New Application: Vascular Surgery

New Application: Vascular Surgery

Review Committee for Surgery

ACGME

Program Formats

Which of the following formats will be offered by the program? Check all that apply.[PR Int.C.1., Int.C.2.]

Independent vascular surgery program that follows completion of an accredited general surgery residency program (24 months) / ☐ /
Integrated vascular surgery program (60 months) / ☐ /

Participating Sites

1.Provide the following information for each participating site [indicateyes (Y) or no (N)] [PR I.B.3.a)-d), PR IV.A.3.a).(3)]

Vascular SurgeryUpdated 06/2017

Site #1 / Site #2 / Site #3 / Site #4 / Site #5
Program director appoints members of the teaching faculty to the program / ☐ Y ☐ N / ☐ Y ☐ N / ☐ Y ☐ N / ☐ Y ☐ N / ☐ Y ☐ N
Program director appoints the local site director at integrated sites / ☐ Y ☐ N / ☐ Y ☐ N / ☐ Y ☐ N / ☐ Y ☐ N / ☐ Y ☐ N
Program director appoints all residents in the program / ☐ Y ☐ N / ☐ Y ☐ N / ☐ Y ☐ N / ☐ Y ☐ N / ☐ Y ☐ N
Program director determines all rotations and assignments for all residents and members of the teaching faculty / ☐ Y ☐ N / ☐ Y ☐ N / ☐ Y ☐ N / ☐ Y ☐ N / ☐ Y ☐ N
Regular organized teaching conferences are conducted on site / ☐ Y ☐ N / ☐ Y ☐ N / ☐ Y ☐ N / ☐ Y ☐ N / ☐ Y ☐ N

Vascular SurgeryUpdated 06/2017

2.Complete the table below for all integrated sitesgeographically so remotefrom the Sponsoring Institution that joint conferences cannot be held. [PR I.B.4.-I.B.4.a)]

Vascular SurgeryUpdated 06/2017

Site #1 / Site #2 / Site #3 / Site #4 / Site #5
Will an equivalent program of lectures and conferences be provided? / ☐ Y ☐ N / ☐ Y ☐ N / ☐ Y ☐ N / ☐ Y ☐ N / ☐ Y ☐ N
Will the residents commute to and from this site? / ☐ Y ☐ N / ☐ Y ☐ N / ☐ Y ☐ N / ☐ Y ☐ N / ☐ Y ☐ N
If residents willcommute, will they take overnight call? / ☐ Y ☐ N / ☐ Y ☐ N / ☐ Y ☐ N / ☐ Y ☐ N / ☐ Y ☐ N
If residents will not commute, describe living facilities. / Click here to enter text. /

Vascular SurgeryUpdated 06/2017

If there is an integrated site with no teaching conferences, and/or no morbidity and mortality reviews, explain in the box below how residents participate in conferences and educational activities when assigned to that site (i.e., via teleconference, return to primary clinical site, etc.).

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Program Personnel and Resources

Program Director

Will the program director devote at least 50 percent of his or her time to program management and administration, as well as to teaching, research, and clinical care in the Sponsoring Institution and integrated sites? [PR II.A.4.r)] ☐ YES ☐ NO

Provide the following information about the program director:

a)Is the program director certified in vascular surgery by the American Board of Surgery (ABS)? [PR II.A.3.b)] ☐ YES ☐ NO

b)Is the program director’s term of appointment at least the length of the program plusone year?
[PR II.A.2.a)]...... ☐ YES ☐ NO

Will the program director provide residents with institutional policies and procedures regarding academic discipline, resident complaints, and resident grievances? [PR II.A.4.h)] ☐ YES ☐ NO

Describe how the program director will implement a program-specific policy for resident clinical experience and education hours in the learning and working environment, including regarding moonlighting, andhow he/she will make residents and faculty members aware of the policy and related procedures.[PR II.A.4.j).(1)]

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Will the program director prepare and implement a supervision policy that specifies lines of responsibility for general surgery residents and vascular surgery residents when both are assigned to the same service? [PR II.A.4.q)] ☐ YES ☐ NO

a)Describe how the vascular surgery and general surgery program directors will coordinate activities for the integrated program?

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b)Describe the planned relationship between vascular surgery and general surgery residents on the vascular services, and specifically how the lines of responsibility are defined and what the expected impact is of the vascular surgery resident on the educational experience of the general surgery resident and vice versa.

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Faculty

In addition to the program director, will there be, for each approved residency position, at least one full-time faculty member whose major function is teaching and supervising residents in the program? [PRII.B.6.] ☐ YES ☐ NO

Will the terms of appointment for faculty members be at least three years? [PR. II.B.7.a)]
☐ YES ☐ NO

Other Program Personnel

1.Is the program provided with sufficient professional, technical, and clerical personnel to support the administration and educational conduct of the program? [PR II.C.] ☐ YES ☐ NO

2.Describe program coordinator support for the program.

