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
- 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.