Can someone apply to CT Surgery from Integrated Vascualr Surgery Residency?

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MElSorady

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Dear Colleagues,

I have a question here please; can someone apply to CT surgery residency or fellowship just by completing integrated vascular surgery residency, or should we go through either integrated thoracic or general surgery residency, if want CT surgery?

Thank You!
MElsorady

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Dear Colleagues,

I have a question here please; can someone apply to CT surgery residency or fellowship just by completing integrated vascular surgery residency, or should we go through either integrated thoracic or general surgery residency, if want CT surgery?

Thank You!
MElsorady

While I do not know OTTOMH whether or not a CTS fellowship would accept Integrated Vascular training, I would inquire as your goals.

If you want to be a CT surgeon, it is much easier to do a general surgery residency and apply for the fellowship. Integrated Vascular Surgery programs are pretty competitive and certainly would not be the route of choice for someone who intends to do CT instead of Vascular.

If you are a young student who thinks they can have it all, ie, doing central CT surgery and peripheral and abdominal vascular cases, be aware that very few specialists are generalistis. Choose Vascular Surgery if you want to be a good vascular surgeon or CT Surgery if you want to be a good CT Surgeon. You will not get enough case load in both fields to remain proficient, IMHO.
 
Dear Colleagues,

I have a question here please; can someone apply to CT surgery residency or fellowship just by completing integrated vascular surgery residency, or should we go through either integrated thoracic or general surgery residency, if want CT surgery?

Thank You!
MElsorady

I believe you can. If you look at the ABTS website for requirements for board certification, one of the "pathways" is board certification after completion of a vascular fellowship. While I agree with WS, it would seem much more difficult to go this pathway if you are mainly interested in CT surgery.

http://www.abts.org/sections/Certification/General_Requirements/index.html
 
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why would you want to do both???

If you like vascular- a significant number of CT guys do vascular as well. mostly the cool open cases- fem-pop, AAA, CEA +/- HD access. it is less common for CT guys to do cardiac + hardcore endovascular peripheral vascular, mainly because there isnt enough time in the day to spend doing these things. you just have to know your limitations.

there are alot more CT guys who do vascular than there are vascular guys who do CT...
 
Integrated Vascular residencies are for those who intend on doing Vascular Surgery. If you want flexibility you should do General Surgery so that you can have your choice of fellowships (CT, Vascular, and others) later on when you can make more concrete decisions.
 
Dear Colleagues,

I have a question here please; can someone apply to CT surgery residency or fellowship just by completing integrated vascular surgery residency, or should we go through either integrated thoracic or general surgery residency, if want CT surgery?

Thank You!
MElsorady

I agree with ESU. If you're interested in doing both, I'd suggest doing a CT residency. In the right place in America, you can probably practice both CT and PV in the same setting. True, you'd probably be doing only open PV sugery, but the endo stuff can be picked up through "mini-fellowships."

I wouldn't recommend doing both, primarily because I don't believe you'd have enough of a volume to be competent in either discipline -- there's only a finite amount of time in the day, and you're probably going to want to go home at some point even if to pay your utility bills.

Beyond that, if you forego the mini-fellowship and do only open PV cases, you're putting your patients at a clear disadvantage as there are plenty of things that PV surgeons do endovascularly that have practically supplanted the need for an open operation.

Good luck.
 
I humbly disagree. I think the training in the integrated vascular programs would almost certainly better prepare you for the technical requirements of CT surgery. Using a saphenous vein in the leg is closer to using a saphenous vein in the chest than a sewing a piece of bowel to bowel.

That being said, I would think an integrated CT program would make more sense than either of the above two options. Most of the programs offer quite a bit of vascualr experience.
 
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