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Resources

Will the program provide the capability to perform both open and endovascular procedures of sufficient breadth and volume to support the education of residents? [PR II.D.1.] ☐ YES ☐ NO

Explain if“NO.”

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a)[#]

Will the facilities that provide residents with experience in interpretation of non-invasive vascular laboratory testing be accredited by a recognized organization that would allow residency or fellowship graduates to fulfill the requirements of eligibility for specialty board certification?
[PR II.D.2.]...... ☐ YES ☐ NO

a)Will the laboratory have current accreditation in extracranial cerebrovascular, peripheral arterial, and peripheral venous testing? [PR II.D.2.a)] ☐ YES ☐ NO

b)Will the laboratory have substantial experience in abdominal and visceral vascular imaging?
[PR II.D.2.a)]...... ☐ YES ☐ NO

Explain if “NO.”

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In the absence of accreditation of all testing modules (i.e., venous, arterial, cerebrovascular, visceral), briefly describe how substantial resident/fellow experience in each testing modality will be demonstrated, and full accreditation in all modules achieved within two years from the time of the most recent annual program update. [PR II.D.3.]

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Resident/Fellow Appointments

Will each resident/fellow will be notified in writing of the required length of the program prior to appointment?[PRIII.A.2.g)] ☐ YES ☐ NO

Educational Program

Program Goals and Objectives

Willthe program director prepare written competency-based goals and objectives for each assignment at each educational level? [PR IV.A.2.] ☐ YES ☐ NO

Will the program director distribute, and make readily available, the goals and objectives to the residents/fellows? [PR IV.A.2.] ☐ YES☐ NO

Willthe program director distribute, or make readily available, the goals and objectives to the members of the teaching faculty? [PR IV.A.2.] ☐ YES ☐ NO

Regularly Scheduled Didactic Sessions

1.Will there be at least biweekly review of all complications and deaths on the vascular service at all participating sites? [PR IV.A.3.a).(1)] ☐ YES ☐ NO

Explain if “NO.”

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List regular, basic science, clinical science, morbidity and mortality, journal club, or other conferences that are a part of the vascular surgery program at the SponsoringInstitution or at integrated and non-integrated sites. If residents will give lectures, identify the PGY level. Add rows as necessary.[PR IV.A.3.a).(2)]

Vascular SurgeryUpdated 06/2017

Regular Conferences
(list topics for a complete academic year)
Individual in charge of the conference: / Individual in charge /
Frequency of conference: / Frequency /
Presenter / Title of Presentation / Site #
Name / Faculty or Resident / PGY
Name / ☐Faculty
☐Resident / # / # / # /
Name / ☐Faculty
☐Resident / # / Title of presentation / # /
Basic Science Conferences
(list basic science topics for a complete academic year)
Individual in charge of the conference: / Individual in charge /
Frequency of basic science conference: / Frequency /
Presenter / Title of Presentation / Site #
Name / Faculty or Resident / PGY
Name / ☐Faculty
☐Resident / # / Title of presentation / # /
Name / ☐Faculty
☐Resident / # / Title of presentation / # /
Clinical Conferences
(list clinical conference topics for a complete academic year)
Individual in charge of the conference: / Individual in charge /
Frequency of clinical conference: / Frequency /
Presenter / Title of Presentation / Site #
Name / Faculty or Resident / PGY
Name / ☐Faculty
☐Resident / # / Title of presentation / # /
Name / ☐Faculty
☐Resident / # / Title of presentation / # /
Morbidity and Mortality Conferences
Name of faculty member in charge: / Individual in charge /
Frequency of conferences: / Frequency /
If the integrated sites are geographically so remote that joint conferences cannot be held, is there a morbidity and mortality conference at the Sponsoring Institution and at each integrated site? / ☐ YES ☐ NO
Journal Club
(list journal club topics for a complete academic year)
Individual in charge of journal club: / Individual in charge /
Frequency of journal club: / Frequency /
Presenter / Title of Presentation / Site #
Name / Faculty or Resident / PGY
Name / ☐Faculty
☐Resident / # / Title of presentation / # /
Name / ☐Faculty
☐Resident / # / Title of presentation / # /
Other (If applicable)
(list topics for a complete academic year)
Who is in charge of the conference: / Individual in charge /
Frequency of conferences: / Frequency /
Presenter / Title of Presentation / Site #
Name / Faculty or Resident / PGY
Name / ☐Faculty
☐Resident / # / Title of presentation / # /
Name / ☐Faculty
☐Resident / # / Title of presentation / # /

Vascular SurgeryUpdated 06/2017

Patient Care and Procedural Skills

Briefly describe how the program will assess residents’ manual dexterity appropriate for their educational level. [PR IV.A.5.a).(1).(a)] (Limit response to 400 words)

