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 Vascular Surgery Training Program Profiles

Albany Medical Center Hospital
Albany, NY
Contact: Esposia@mail.amc.edu
Paradigms Offered: 5+2, 0+5
The Albany vascular surgery training program is available to both graduates of medical school to start a 0+5 program and to 5+2 candidates. The vascular training program at Albany Medical center provides training in all facets of vascular surgery including open and endovasular arterial reconstruction as well as venous surgery and dialysis access. All training is provided by a staff of 13 board certified vascular surgeons. Our graduates are able to enter in to vascular practice and be able to handle all aspects of vascular care with confidence.

Allegheny General Hospital
Pittsburgh, PA
Contact: dbenckar@wpahs.org
Paradigms Offered: 5+2, 0+5
The program emphasizes broad-based clinical training. It is based in two tertiary care hospitals, and residents will also rotate at a large community hospital. We perform a large number of tertiary care cases, but we have also a very strong representation of "bread and butter" vascular surgery cases. Of our case volume of 2200 cases, roughly 50% are endovascular.

Baylor College of Medicine
Houston, TX
Contact: bechara@bcm.edu​
Paradigms Offered: 5+2
The Division of Vascular Surgery and Endovascular Therapy continues to build upon its six-decade-long heritage of caring for patients with vascular disease while maintaining the tradition of clinical and research excellence envisioned by its founder, Dr. Michael E. DeBakey.

Baylor University Medical Center
Dallas, TX
Contact:  William.shutze@baylorhealth.edu​ or willshut@sbcglobal.net​
Paradigms Offered:  5+2
The vascular fellowship at Baylor University Medical Center is the second oldest in the country having been founded in 1964.  It follows a traditional "5+2" format.  Under the supervision of 12 vascular attendings at 2 specialty heart and vascular hospitals, our trainees are exposed to a vast array of open and endovascular procedures covering the entire spectrum of vascular pathology.  Supported by advanced clinical practitioners, fellows are able to devote more time to procedures, learning and research.  Learning is supported by a rigorous conference schedule, including weekly vascular conference, basic science conference and monthly mock orals alternating with a dedicated multispecialty aortic conference.   A weekly research conference with the research team provides the regular interaction needed to successfully complete these projects.  Fellows are provided support to attend major vascular meetings and other educational training sessions throughout the year.  

Beth Israel Deaconess Medical Center Program
Boston, MA
Paradigms Offered: 5+2, 0+5
5+2 Fellowship Program: The overall goal of BIDMC's 5+2 Vascular Surgery Residency Program is to prepare residents to function as qualified practioners of vascular surgery at the high level of performance expected of a board-certified specialist by providing comprehensive clinical training in vascular surgery, basic science or clinical research experience for the resident, and excellent surgical and medical care. By accomplishing these goals, we hope to produce trainees who will be able to successfully pursue a career in academic surgery or enter private practice in Vascular Surgery. Overall, the program is designed with graduated responsibility and supervision at each level of training.

0+5 Residency Program: During the first four years of the BIDMC 0-5 training program, trainees will be integrated into the department’s ACGME-accredited General Surgery Residency Program. General surgery rotations are selected to provide the best operative experience in particular with open abdominal surgery. Residents will also spend extra time on the vascular surgery services at BIDMC, Mount Auburn Hospital, Cambridge Hospital, and Saint Vincent Hospital, as well as the department’s vascular lab. Their final chief year will be spent entirely on a vascular surgery service. Integrated vascular surgery residents will spend two years of T-32 funded research in either Basic Science or Outcomes Research between their third and fourth years of training.

Case Western Reserve University Vascular Programs
Cleveland, OH
Contact: jerry.goldstone@uhhospitals.org
Paradigms Offered: 5+2, 0+5
A traditional vascular fellowship based at the 950 bed University Hospital provides a broad exposure to open and endovascular therapies for vascular disease. The program will expand significantly with the addition of the VA Medical Center and MetroHealth Medical Centers with the anticipated initiation of an integrated 5-year vascular residency later this year.

Charleston Area Medical Center/West Virginia University Vascular Surgery Fellowship
Charleston, WV
Contact: ajharman@hsc.wvu.edu
Paradigms Offered: 5+2
The Program Director is Ali AbuRahma, M.D., and this is a 2 year program fully accredited by the ACGME. We have 6 full time vascular surgeons, 3 endovascular interventionalists, and 1 preventative medicine specialist, all of whom are dedicated to the teaching of young surgeons. Our institution is an extremely high volume center with a myriad of different cases. Our open surgical volume between 6 vascular surgeons exceeds 1,000 cases annually. Fellows will perform more than 50 major cases monthly. 

Cleveland Clinic Vascular Surgery
Cleveland, OH
Contact: siebern@ccf.org
Paradigms Offered: 5+2, 0+5
The training program in vascular surgery is designed to provide the educational resources appropriate for the development of proficiency in the diagnosis and treatment of diseases of the arterial, venous, and lymphatic circulatory systems, exclusive of those components intrinsic to the heart and intracranial vessels. The training of surgeons for the practice of vascular surgery encompasses education in basic sciences, training in cognitive and technical skills, development of clinical knowledge and maturity, and acquisition of surgical judgment regarding the vascular system.

Dartmouth-Hitchcock Medical Center
Lebanon, NH
Contact: christina.m.trottier@hitchcock.org
Paradigms Offered: 5+2, 0+5
Dartmouth-Hitchcock's Integrated Vascular Surgery Residency program provides graduated, incremental training in both vascular and core surgery. Residents have the opportunity to spend an additional research year earning a masters degree in public health at the Dartmouth Institute for Health Policy and Clinical Practice (TDI). We match one five-year position each year. Dartmouth-Hitchcock also offers a two-year Vascular Surgery Fellowship for residents who have completed general surgery training. The fellowship is organized so that interventional procedures, open surgery, inpatient and outpatient care, and vascular laboratory instruction are integrated throughout both years of the fellowship. In addition, fellows have one academic day per week to allow for clinical research. We match one two-year position each year. Nine board-certified vascular surgeons staff a dedicated vascular service at this 400-bed tertiary care facility.

Duke Vascular Surgery Fellowship
Durham, NC
Contact: honor.gifford@duke.edu
Paradigms Offered: 5+2
The vascular surgery fellowship program includes training in open surgical techniques, endovascular techniques, diagnostic modalities (MR, CT, ultrasound, and PVRs), and related fields (cardiology, hematology, interventional radiology).

