Vascular Medicine

Fellowship Program at McMaster



I am excited to invite trainees in Cardiology, GIM, Hematology, and Vascular Surgery to consider additional training in Vascular Medicine. This exciting discipline will provide you with enhanced diagnostic and clinical skills for patients with disorders of blood vessels and their contents. This includes venous, arterial and lymphatic diseases. Common patients seen under the vascular medicine umbrella include those with peripheral artery disease (PAD), arterial and venous thrombosis, and vasculitis. Trainees will gain expertise and clinical experience diagnosing and managing a broad array of out-patients, learning vascular testing, and managing more complex in-patients with acute thrombosis.

Dr. Sonia Anand, Program Director
Dr. Sonia Anand, Program Director

Introduction

Clinical

Vascular Medicine focuses on the diagnosis and management of vascular (i.e. arterial, venous, lymphatic) disorders. A large proportion of patients with vascular disease have venous or arterial thrombosis and/or peripheral arterial disease. However, less common disorders must be considered in the workup of patients with leg swelling, leg discomfort, non-healing ulcers, blue digits, arterial dissections and aneurysms.

The Boris Clinic at HHS

Education

In the training program, a focus on i) conveying risk information to patients in an understandable way will be emphasized, ii) effectively communicating with allied health care professional and physician colleagues in a manner that convey treatment decision and follow-up plans will be learned, especially as many of the Vascular Medicine conditions may not be commonly considered by colleagues (e.g. peripheral artery disease, vasculitidies), iii) cardiac and vascular rehabilitation which includes up to date smoking cessation counselling techniques, medical therapies, and advice regarding walking programs for patients with PAD.

Research

Trainees will receive exposure to research in their work with Dr. Anand who has an active research program in peripheral arterial disease. This includes observational registries and randomized clinical trials. Trainees can choose to add a two-month research block into the 12-month fellowship program.



Certification Outcome

The successful completion of the 6-month program will grant a “Vascular Medicine” certificate.

The successful completion of the 12-month program will grant a “Vascular Medicine” Fellowship.



Entry Requirements

The certificate/fellowship program is designed for current residents (PGY5 or higher) or recent graduates (GIM, cardiology, hematology/thrombosis, or vascular surgery). Recent graduates are required to submit an application form and comply with McMaster University Postgraduate Medical Education requirements for residents and fellows.



Application Deadline

Rolling deadline but applicants are encouraged to apply in June or January each year, a minimum of 6 months before starting the fellowship.



Past trainees

Dr Patrick Magloire 2004-6
Dr. Catherine McGorrian 2008
Dr. Bernard LaRochelle 2009
Dr. Francois Caron 2015-17
Dr. Luke Ranelli 2018
Dr. Eric Kaplovitch 2018-19
Dr. Aashish Kalani 2020


Resources

Vascular Medicine, the official journal of the Society for Vascular Medicine.


Goals of Training

The vascular medicine rotation will provide the trainee with exposure to clinical practice, diagnostic testing in PAD and clinical research in peripheral arterial disease.

The clinics will provide an excellent opportunity to gain experience in educating patients on the signs and symptoms of complications of their vascular disease, establish effective communication with, allied health care professionals and physician colleagues to convey treatment decisions and follow-up plans and expose trainees to up to date cardiac and vascular rehabilitation strategies. Fellows may also work as part of a clinical research team to learn the principles of clinical trial research methodology, which will allow the fellow to establish their own research projects at the completion of their training.

As a result, the trainee will become an expert in vascular medicine with in-depth knowledge of vascular disorders from both a clinical and basic science perspective.

The clinical rotation training goals have been formulated to guide trainees in identifying and acquiring the key competencies required to succeed as an expert consultant in vascular medicine. The rotation provides graded responsibility in achieving these objectives based on the fellow’s level of training and previous experience.

The trainee is able to:

1. Expert
  • Gain knowledge in Vascular Medicine including screening, diagnosis management of patients with peripheral artery disease, superficial and deep venous thrombosis and post-phlebitic syndrome, patients with lymphatic disorders.
  • Diagnosis and manage acute venous and arterial thrombotic disorders in an outpatient and inpatient setting
  • Learn technical and interpretation of peripheral vascular testing including segmental
  • Doppler testing/pulse volume recordings
  • Learn technical and reading of vascular ultrasound including carotid arteries, renal arteries, aorta, iliacs and peripheral arteries, and obtain enough hours to be eligible for the RPVI examination
2. Communicator
  • Demonstrate skills in obtaining a detailed history relevant to vascular diseases
  • Perform physical examination relevant to vascular diseases including ankle-brachial index testing
  • Communicate the results of testing to other health care professionals, patients and their families
  • Records and implements a patient-centred treatment plan with patients and families
  • Effective communication skills with other specialists and health care professionals
3. Collaborator
  • Collaborate effectively with interprofessional team members and referring clinicians
  • Understand the role of and demonstrate respect for the health care team while working to assess, plan, provide, coordinate and integrate care for elderly patients.
4. Manager
  • Demonstrates organizational skills efficiently managing time, daily consultations, follow-up visits and overall work-load
  • Judiciously manage medical and community resources recognizing the need to balance cost-effectiveness, efficiency and access for optimal patient care
5. Advocate
  • Understand the social determinants of health and differences in patient’s ability to afford secondary prevention medications, and advocate for alternative payment plans to enable them to receive the best care
6. Scholar
  • Develop or enhance the skills n3eeded to search for and critically evaluate evidence underlying treatment recommendations in vascular patients
  • Participate in knowledge dissemination (i.e. patient information sheets) or quality improvement projects
7. Professional
  • Maintains professional boundaries with patients and colleagues
  • Demonstrates trustworthiness and reliability by following through on tasks and commitments
  • Actively seeks and is receptive and responsive to feedback and evaluation on performance
Hospital Sites
  • Hamilton General Hospital
  • MUMC Boris Clinic
  • Outpatient clinics in rheumatology, lymphedema, ulcer care
Additional Skills

In the 12-month training program, the trainees will gain the scanning and reading time required to take the Registered Physician in Vascular Interpretation TM (RPVI) which enables them to read and interpret peripheral vascular ultrasound and other doppler testing.



Length of Training

Certificate - 6 months

Fellowship including RPVI eligibility - 12 months



Funding

Sponsored by agency

Other – self-funded from another program i.e. (GIM) or outside institution


Supervision & Feedback

At the beginning of each rotation, Dr. Anand will meet with the trainee to discuss objectives and how the trainee will be evaluated. Regular informal meetings occur will throughout the rotation to discuss the trainees' progress and any issues that may arise.

At the end of the rotation, the rotation supervisor synthesizes information from all teaching faculty, as well as the clinical or laboratory team and any other evaluation forms utilized to complete a rotation-specific in-training evaluation of the trainee (ITER). The evaluation and ITER are reviewed with the trainee at the end of the rotation. ITERs are distributed and tracked through the Medical School Information System (MedSIS).

Trainees also complete anonymous faculty and rotation evaluations which are forwarded to the program director and rotation supervisor at the end of the academic year.



 

Sonia Anand

MD, PhD
Medicine, Cardiology; Health Research Methods, Evidence, and Impact
Anand, Sonia
Professor
Associate Chair, Equity & Diversity; Tier 1 Canada Research Chair, HSF/Michael G. DeGroote Chair in Population Health Research; Director, Population Genomics Program

905-525-9140 ext. 21523
anands@mcmaster.ca


PGME Fellowship Office

Medicine
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Staff

905-525-9140 ext. 26660
pgmefell@mcmaster.ca