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Briefly describe the settings and activities in which residents will develop and execute patient care plans appropriate for their educational level. Also indicate the methods used to assess competency. [PR IV.A.5.a).(1).(b)] (Limit response to 400 words)

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Indicate the settings and activities in which residents will develop the ability to competently perform all medical, diagnostic, and surgical procedures considered essential. Also indicate the method(s) that will be used to assess competency. [PR IV.A.5.a).(2), IV.A.5.a).(2).(d).(i)]

Competency Area / Settings/Activities / Assessment Method(s)
Performing operative procedures in the following defined list of categories:
Abdominal
[PR IV.A.5.a).(2).(a).(i)] / Click here to enter text. / Click here to enter text. /
Cerebrovascular
[PR IV.A.5.a).(2).(a).(ii)] / Click here to enter text. / Click here to enter text. /
Peripheral
[PR IV.A.5.a).(2).(a).(iii)] / Click here to enter text. / Click here to enter text. /
Complex
[PR IV.A.5.a).(2).(a).(iv)] / Click here to enter text. / Click here to enter text. /
Endovascular diagnostic
[PR IV.A.5.a).(2).(a).(v)] / Click here to enter text. / Click here to enter text. /
Endovascular therapeutic
[PR IV.A.5.a).(2).(a).(vi)] / Click here to enter text. / Click here to enter text. /
Endovascular aneurysm repair
[PR IV.A.5.a).(2).(a).(vii)] / Click here to enter text. / Click here to enter text. /
Patient management, including determining an appropriate diagnosis and operative plan, providing pre-operative care, and directing post-operative care
[PR IV.A.5.a).(2).(b)] / Click here to enter text. / Click here to enter text. /
Assessing the vascular portion of angiography, computed tomography (CT) scanning, and magnetic resonance imaging (MRI) and magnetic resonance angiogram (MRA) images
[PR IV.A.5.a).(2).(c)] / Click here to enter text. / Click here to enter text. /
The ability to accurately interpret non-invasivelaboratory studies, to include the range and number of non-invasive studies that would allow residency or fellowship graduates to fulfill the requirements of eligibility for specialty board certification
[PR IV.A.5.a).(2).(d);IV.A.5.a).(2).(d).(i)] / Click here to enter text. / Click here to enter text. /

Medical Knowledge

Indicate the activities (lectures, conferences, journal clubs, clinical teaching rounds, etc.) in which residents will demonstrate knowledge in each of the following areas. Also indicate the method(s) that will be used to assess knowledge. [PR. IV.A.5.b)]

Area of Knowledge / Settings/Activities / Assessment Method(s)
Fundamental sciences, including anatomy, biology, embryology, microbiology, physiology, and pathology as they relate to the pathophysiology, diagnosis, and treatment of vascular lesions
[PR IV.A.5.b).(1)] / Click here to enter text. / Click here to enter text. /
Methods and techniques of angiography, CT scanning, and MRI, MRA, and other vascular imaging modalities
[PR IV.A.5.b).(2)] / Click here to enter text. / Click here to enter text. /

Practice-based Learning and Improvement

Briefly describe one learning activity in which residents demonstrate the ability to investigate and evaluate their care of patients, to appraise and assimilate scientific evidence, and to continuously improve patient care based on constant self-evaluation and life-long learning. [PR IV.A.5.c)] (Limit response to 400 words)

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Briefly describe one planned learning activity in which residents engage to identify strengths, deficiencies, and limits in their knowledge and expertise (self-reflection and self-assessment); set learning and improvement goals; and identify and perform appropriate learning activities to achieve self-identified goals (life-long learning). [PR IV.A.5.c).(1)-(3)] (Limit response to 400 words)

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Briefly describe one planned quality improvement activity or project that will allow residents to demonstrate an ability to analyze, improve, and change practice or patient care. Describe planning, implementation, evaluation, and provisions of faculty member support and supervision that will guide this process. [PR IV.A.5.c).(4)] (Limit response to 400 words)

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Briefly describe how residents will receive and be encouraged to incorporate formative evaluation feedback into daily practice. (The tool used to evaluate these skills must be available for review by the site visitor.) [PR IV.A.5.c).(5)] (Limit response to 400 words)

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Briefly describe one example of a learning activity in which residents engage to develop the skills needed to use information technology to locate, appraise, and assimilate evidence from scientific studies and apply it to their patients' health problems. [PR IV.A.5.c).(6)-(7)] (Limit response to 400 words)

The description should include:

Locating information
Using information technology
Appraising information
Assimilating evidence information (from scientific studies)
Applying information to patient care

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Briefly describe how residents will develop teaching skills necessary to educate patients, families, students, and other health professionals and how that will be assessed by the program. [PR IV.A.5.c).(8)] (Limit response to 400 words)

