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1
CURRICULUM VITAE
OREGON HEALTH & SCIENCE UNIVERSITY
NAME
Erica Leith Mitchell, M.D. FACS
DATE
September, 13
th
2011
PRESENT POSITION AND ADDRESS Academic
Rank:
Associate Professor Surgery
Associate Professor Interventional Radiology Department/Di
vision:
Department of Surgery/Division of Vascular Surgery
Department of Radiology/Division of Interventional Radiology, The
Dotter Institute Professional
Address:
Division of Vascular Surgery
3181 SW Sam Jackson Park Road, Mail code OP11, Portland, OR 97239 E-Mail
Address:
II. EDUCATION
Undergraduate and Graduate:
1985 Bachelor of Science, Geologic Engineering
Colorado School of Mines, Golden, CO
1989- 1991 Post-baccalaureate, Pre-medical requirements
University of Colorado, Denver, CO
Postgraduate:
1996 Doctor of Medicine
University of Colorado, School of Medicine, Denver, CO
1996-1997 Internship, General Surgery
University of Colorado Health Sciences Center, Denver, CO
1997- 1998 Residency, General Surgery
University of Colorado Health Sciences Center, Denver, CO
1999 Research Fellow, Plastic Surgery
Jack Brockhoff Reconstructive Plastic Surgery Research Unit,
Royal Melbourne Hospital, Melbourne, Australia
2000 Residency, Plastic Surgery
University of Colorado Health Sciences Center, Denver, CO
2001-2003 Residency General Surgery
University of Colorado Health Sciences Center, Denver, CO
2
2003-2005 Fellowship, Vascular Surgery
Oregon Health & Science University, Portland, OR
2004 Human Investigators Program (HIP)
Oregon Health & Science University, Portland, OR
2005-2006 Fellowship, Interventional Radiology
University of Colorado Health Sciences Center, Denver, CO
2008-2009 Education Leadership Initiative (ELI)
Oregon Health & Science University, School of Medicine, Portland, OR
2009-2010 Surgical Education Research Fellowship
The Association for Surgical Education
2009- Masters Program, Surgical Education,
Imperial College, London, United Kingdom
Certification:
National Board of Medical Examiners. 2000. Diplomat #40453672.
The American Board of Surgery, General Surgery. 2004. Diplomate #49452.
The American Board of Surgery, Vascular and Endovascular Surgery. 2007. Diplomate, #101726.
The American College of Surgeons, Fellow. 2008.
Licenses:
2003 Oregon Medical License, active. #MD 24570, renewal date 12/31/2011
2000 DEA license, #BM7020299, renewal date 01/31/2015
2005 NPI #1417044462
III. PROFESSIONAL EXPERIENCE
Academic:
2006 Assistant Professor, Department of Surgery/Division Vascular Surgery
Oregon Health & Science University, Portland, OR
Department of Veterans Affairs Medical Center, Portland, OR
2006 Assistant Professor, Department of Interventional Radiology
The Dotter Institute, Oregon Health & Science University, Portland, OR
Department of Veterans Affairs Medical Center, Portland, OR
2011 Associate Professor, Department of Surgery/Division Vascular Surgery
Oregon Health & Science University, Portland, OR
Department of Veterans Affairs Medical Center, Portland, OR
2011 Associate Professor, Department of Interventional Radiology
The Dotter Institute, Oregon Health & Science University, Portland, OR
Department of Veterans Affairs Medical Center, Portland, OR
Administrative:
3
2007- Director, Vascular Surgical Skills Laboratory
Oregon Health & Science University, Portland, OR
2008- Associate Medical Director, Surgical Simulation, VirtuOHSU
VirtuOHSU, Surgical Skills Laboratory
Oregon Health & Science University, Portland, OR
2009- Program Director, Vascular Surgery
Oregon Health & Science University, Portland, OR
IV. SCHOLARSHIP
Area(s) of Research/Scholarly Interest:
