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Integrated Vascular Surgery Residency

Overview

The mission of the Yale Integrated Vascular Surgery Residency Program is to train the next generation of academic vascular surgery leaders. Residents will be exposed to the full spectrum of endovascular and open surgical procedures in a quaternary referral center environment. Each trainee will also spend time in the pursuit of an academic experience where they learn how to design and publish investigative efforts in areas of their choosing. Potential opportunities exist in a wide variety of fields including basic science, translational, public health, device design, large database outcomes research as well as formal post-graduate courses. Our goal is to allow all vascular surgery trainees to develop into skilled, confident surgeons with the ability to pursue careers in academic surgery. Our rigorous clinical training and diverse academic experience will allow for a customized outcome suited to the trainee’s goals. Upon completion of this program, trainees will be eligible for certification in Vascular Surgery through the American Board of Surgery.

At Yale Vascular Surgery, we embrace a culture of collaborative excellence and foster the professional development of people from all different backgrounds, including race, age, gender, sexual orientation, religion, ethnicity, socioeconomic status, and nationality. In our residency program, we strive to recruit and train highly motivated candidates who will be an integral component of the future vascular surgery workforce.

Program Structure

The Yale Vascular Surgery integrated residency is a 7-year program aimed at outstanding graduates of an accredited medical school who wish to specialize in the field of vascular surgery.

PGY 1-3 years

During the first 3 years, the resident will establish a core foundation to include rotations in general surgery, trauma, critical care, cardiothoracic surgery, transplant, vascular ultrasound, and other surgical subspecialties. PGY 1-3 residents will also have significant exposure to vascular surgery, and will perform consultations, diagnose and manage vascular diseases, and interpret imaging studies. Residents will learn and perform basic endovascular procedures (e.g. angiograms, venograms, and fistulograms) and standard open vascular cases (e.g. arterial exposures, anastomoses, dialysis access, venous procedures).

Academic Development

Following the first 3 years of clinical rotations, residents will dedicate 2 years of their training to the design and implementation of research projects with the goal of presentation and publication. Previous residents have worked in basic science laboratories, obtained an MPH degree, published podcasts, qualified for patents, designed animal research, led quality improvement projects, and published large database research. Residents with a career goal of hypothesis driven research will be eligible for the Surgical Scientist Training Program (SSTP). Academic endeavors are fully supported by the division and YNHH assures salary support. The trainee will still be involved in clinical care taking a limited amount of on-call responsibility.

Senior Resident Years

During the final 2 years of training, the vascular resident will master standard vascular and endovascular procedures and will learn more complex procedures such as aortic aneurysm repair (open and endovascular), physician-modified and branched endografts, thoracoabdominal and thoracic aneurysm repair, carotid surgery (endarterectomy and TCAR), lower extremity bypass, peripheral vascular interventions, mesenteric artery intervention, and thoracic outlet decompression. In addition, the resident will function as “chief resident”, alternating between our campuses. They will be responsible for leading the team of junior residents, students, and APPs. By the completion of their training, the vascular resident will be adept at clinical decision-making, operative planning and performance, and the longitudinal care of patients with vascular disease. Surgical education at the senior level is based in progressive autonomy, such that on graduation the trainee is performing the bulk of procedures in an independent fashion.

Training Locations

The Yale-New Haven Hospital (YNHH) is one of the largest medical centers in the country and is consistently ranked as one of the top hospital systems in the U.S. It is comprised of three campuses: York Street, St. Raphael’s, and Bridgeport. YNNH is a level 1 trauma center, cardiac and transplant center, pediatric hospital and a major regional referral center. St. Raphael’s is a busy hospital with a large volume of arterial and venous work, dialysis, as well as spine exposure. The Veterans’ Affairs Connecticut Healthcare (VA) serves our veterans across the breadth of vascular disease. Bridgeport campus is a busy Level 2 trauma center and allows the trainee to experience a more community style rotation.

Rotations & Experience

Vascular Ultrasound Experience

Vascular residents will learn to perform and interpret vascular laboratory studies throughout their training. In addition, residents will spend a dedicated one-month rotation in vascular ultrasound. Specifically, residents will become adept at interpreting carotid duplex, aortic aneurysm ultrasound, mesenteric and renal duplex, ABI/PVR studies, lower extremity arterial and venous studies. Residents will qualify for and complete the Registered Physician in Vascular Interpretation (RPVI) examination, which is required for board examinations.

Procedural Experience

Graduates of our residency program consistently achieve the 85th percentile in case volumes. Generally, our case mix for trainees is about 60% endovascular and 40% open. Our program emphasizes decision-making and progressive autonomy such that as a resident progress through our program they will learn how to operate independently. Yale New Haven Hospital is a quaternary care facility and receives transferred patients from around the state of Connecticut and adjacent states. We work collaboratively with oncology, transplant, urology, ENT, colorectal and cardiothoracic surgery for complex vascular problems and reconstructions.

Endovascular Procedures

  • Endovascular aortic aneurysm repair, including PMEG
  • Thoracic aneurysm and dissection repair
  • Catheter based thrombolysis and thrombectomy (arterial and venous)
  • Lower extremity interventions (angioplasty, stenting, atherectomy)
  • Embolization procedures
  • Mesenteric and renal interventions
  • Transcarotid arterial revascularization (TCAR)
  • Superficial venous procedures
  • Intravascular ultrasound
  • Dialysis fistula procedures
  • IVC Filter Placement and Retrievals

Open Surgical Procedures

  • Suprainguinal and Infrainguinal Lower Extremity Bypass
  • Open aortic aneurysm repair
  • Thoraco-abdominal aneurysm repair
  • Aortic reconstruction for occlusive disease
  • Mesenteric bypass
  • Dialysis access placement
  • Varicose vein procedures
  • Thoracic outlet decompression
  • Femoral endarterectomy
  • Thrombectomy & Embolectomy
  • Vascular trauma reconstruction
  • Major venous reconstruction (portal vein, IVC)
  • Carotid body tumor resection
  • Lower Extremity Amputations
  • Upper extremity bypass
  • Spine exposure
  • Oncovascular surgical reconstructions

Conferences

We have several conferences through the week:

  • Quality and Indications (Wednesday): case-based review of patients and analysis of improvement opportunities. We also discuss challenging cases with faculty and trainee interaction.
  • Didactic (Friday): VSCORE modules with lecture or case based discussion led by faculty.
  • Complex Aortic (Tuesday, alternating): Multidisciplinary discussion on patients with complex thoraco-abdominal and thoracic pathology.
  • Journal Club (quarterly): Discussion of pertinent vascular literature.

Application Process

All applications must be made through Electronic Residency Application Service (ERAS) and applicants must register with National Residency Matching Program (NRMP). We currently offer 1 training position per year, in a 7-year training program comprising 5 clinical years and 2 years of academic development time. Prospective residents can anticipate to begin training around the 2nd week of June.

All applications on ERAS through the common application process.

Additional Resources

The Yale GME website at https://www.ynhh.org/medical-professionals/gme has additional Information about resident salary & benefits, Visa questions, library resources, and Graduate Medical Education processes.

Interview Dates

  • December 8, 2025
  • January 7, 2026