an interesting case or disease entity is presented with review of relevant literature. Topics cover the entire spectrum of cardiovascular diseases.
  • Clotters Forum: This is a monthly lecture (1st Thursday) provided primarily by consultants in Hematology Research but also other internal and external investigators, and is devoted to research in Hemostasis and Thrombosis. The goal of this forum is to present research ideas and findings to the audience in an interactive manner allowing feedback and creative criticism to the presenter. The Trainee will be expected to present one of these lectures during their training period preferably on a research topic they have developed.
  • Clotters Rounds: This monthly lecture (4th Thursday) provided by consultants and trainees in the Special Coagulation Laboratory and Clinic is intended to review interesting cases (rare disorders or novel presentations of common disorders) and novel therapies in hemostasis and thrombosis. The trainee will be expected to present at these lectures during their training period preferably on a patient they have seen or laboratory evaluation that they have overseen.