ECU Vascular and Endovascular Surgery Fellowship
Greenville, NC
Contact: musickc@ecu.edu
Paradigms Offered: 5+2
Our program is a joint venture between the Brody School of Medicine and Vidant Medical Center (formerly Pitt County Memorial Hospital). The institute is comprised of a newly opened state-of-the-art outpatient and inpatient center. The section of Vascular and Endovascular Surgery has full access to modern endovascular suites, contemporary cardiovascular operating rooms and dedicated inpatient and outpatient cardiovascular patient care facilities. The section is supported by a clinical research program, and the fellow will have time and support for research in addition to exposure to all facets of open and minimally invasive Vascular Surgery. The faculty is comprised of five fellowship trained surgeons.
 
Emory University
Atlanta, GA
Contact: vpandit@emory.edu
Paradigms Offered: 5+2, 3+3
We are the oldest Vascular fellowship in the country and have a long tradition of training leaders in Vascular Surgery.  Our fellowship continues to have tremendous clinical breadth with access to the latest devices and trials as well as a well-rounded didactic curriculum. Training highlights include integrated research time with a mentored project, independence in the operating room and a collegial environment.

Geisinger Medical Center
Danville, PA
Contact: jelmore@geisinger.edu
Paradigms Offered: 5+2
Geisinger Medical Center is located in Danville in northeastern PA. The Vascular surgery department has two dedicated endosuites. Geisinger has 5 helicopters which transport all major vascular emergencies.
 
Georgetown University/Medstar Washington Hospital Center
Washington, DC
Contact: robyn@macsata.com
Paradigms Offered: 5+2, 0+5
Medstar Washington Hospital Center(WHC)/Georgetown University(GU) offers both a 5+2 fellowship and 0+5 residency, rotations include WHC which is a very high volume teritiary care referral center, GU which is known for its wound care and limb salvage center, and the VAMC.  Residents/fellows graduate with a high volume of complex open and endovascular cases including advanced aortic procedures.
 
Cincinnati, OH
Paradigms Offered: 5+2, 0+5
Cincinnati, OH
The Vascular Surgery Residency Program at Good Samaritan Hospital provides a unique vascular surgery experience in a private hospital setting within the TriHealth system which includes Good Samaritan's sister hospital, Bethesda North Hospital. Residents learn from board-certified vascular surgeons with extensive experience in both open vascular and endovascular surgery. Each year, more than 15,000 major surgical procedures are performed in the hospital's 23 operating rooms including dedicated endovascular hybrid suites, and on average, each vascular resident will perform close to 400 open index vascular operations, more than 500 therapeutic and 400 diagnostic endovascular procedures.

Grand Rapids Medical Education Partners/Michigan State University Vascular Surgery Residency
Grand Rapids, MI
Contact: Karie Hilley
Paradigms Offered: 5+2, 0+5
The Grand Rapids/Michigan State University Vascular Surgery Fellowship was initiated in July 2003. This two-year ACGME accredited fellowship program was designed to train General Surgery board-eligible candidates who desire additional specialization in the field of peripheral vascular and endovascular surgery.  Our vascular fellows spend the majority of their time in the new Fred and Lena Meijer Heart Center at Spectrum Health-Butterworth Campus, located in downtown Grand Rapids, Michigan. Dr. Mansour is the Program Director and he is assisted by 6 vascular surgeons, all fellowship trained. Fellows work closely with the faculty mentors, and each fellow has the opportunity to develop knowledge and skills required to become well rounded and proficient in the specialty of vascular surgery. We received approval for an integrated 5-year vascular surgery training program as well.
 
Hofstra North Shore LIJ School of Medicine - Vascular Surgery Fellowship Program
Manhasset, NY
Contact: vruiz@nshs.edu
Paradigms Offered: 5+2
At Hofstra North Shore LIJ School of Medicine, we strive to produce outstanding surgeons who are lifelong learners and leaders in a constantly advancing field. Our residents have the opportunity to take advantage of the third largest secular health care system in the country. The system is a leader in health care quality initiatives as evidenced by receiving the National Quality Forum Award of Excellence in 2010. Emphasis is placed on learning and growth through its one-of-a-kind Center for Learning and Innovation that includes a simulation center. One of the unique features of NSLIJ is a free standing Research Institute that houses surgical research programs that rival the best in the country.

Houston Methodist
Houston, TX
Contact: syfuentes@tmhs.org
Paradigms Offered: 5+2, 0+5
The Integrated Vascular Surgery Residency Program of the Department of Cardiovascular Surgery at Methodist is a five-year program designed to train vascular surgeons so that they can provide personalized comprehensive and the highest quality surgical care.  he program is designed to provide the incoming resident with a comprehensive general surgery experience at The Methodist Hospital and Herman Memorial Hospital and to develop the resident's ability to diagnose and treat diseases of the arterial, venous and lymphatic systems. The clinical educational experiences allow the resident to excel in multidisciplinary communication and professionalism. Two residents are accepted annually through the National residency matching program.

Indiana University Vascular Surgery
Indianapolis, IN
Contact: rmotagan@iupui.edu
Paradigms Offered: 5+2, 0+5
The program provides an opportunity to pursue Vascular Surgery training  in a high volume teritiary referral center. Trainees will have an opportunity to participate and perform complex open and endovascular procedures including  fenestrated aortic endograft program. Opportunities exist to take part in active clinical or basic science research with Division participating in several clinical trials. Educational curriculum includes conventional teaching conferences, dedicated open and endovascular simulation
 
Johns Hopkins Vascular Surgery and Endovascular Therapy Fellowship
Baltimore, MD
Contact: dcall1@jhmi.edu
Paradigms Offered: 5+2
The Johns Hopkins Vascular Surgery and Endovascular Therapy Program is a 5+2 fellowship based at Johns Hopkins Hospital. In the 100 years of excellence in training imparted by the Halsted tradition, the vascular faculty strives to maximize every fellow's experience to produce master clinician, surgeon and investigator.
 
