Clinical Didactic Experience
In addition to the clinical rotations, there is an extensive clinical didactic experience with multiple conferences, a core lecture series, and formal syllabi. The purpose of the core lecture series is to provide a knowledge base about vascular disease including pathophysiology, clinical manifestations, diagnostic testing, and treatment options and to provide an early exposure to vascular related research at BUSM. These concepts are reinforced during sub-specialty conferences that are journal club and/or case-based, and require active participation of the trainee.
Multidisciplinary Vascular Conference:
There is a longstanding multidisciplinary vascular conference with case presentations to discuss the management of patients seen by one of the vascular related services. The purpose of the conference is to reinforce the manifestation and management of common disorders requiring either inpatient or outpatient sub-specialty care. The multidisciplinary nature, including vascular medicine, vascular surgery, and interventional radiology, provides an exposure to differing perspectives on management that is an invaluable experience for the trainee. The conference provides the opportunity for clinicopathologic and imaging correlations. The conference is scheduled on a weekly basis with trainees presenting cases and facilitating discussion with the faculty of the various specialties.
Vascular Medicine Grand Rounds:
Vascular medicine topics are presented as part of the Cardiovascular Medicine Grand Rounds series. This conference allows trainees to be exposed to a detailed review of the pathophysiology and management of various vascular disorders and their risk factors by nationally recognized academic specialists. A topic relevant to vascular medicine occurs approximately once a month.
Endovascular Case Conference:
An endovascular case conference provides a dedicated forum for discussion of endovascular cases performed by inteventionalists from various specialties. The purpose of the conference is to review the indications for intervention and discuss the technical aspects of the procedure including access and catheter issues. Potential and observed complications are analyzed. The multi-disciplinary approach fosters cooperation and peer review, and provides a broader exposure to angiography and intervention techniques for trainees. This conference is held on a monthly basis.
Non-invasive Imaging Conference:
There is a conference on vascular laboratory techniques and interpretation. The purpose of the conference is to discuss topics involved in performing and/or interpreting the various non-invasive testing modalities. A topic is selected for each of the major modalities performed within the laboratory. This allows faculty, technical staff and trainees to discuss topics relevant to conducting and interpreting examinations with a focus on potential needs to modify protocols or diagnostic criteria. The presentations are “journal club” based but include a discussion of the pathophysiology of the disorders, the technical aspects of performing the examination, and the current diagnostic criteria. Trainees are expected to prepare several conferences annually. The conference is held on a monthly basis.
Quality Assurance & Journal Clubs:
Quality assurance or “morbidity and mortality” topics are presented at the various clinical conferences including the multidisciplinary vascular conference and the endovascular conference. The opportunity to critically review recent scientific or clinical manuscripts in a journal club is available. Trainees present articles for review at a vascular journal club that is held on a monthly basis.
Core Lecture Series:
A core lecture series is designed to provide formal lectures on major topics in vascular medicine and provide exposure to vascular related research at BUSM to integrate the clinical and research activities. Topics covered include peripheral arterial disease, upper extremity arterial disorders, carotid artery disease, venous thromboembolic disease, chronic venous disease, aneurysmal disorders, renal arterial disease and hypertension, perioperative evaluation and management, and large vessel vasculitis. These lectures are conducted in conjunction with the core lecture series in cardiovascular medicine to promote exposure of cardiovascular fellows to vascular medicine topics. Additional lectures on vascular research occur during a research conference that is part of the cardiovascular fellow curriculum.
Vascular Medicine Syllabus:
A syllabus is provided to trainees to ensure that a source of information is readily available on the topics most commonly encountered. There is a syllabus on general vascular medicine topics, the non-invasive vascular laboratory, and the invasive vascular laboratory. Each syllabus includes recent review articles, and selected original articles viewed as essential in the field or provide additional insight into a topic. The vascular medicine syllabus contains information about peripheral arterial disease (intermittent claudication, critical limb ischemia, and acute limb ischemia), cerebrovascular disease, renal arterial disease, aneurysmal disease, disease of the aorta and its branches, vasospastic disease, venous disease (acute and chronic), and perioperative management. The vascular laboratory syllabus contains information about our lab protocols and interpretive criteria, principles of vascular physics and ultrasound, carotid duplex, acute and chronic venous testing, arterial and graft duplex, physiologic arterial testing, renal and mesenteric duplex, and transcranial doppler.