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Interpersonal and Communication Skills

Briefly describe one learning activity in which residents demonstrate interpersonal and communication skills that result in the effective exchange of information and collaboration with patients, their families, and health professionals. Describe how this will be assessed by the program.[PR IV.A.5.d)] (Limit response to 400 words)

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Briefly describe one learning activity in which residents develop competence in communicating effectively with patients and families across a broad range of socioeconomic and cultural backgrounds, and with physicians, other health professionals, and health-related agencies. Describe how this will be assessed by the program. [PR IV.A.5.d).(1)-(2)] (Limit response to 400 words)

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Briefly describe one learning activity in which residents develop their skills and habits to work effectively as a member or leader of a health care team or other professional group. In the example, identify the members of the team, responsibilities of the team members, and how team members communicate to accomplish responsibilities. [PR IV.A.5.d).(3)] (Limit response to 400 words)

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Briefly describe how residents will be provided with opportunities to act in a consultative role to other physicians and health professionals. [PR IV.A.5.d).(4)] (Limit response to 400 words)

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Briefly describe how residents will be taught to maintain comprehensive, timely, and legible medical records, and how this will be assessed by the program. [PR IV.A.5.d).(5)] (Limit response to 400 words)

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Professionalism

Briefly describe the learning activity(ies), other than lecture, by which residents will learn and demonstrate a commitment to carrying out professional responsibilities and an adherence to ethical principles, including: compassion, integrity, and respect for others; responsiveness to patient needs that supersedes self-interest; respect for patient privacy and autonomy; accountability to patients, society, and the profession; and sensitivity and responsiveness to a diverse patient population, including to diversity in gender, age, culture, race, religion, disabilities, and sexual orientation. [PR IV.A.5.e).(1)-(5)] (Limit response to 400 words)

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Systems-based Practice

Briefly describe the learning activity(ies) through which residents will learn and demonstrate an awareness of and responsiveness to the larger context and system of health care, as well as the ability to call effectively on other resources in the system to provide optimal health care. [PR IV.A.5.f)] (Limit response to 400 words)

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Describe the learning activity(ies) through which residents will learn and may achieve competence in the elements of systems-based practice: working effectively in various health care delivery settings and systems, coordinating patient care within the health care system; incorporating considerations of cost-containment and risk-benefit analysis in patient care; advocating for quality patient care and optimal patient care systems; and working in interprofessional teams to enhance patient safety and care quality. [PR IV.A.5.f).(1)-(5)] (Limit response to 400 words)

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3.Describe an experiential learning activity that will teach residents to identify and report system errors and implement potential systems solutions. [PR IV.A.5.f).(6)] (Limit response to 400 words)

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Briefly describe the learning activity(ies) through which residents will demonstrate the ability to apply knowledge of the roles of different specialists and other health care professionals in overall patient management. [PR IV.A.5.f).(7)] (Limit response to 400 words)

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Curriculum Organization and Resident Experiences

Will the curriculum in an integrated program include core surgical education experience of 24 months, which may include: abdominal and alimentary tract surgery, basic and advanced laparoscopic skills, burn surgery, cardiac surgery, cardiothoracic surgery, congenital cardiac surgery, critical care, general surgery, gynecology, head and neck and endocrine surgery, neurological surgery, pediatric surgery, plastic surgery, surgical critical care, surgical oncology, thoracic surgery,transplantation, trauma, and urology,? [PR IV.A.6.a).(1)] ☐ YES ☐ NO ☐ N/A

Will the curriculum in an integrated program include 36 months of documented educational experiences concentrated in vascular surgery? [PR IV.A.6.a).(2)] ☐ YES ☐ NO ☐ N/A

What will be the maximum number of months dedicated to research? [PR IV.A.6.a).(3)]...... [ # ]

Will residents in an integrated program complete the last two years of their vascular surgery education in the same institution? [PR IV.A.6.b)] ☐ YES ☐ NO ☐ N/A

Will residents in an integrated program perform a minimum of 500 operations, to include 250 major vascular reconstructive procedures? [PRIV.A.6.c)] ☐ YES ☐ NO ☐ N/A

Will fellows in an independent program perform a minimum of 250 major vascular reconstructive procedures? [PR IV.A.6.d)] ☐ YES ☐ NO ☐ N/A

Willthe curriculum for residents in all programs, regardless of format, include a final year with chief resident responsibility on the vascular surgery service at the primary clinical site or at integrated site(s)? [PR IV.A.6.e)] ☐ YES ☐ NO

Briefly describe how resident experiences, regardless of the program format, will include the following: (Limit responses to 400 words each)

a)primary responsibility for continuity of patient care, including ambulatory care, inpatient care, referral and consultation, and utilization of community resources [PR IV.A.6.f).(1)]