Vascular Surgery Fellowship and Residency Programs
Satisfactory completion of an accredited residency-training program in General Surgery
Eligibility to sit for the qualifying examination in General Surgery administered by the American Board of Surgery
Completion of the application and interview process
Satisfactory completion of an accredited medical school
Successful completion of USMLE I and II
Completion of the application and interview process
Letters of Recommendation:
Three letters of recommendation are a required component of the application and others are encouraged.
Applications: ERAS applications are preferred. Applications are typically received from December 1 - January 31 during the 4th year of residency.
Interviews: All application materials must be completed prior to scheduling an interview. Interviews are held February through April of the applicants 4th year of residency.
ERAS applications are preferred. Applications are typically received from September through November.
Interviews: All application material must be completed and submitted prior to interview. Interviews are held between December and January of the year in which the applicant would begin.
The Division of Vascular Surgery participates in the National Resident Matching Program (NRMP). Match lists are usually submitted in January for Residency
and April or May for fellowship.
Please address all inquiries and other correspondence to:
Linda Harris, MD, FACS
Program Director, Vascular Surgery Fellowship and Residency Programs
Associate Professor of Surgery
Buffalo General Medical Center
100 High Street
Buffalo, NY 14203
Vascular Surgery - Fellowship and Residency Training Program
Vascular Surgery Overview:
The Division of Vascular Surgery at the University of Buffalo offers an ACGME-approved fellowship (5 + 2) and residency (0 + 5) training program in
Vascular Surgery. Successful graduates are eligible for certification in Vascular Surgery as provided by the American Board of Surgery. One candidate is
selected annually in each paradigm, through participation in the NRMP matching program.
The goals of the Programs are to provide a learning and training environment that facilitates the development of expert vascular specialists who will have
the tools and abilities to be leaders in both the clinical and academic community of vascular surgeons. These goals are accomplished by providing:
Didactic instruction and basic laboratory research experience in vascular physiology and pathobiology
Instruction and direct clinical experience with the technology, clinical applications, and professional interpretation of all forms of noninvasive
Instruction and direct clinical experience in the performance and interpretation of non-surgical vascular interventions including arteriography,
angioplasty and stenting, and endovascular repair of aortic aneurysms and vascular trauma
Supervised performance of all forms of major non-cardiac vascular surgical procedures
Following successful completion of the training program, the trainee is eligible for certification with RVPI and eligible for certification in Vascular
Surgery by the American Board of Surgery. Trainees have been competitive candidates for the professional position of their choice, including both private
and academic practices.
Residency Training Program - Curriculum
The training programs in Vascular Surgery at the University of Buffalo comprise a balance of all the clinical and academic components of:
Endovascular diagnostics and therapeutics
Noninvasive vascular testing with ultrasound-based therapeutics
Clinical and basic research
Open surgical procedures
These activities are carried out in the Kaleida Health System, the Buffalo VA Medical Center, and the Sisters of Charity Hospital. Trainees are exposed to
a wide variety of care-delivery systems and clinical practice structures.
1. Clinical Training
Vascular fellows and residents rotate at the Gates Vascular Institute, the Buffalo VA Medical Center, and Sisters of Charity Hospital. Vascular Residents
also rotate at the Erie County Medical Center, Buffalo General Medical Center and Millard Fillmore Suburban Hospital. Vascular Residents' experiences
includes 24 months of core surgical experience, in additional to the medical management of vascular disease, non-invasive lab training, endovascular and
open vascular surgical experiences. Non-vascular rotations also include cardiology, neurosurgery/stroke team, vein center, radiology/imaging,
cardiothoracic and non-invasive vascular lab.
The vascular fellow or senior resident is the leader on a service that is supported by junior-level general surgical residents and junior vascular
residents. Nurse practitioners are present on vascular services at all sites as well. The vascular fellows and residents perform all categories of major
vascular surgical procedures under the direct supervision of the attending staff. Surgical case totals are generally balanced with regard to case mix (e.g.
