1 Vascular and Endovascular Surgery

2 What is it ? Arterial Disease outside the heartAtherosclerosis, arteritis, trauma. Aneurysms (aorta, peripheral) Carotid, Lower limb, Visceral. Venous Disease Varicose Veins, leg ulcers, venous insufficiency.

4 Why Consider Vascular Surgery ?Combines surgical and medical skills New techniques – many different ways to treat disease (surgery, stents, angioplasty, endovenous ablations) all of which you will be trained to do. Varied – not limited to one anatomical area. Rewarding – you can control and repair bleeding you return circulation. Very team based, good support Strong tradition of Research. Good for this Expanding demand – diabetes, ageing, bad lifestyles

5 Career Structure for the Vascular Specialist ?Independent specialty recognition 2012 New curriculum / syllabus Run through training ST3 – ST8 (ST1 from 2019) Open / Endovascular / Ultrasound / Angiology

6 A typical week for a Consultant Vascular Surgeon session = half dayOperating – 1 whole day for main list, plus ½ day endovascular or day list 2 general clinics – 1 session each. Specialist clinics (complex aortic, diabetic foot) – monthly. Ward Rounds (1-2 sessions) Teaching and Research (1-2 sessions) Administration (1-2 sessions) Emergency on Call (1 in 6 is now the minimum standard)

7 What attributes do I need to be a Vascular Surgeon ?Enjoy doing things / a practical nature Get on with people (patients and your team) Interest in the challenge of Vascular Disease Leadership / being a trainer – be organised, communicate, be able to motivate.

8 Pros and Cons Interesting Procedures Evolving techniques VariedChallenging Teamwork Good research potential Private practice potential Emergencies out of hours Dealing with the consequences of failed procedures.