Peripheral Vascular Surgery
The terminal objective of the program is to produce an end product who is a competent and academically sound vascular surgeon. S/he should be able to handle independently and safely routine surgical work. S/he must possess enough experience and confidence to develop and mature with time into a competent clinician & academic surgeon in the field of Peripheral Vascular Surgery. This would be achieved by developing a broad and in depth knowledge base, skills commensurate with the future responsibility, with the attitude and attributes of a compassionate and caring surgeon.
The fellow selected shall be expected to be current in the context of his/her patient problems, literature and topics which include common general surgical problems including trauma, however the focus of this fellowship would be on Peripheral Vascular Surgery. S/he must be current and well versed with principles of Peripheral Vascular surgery. S/he would acquire knowledge and expertise in critical care management. S/he will be expected to be able to demonstrate his/her knowledge particularly in decisions related to indications for surgery and patient management. His/her knowledge should be apparent during discussions, presentations, grand rounds and other academic activities.
(1) In the first year on prospective study of his interest as a part of Fellowship training preferably in the field of Peripheral Vascular surgery.
(2) To attend epidemiology and surveillance workshop or research grant writing workshop.
(3) To become familiar with surgical audit and work as an active member of CQI committees/meetings.
(4) S/he will be expected to make at least two presentations at National/ International meetings. All help and Assistance will be provided by faculty.
(5) S/he would be expected to make at least 1 – 2 publications in 2 years
Attitude and behaviour
The selected fellow is expected to demonstrate professional honesty,
dignity, confidentiality, discipline and prudence. S/he should be at all times an ethical, caring surgeon who knows his/her limitations and seeks consultation or refers whenever patient’s welfare and circumstances dictate. S/he is expected to lead by example and inculcate in him/her/self and his/her team members the virtues of collegiality, the need to communicate and consult in the best interest of the patient. To appreciate, understand and facilitate the need for multidisciplinary care. S/he will be team Leader and a role model for junior colleagues.
Content & Organization
The program is structured to give increasing levels of knowledge, clinical skills, responsibility and independence appropriate for their educational level.
Fellow will be mostly rotating through peripheral vascular, cardiothoracic surgery and radiology.
Electives will be arranged in vascular units with emphasis on endovascular surgery.
The weekly schedule will be as follows.
• Two out-patient clinics.
• Two whole-day operative sessions.
• Two days dedicated to academic activities which would include:
• Core curriculum
• Journal club
• Indication/ vascular meeting (combined with radiology)
• Audit. / Mortality and morbidity meetings.
• One half day of protected time will be given to the fellows for self learning.
The clinical responsibilities will include;
• Patient assessment in the clinics
• Pre operative management and preparation for surgery
• Post operative management of the patient, treating potential complications of disease processes and operative procedures.
• Providing a plan for patient follow-up.
• Vascular consults generated in hospital.
• On call for vascular surgery as per schedule.
Surgical skills will be acquired by assisting in the operating room with gradual independence.
This will be for a period of six weeks in a year.
The objective will be to acquire knowledge of indications, techniques and interpretation of various procedures relating to vascular diagnosis and therapy.
During this period the fellow will continue to attend all academic activities and take call.
• S/he will co-ordinate academic meetings including the Core Curriculum, the Morbidity & Mortality conference, journal club and vascular surgery case presentation conference.
• S/he will take one sessions/week with junior doctors.
• S/he will take call from the on call doctor for decisions regarding all vascular surgical emergencies.
• S/he will be available to junior doctors and para medical staff for help and advice in their day to day problems and supervision of any ward procedures or activities
• S/he will help the fellowship committee in organizing the skills workshops/CME.
In second year the fellow is expected to take on more responsibilities.
The fellow will be the primary surgeon or assistant in all major vascular procedures and will be able to carry out most other procedures independently.
S/he would be expected to do one independent clinic in the CHC and one clinic at the AKHSP city clinics every week. S/he would admit patients under the consultants with mutual arrangements in the rotating units. In every unit s/he would be available and is expected to supervise the Chief Resident whenever s/he needs his/her help in the management of the patients on the team.
• S/he would embark on a prospective study related to Peripheral Vascular surgery in the area of his/her interest at the start of fellowship in close supervision of faculty
• One presentation/year (mandatory) at international/national meetings.
• * 1 - 2 publication in index journal during the two years
• It will be arranged especially for exposure in endovascular surgery.
Duration of training:
This is a 2-year training program.
• MBBS or equivalent degree approved by the PMDC
• One year of house job or internship.
• Should have completed 4 years of Residency Training in General Surgery or equivalent
• FCPS Part 1
• FCPS Part 2 (preferred) or should be eligible for FCPS Part 2 qualifying examination
Peripheral Vascular Surgery
Dr. Ziad Sophie
Diplomate American Board of Surgery
Dr Hasanat Sharif
Dr Saulat Fatami
Diplomate American Board of Surgery & Cardio Thoracic Surgery
Dr.Tanveer ul Haq