Keck School of Medicine at USC
Los Angeles, CA
Contact: vincent.rowe@med.usc.edu
Paradigms Offered: 5+2, 4+2 (ESP), 0+5
Our program is a two year accredited program.  Our residents will not only rotate and train at one of the largest public hospitals, L.A. County hospital, but also the tertiary academic facility, Keck hospital at USC and a large communtiy hospital, Huntington Memorial Hospital.  These three facilities allow the resident to experience training in 3 different healthcare delivery systems.  The strength of the program is in diversity of open surgical cases.
 
Lenox Hill Hospital-Integrated Vascular Surgery Residency Program
New York, NY
Contact: acarroccio@nshs.edu
Paradigms Offered: 0+5
The Lenox Hill Hospital- Integrated Vascular Surgery Residency Program is a multidisciplinary exposure to the field of vascular surgery.  During the residency, education is acquired through patient care and formal didactic teaching primarily in the Vascular Surgery Division. The program also includes clinical rotations in Interventional Radiology, Cardiothoracic Surgery, and a Noninvasive Vascular Laboratory.
 
Loma Linda University Medical Center
Loma Linda, CA
Contact: mloreilly@llu.edu
Paradigms Offered: 5+2
We offer a comprehensive training experience covering all aspects of open and endovascular surgery. Our training facilities include a comprehensive referral medical center and an affiliated Veterans Affairs hospital in beautiful Southern California.
 
Louisiana State University Health Sciences Center​
New Orleans, LA
Contact: msheah@lsuhsc.edu
Paradigms Offered: 5+2, 0+5
The LSU Section of Vascular Surgery provides training through both 0+5 and 5+2 pathways. Our residents perform a variety of complex open and endovascular procedures along with a large volume of open aortic work. Our hospital system includes both private institutions and our new University Medical Center in New Orleans.
 
Loyola University Medical Center
Maywood, IL
Web: Contact: baulivola@lumc.edu
Paradigms Offered: 5+2
The fellowship in Vascular Surgery at Loyola University Medical Center offers exposure to the full spectrum of open and endovascular cases, including cerebrovascular, aortoiliac and infrainguinal occlusive disease, thoracic and abdominal aneurysms, visceral arterial disease, arteriovenous access and venous interventions. The Vascular Surgery fellow spends half of their training at Loyola and half at the neighboring Edward Hines Jr. VA Medical Center. The volume and complexity of both open and endovascular procedures easily fulfills Vascular Surgery Fellowship case requirements. In addition to participating in the operating room, catheterization lab, and outpatient clinic, fellows are expected to supervise and lead the team of medical students, surgery residents and podiatry residents rotating on the vascular service. Our Fellowship Program is geared towards, but not exclusive to, the surgeon who is interested in an academic career. The fellowship emphasizes acquiring endovascular techniques, open surgical skills, a noninvasive vascular laboratory background and involvement with clinical research projects.

 
Maimonides Medical Center Division of Vascular Su​rgery​
Brooklyn, NY
Contact: LBilella@maimonidesmed.org
Paradigms Offered: 5+2
Maimonides Medical Center offers an ACGME accredited two year fellowship in vascular and endovascular surgery. Brooklyn offers a unique environment to expose fellows to a breadth of vascular clinical entities. In addition to the clinical exposure, there are ample opportunities for clinical research.
 
Maine Medical Center Vascular Surgery Integrated Residency Program (www.mmc.org/vascularresidency) [site currently under construction but will be functional soon]
Portland, ME
Paradigms Offered: 0+5
Maine Medical Center has received notification of initial accreditation by the ACGME for one position per year, in a five-year vascular surgery integrated residency beginning July 2015.Maine Medical Center is a 606-bed, tertiary care, independent teaching hospital located in Portland, ME affiliated with Tufts University School of Medicine. The integrated residency in vascular surgery will provide comprehensive training that will provide the knowledge and skills needed for the independent practice of vascular surgery, including the assessment and management of patients with vascular disease, use of the vascular laboratory, critical care, open surgery, and endovascular procedures. The faculty currently is composed of 5 full time Vascular Surgeons dedicated to surgical education, with a 6th joining the faculty in August 2014. The division has a long standing tradition of outstanding teaching and training of surgical residents. The division is one of the founding members of The Vascular Study Group of New England, and through this relationship is involved  in ongoing clinical research and quality improvement projects. The program has a large clinical volume which will allow for exposure to the full breath of vascular conditions and treatment, including innovative new techniques through involvement in clinical trials.    

Boston, MA
Contact: lsterling@partners.org
Paradigms Offered: 5+2, 0+5
The Massachusetts General Hospital offers 2 positions as part of the 0+5 vascular residency training program. This program is designed for graduating US Medical School graduates and is fully integrated into the  MGH general surgery training program. We will continue to offer 2 positions as part of the 5+2 Vascular fellowship program for residents who have already completed their general surgery training.
 
Mayo Clinic Rochester Vascular Surgery Fellowship & Residency
Rochester, MN
Contact: griffin.julie@mayo.edu
Paradigms Offered: 5+2, 0+5
The Mayo Clinic Division of Vascular and Endovascular Surgery in Rochester, MN offers both an ACGME-accredited 0+5 integrated vascular surgery residency and ACGME-accredited 5+2 fellowship positions (2). Trainees are taught using the three-shield interdisciplinary approach (clinical care, research, education) in a preceptor model. Emphasis is placed on complex open and endovascular training and aortic procedures, as well as carotid, lower extremity, venous, and dialysis access.
 
Medical College of Wisconsin
Milwaukee, WI
Contact: krbrown@mcw.edu
Paradigms Offered: 5+2
The Vascular Surgery Fellowship Program at the Medical College of Wisconsin consists of a 24-month clinical training period, focusing on the complete evaluation and treatment of all aspects of vascular disease. Training months are evenly distributed between open and endovascular cases to provide for a comprehensive experience in both endovascular surgery and open vascular surgery. An educational program with weekly conferences, and independent study coordinated by the fellow utilizing weekly didactic experience with individual faculty members, are important parts of the Vascular Surgery program.
 
Michigan State University/Michigan Vascular Center Fellowship Program
Flint, MI
Contact: Joanb@michiganvascular.com
Paradigms Offered: 5+2
Michigan Vascular Center is a private vascular practice located in Flint, Michigan founded in 1963. Ten vascular surgeons continuously work with the vascular fellows at three participating institutions and the office based practice. In addition to the hospital rotations, Fellows rotate through our non-invasive vascular lab, Hemodialysis access center, VeinSolutions office & Research Department. In addition, they receive endovascular simulator training on our vascular simulator and exposure to our amputee Mobility Center.
 
