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Department of Surgery

Department of Surgery

Integrated vascular surgery residency

Overview of the Educational Program

The integrated residency in vascular surgery includes 24 months of core surgery training and 36 months of training specific to vascular surgery.

The requisite core surgery rotations are scheduled through the first four years of training (PGY-1: 7 months; PGY-2: 8 months; PGY-3: 3 months; PGY-4: 6 months). This fosters residents’ ability to gain a more sophisticated understanding and greater skill level with many areas of general surgery and related disciplines. There will be some flexibility in scheduling to accommodate the needs of other departments and residency programs.

Curriculum and training sites

Residents will have 36 months of training at UC Davis Medical Center and 24 months of the training at the affiliated VA and DGMC sites.

Core surgery rotations

Site

Service

PGY Level

Duration (mo)

UC Davis Medical Center

Trauma and Emergency Surgery Service

1
2
4

1
1
1

Burn Surgery

1

1

Plastic Surgery

1

1

Pediatric Surgery

4

1

Surgical Oncology

2

1

Gastrointestinal Surgery

2
4

1
2

Transplantation Surgery

2
4

1
2

Thoracic Surgery

2

1

Orthopaedic Surgery

2

1

Neurological Surgery

1

1

Anesthesiology

2

1

Sacramento VA Medical Center

General Surgery

1
2
3

1
1
1

David Grant Medical Center

General Surgery

1
3

2
2

Vascular Surgery Curriculum and Training Sites

The 36 months of vascular surgery training include experiences at all integrated sites.

Basic concepts and skills of vascular practice are introduced early in the residents' experience. The first year of training includes experience with angiography and vascular ultrasound. By the third year of training, residents will be able interpret and report on vascular imaging studies and will demonstrate competence in diagnostic arteriography and common endovascular interventions. By the senior level of training, residents will be able to combine their imaging, open surgery, and endovascular skills in the complex and hybrid procedures. The fifth year of the resident experience is served as Chief Resident on a vascular surgery team at the integrated sites.

Vascular surgery rotations include experiences in allied disciplines, such as radiology, though the primary imaging and endovascular training is provided by the vascular surgery faculty, all of whom have specific training and demonstrated expertise in these areas. Rotations on interventional radiology provide additional experience with techniques such as therapeutic embolization, sclerosis of vascular malformations, and management of central venous occlusive disease.

Vascular surgery rotations

Site

Service

PGY Level

Duration (mo)

UC Davis Medical Center

Vascular Surgery

1
3
5

3
6
6

Cardiac Surgery

4

2

Interventional Cardiology

4

2

Sacramento VA Medical Center

Vascular Surgery

4
5

2
3

David Grant Medical Center

Imaging/Interventional Radiology

2

1

Hyperbaric Medicine/Wound Care

2

1

Vascular Surgery

1
2
3
5

2
2
3
3

Variations in Schedules

Based on individual resident’s interests and educational goal, up to three months of time in the PGY-2 –PGY-4 years may be spent on research or approved elective rotations. Periods of time to be allocated for research or elective training experiences during any academic year must be defined prior to the start of that academic year and approved in writing by the program director. Criteria to be considered include the anticipated educational benefit of the elective, the resident’s operative experience and academic performance to date, and the anticipated impact of the substitution of this experience (i.e. the effect of missing some other curriculum experience). Any elective must have defined goals, educational objectives, and documentation of resident performance.

Maintaining some flexibility in the curriculum not only accommodates residents’ individual preferences, it allows the program director flexibility in arranging alternative resident rotations if there are unanticipated factors that might adversely affect the resident’s educations experience. For example, if there is a change in the staffing level or clinical volume on a specific rotation (absence of key faculty), an experience with greater anticipated benefit can be scheduled. If the resident had already gained satisfactory experience and competency in a specific area, an alternative educational experience could be arranged.

Leave Policy

All UC Davis Health System residents have 24 days of vacation per academic years. Vacation time must be taken in this one year period and cannot be carried over. Vacation time will be included in each resident’s annual schedule. Over the course of the residency, time used for vacation will be proportionately split between core (approximately 40%) and vascular surgery (approximately 60%) rotations. Vacation may not be taken during the months of June and July. If needed to support programmatic and educational priorities, the program director may further specify when vacation time may be taken.

Sick leave accrues at the rate of 12 days per year, and it can be carried over through the completion of the residency. Significant absences from the program may occur for health concerns, family leave, or other legitimate reason, but may require extension of the duration of training to make up for lost time on clinical services.

Competencies

The six General Competency Areas developed by the ACGME have been incorporated into the overall curriculum of the UC Davis integrated vascular surgery residency. The competencies are also part of the resident evaluations.

There are goals and objectives for each assignment (rotation specific) and for each level (year) in the program. At mid and senior levels of training, all goals and objectives defined for prior years are expected competencies, to be further refined and upon which more advanced activities are based.

Curriculum

Core Surgery Rotations at UC Davis Medical Center

Core Surgery Rotations at VA Northern California Health Care System (VANCHCS) 

Core Surgery Rotations at David Grant USAF Medical Center

Vascular Surgery Rotations at UC Davis Medical Center

Vascular Surgery Rotations at David Grant USAF Medical Center

Vascular Surgery Rotations at the Sacramento VA Medical Center