Vascular Surgery Rotation

Educational Objectives (PGY 1-2)


  • Understand the risk factors for the development of atherosclerosis
  • Understand the pathogenesis of atherosclerosis.
  • Assess patients presenting with symptomatic or asymptomatic carotid stenosis including performing a complete history, physical examination and order and interpret relevant investigations and develop a management plan
  • Discuss the results of clinical trials evaluating efficacy of carotid endarterectomy (e.g. NASCET, ACAS, CREST) as well as surgical indications for symptomatic and asymptomatic carotid stenosis.
  • Assess patients presenting with claudication and be able to differentiate vascular claudication from neurogenic claudication
    1. Understand the pathophysiology underlying vascular and neurogenic claudication
  • List the risk factors for developing deep vein thrombosis, and methods to help prevent deep vein thrombosis.
  • Outline the diagnosis and treatment of deep venous thrombosis, including indications for Greenfield filters.
  • Know the surgical steps involved in performing a carotid endarterectomy and be able to expose the carotid bifurcation with appropriate supervision
  • Develop skill in suturing blood vessels including arteriotomy closure
  • Outline brachocephalic ischemic syndromes
  • Describe vascular compartment syndromes, their investigation, natural history and management.


  • Establish therapeutic relationships with patients and their families in the clinic, emergency room and on the inpatient units.
  • Communicate effectively with patients and families in order to obtain through, focused histories during patient care encounters
  • Present consultations including detailed history, physical exam and findings of investigations to senior residents and attending staff.
  • Document consultations including history, physical examination, findings of investigations and outline of the management plan (both written and dictated as appropriate).
  • Update patients and family relevant information regarding their condition and management plan with appropriate supervision


  • Work/collaborate effectively as a member of the interdisciplinary care team, fostering a positive team environment
  • Consult other medical and surgical specialities appropriately in the care of the patients
  • Demonstrate a safe and accurate written and/or verbal handover of patient issues to colleagues
  • Listen and respond appropriately to concerns of other health care providers


  • Manage own time, education and personal life to ensure balanced lifestyle


  • Recognize and respond to determinants of health in atheroclerosis including smoking, diet and socio-economic status
  • Facilitate improvements in the underlying determinants of health in vascular surgery patients in an integrated fashion during care delivery
  • Facilitate return of patient to community/alternate care environments in collaboration with the multidisciplinary care team and advocate for access to resources


  • Identify and seek out personal learning needs related to cases encountered on the vascular surgery service
  • Facilitate patient, student and peer learning


  • Foster collegial relationships with staff and residents, neuroscience nurses and other allied health professionals
  • Exhibit appropriate professional behaviors in practice, including honesty, integrity, commitment, compassion, timeliness, respect and altruism
  • Show appropriate respect for opinions of other health care providers
  • Be able to appraise and identify own limits with respect to knowledge and patient care, and when to ask for assistance and consult effectively.