Vascular Surgery Integrated Residency

The SSM Health/Saint Louis University School of Medicine Vascular Surgery Integrated Residency Program offers a dedicated pathway for early specialization, combining core surgical training with intensive, high-volume vascular experience. 

A Message From the Program Director

As one of the oldest vascular training programs in the Midwest, we have trained vascular surgery fellows since the 1980s and began training integrated vascular surgery residents in 2015. It is impossible to discuss the fellowship without discussing the integrated residency, given the shared facilities and didactic schedule. 

Both vascular surgery fellows and residents rotate between a busy tertiary referral hospital with both adult and pediatric campuses, and a busy private hospital. They work with eight vascular surgeons and manage the breadth of vascular disease and pathology. Both facilities are Level 1 trauma centers with complex cardiac capabilities and hybrid operating rooms. In addition, through our SSM Health network, there are rotations through two additional community hospitals. Integrated residents also rotate through core general surgery rotations, including experiences with solid organ transplantation and critical care. Rotations at the St. Louis Veterans Affairs Hospital provide an additional opportunity to manage complex patients. These exposures give our trainees opportunities to experience all types of vascular practices and allow them to identify areas of interest and the type of career they wish to pursue. Our graduates have been successful in both private and academic practices. 

I’m frequently asked what I’m most proud of in these remarkable programs, and my answer is always the same: the people and their relationships with one another. These relationships and this division’s dedication to serve our patients inspire me daily. I’m also asked what I think the major advantage is for training at SSM Health/Saint Louis University School of Medicine. I call this advantage being “just right.” We are a right-sized program where every trainee gains a tremendous open and operative experience. This right size also makes us more agile and able to incorporate trainees’ new ideas into our curriculum and daily operations in real time. We are also just the right age. As someone contemplating applying to our program, you can feel confident in our commitment as shown by our history of success in training physicians in the field of vascular surgery. And, at the same time, you can see that we are still young enough to incorporate innovative technologies into daily practice 

We also have a secret weapon in our training: our program coordinator! With a master’s education, Ashley Ayash brings a level of organization and knowledge of teaching methods that has changed our approach to didactic education at the highest level. Every trainee’s learning experience has been improved — AND she’s a great resource for all things St Louis. Please look at our website for more information on our program, our faculty, midlevel providers, staff and the types of vascular disease we treat.  

I look forward to meeting you! 

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Program Highlights

The five-year, ACGME-accredited vascular surgery integrated residency provides extensive clinical experience in both high volume academic and private practice environments. Open as well as endovascular procedures are performed daily with ample opportunities for office-based procedures. 

Assessment of knowledge base and surgical skill begins on the first day with a goal of developing autonomy as soon as the trainee demonstrates competence. Residents are trained in long-term follow-up and management of chronic vascular disease through scheduled clinics. They develop assessment skills for urgent and emergent interventional needs through consultations and participate in pre-operative procedure planning and post-procedure management for both open and endovascular procedures. Weekly vascular conferences provide ample opportunity to review and teach core vascular topics and master the ability to interpret vascular imaging including CTA, MRI, angiography and non-invasive vascular laboratory examinations. Real-time evaluation with procedural debriefing and completion of FIREFLY™ evaluations provides easy-to-access data for both faculty and trainee review. Morbidity and mortality conferences as well as combined conferences with general surgery to discuss core common program requirements complete the didactic schedule. Opportunities to engage in ongoing research are available from the first day as the division has a well-established research group. 

Program Highlights  

• Surgical and endovascular volumes well above national mean  
• Higher than national average open aortic cases 
• Required number of vascular laboratory examinations completed for RPVI certification completed by end of first year 
• Comprehensive training at both academic and private hospitals  
• 24/7 OR and IR availability 
• 24/7 midlevel provider, critical care, hospitalist and specialist support at both institutions

Meet the Faculty

Apply

The program has one available fellowship position per year and is available to trainees who have successfully completed a general surgery residency.

Requirements  

• Three letters of recommendations from American Board of Surgery-certified surgeons who are familiar with your work  
• Dean’s letter (submitted by medical schools)  
• Official medical or osteopathic school diploma and transcripts 
• USMLE  
• ABSITE  

The program participates in the Electronic Residency Application Service (ERAS) and the National Residency Matching Program (NRMP), utilizing Thalamus to assist with data management.  

Review the Application Process

All applicants are reviewed holistically. Candidates will be contacted by email to select an interview date.   

About the SSM Health/Saint Louis University School of Medicine Graduate Medical Education Program

SSM Health proudly sponsors the Graduate Medical Education Program at Saint Louis University School of Medicine. This university-based training program offers a world-class academic environment that fosters clinical excellence, research innovation and compassionate care. All program participants are employed by SSM Health, ensuring a cohesive and supportive experience within a nationally recognized health system.