Conferences, Routines, Research
Vascular Medicine Fellowship
- Vascular Medicine Conference: 2nd and 4th Fridays, 12:00 – 1:00pm
– 2nd Fridays: Core Curriculum Conference
– 4th Fridays: Clinical Case Conference
- Combined Vascular Surgery, Vascular Medicine, Interventional Radiology and Interventional Cardiology Conference
Every Friday, 7:00- 8:00 am
- Cardiology Grand Rounds: Every Monday, 12:00-1:00 pm
- Vascular Medicine Grand Rounds: Twice a year, schedule TBA
- Vascular Medicine Journal Club: 6 meetings a year (every other month); schedule TBA.
Two recent articles on vascular-related topics are discussed at each session.
- Vascular Surgery Journal Club: schedule TBA
- Vascular Surgery Grand Rounds: schedule TBA
- Vascular Interventional Radiology Journal Club: TBA
- Vascular Morbidity and Mortality Conference: Every Wednesday, 7:00 – 8:00 am
Clinic rotations: fellows arrive at 8:00 am and see patients until the clinic is completed (noon for a half-day clinic, and 5:00 pm for a full-day clinic).
Daily rounds begin at noon and at 3 pm. Fellows see all consults and follow-ups prior to the rounds. Cases are reviewed with the house staff, nurse practitioners and fellows.
Fellows are expected to take initiative in seeing and evaluating patients, including formulating an appropriate treatment plan that is reviewed with the attending. As most of the patients are cared for in continuity by the vascular services, any changes to the plan should be consistent with the established care plan of the patient. The fellow is expected to interact closely and work in conjunction with all healthcare professionals, including nurses and case managers.
Vascular medicine fellows review every clinical study (duplex, physiological studies, transcutaneous oxymetry, CT and MR angiograms and invasive angiograms); when appropriate, they do so with the reading attending (e.g., fellows review non-invasive studies with the appropriate non-invasive attending.) Fellows’ opinions are sought for every case prior to final decision-making. Fellows document in patients’ charts clinically relevant material (such as discussion of patient resuscitation status, long-term planning, etc.) for which they have been the primary point of contact, and also document patients’ daily care plan (by progress notes).
Fellows and attendings meet with assigned housestaff to review patient studies and formulate plans, and discuss results with patients and answer their questions. In caring for patients, fellows ensure that evidence-based medicine is utilized and appropriate guidelines and standards of care followed. (For example, in treating an atherosclerotic vascular patient with appropriate indications for combination statin, antiplatelet and ACE inhibitor therapy, other recommended risk reduction strategies, such as smoking cessation and exercise therapy, are thoroughly discussed with the patient.)
We view the mentor-mentee relationship as one of the most important aspects of our program. Two mentors — a primary and a secondary — are assigned to each trainee. Primary mentors are chosen based on the individual trainee’s career path, and play a major role in the trainee’s development. Secondary mentors play a complementary role by offering a skill-set distinct from that of the primary mentor. Primary mentors are expected to serve as role models for mentees and to have a strong commitment to their professional and personal development. They provide crucial guidance as their mentees progress toward the goal of becoming independent academic vascular medicine specialists.