carotid, aortic, extremities. Case mix includes:
Carotid endarterectomy and stenting, including redo surgeries
Open suprarenal and thoracoabdominal aortic surgery
Visceral artery reconstructions
Open infrarenal aortic surgery for occlusive or aneurysmal disease
Infrainguinal vascular reconstructions, including reoperative surgery
Diagnostic and therapeutic endovascular intervention for PAD- including aggressive tibial interventions and thrombolysis
TEVAR, EVAR and PEVAR with frequent involvement in ongoing trials
The clinical curriculum includes:
Refinement of inpatient management skills for pre- and post-operative patients on the Vascular Surgery Service
Outpatient evaluation of patients with known or suspected vascular disorders in the vascular surgeons office
Didactic conference and lecture programs
Teaching general surgical residents and medical students
Completion of research activity
Instruction on the development of evidenced-based treatments, quality outcomes assessments, practice guidelines, and other practice management skills
2. Endovascular Procedures
The vascular resident and fellow master basic and advanced endovascular skills through the following activities at all sites:
The resident will be instructed in endovascular management including basic and advanced catheterization skills, principles of diagnostic and
therapeutic procedures including angioplasty, stenting, thrombolystic therapy, embolization, and endografting
Endovascular procedures are performed in the angiography suite or operating rooms dependent on procedure and hospital
Trainees have experience with all approved endograft and stent graft devices available, as well as with some devices that are in clinical trials
Upon completion of the training program, the vascular resident will have both the skills and experience to qualify for independent performance of all
approved percutaneous interventions and aortic endografting based upon all current established credentialing guidelines
3. Inpatient Management
The vascular resident or fellow serves as the leader in the clinical management of all inpatients on the teaching Vascular Surgery service at all
institutions. The vascular resident is assisted by first and second year general surgical residents or vascular residents, as well as by NPs on all
services. The senior resident and fellow are never on the same service.
4. Outpatient Experience
The vascular resident/fellow participates in the weekly outpatient clinical activities at the offices of the vascular faculty. The resident examines and
evaluates patients and confers with the attending staff to plan further diagnostic evaluation and treatment.
5. Conference Experience
The resident is responsible for choosing case presentations for the weekly main Vascular Conference, and coordinating preparations and topics of
educational materials, in conjunction with the program director, for discussion. The resident is also responsible for write-ups for M & M or
complications. Conferences include weekly Vascular Grand rounds, General Surgery Grand Rounds (for Residents), M & M, Didactic Lecture Series, monthly
Journal Clubs, annual Cadaver Lab, annual Western New York Vascular Symposium, monthly Western New York Vascular Association meetings, and Vascular Lab QA
and Journal cCubs.
6. Non-invasive Vascular Laboratory
The trainee learns ultrasound-guided interventions
The trainee acquires knowledge of ultrasound physics as it applies to current established techniques of vascular diagnosis
The trainee becomes familiar with all major forms of instrumentation associated with routine noninvasive vascular diagnosis, including plethysmography,
continuous-wave and pulsed Doppler, and Color-flow duplex ultrasound scan technology
The trainee learns to perform, supervise, and interpret the results of noninvasive testing modalities performed for major non-cardiac vascular
The trainee learns the applications of noninvasive vascular testing in the development of practice guidelines, surveillance, outcome assessment, and
clinical research in vascular disorders
The trainee learns the administrative skills necessary to serve as a medical director of a noninvasive vascular laboratory
The trainee obtains certification with the RVPI degree
7. Clinical Research
The goal of the research component is to enhance the residents understanding of research methodology, to stimulate translational research, and to enhance
the understanding of vascular biology and cellular mechanisms of disease. Residents have participated in various research projects dependant on their
future goals and interests.
This experience includes project selection, literature review, experimental design, data collection, analysis, presentation skills and manuscript
preparation. Trainees participate in both Quality Improvement and routine research projects.
Past residents and fellows have had presentations at the annual meetings of the Society of Vascular Surgery, Eastern Vascular Society, Society for Clinical
Vascular Surgery, ISCVS, ACS and the Venous Forum.
Support for Academic and Scholarly Activities
The Division supports travel and expenses for residents to present scholarly material to meetings of all major vascular societies.
On call responsibilities are shared among the fellows and vascular residents, and conform to current New York State and ACGME guidelines. Long-range pagers
are provided, and call is taken from home for all senior level trainees. Vascular residents share call with General Surgery residents during the core
surgery rotations. During non-core rotations in the first three years, residents share in home call with senior trainee backup support. Residents have a
total of 4 weeks of vacation time each year, with health, prescription, vision and dental insurance for individual or family, life insurance and disability