Mount Sinai School of Med​icine Vascular Residency & Fellowship Programs
New York, NY
Contact: bohwoo.kim@mountsinai.org
Paradigms Offered: 5+2, 0+5
The Mount Sinai Division of Vascular Surgery has been training vascular surgeons since the early 1960s. Today, our ACGME- approved residency program offers two five-year positions to highly qualified individuals each academic year. Our ACGME- approved fellowship program offers one position. The program is based at The Mount Sinai Hospital, a 1,171-bed tertiary care center in the heart of New York City that serves as the primary academic facility for the Icahn School of Medicine, an internationally recognized school for world-class teaching and research. Our endovascular program is among the busiest in the nation, and residents can expect exposure to a large number of endovascular and open vascular surgical cases, as well as catheter-based interventions (both diagnostic and therapeutic). A unique feature of this program is its integration with the other specialties and collaborative approach to treating vascular disease with vascular surgeons, interventional radiologists, cardiologists, and vascular medicine specialists.
 
MUSC Integrated Vascular Residency
Charleston, SC
Contact: fortinir@musc.edu
Paradigms Offered: 0+5
The Division of  Vascular Surgery at the Medical University of South Carolina is dedicated to providing exceptional and individualized patient care, while at the same time applying “cutting-edge” technologies and seeking new and innovative solutions to the diagnosis and management of  vascular diseases. Our mission not only includes patient care, but also the education of future physicians and surgeons through our active role in medical student and resident education. Our training programs provide outstanding experience with a wide spectrum of vascular diseases for future physicians and surgeons through patient care experiences, research, and active teaching by our diverse faculty in combined university hospital, VA hospital, and community hospital settings.
 
New Jersey Medical School
Newark, NJ
Contact: curi@umdnj.edu
Paradigms Offered: 5+2
This is a two year fellowship in vascular & endovascular surgery. Fellows rotate at University Hospital and Hackensack University Medical Center. Fellows see a wide variety of pathology and experience practice in both academic and community settings.
 
New York University Langone Medical Center
New York, NY
Contact: felicia.brockett@nyumc.org, caron.rockman@nyumc.org
Paradigms Offered: 5+2, 0+5
The Division of Vascular and Endovascular Surgery at the New York University (NYU) Langone Medical Center has a long and distinguished history in the training of Vascular Surgeons, having established one of the first accredited Fellowship Training Programs in Vascular Surgery. We are comprised of 12 Faculty members, and offer both traditional 5+2 and integrated 0+5 training encompassing all aspects of vascular and endovascular surgery. Our Training Program consists of NYU Tisch Hospital, Bellevue Hospitals Center, and the Manhattan VA Hospitals Center, all located in midtown Manhattan.

NSLIJ Health System Vascular Surgery 
Manhasset, NY
Contact: kkrishna@nshs.edu
Paradigms Offered: 5+2
Our program has a very rich clinical volume . This includes Thoracic Abdominal aortic interventions Carotid  interventions, and tremoundous volume in both open and endovascular Lower extremity revascularistions. We have a large dedicated faculty  involved in teaching. We present our data at our regional and national meetings regularly. We also have a 67 member GS residency.

Chicago, IL
Paradigms Offered: 0+5
Since 1974, the Northwestern Vascular Surgery Fellowship program has continued to develop the next generation of vascular surgeons. Many have been recipients of teaching awards and many have gone on to become medical school deans, department chairmen and division chiefs. Training options include the traditional fellowship as well as the newer integrated residency paradigm.

The Ohio State University Medical Center - Vascular Surgery Fellowship
Columbus, OH
Contact: Dawn.Sagle@osumc.edu
Paradigms Offered: 5+2
Our fellowship at OSU provides state-of-the-art vascular care to the citizenry of Ohio and surrounding states at the Richard M. Ross Heart Hospital and the affiliated health-care facilities of The Ohio State University Wexner Medical Center. We remain deeply engaged in the education and training of medical students, surgery residents, and fellows while continuing our involvement in clinical outcomes research and expanding our faculty’s efforts in vascular biology.
 
OHSU Vascular & Endovascular Fellowship Program
Portland, OR
Contact: lockerby@ohsu.edu
Paradigms Offered: 5+2, 0+5
The Vascular and Endovascular Fellowship program provides extensive training and research opportunities to accomplished surgeons, who wish to succeed in either an academic environment or community practice setting. The Vascular Surgical Service at OHSU, staffed by six faculty members (three from OHSU and three from the Portland VA Medical Center) perform over 500 major open arterial reconstructions annually, in addition to an equal amount of smaller cases. Clinical vascular surgical research is supported by the division via the National Institute of Health and from industry-funded research grants. The Division of Vascular Surgery averages 15-20 publications annually.
 
Penn State Hershey Heart and Vascular Institute - Vascular Surgery
Hershey, PA
Contact: lbasti@hmc.psu.edu
Paradigms Offered: 5+2, 0+5
We are three years into our Integrated Program at Penn State. There are 6 faculty currently including two women. We practice the full spectrum of open and endovascular surgery with two dedicated hybrid ORs and block time daily in the cardiac cath lab where the majority of our percutaneous procedures are performed.
 
Pennsylvania Hospital
Philadelphia, PA
Contact: bamwalsh@aol.com
Paradigms Offered: 5+2
Pennsylvania Hospital has an accredited independent two year vascular fellowship: the first year is devoted to open and endovascular interventions, non-invasive vascular lab, venous clinic, and arterial clinic, and the second year is devoted to open and endovascular interventions and arterial clinic. A close personal relationship is established between the attendings and fellows. A fixed imaging endovascular operating room suite is used solely by the vascular surgeons who perform all types of open and endovascular procedures.
 
Newark, NJ
Paradigms Offered: 5+2
The vascular surgery fellowship at Rutgers - New Jersey Medical School offers an RRC-accredited two-year fellowship in vascular surgery through the 5+2 clinical track, currently graduating one fellow per year. New Jersey Medical School has one of the oldest vascular fellowships in the country, with our first graduate in 1978. Since then, we have trained numerous vascular surgeons who have gone on to have successful careers in academics and private practice across the United States. Our fellows will participate in a developed academic curriculum, receive exposure to a vast array of complex open and endovascular cases at two rotations sites and have an opportunity to participate in several clinical trials.  We are proud of the clinical and educational experience of our fellows and enjoy watching our graduates become leaders in their communities.

