UNDERGRADUATE TRAINING
Aim
• For clinical clerks to gain exposure to common and uncommon vascular problems through the ambulatory care, emergency, and ward consultation services. To observe patients undergoing surgical and interventional radiological procedures.
• To understand the indications for their management.
General Objectives
• For clinical clerks to gain an understanding of the pathophysiology, clinical presentation, and management of common vascular problems including arterial, venous, and lymphatic disorders.
• To understand the management of the following common conditions:
| Risk factor reduction |
Abdominal aortic aneurysms |
| Carotid artery disease | Claudication |
| Chronic critical limb ischaemia | Varicose veins |
| Chronic venous disease | Lymphedema |
• For clinical clerks to understand and manage complicated medical problems in patients with peripheral vascular disease. To understand vascular access in patients with chronic renal failure.
Specific Skills
Clinical clerks will be able to ...
• demonstrate basic knowledge and understanding of the common vascular problems.
• develop skills in assessing patients with peripheral vascular disease.
• be able to diagnose underlying medical problems in vascular patients.
• examine patients with peripheral arterial occlusive disease and document signs of the disease, especially the presence or absence of pulses.
• be able to use and interpret the results obtained from the use of the hand-held Doppler.
• interpret angiographic investigations of the carotid arteries and upper and lower limbs.in
• interpret CT scans in patients with abdominal aortic aneurysms.
Documentation of skills achieved
| Use of doppler | Read angiograms |
| Read CT scans | Catheterize patients in the OR |
| Insert IV's | Closing of surgical wounds with staples or suturing |
POSTGRADUATE TRAINING- — VASCULAR FELLOWSHIP
Dr. J. Koulack, Program Director
The postgraduate vascular training program provides a comprehensive vascular surgery training program for postgraduate surgery residents, with the goal of producing well-trained vascular surgeons for Manitoba and the rest of Canada.
With a relatively stable population, a catchment of approximately 1.1 million, and the vast majority of vascular surgery in Winnipeg being performed by university-associated surgeons at the two teaching hospitals, the two-year training program offers ample clinical exposure and opportunities for the Vascular Fellow in training.