Introduction from the Program Director

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Thank you for your interest the Vascular Surgery Training Program at USF Health. Our faculty is committed to providing a comprehensive educational experience in all aspects of vascular disease. Our program offers both the integrated (0+5) and the independent (5+2) training paradigms. Our program offers an outstanding clinical experience in both open and endovascular procedures. The residents and fellows rotate between our major teaching hospital (level 1 trauma center, tertiary referral center), VA hospital, and community hospital system partners to gain a broad experience in all types of vascular pathology.
Murray Shames, MD

Professor of Surgery & Radiology
Program Director

 

"Our graduates have established successful careers at major medical centers and become leaders in community practice."

We also offer a dedicated educational program including didactic lectures series, vascular laboratory training, simulation program and our newly added Introduction to Academic Vascular Surgery curriculum. Our residents regularly participate in clinical research during all years of training; we plan to introduce a 1-year laboratory requirement to the integrated residency in 2015, which we feel is critical to the development of an academic surgical career. Resident research has been recognized with numerous regional research awards, podium presentations at regional and national meetings and publications in peer-reviewed journals. Clinically our graduates have completed their training in the 90th percentile of case volume for most of the defined categories, and have all successfully passed their certification exams in Vascular Surgery.

Our graduates have established successful careers at major medical centers and become leaders in community practice. As a member of the faculty for the last 12 years and a former resident of the general surgery program, I can attest that USF trains some of the finest vascular surgeons in the country.

If you are interested in either of our training programs please click on the appropriate link to read more about our residency programs. We look forward to receiving your application, please feel free to contact us directly with any additional questions.

Vascular Surgery Training at USF

Welcome to the University of South Florida Vascular Surgery Residency training programs. We have both a traditional fellowship (“5+2”) and an integrated vascular residency (“0+5”), the latter now with two slots. We will have 9 residents during the 2014-5 academic year.

The integrated program was originally approved by the ACGME in 2007, and we received a full 5 year accreditation beginning in 2008. In 2013 we were approved for a second slot, and now accept 2 residents into the program yearly. One will complete the program in 5 years, and one will spend a year in the research lab beginning in 2015.

Our fellowship has been continuously accredited by the RRC since 1992; our most recent accreditation was in 2008 for a full 5 years without any citations. The program accepts one applicant each year.

Both pathways accept residents through the traditional match. Residents in both pathways are treated equally with regard to operative experience and clinical and administrative responsibility; the R4 and R6 are treated as senior residents and the R5 and R7 as chief residents.

For the 0+5 residents, general and vascular surgery in-patient training are performed at tertiary-referral medical centers (Tampa General Hospital, the James A. Haley VA, and the Bay Pines VA). All vascular surgery training will occur on dedicated vascular surgery rotations with core USF faculty. During the PGY1 thru PGY3 years, the vascular surgery residents will have 4 months each year of vascular surgery training (total of 12 months).
Information SignExposure to the evaluation and management of vascular disorders during each year of training assures repetitive contact with faculty, continual acquisition of skills/experience, and progressive assumption of vascular responsibility prior to the Chief Resident year. During each vascular surgery rotation, residents will spend 1 day per week in the outpatient clinic, under direct faculty supervision. 

During the PGY1-3 vascular surgery rotations, essential training in noninvasive vascular testing will be provided. Training in diagnostic catheter-based imaging and endovascular intervention is provided to the vascular resident during the vascular rotations, where both outpatient and in-patient endovascular procedures are staffed by vascular surgery faculty. Progressive resident responsibility will be provided beginning during the PGY-1 year with residents participating in diagnostic arteriography/venography studies, central venous access placement, and dialysis access.

We have designed a resident rotation schedule which integrates appropriate general surgery rotations for core surgical training during the PGY1 and PGY-2 years, surgical subspecialty experience/training during PGY2 and PGY3 years, and senior vascular surgery resident experience during the PGY 4 and 5 years. A total of 36 months will be spent on vascular surgery rotations, and 24 months on core general surgery or surgical subspecialty rotations. The schedule has been designed to appropriately interact with current general surgery, intensive care unit, cardiothoracic surgery, transplant surgery, and cardiology rotations at the appropriate training levels to optimize resident education and experience.