Scott & White - Texas A&M University HSC
Temple, TX
Contact: matkins@sw.org
Paradigms Offered:  5+2
The two year vascular surgery fellowship at Scott & White and the Texas A&M Health Science Center is split between the Scott & White Hospital and the Central Texas Veterans Hospital.  The two facilities both have state of the art hybrid operating rooms, one with a Siemens Zeego and the other with the New Philips Hybrid OR Imaging System. The fellowship includes training in open thoracoabdominal surgery, fenestrated stent graft, TEVAR and open thoracic surgery as well as the full spectrum of endo and open vascular surgery.
 
Southern Illinois University School of Medicine
Springfield, IL
Contact: rloyd@siumed.edu
Paradigms Offered: 5+2, 0+5
The Division of Vascular Surgery offers a five year vascular surgery residency program, with one position available each year.  Southern Illinois University School of Medicine is affiliated with two 600-bed private hospitals, St. John’s Hospital and Memorial Medical Center, that are separated by three-quarters of a mile. The operative caseload is varied, covering virtually every aspect of peripheral vascular surgery, but is weighed toward open and endovascular management of carotid stenosis, aortic aneurysms, and lower extremity arterial occlusive disease. Vascular surgery residents will participate in structured learning experiences including a “boot camp” to master basic surgical skills such as knot tying, suturing, central line placement, anastomotic techniques, chest tube insertion, surgical airway placement and laparoscopic skills.  Core surgical rotations are concentrated in the first three years of the residency in conjunction with the Division of General Surgery.
 
Stanford University
Stanford, CA
Contact: lisa63@stanford.edu
Paradigms Offered: 5+2, 0+5
We sponsor a fully-accredited 0+5 integrated residency and two-year traditional fellowship with the mission of training the future academic leaders of American vascular surgery.
 
Staten Island, NY
Contact: fgyi@siuh.edu
Paradigms Offered: 5+2
The Vascular Surgery Fellowship at Staten Island University Hospital is a 2 year ACGME-approved clinical program. Established in 2001, the fellowship provides a comprehensive exposure to patients with diseases of the arterial, venous, and lymphatic systems. A two-year comprehensive program in Vascular and Endovascular Surgery is offered to those who have completed an ACGME approved General Surgery residency

Stony Brook Vascular Surgery Residency Pro​gram - Integrated
Stony Brook, NY
Contact: apostolos.tassiopoulos@stonybrookmedicine.edu
Paradigms Offered: 0+5
Our integrated five-year vascular program is one of the first integrated programs nationwide. Residents are chosen out of medical school and enter the five-year program which culminates in eligibility for certification in vascular surgery. The Department also offers ample opportunities for collaboration with faculty in basic research. Upon completion of the training program, the fellow should feel comfortable in dealing with all aspects of clinical vascular surgery, and is eligible for board certification in vascular surgery by the American Board of Surgery.
 

Philadelphia, PA
Paradigms Offered: 5+2
The ACGME-approved Fellowship in Vascular Surgery at Thomas Jefferson University in Philadelphia began in 2008. Trainees obtain extensive experience in: 1) open and endovascular procedures, 2) non-invasive vascular laboratory evaluations, 3) wound care (hyperbaric oxygen), and 4) vascular medicine--all located within a single site (The Jefferson Vascular Center).  Graduates have been uniformly successful in passing their board examinations and obtaining both academic and private practice positions upon graduation.

Tufts Medical Center
Boston, MA
Contact: acerulli@tuftsmedicalcenter.org
Paradigms Offered: 5+2
The division has been long standing, dedicated practice at Tufts Medical Center since its inception in 1966 and continues to treat more than 4,500 patients each year. The Division of Vascular Surgery boasts strong collaborative relationships with cardiology, neurology, and interventional radiology. Our surgeons have demonstrated leadership in patient care, surgical training, and advancing the fonteirs of science. We have a state of the art ICAVL-certified Vascular Lab and a spacious multimodality Hybrid OR suite built in 2012. In addition to comprehensive open and endovascular offerings, areas of particular expertise include complex and re-do open carotid and aortic surgery, chronic venous disease (obstruction), stem cell therapy.
 
UAB Vascular Surgery
Birmingham, AL
Contact: Sherry.Evans@ccc.uab.edu
Paradigms Offered: 5+2, 0+5
We are located in Birmingham, Alabama and have 4 active Vascular Surgery faculty and 2 Vascular medicine faculty. Our 5+2 vascular fellowship has been active since 2004. The 0+5 vascular residency program started in 2010 and we currently have residents at the PGY-1 and PGY-2 level.
 
UC Davis Health System
Sacramento, CA
Contact: julie.skelton@ucdmc.ucdavis.edu
Paradigms Offered: 5+2, 0+5
The five-year integrated vascular surgery residency program benefits from a unique partnership that involves UC Davis Health System, the Northern California VA Health Care System, and the David Grant USAF Medical Center. Because of this relationship, we offer two positions each year. One is for a military resident, one for a civilian. All aspects of vascular care are learned  including: diagnosis, medical management, surgical care and use of endovascular procedures. UC Davis offers excellent support for graduate medical education; residents have opportunities to participate in scholarly activities, clinical research, University or community service, and many other professional development activities. Northern California has many advantages to those to come here to live and to learn.

UC Denver- Anschutz Medical Campus
Aurora, CO
Contact: omid.jazaeri@ucdenver.edu
Paradigms Offered: 5+2
The UC Denver Vascular Surgery Fellowship will be an RRC-accredited two-year fellowship leading to board eligibility for a certificate of Special Qualifications in Vascular Surgery granted by the American Board of Surgery. The program will start in 2014. The first year is devoted to a large number and variety of open and endovascular cases, and supervising the management of an active inpatient vascular surgery service at UC Denver. The second year will be spent as the primary surgeon at multiple affiliate sites within the University health system. There is an emphasis on complex aortic pathology, advanced endovascular interventions, noninvasive diagnosis, and clinical research. There is opportunity to present at national meetings and produce peer-reviewed publications during both years.
 
