Program Description

Clinical Rotations

The educational goals and clinical curriculum for vascular surgery are accomplished at the University of Tennessee in Memphis through four clinical rotations. Each resident spends six months on each rotation. All aspects of diagnosis and management of vascular disease are included in these rotations, although each rotation has specific strengths, which are emphasized. By the second year, vascular residents are expected to be able to operate independently.

Conferences

Didactic educational goals are accomplished through the conference schedule. A weekly vascular conference is held at 7:00 AM Tuesday mornings alternating between the Cardiovascular Surgery Clinic offices at Baptist Hospital, Methodist University Hospital and the Veterans Affairs Medical Center and attended by vascular staff, general surgery residents, and medical students in addition to local vascular surgeons. One vascular resident each week presents a 30-minute discussion of an assigned topic. This presentation is designed for the education of the medical student and general surgery resident but also for preparation of the vascular resident for the written board examination. The vascular resident is expected to complete a review of the literature and be prepared to discuss controversial aspects of the topic. Every other week, the second half hour of conference is dedicated to discussion of interesting clinical cases that are presented by the vascular residents and often by vascular surgeons in the community. On alternate weeks, the vascular residents discuss any recent morbidity and mortality which has occurred on their service. On the third Thursday of every month, the Journal of Vascular Surgery is discussed over dinner with the faculty with each resident evaluating the merits of the publication. Once a quarter, a basic science conference is held, some of which involve discussion of selected papers and some of which involve a presentation by an invited speaker.

Baptist Memorial Hospital

On the Baptist rotation, a first and second year vascular resident manages the vascular services of Drs. Garrett, Dias Perera, Wolf, Craig, and Gooch. They are assisted by a team of nurse-practitioners and physician assistants at all times. Significant experience in endovascular repair of thoracic and abdominal aortic aneurysm and open surgical repair of infra-renal and thoraco-abdominal aortic aneurysm as well as management of thoracic outlet syndrome, and mesenteric revascularizations are obtained on this rotation. Extensive experience is also gained in carotid surgery, lower extremity bypass surgery and endovascular intervention, both open and endovascular. The vascular surgery program is also participating in endovascular ultrasound therapy for calcified lesions. of several ongoing clinical trials that include carotid stenting and investigational device trials for abdominal and thoracic endografts. Two hybrid operating room suites are available. Outpatient preoperative evaluation and postoperative management is performed through Dr. Garrett's clinic on Tuesday and Dr. Dias Perera's clinic on Thursday.

Veterans Affairs Medical Center

On the Medical Center rotation, a second year vascular resident is primarily assigned to the service of Drs. Ostrow and McGarrin. The VA Hospital provides an excellent experience in both open and endovascular aortic intervention, lower extremity bypass surgery, management of infected grafts as well as endovascular interventions including carotid stents. The outpatient preoperative evaluation and postoperative care is administered through a vascular clinic every Tuesday morning. Finally, the vascular resident supervises the VA Vascular Lab, averaging more than 200 diagnostic procedures a month. The vascular resident interprets these studies under the supervision of the vascular faculty and participates in the evaluation of difficult cases in the lab whenever possible. Residents are eligible to take the registered vascular technology examination upon completion of their fellowship.

Methodist University Hospital

A 1st year resident supervises the vascular service of Dr. Rohrer at Methodist University Hospital with the assistance of two junior general surgery residents. In addition, vascular consultation is provided to the Regional Medical Center and Elvis Presley Regional Trauma Center for endovascular and difficult open vascular trauma cases. An excellent experience in both open and endovascular infra-inguinal intervention, dialysis access procedures and vascular trauma is provided. In addition, endovascular training includes dedicated operating time in a fully-equipped hybrid operating room under the supervision of vascular staff. Vascular surgery consultation at LeBonheur Children's Hospital is also provided on this rotation.

Academic Activity

All vascular residents attend the UCLA vascular resident symposium and at least one regional or national vascular surgical meeting per year. Each resident also has two weeks of vacation per year. Cross coverage allows for one weekend of call every three weeks. A broad clinical experience has allowed most residents to complete their required case volume within six months and finish in the top 75% of case volume for vascular surgery residents. Historically, 100% of residents have successfully completed the vascular surgery boards.