The PGY 4 & 5 (integrated) and 6 & 7 (fellowship) years are exclusively a "chief resident" experience on dedicated vascular/endovascular rotations. Each chief resident answers to his or her attending, not through any other resident.

  • Tampa General

    Hospital

    The vascular service at TGH (approximately 1000 beds) performs 2500 major vascular procedures annually. The practice is heavy with tertiary level cases including abdominal and thoracic aortic reconstruction, distal revascularizations for critical limb ischemia, treatment of infected vascular grafts, thoracic outlet procedures, and AV access, as well as numerous complex endovascular revascularization procedures. There are 2 vascular teams at TGH, each including a chief resident, PGY-3, PGY-1, and ARNP. Integrated residents (PGY 1-3) rotate on each service for 2-3 months each year. The PGY 2 and 3 residents provide comprehensive ICU management under the supervision of the vascular surgery faculty. The service has a dedicated vascular ICU, Hybrid OR and full privileges in the interventional radiology suites. The chief resident (PGY 4, 5, 6, or 7) is expected to lead his or her team in all aspects of patient care. There is a mix of open and endovascular procedures at all PGY levels. Each team covers their own cases in the operating room and in the endovascular suites.

    Additional responsibilities include outpatient clinics, vascular lab interpretation, clinical research, participation in didactic conferences, and rotations at our Comprehensive Vein Center. Call is typically 1/3 weekends and alternating days during the week.
  • James Haley VA

    Veteran Hospital

    [No tThe VA vascular service is one of the busiest vascular services in the VA system; annual case volumes exceed 500 cases. The VA provides extensive experience in carotid stenting, distal revascularization, and aortic aneurysm repair. Both the integrated vascular and general surgery residents cover the service and call is shared amongst the senior residents on the service (Usually senior vascular and PGY 4 GS). There is no general surgery coverage for the senior vascular residents at the VA. Typically there is a PGY-4 and a PGY-1 on the service. A dedicated team of ARNP’s coordinate all of the outpatient care at the VA. Residents rotating on the VA service are expected to participate in all Vascular Surgery Education Conferences.ext in field]
  • CW “Bill” Young VA

    formerly Bay Pines VA

    During this rotation the resident will be involved in pre-, intra-, and postop management of the vascular patient (some general surgery rotations are also performed here). There is a wide variety of basic to complex vascular surgery, including significant open aneurysm experience. The resident will participate in a weekly joint conference with interventional radiology to discuss patient management, as well as outpatient clinic. This rotation involves full-time VA surgeons as well as our group.
  • Florida Hospital

    Tampa and Wesley Chapel

    Three months per year at the senior resident/fellow level are spent at the community hospitals in North Tampa. This is a new venture for our group. The volume is building and provides a unique experience working in a community hospital system. FH Wesley Chapel is a new hospital and has a state of the art Hybrid Suite. The newly built USF Comprehensive Vein Center is on the Wesley Chapel campus providing opportunity for the residents to participate in outpatient vein procedures.

Educational Conferences

The vascular team (including fellows, integrated residents and faculty meet each Monday from 7:00am -12:00pm for our educational conference series. The morning is divided into indications conference, M&M, research topics and didactic lectures and a monthly Journal Club.

Each resident is provided Rutherford Vascular Surgery, Strandess Vascular Ultrasound, and Vascular Medicine texts, in addition to a subscription to The Journal of Vascular Surgery. The curriculum will cover the contents of each book over the 2-year period as well as various research related topics. All residents are required to take the VSITE each year and pass the RPVI exam prior to graduation.

The USF Center for Advanced Medical Learning and Simulation (CAMLS) is another important component of resident education. There is a monthly skills training session integrated into the educational curriculum. The core components of endovascular and open surgical techniques can be taught and practiced in the simulation center. Residents are encouraged to use the simulators to improve their technical skills and to assist in training the junior residents.

Research

Participation in research is required for all residents and fellows. The Division participates in a number of research projects. Integrated residents are required to identify a project and submit an abstract to a regional or national meeting each year. Support for research projects and associated travel to meetings is provided by the division research foundation.