UCLA Vascular Surgery
Los Angeles, CA
Contact: Vchau@mednet.UCLA.edu
Paradigms Offered: 5+2, 0+5
The primary goal of the UCLA Vascular Surgery program is to prepare the trainee to function as a specialist in vascular disease management, including the prevention, diagnosis, and treatment of vascular disease; treatment encompasses medical, open and endovascular surgery. A competent resident must have a dedication to self-study and lifelong learning. The program experience is designed to promote a fundamental understanding of vascular disease that encourages professional growth as a practitioner of vascular medicine, vascular surgery, and endovascular therapy.
 
UMass Vascular & Endovascular Residency Program
Worcester, MA
Contact: Raechel.Strom@umassmemorial.org
Paradigms Offered: 0+5
The integrated vascular surgery residency program at the UMass Medical School is designed to provide graduated, incremental training in both vascular & core general surgery during a five-year program. This program leads the individual to qualify for certification in vascular surgery (but not general surgery) by the American Board of Surgery. We have designed a rotation schedule that integrates appropriate rotations during the 1st 3 years, & provides chief residency experience in vascular surgery during the 4th & 5th years. 36 months will be spent on vascular surgery, & 24 months on core or general surgery rotations.
 
University at Buffalo Integrated Vascular Surgery Residency Program
Buffalo, NY
Contact: comjanet@buffalo.edu
Paradigms Offered: 5+2, 0+5
UB Vascular Surgery Programs provide a learning 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 vascular testing
  • 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
Graduates are eligible for certification in Vascular Surgery by the American Board of Surgery, and have been competitive candidates for the professional position of their choice, including both private and academic practices.

Cleveland, OH
Paradigms Offered: 5+2, 0+5
The Vascular Residency Program at University Hospitals Case Medical Center is dedicated to preparing the vascular resident and fellow for a career in the diagnosis and treatment of patients within the entire spectrum of vascular disease. The Program provides a scholarly environment to acquire the necessary cognitive and procedural clinical skills essential to the care of patients. Our vascular teaching staff have diverse backgrounds and expertise, which contribute to a rich educational experience, and each is dedicated to the education of the vascular residents and fellows, as well as general surgery residents and students.

Birmingham, AL
Paradigms Offered: 5+2, 0+5
The Vascular Division at UAB has been involved with the care of Vascular patients since the 1960s when cerebrovascular disease was first being treated with surgical therapy. Since that time, our division has grown to include five surgeons.  In 2002 we added the Vascular Fellowship, a two-year ACGME accredited fellowship, for continued specialty training after one finishes general surgery residency. In 2010 we added the Integrated Vascular Surgery Training Program which recruits students from the fourth year of medical school to provide five years of dedicated Vascular training so that our graduates are eligible for the Vascular Surgery Board examination and then immediate vascular practice opportunities.

University of Arizona
Tucson, AZ
Contact: dejonghe@email.arizona.edu
Paradigms Offered: 5+2, 0+5
The University of Arizona is proud to offer both a 5+2 Vascular Surgery Fellowship Program and an integrated 0+5 Vascular Surgery Residency Program. Our ACGME accredited programs include three integrated sites to offer a broad case mix; a university hospital, a veteran’s administration teaching hospital and a community-based hospital. For more information, please contact our program coordinator, Jeanette DeJonghe (jeanette@surgery.arizona.edu).
 
University of Arkansas
Little Rock, AR
Contact: mmmoursi@uams.edu
Paradigms Offered: 5+2, 0+5
Broad based, thorough training in vascular and endovascular surgery. We have a university hospital, VA and a private hospital in town that enable us to offer an excellent training opportunity. Four vascular staff run a busy clinic service as well as contribute to an extensive educational experience.
 
University of California - San Diego
La Jolla, CA
Contact: dbandyk@ucsd.edu
Paradigms Offered: 5+2
A 2-year independent ACGME-approved vascular surgery resident training program with rotations at the new UCSD-Sulpizio Cardiovascular Center, Scripps Green clinic, and Kaiser Foundation medical center. Training in vascular laboratory testing interpretation, arterial and venous endovascular interventions, routine and complex open arterial repairs, and vein surgery including foam sclerotherapy is provided by experienced academic and community vascular surgery faculty.
 
The University of Chicago Vascular Fellows​hip
Chicago, IL
Contact: airvine@surgery.bsd.uchicago.edu
Paradigms Offered: 5+2
The University of Chicago's Vascular Surgery Fellowship program is dedicated to the training of surgeons who are interested in pursuing a career in academic vascular surgery. Our program provides fellows hands on experience with the full spectrum of vascular surgery cases, both open and endovascular. We also provide fellows the opportunity to participate in research including clinical outcomes research and clinical trials.
 
University of Cincinnati Medical Center / College of Medicine Vascular Surgery Training Program
Cincinnati, OH
Contact: lisa.evans@uc.edu
Paradigms Offered: 5+2, 4+2 (ESP), 0+5
The University of Cincinnati training programs are targeted toward successful graduates and residents of an accredited medical or osteopathic school who wish to specialize in the field of vascular surgery. The curriculum stresses core education in the management of surgical patients with complex illnesses, and advanced education to develop competency in the diagnosis and treatment of patients with vascular disease. Residents and fellows are well prepared for the RPVI examination through intensive training from our non-invasive vascular laboratory course, which is intended specifically to augment the knowledge and skills expected of a vascular surgeon through vascular imaging and other techniques. Our programs offer a distinct opportunity to become facile in both standard open surgical procedures, catheter-directed therapy for the treatment of vascular disease, as well as non-invasive vascular diagnostic laboratory training. Experience in outpatient venous interventions, dialysis access, and exposure to private practice vascular surgery completes the training, making the residents and fellows quite marketable in both academic and private practice employment opportunities.  The UC division of Vascular Surgery was one of the first academic vascular practices in this country to develop a formal program in endovascular surgery and remains a recognized leader in the clinical applications of this rapidly evolving field.

Denver, CO
Paradigms Offered: 5+2
This is a University Hospital/VA based, 2-year ACGME/RRC accredited vascular surgery training program. The training encompasses all aspects of vascular/endovascular surgery techniques and patient care. There is broad exposure to open and endovascular techniques as well as vascular medicine. Research, teaching, and scholarship are important components of training.

