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Vascular Surgery Fellowship

Welcome Statement
The Vascular Surgery Fellowship at Staten Island University Hospital is a 2 year ACGME-approved clinical program. Established in 2001, the fellowship provides a comprehensive exposure to patients with diseases of the arterial, venous, and lymphatic systems. A two-year comprehensive program in Vascular and Endovascular Surgery is offered to those who have completed an ACGME approved General Surgery residency.

Faculty

Jonathan Deitch, MD FACS

Jonathan Schor, MD

The faculty at SIUH is fully trained, board certified, and are well recognized in the field of vascular surgery. Each fellow will work closely with faculty members who will review the fellow's progress and assist in meeting the fellow's career goals. The program director also meets with the fellows four times during the academic year to assess the fellow's academic progression.

Clinical

The vascular surgery fellowship at SIUH offers hands on experience in a wide variety of endovascular and open procedures. Commonly performed endovascular procedure include carotid artery stenting, venous and arterial thrombolysis, EVAR, TEVAR, lower extremity revascularization using the latest technology including cryoplasty, cutting balloons and atherectomy devices. You will also have the opportunity to perform a large number of open procedures such as AAA repair, thracoabdominal aneurysm repair, 1st rib resection, and complex lower extremity arterial reconstructions.

The fellows are expected to manage the vascular service with the help of the vascular team. Two general surgery interns, A PGY-4 resident, two PA's and rotating medical students make up the comprehensive vascular surgery team.

The First Year
The first year fellow will spend time in the non-invasive vascular laboratory performing and interpreting artrial/venous duplex, transcranial Doppler, ABI/PVR exams. The vascular fellow is expected to sit for the ARDMS Registered Physician Vascular Interpretation (RPVI) Exam at the end of their first year. Outpatient office hours are held once a week with an assigned physician. Once a month the fellow is expected to head the hospital vascular clinical and provide complete work-up and treatment for the patients. The first year is spent primarily performing endovascular procedures and the time is divided between interventional radiology and with the vascular surgery staff. The fellow is responsible for student and resident teaching and supervision. Daily and weekend calls are done from home. Both fellows are expected to share the call responsibility.

The Second year
The second year is spent primarily with the vascular surgery staff. The fellow is expected to head the collaborative preoperative surgical planning and the decision making process. You will perform advanced endovascular and open procedures. An integral part of the second year is learning the pre-and post-operative care of patients with vascular disease. The fellows will gain exposure to outpatient procedures such as ultrasound guided endovenous ablation and sclerotherapy.
The fellow is expected to attend the chairman's weekly outpatient clinic and is responsible for organizing the weekly didactic conference and the monthly journal club.

Didactic Teaching
The vascular surgery conferences will be held once a week and presentations will be given by either a fellow or a general surgery resident rotating on the service. The conference topics are chosen based on the recommendations of the Association for Program Directors in Vascular Surgery. The conference will be followed by case presentations and group discussion.
An endovascular multidisciplinary case conference is held once a month and is attended by the vascular surgeons, interventional radiologist and interventional cardiologist. Journal club will be held at the end of each month, the Fellows are responsible for choosing the journal articles and the discussion.
Visiting Professors: Twice yearly the fellows will get exposure to a renowned visiting professor who is a leader in the field of vascular surgery. You will have the opportunity to interact, ask questions and discuss careers in the field of vascular surgery.
Conference: Each fellow will attend at least one major academic meeting per year and will have the opportunity to attend additional meetings if he/she is presenting a paper or research project.

Research
The expectation is that each fellow will embark on at least one major research project which will lead to presentation at a national/regional meeting and a publication in a peer review journal. Numerous opportunities exist for additional projects and case reports in conjunction with the faculty.
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