Annual Report 2010 - 2011
DEPARTMENT OF VASCULAR AND ENDOVASCULAR SURGERY
CLINICAL: For fiscal year 2011, the Department of Vascular Surgery maintained positive trends in clinical collections with a 6% increase. The department performed 1,206 surgeries, a decrease of 12.2% from last year. The number of visits increased by 6.5% at a total of 12,973, with work RVUs at 39,343, a 4.6% decrease from FY10. Decreases were due to one faculty member not practicing after August 2010.
The Department of Vascular and Endovascular Surgery continues to achieve success through the excellence of faculty and team members. Drs. Matthew Edwards, Randolph Geary, Kimberley Hansen and George Plonk were recognized as Best Doctors. Drs. Edwards and Hansen were recognized within “Top Doctors” with Dr. Hansen being recognized within the top 1% of all Vascular Surgeons. Dr. Hansen was also recognized within “Best Surgeons.” Dr. Christopher Godshall received a third year renewal of the Brooks Scholarship through his work with medical student and resident distance education models. Through our national organization Dr. Geary serves on the SVS Research Council, Dr. Edwards was selected for the Recorder of the Southern Association of Vascular Surgery (SAVS), and Dr. Hansen serves as the Chair of the SVS Fellows Council. Despite the absence of one faculty member, department volumes and surgical cases were maintained.
Patient access to outpatient evaluation was provided at 1-2 weeks in order to foster referring physician relationships. Physician templates were revised this year to ensure this access would continue. The department continues to move forward with EMR and paperless clinical charts as well as the patient portal.
Inpatient ALOS decreased substantially due to our team centered inpatient care that is coordinated by Aruna Hulme, NP. During FY11 we moved further towards Vascular Center organization by incorporating our scheduling within a team structure in the Vascular Lab area that allows for cross coverage and future center planning. Major staff efforts were completed towards the Provider Based Clinic implementation and preparation for CMS visit.
Within clinical research, the department continues to support a research database that supports fellow and attending research efforts. The department also supports dedicated statisticians, clinical coordinator, and data coordinator. The Clinical Vascular Lab has participated in several research projects, the largest being the MESA study, which has enrolled more than 500 patients. Research collaborations continue between our department and Radiology, Nephrology, Cardiology, and Public Health Sciences. Clinical trial activity for 2010-2011 included completion of one trial, continuation with closed enrollment in two trials and active enrollment in three trials. Our department is currently seeking involvement in three upcoming trials.
ACADEMIC: For fiscal year 2012, The Department of Vascular and Endovascular Surgery has 4 Vascular Surgery fellows and 4 Vascular Medicine Fellows. Dr. Godshall continues to take a leadership role within the education mission through the medical student education development and continuation of the Brooks scholarship activities. New faculty member Dr. Hurie will help support this mission. Dr. Hurie began his Masters program in August 2011. Programmatic changes with a new 0/5 program is projected in the next two years based on trends within Vascular education. The K12 Vascular Medicine program continues with four fellows in our program during FY11. There is one additional position within the K-12 program. ACGME duty hour changes required an additional midlevel to fill care gaps. We anticipate that this midlevel position will further the care coordination while supporting the educational mission across the Division of Surgery. This position is scheduled to begin October 2011. The teaching model for both the Vascular Surgery and Vascular Medicine model includes full support of one-on-one teaching opportunity across the continuum of care including ambulatory, inpatient and operating experiences.
Vascular and Endovascular Surgery continued to support the Vascular Forum as an educational opportunity to our team including fellows and regional Vascular providers with case presentation and case management discussion. On April 20, 2011, visiting professor Spence Taylor, M.D., Chief Academic Officer of the Greenville Hospital System and Professor of Clinical Surgery at the University of South Carolina, School of Medicine for the Greenville Campus, led the forum discussion and participated in General Surgery Grand Rounds where the title of his presentation was “Critical Limb Ischemia: Reality vs. the Cold Hard Truth.” On October 27, 2010, visiting professor Thomas Huber, MD, PhD., Professor of Surgery and Chief, Division of Vascular Surgery and Endovascular Therapy at the University of Florida in Gainesville, Florida, led the forum discussion and participated in General Surgery Grand Rounds where the title of his presentation was “The Challenges of Permanent Hemodialysis Access.”