University of Connecticut/Hartford Hospital
Farmington & Hartford, CT
Contact: hvjohns@harthosp.org
Paradigms Offered: 5+2
The program is a well balanced merger of a public and private hospital.The clinical experience incorporates a generous exposure to open and endovascular cases so that the graduates are very experienced in all open procedures and competitive with any specialty with respect to catheter based procedures.
 
University of Florida
Gainesville, FL
Contact: feezor@surgery.ufl.edu
Paradigms Offered: 5+2
Our mission is to produce a modern vascular surgeon with the necessary technical skills in open vascular surgery and endovascular therapies in order to independently handle the entire gamut of vascular pathologies. These technical skills are backed by a broad knowledge base of the fundamentals of vascular literature through a structured program of didactic and interactive case conferences. The Fellowship program has been designed to accommodate applicants with future interests in either academic vascular surgery or private practice and past graduates have been successful in both arenas.
 
University of Iowa
Iowa City, IA
Contact: billie-ruden@uiowa.edu
Paradigms Offered:  5+2, 0+5
During your training you will care for a diverse patient population that will serve to foster an expertise in the most common to the most complex surgical conditions. Our faculty hail from other top institutions from around the country, each bringing with them a unique surgical perspective that will add depth to your skill set. As a program we take pride in providing leading-edge patient care, advancing the field of vascular surgery through first-rate research, and providing superior education to the next generation of high-quality surgeons.
University of Maryland Program
Baltimore, MD
Web: Contact: netheredge@smail.umaryland.edu
Paradigms Offered: 0+5
The University of Maryland vascular training program offers 3 positions per year for individuals having completed general surgery training. The program offers wide clinical exposure to all aspects of vascular and endovascular surgery at different practice settings. There is protected time for educational activities, as well as opportunity and resources for scholarly pursuits.
 
University of Massachusetts
Worcester, MA
Contact: patricia.borowy@umassmemorial.org
Paradigms Offered: 0+5
We offer a diverse training experience in vascular surgery that covers the entire gamut of open and endovascular procedures. Our entire team is committed to training outstanding future leaders in vascular care.

University of Michigan
Ann Arbor, MI
Contact: janiced@umich.edu​
Paradigms Offered: 5+2, 0+5
Our vascular training programs include both a fellowship and an integrated vascular surgery residency which we believe to be synergistic in terms of the education of our trainees. Since 1982, we have graduated 28 vascular surgery fellows and 1 resident, all of whom have been successful in the field of vascular surgery. Our trainees graduate with an excellent open aortic experience as well as a large number of complex aortic and peripheral endovascular procedures. Please contact us if you have any questions about our training programs.

Minneapolis, MN
Paradigms Offered: 5+2
The Fellowship program at the University of Minnesota, Division of Vascular Surgery is a fully accredited two-year training program in vascular surgery. We accept two fellows per year via the National Resident Matching Program (NRMP). Upon completion, fellows will be eligible for the Certificate of Special Qualifications in Vascular Surgery granted by the American Board of Surgery. Fellows will receive training in open vascular surgery, endovascular procedures, and the management of patients with hemodynamic instability, multiple organ system failure, complex co-existing medical problems. Noninvasive vascular interpretation training is also included. Rotation sites include the University of Minnesota Medical Center, Fairview - a nationally respected teaching hospital, the Minneapolis Veterans Health Care System - a large regional care center, the Twin Cities' largest hospital - Abbott Northwestern; and Fairview Southdale -a suburban community hospital with over 40 specialty services. Sites are conveniently located and offer fellows a varied experience fitting the trainee for futures in either academic or private practices. Research and scholarship are also components of training.

University of Mississippi Medical Center
Jackson, MS
Paradigms Offered: 5+2
The Vascular Surgery Fellowship at the University of Mississippi, established in 2011, is a 5+2 program encompassing a large volume of complex open and endovascular procedures. Training is designed to provide a broad experience including diagnostic imaging, noninvasive laboratory studies, and vascular medicine. A comprehensive curriculum of didactic material is offered to prepare the trainee for Certification in Vascular Surgery by the American Board of Surgery, with weekly teaching conferences and a monthly Journal Club. There are six faculty attending surgeons who are experienced in management of the entire spectrum of vascular diseases, with both open and endovascular procedures, as well as  non-surgical management.

University of Missouri Vascular Surgery Fellowship Program
Columbia, MO
Contact: gormana@health.missouri.edu
Paradigms Offered: 5+2
The vascular surgery fellowship training program is a two-year ACGME approved fellowship accepting one fellow per year. Clinical rotations occur at University of Missouri Health Care and Harry S. Truman Memorial Veterans Administration Hospital.  We are a University based program with emphasis on graduated resident responsibility, research, and education.
 
University of North Carolina Chapel Hill
Chapel Hill, NC
Contact: debbie_alberti@med.unc.edu
Paradigms Offered: 5+2
Our two year vascular surgery fellowship provides the surgeon with a broad exposure of both standard and complex vascular pathologies.  The training covers complex open and endovascular procedures covering the cerebrovascular, aortic, mesenteric, peripheral, and venous systems.  Medical management, non-invasive vascular ultrasound interpretation, complex wound management, as well as critical analysis of the literature is also stressed.  Our graduated trainees have become successful in both academic and private practices all over the country.

Tulsa, OK
Paradigms Offered: 5+2
Our fellowship program includes extensive participation in open and endovascular surgery, minimally invasive percutaneous procedures, noninvasive vascular laboratory, and clinical and laboratory research. Tulsa is a wonderful place to live and learn! The fellowship program is fully accredited by the ACGME.

University of Pennsylvania​
Philadelphia, PA
Contact: lauren.reeve@uphs.upenn.edu
Paradigms Offered: 5+2, 0+5
The Division of Vascular Surgery and Endovascular Therapy at the University of Pennsylvania provides opportunities for residency training in Vascular Surgery including a traditional two-year residency and a five year integrated vascular surgery residency. We provide a high volume of clinical experience with associated conference and didactic instruction and exposure to research. We have designed our residency to provide a balanced experience of open and endovascular cases, inpatient and outpatient care and the exposure to and involvement with academics in vascular surgery.

