Both the two (2) year fellowship and 0-5 year training experiences offer an outstanding opportunity for graduating general surgery residents and medical students to learn the art of vascular and endovascular surgery. Our training program offers an environment of academic and research excellence providing our residents the opportunity to participate in a wide variety of routine and complex vascular cases allowing for a complete understanding of vascular disease. Under the instruction of our enthusiastic and committed faculty, our vascular trainees will ultimately display competent surgical judgment and operative skills that will prepare them for independent practice in vascular surgery.
The Vascular & Endovascular Surgery Department is comprised of an elite group of faculty members including six full-time vascular surgeons, three endovascular interventional specialists (two interventional cardiologists and one vascular medicine specialist with intervention focus), and one preventative medicine specialist, all of whom are dedicated to the education and success of our young surgeons.
The WVU Division of Vascular and Endovascular Surgery practice is located at the newly designed and constructed Vascular Center of Excellence at Charleston Area Medical Center, Memorial Division. The practice itself, however, has been a tertiary vascular center in the community and state of West Virginia for many years. It is widely heralded as a prominent institution committed to the needs of vascular patients, offering the best care for every patient we treat.
Vascular Surgery Rotation Schedules
Fellows will rotate in three month blocks on either the open vascular or endovascular intervention services. One month out of each year will be dedicated to working in our accredited vascular laboratory. The first few months will be devoted to mastering the basics of endovascular techniques. Following successful completion of this rotations’ competency based goals and objectives, the fellow will advance to a combined endovascular and open services.
Residents in the 0-5 integrated program will primarily spend the first two years with the general surgery department in monthly rotations that will supplement the vascular trainees' experience and provide the necessary foundations of surgery. These rotations include cardiothoracic surgery, radiology, neurology, plastics, and cardiology just to name a few.
Open Vascular Surgery
Six full-time board certified vascular surgeons staff the open vascular rotation which is split into two services. Trainees will spend divided time with all surgeons on both rotations. The open vascular rotation experiences an extremely high volume annually:
- 200 CEA
- 24 supraortic trunk (extra-anatomic or intrathoracic repair)
- 60 Complex Aortic Interventions (including suprarenal and thoracoabdominal aortic aneurysm)
- 200 Infrainguinal Reconstructions
- 10 Visceral Reconstructions
- 250 Vascular Access Operations
- Venous Ablation (Radiofrequency or Laser)
- Complex Vascular Trauma
Over 2500 cases are performed by the vascular faculty annually. Trainees will spend their time in three dedicated endocvascular suites housed in our notorious Circulatory Dynanmics Laboratory (CDL). This roation will also afford trainees the opportunity to participate in a wide variety and high volume of cases annually:
- 50 Carotid Stents
- 200 Renal/Visceral Stenting
- 100 EVAR
- 15 TEVAR
- Over 500 Peripheral Interventions
- 50 Complex Venous Interventions
- 20 Branched Fenestrated Grafts
- Cerebral Imaging
- Tumor Embolization
- GI Bleeding
- Comprehensive Dialysis Interventions
Our residents and fellows will spend time in our Vascular Lab under the instruction of the Program Director, Ali F. AbuRahma, MD. Here they will gain exposure to various noninvasive vascular techniques including duplex ultrasound, physiological testing, segmental Doppler pressure with ankle/brachial indices, pulse volume tracings, and various plethysmography techniques. Our vascular lab is an ICAVL accredited lab, employs 14 vascular lab technicians (RVT), and has a volume of more than 2,000 studies per month, making it the busiest lab in the Mid-Atlantic region. In addition to technical instruction, trainees will receive instruction in vascular image interpretation from our RPVI certified vascular surgeons. Prior to completion of their final year, fellows are expected to successfully complete the RPVI and RVT credentialing.
Outpatient Vascular Clinic
In keeping with the program’s commitment to excellent patient care and medical knowledge, as well as the continuity of care, vascular fellows and residents will spend at least one half day per week in the outpatient setting. Here they will attain knowledge of preoperative planning and postoperative assessment. The Vascular Center of Excellence has more than 8,000 outpatient visits per year and over 2,000 new referrals annually, giving trainees ample opportunity to experience patient care in the outpatient setting.
Weekly Didactic Conference
The weekly vascular conference series is the cornerstone of the formal education aspects of the program. The conference is composed of the topics outlined in the APDVS approved training curriculum. The majority of these topics are presented by the vascular facutly; fellows and residents will be required to present topics as well.
Journal Club occurs montly and consits of journal articles selected by the faculty. Each trainee will be assigned one article and will present the purpose and methods of the study. A review of the results will follow, along with a discussion on the study, critique of its methods, and results.
Morbidity and Mortality
This meeting is held bi-weekly following the didactic conference. Trainees are assigned to present case synopses for which they were involved in patient care. Cases are presented to surgical residents, fellows, and attending staff.
The vascular fellowship program is highly dedicated to academic research and provides its fellows with ample opportunity to develop a similar dedication to research. The vascular faculty has produced 500 peer-reviewed publications and we require vascular fellows to participate in at least two research projects for publication during the fellowship. Residents are required to participate in at least three.
The vascular faculty also continuoulsy conduct multiple industry supported prospective and retrospective research trials as well as investigator initiated trials.
Additional Training Opportunities
In addition to the didactic lecture circuit, each fellow will be offered multiple opportunities to attend outside conferences and training sessions. Most are industry sponsored and include training on IVC filters, AV access techniques, and endovascular stent graft courses. Also, the senior fellow will be able to attend the Wesley Moore review course held each year in California.
|Charleston Area Medical Center is an 900 bed hospital system located
in Charleston, West Virginia. CAMC maintains the only Level I Trauma Center in
southern West Virginia, a Level I Pediatric ICU, a Level III Neonatal ICU,
and is the 11th highest volume heart center in the United States. Our
vascular trainees spend the majority of their time in the Robert C. Byrd
Heart and Vascular Center, a modern $100 million facility.