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Curriculum

In SurgeryDidactic Sessions

Residents are excused from clinical responsibilities on Thursday mornings for didactic sessions which include lectures to cover areas of basic and clinical science of vascular surgery, and is presented by residents with faculty moderators.  In addition to didactic conference, there are weekly Grand Rounds, monthly Morbidity & Mortality conference, mock oral examinations, and Journal Club which reviews seminal publications in the surgical literature. 

The surgical skills lab teaches residents suturing to knot tying and other basic skills at the beginning of the first year, and extends in complexity of skills taught to residents in all years of the training program.  As residents gain more experience, sessions involve more complex case-based skills. 

Clinical Rotations

Vascular surgical residents gain expertise in the preoperative, operative, and postoperative care of patients with general surgical diseases under the guidance of expert faculty.

Surgical internship consist of 4 week rotations geared towards acquiring broad basic skills in the general surgical specialties including vascular, trauma, plastic, pediatric, surgical oncology, and intensive care.  Following internship, residents are integrated at the PGY-2 level into progressively independent leadership responsibilities, commensurate with increasing levels of clinical experience.  This includes 4-8 week rotations in vascular medicine, ultrasound, trauma, intensive care, and research block and culminates with 6 months spent at Highland Hospital (HH), an urban community experience.

The PGY-3 year offers 4-8 week rotations including cardiac surgery, vascular, transplant, surgical oncology, burn trauma intensive care, and culminates with 6 months spent in a rural community setting in the Finger Lakes (F.F. Thompson and Geneva General Hospital).  The PGY-4 year allow residents to focus on major areas of vascular surgery by spending the first 6 months at F.F. Thompson, Geneva General Hospital and the last 6 months at Highland Hospital.  The varied training environments enable our residents to work with faculty in an apprenticeship training model of comprehensive vascular care, allowing them to care for diverse communities of patients. This mixed training model provides a truly rewarding experience. 

PGY-5 year is devoted to operating independently and maturation of clinical decision making, as well as developing leadership skills by leading teams of surgical residents.  The Chief resident is responsible for running her/his own service at Strong Memorial Hospital (SMH).

Rotation Schedule

Year 1

  • SMH VS
  • Cath lab
  • Trauma
  • Float A
  • Pediatric Surgery
  • Burn
  • HH Gen Surgery
  • Thoracic

Year 2

  • SICU
  • Transplant
  • Ultrasound
  • Trauma
  • Research
  • HH Vascular Surgery
  • Finger Lakes VS

Year 3

  • Finger Lakes VS
  • HH Vascular Surgery
  • Cath Lab
  • Transplant
  • Thoracic
  • BTCU
  • Cardiac

Year 4

  • HH Vascular Surgery
  • Finger Lakes VS

Year 5

  • SMH Vascular Surgery

Resident Operative Experience

Case Type 2018 2017 2016 2015
Abdominal(30) 47 75 42 90
Cerebrovascular(25) 78 75 49 81
Peripheral(45) 102 114 76 132
Complex(10) 92 72 31 89
Endo Dx(100) 597 344 242 528
Endo Tx(80) 307 198 148 240
Endo Ao(20) 101 74 55 130

Defined Category Program Averages--Operative Cases 2015-2018 - required numbers are in ()

Unique Curriculum Elements 

There are several aspects of the Rochester Vascular training experience which make this a unique and truly exceptional environment. Dedicated catheterization lab rotations in PGY-1 begin the diagnostic foundation and mastery of catheter-based skills. Vascular imaging rotation in PGY-2 culminates in RPVI certification for trainees, creating an environment wherein the vascular resident has been trained to interpret all vascular anatomies before taking senior resident on-call responsibilities. Six months of in-line research rotations allow exploration of outcomes, engineering and translational science research, rounding out an academic surgeon portfolio. The Division faculty and staff are leaders in the point-of-care integration of VQI data, and the development of decision support and informatics necessary to be a contemporary vascular surgeon. The varied clinical sites (academic medical center, rural community and urban community) with a dedicated full-time faculty create a true comprehensive curriculum centered on education, not service.

Vascular Leadership Seminar

Contemporary practice is a complex, multi-disciplinary environment. To date, training programs have centered on the biological and social management of disease processes, often leaving graduating trainees ill-equipped to become thought leaders within complex organizational structures. In addition to resident-led process improvement committees, and institutional initiatives such as CLER, the Division has developed a series of seminars to introduce healthcare system management topics. These include a primer on healthcare finance, budget and accounting literacy, how to lead a team, addressing dysfunctional team dynamics, how to run a hypothesis-driven research project, and how to chair hospital meetings. The goal of our training program is to train surgeon-leaders, who will be local, regional and national experts.

Instructor of Surgery

After completion of the AGME accredited training program, our graduates are given the option of staying on as a faculty member for a one year period. During this time, they will hold the appointment of Instructor in the Department of Surgery, with autonomous outpatient and operative clinical responsibilities. This year will also feature ample time for research or additional training and education. This unique opportunity allows the University of Rochester graduates the chance to explore academia or gain additional clinical experience, while maintaining the focused nature of the integrated vascular residency.