Division of Vascular Surgery

Knowledge Objectives 3rd and 4th year medical students

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Division of Vascular Surgery
Knowledge Objectives
Postgraduate Year One

Following your rotation, you should be able to:

1.   Describe human arterial and venous anatomy and related regional anatomy.

 2.  Describe basic arterial and venous hemodynamics.

 3.  Discuss the anatomy, pathology, and pathophysiology of the arterial wall.

 4.  Assess patients' vascular systems using appropriate skills in history-taking and clinical examination.

 5.  Describe life-threatening signs of vascular disease and indicate when immediate intervention is required.

 6.  Differentiate between the following diagnostic tools available for assessing vascular disease and explain the relative contribution of each:

      a.         Angiography
      b.         Computed axial tomographic (CAT) scanning
      c.         Ultrasound
      d.         Magnetic resonance imaging

 7.  Summarize the pathophysiology, clinical manifestations, and therapeutic options of specific categories of vascular disease:

      a.         Venous disease
                  (1)        Thromboembolic disease
                  (2)        Pulmonary embolism

      b.         Arterial disease
                  (1)        Atherosclerosis and its related disorders
                  (2)        Occlusive disease
                  (3)        Aneurysmal disease     

      c.         Interaction of cardiovascular and pulmonary systems

 8.  Discuss basic principles of Doppler ultrasound for performing bedside arterial  and venous Doppler testing.

 9.  Outline the principles of noninvasive laboratory diagnosis; include a description of the role and limitations of the vascular laboratory.

      a.         ABI/waveforms
      b.         Carotid duplex
      c.         Venous duplex
      d.         PPG/LRR venous
      e.         Graft flow studies

10. Outline the principles of care for ischemic limbs.

11. Summarize principles for the preoperative assessment and postoperative care of patients undergoing major vascular surgical procedures.

12. Outline the fundamental elements of nonoperative care of the vascular patient, including the role of risk assessment and preventive measures. 

13. Describe the hemodynamics and pathophysiology of specific clinical symptoms:

      a.         Claudication
      b.         Transient ischemic attack (TIA)
      c.         Stroke
      d.         Mesenteric angina
      e.         Angina pectoris
      f.          Renovascular hypertension
      g.         Arteriovenous (AV) fistula

14. Explain the concept of critical arterial stenosis.

15. Differentiate between acute arterial and acute deep venous occlusion.

16. Determine a plan for assessment of operative risk in these categories:

      a.         Cardiac            
      b.         Pulmonary
      c.         Renal  
      d.         Metabolic
      e.         Levels of anesthetic risk

17. Describe the use of adjunctive measures such as:

      a.         Antibiotics                  
      b.         Thrombolytic agents
      c.         Anticoagulants            
      d.         Antiplatelet agents

18. Explain the physiologic and organic manifestations of vascular disease, such as renovascular hypertension, portal hypertension, and renal failure.

 
 
 

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