University of Rochester Medical Center
Rochester, NY
Contact: susan_edwards@urmc.rochester.edu
Paradigms Offered: 5+2, 0+5
We offer two ACGME-accredited training programs: a two-year vascular surgery fellowship, and an integrated five-year vascular surgery residency (with one year of research added between the second and third clinical years).  We have divided the service to include two separate services so trainees can operate, see patients, and manage the service as Chief Resident.  All residents will spend time in our ultrasound lab and will be prepared to receive their RPVI certification.  In addition, residents rotate in our Vein Center and spend one month off-site in our Fingerlakes offices.  We have educational conferences each morning with journal club once a month in the evening.  Our faculty are committed to education and truly enjoy working with our trainees.
 
University Southern California, Keck School of Medicine
Los Angeles, CA
Contact: nancy.phuong@med.usc.edu
Paradigms Offered: 5+2, 4+2 (ESP), 0+5
The Vascular Surgery Training Program at the University of Southern California (USC) Program focuses on developing the vascular surgeons of the future by providing a thorough and in depth open, endovascular, vascular medicine and vascular imaging experience. Rotations are designed to provide the resident with a balanced education in index Vascular Surgery procedures; complex, redo and unusual procedures; endovascular procedures; invasive and noninvasive imaging  for vascular disease and vascular medicine. The program offers two tracks that result in the privilege of sitting for American Board of Surgery Certification in Vascular Surgery. One track, 0+5, matches medical students in a dedicated vascular surgery program, the other, 5+2, provides those who have completed a general surgery residency an opportunity of additional focused training in vascular surgery.
 
The University of Texas at Houston Medical School Vascular Surgery Residency Program
Houston, TX
Web: Contact: Carol.Mateo@uth.tmc.edu
Paradigms Offered: 5+2
The Department of Cardiothoracic and Vascular Surgery offers an ACGME approved two year residency program in vascular surgery. The training program offers exposure to the full spectrum of open and endovascular procedures.  Our mission is to demonstrate excellence in advanced surgical care, in the conduct of research, and in education for practitioners and scientists at every stage of their careers.
 
University of Utah Division of Vascular Surgery
Salt Lake City, UT
Contact: kathy.asay@hsc.utah.edu
Paradigms Offered: 5+2
The University of Utah is the state's flagship research university and the major referral medical center for the Intermountain West. We offer a fully-acredited, two-year training program which begins on July 1st of each academic year, with one fellow starting each year.
 
University of Washington
Seattle, WA
Contact: starnes@uw.edu
Paradigms Offered: 0+5, 5+2
Our Vascular Surgery Integrated Residency program offers arguably the best training in the United States. A full spectrum of endovascular and open surgical training is provided over a five year period at three different campuses including Harborview Medical Center, VA Puget Sound and the University of Washington Medical Center.
 
University of Wisconsin Vascular Surgery Residency Program
Madison, WI
Contact: bruckner@surgery.wisc.edu
Paradigms Offered: 0+5
The 0-5 year UW Vascular Surgery Residency is designed to provide incremental, progressive training in core surgery and vascular surgery during the five-year program and focus on areas that will be critically important to the needs of a practicing vascular specialist. Over the course of the five-year training period, vascular residents will spend a total of 24 months on core surgery rotations and 36 months on vascular surgery rotations. There is one position available starting June 24, 2013.
 
UPMC
Pittsburgh, PA
Contact: chaerra@upmc.edu
Paradigms Offered: 5+2, 0+5
We maintain a 5-2 and a 0-5 program, with 2 slots available per year in each. We have busy clinical services, and our 0-5 program includes 2 mandatory research years.
 
Vanderbilt University Medical Center
Nashville, TN
Contact: aundra.brown@vanderbilt.edu​
Paradigms Offered: 5+2
We provide opportunity for Vascular Surgery training in a 5+2 program at Vanderbilt University Medical Center. We offer the full breadth of procedures both open and endoluminal. The trainee can expect to be confident in performing open and endovascular procedures to treat a full array of pathophysiological conditions.
 
Washington University Vascular Surgery
St. Louis, MO
Contact: bizoffr@wudosis.wustl.edu
Paradigms Offered: 5+2, 4+2 (ESP), 0+5
The Vascular Surgery training program at Washington University has been educating leaders in Vascular Surgery for over 25 years.  We are now offering an annual training position for the Integrated Program track (0+5), in addition to two positions in Independent Program (5+2).  The program boasts one of the busiest single center clinical sites in the nation at Barnes-Jewish Hospital.  This clinical volume allows for a broad and comprehensive experience to all components of vascular surgery from the varicose veins and diagnostic angiograms to open thoracoabdominal repairs and branched thoracic endografts.
 
Washington University-St. Louis Vascular Surgery Training Programs
St. Louis, MO
Contact: wuvs@wudosis.wustl.edu
Paradigms Offered: 5+2, 4+2 (ESP), 0+5
Started in 1986, the Washington University Vascular Training Program is one of the longest running in the nation. Eight full-time Vascular Surgeons primary objective is to provide the highest level of patient care and an education environment for the research and clinical training of Vascular Surgery trainees. The primary affiliated teaching hospital of the Medical School Training Program is Barnes-Jewish Hospital, which has more than 157,000 in- and out-patient surgery and emergency department visits each year.
 
Wayne State University/Detroit Medical Center
Detroit, MI
Contact: woppat@med.wayne.edu
Paradigms Offered: 5+2
The WSU/DMC fellowship is a university affiliated Urban training program closely affiliated with two major teaching hospitals in suburban Detroit.  The faculty is comprised of Vascular Surgeons who have received training throughout the US. and who possess strengths in arterial, venous, endovacular, and simulation training. The affiliation of the fellowship and the medical school provides the foundation for research initiatives.

West Virginia University Charleston Division/Charleston Area Medical Center
Charleston, WV
Contact: ajharman@hsc.wvu.edu
Paradigms Offered: 5+2, 0+5
We offer a 5 year residency and 2 year fellowship both fully accredited by the ACGME. Our primary goal is to produce well rounded vascular surgeons, who are both clinically and academically sound. We have 6 full time vascular surgeons, 3 endovascular interventionists, and 1 preventative medicine specialist, all of whom are dedicated to the teaching of young surgeons.
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Society for Vascular Surgery
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Phone: 312-334-2300 | 800-258-7188
Fax: 312-334-2320
Email: vascular@vascularsociety.org

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VascularWeb® is the prime source for all vascular health and disease information, and is presented by the Society for Vascular Surgery®. Its members are vascular surgeons, specialists, and vascular health professionals who are specialty-trained in all treatments for vascular disease including medical management, non-invasive procedures, and surgery.