Temple University Hospital Program

Vascular Surgery Fellowship Program Overview

The Temple University Hospital offers a two-year, ACGME-accredited independent fellowship program in Vascular Surgery. This program is designed to provide fellows with a comprehensive clinical and academic experience in both vascular and endovascular surgery, ensuring they develop the confidence to practice in a variety of healthcare settings upon graduation. Graduates will gain in-depth knowledge of key procedures including carotid endarterectomy, open and endovascular aortic interventions (e.g., TEVAR and open repair of TAAA and AAA), and other vascular surgery techniques.

Curriculum and Educational Objectives

The educational objectives of the fellowship program include:

• Identification of the aorta and its first-order branches.
• Understanding the principles of circulation, including pressure, flow, and regional blood flow factors.
• Knowledge of arterial wall histology and the differences between arterial and venous physiology.
• Basic understanding of atherosclerosis, arterial aneurysms, and the Doppler effect.
• Clinical features of significant vascular diseases such as aortic aneurysms, carotid artery disease, and deep vein thrombosis.

Clinical Training and Rotations

Fellows undergo extensive clinical training through a structured curriculum that includes rotations at both Temple University Hospital and affiliated community-based hospitals, such as Jeanes Hospital and Holy Redeemer Hospital. This combination provides a broad array of experiences in different healthcare environments. The fellowship structure allows fellows to take on more responsibilities as they progress, ensuring hands-on experience in managing their services independently.

During the two years, the rotation schedule comprises 6-month intervals, enhancing fellows' exposure to both urban and suburban healthcare practices. Fellows also benefit from a shared call schedule, providing more opportunities for learning and collaboration.

Procedures and Surgical Techniques

Fellows in the Vascular Surgery program gain proficiency in a diverse range of surgical procedures. Key procedures performed include:

• Carotid endarterectomy and stenting
• Open repair of TAAA and AAA
• Endovascular interventions such as TEVAR and aorto-bifemoral bypass grafting
• Various advanced techniques for AV access surgery and percutaneous arterial interventions

Research and Scholarly Activities

The program emphasizes research and scholarly activity. Fellows are encouraged to engage in research projects, supported by dedicated faculty. Monthly research meetings provide platforms for initiating new projects in collaboration with other residents and medical students. Furthermore, protected didactic time is allocated each week for formal education and exam preparation, reinforcing essential vascular surgery concepts and techniques.

Faculty and Educational Environment

The program boasts a distinguished faculty with expertise in various facets of vascular and endovascular surgery. The faculty’s commitment to teaching and mentorship fosters an environment conducive to academic growth and clinical excellence. This collegial atmosphere allows trainees to benefit from a collaborative approach to patient care.

Application Process and Competitiveness

Each year, one fellowship position is available within this program. Candidates typically must apply through the Electronic Residency Application Service (ERAS). The fellowship program is known to be competitive, attracting candidates from various medical backgrounds, including those from DO and IMG categories, underlining its commitment to inclusivity.

Special application requirements may include preferences related to graduation year, with specific criteria established for candidates with prior STEP exam performance.

Visa Support

The program provides visa support to eligible international applicants, typically sponsoring J-1 and H-1B visas. This support ensures that qualified candidates can participate in the fellowship program without impediments related to immigration status.

Benefits and Stipend Information

Fellows are compensated according to a standard stipend scale, with benefits that may include health insurance, vacation time, and other educational opportunities. Specific benefits can be reviewed through program resources.

Unique Aspects

The Temple University Hospital Vascular Surgery program stands out due to its combination of clinical experience in diverse settings, a strong emphasis on research, and a collaborative learning environment among the dedicated faculty.