1. Simulation (low and high-fidelity) for vascular surgery training.
2. Assessment of operative competence in vascular surgery.
3. Educational value of morbidity and mortality conference.
4. Basic procedural simulation for medical student training.
5. Barriers to a career in Academic Vascular Surgery
6. Salvage procedures after iliac artery stenting.
Participation in ongoing studies:
1. Hand functions and quality of life in patients on chronic hemodialysis
2. Outcome of Venous Thromboembolism surveillance in Critically Ill patients
3. Morbidity & Mortality Conference: A Validated Evaluation Tool
4. Salvage Procedures After Failed Iliac Artery Stenting
5. Central Venous Catheter Associated DVT
6. Natural History of Isolated Gastrocnemius and Soleol Deep Venous Thrombosis
7. Longitudinal study following hand function in patients on chronic dialysis using an upper
extremity dialysis access
8. Objective Assessment of Operative Competence in Vascular Surgery
9. Short and Long Term Effects of Carotid Shunts Following Cartoid Endarterectomy
10. Predicators of Healing for Transmetatarsal Amputations
11. The Impact of a Simulation-based Endovascular Curriculum on Trainee Performance and
Clinical Outcomes in Vascular Surgery
12. Using Cadaver Dissections to Conceptualize Troublesome Anatomic Relationships in
Vascular Surgery
13. Natural History of Atherosclerotic Femoral Aneurysms
14. Barriers to Careers in Academic Surgery for Women
15. Identifying Factors Influencing Vascular Surgery Trainees' Choice of Practice Setting
16. Incidence of Complications after Femoral Vein Harvest
17. Effect of Finger Amputation Healing on Patient Outcomes
18. Radial Artery Catheter Complications
19. Wall Stress Distribution of Abdominal Aortic Aneurysms as a Predictor of Rupture Risk
20. Effects of Vascular Surgery Belonging Intervention on Medical Students
21. Comparison of Mesenteric Artery Duplex Scanning and CTA in the Clinical Evaluation of
Mesenteric Artery Stenosis
4
22. Long-Term Follow-Up of Aortic Interventions and Pathology
23. Eligibility of Popliteal Aneurysms for Endovascular Repair
24. Comparison of patients with peripheral arterial disease managed by operative versus non-
operative approaches
25. Peri-operative Venous Thromboembolism (VTE) in Patients with a Prior History of Deep Vein
Thrombosis
Industry Studies:
1. A Randomized Double-Blind, Placebo-Controlled, Parallel Group Study of the Efficacy and
Safety of 4 Administrations of XRP0038/NV1FGF 4mg at 2-Week Intervals on Amputation or
any Death in Critical Limb Ischemia Patients with Skin Lesions
2. Prospective aneurYsm Trial: High AnGle AORfix™ bifurcAted Stent graft (PYTHAGORAS)
3. Vascutek ANACONDA Stent Graft System Phase II IDE Study
4. A U.S. Phase 2, Randomized, Single-Blind, Controlled, Comparative Efficacy and Safety
Study of Topical Fibrocaps™ and Gelatin Sponge USP in Surgical Hemostasis
5. AMPREDICT: A Prognostic System for Selecting Appropriate Level of Amputation
6. Sapphire WW: Stenting and Angioplasty With Protection in Patients at High-Risk for
Endarterectomy
7. A Phase 4, Open-Label, Single-Group Immunogenicity and Safety Study of Re-exposure to
RECOTHROM® (rThrombin) in Surgical Hemostasis
8. Homocysteine and Progression of Atherosclerosis
Grants:
Source of Support: W. L. Gore & Associates, Flagstaff, AZ.
Project Title: Teaching Vascular Surgery Skills: Reinforcing the Practice: A Randomized Trial.
Amount: $10,000 plus $5,000 Gortex graft material.
Role: Principal Investigator
Aims: Evaluate the impact of distribution of practice (weekly vs. monthly) of a surgical
skill (vascular end-side anastomosis) on skill acquisition and retention.
Amount Period: 2008-2009
Source of Support: Sonosite, Bothell, WA.
Project Title: Teaching Vascular Surgery Skills: Reinforcing the Practice: A Randomized Trial.
Amount: 2 loaner Sonosite ultrasounds.
Role: Principal Investigator
Aims: Evaluate the impact of distribution of practice (weekly vs. monthly) of a surgical
skill (vascular end-side anastomosis) on skill acquisition and retention.
Amount Period: 2008-2009
Source of Support: Johnson & Johnson, Ethicon Endo-Surgery, Inc.
Project Title: The Use of High Fidelity Models to Enhance Surgical Skills Training in an ACS
Accredited Institute.
Amount: $210,226.86 (cadavers, facility and staffing fees) for 2010
Role: Associate Medical Director, VirtuOHSU (with Donn Spight M.D.,
Medical Director, VirtuOHSU)
5
Aims: Implementation of Phase 2 of the American College of Surgeons/Association of
Program Directors for Surgery (ACS/APDS) Surgical Skills Laboratory
curriculum and Complex Vascular Anatomic Exposures for PGY3, PGY4 and
research residents in General Surgery and Vascular surgical residents at OHSU.
Amount Period: 2010
Source of Support: Cordis® Cardiac & Vascular Institute.
Project Title: The Impact of a Simulation-based Endovascular Curriculum on Trainee
performance and Clinical Outcomes in Vascular Surgery.
Amount: Simbionix endovascular simulator ~ $210,000.00
Role: Co-Investigator (Principal Investigator, Jason T. Lee, MD)
Aims: Evaluate the impact of endovascular simulation on learning curve, operative
performance, and error reduction.
Amount Period: 2009-2012 (renewed January 2011 through 2015)
Source of Support: Johnson & Johnson, Ethicon Endo-Surgery (EES), Inc.
Project Title: The Use of High Fidelity Models to Enhance Surgical Skills Training in an ACS
Accredited Institute.
Amount: $140,160.00 (cadavers, facility and staffing fees) for 2011
plus EES products (sum total 220,000.00)
Role: Associate Medical Director, VirtuOHSU (with Donn Spight M.D., Medical
Director, VirtuOHSU)
Aims: Implementation of Phase 2 of the American College of Surgeons/Association of
Program Directors for Surgery (ACS/APDS) Surgical Skills Laboratory
curriculum and Complex Vascular Anatomic Exposures for PGY3, PGY4 and
research residents in General Surgery and Vascular surgical residents at OHSU.
Amount Period: 2010 & 2011
Source of Support: OSHE
Project Title: The Effect of Distributed Practice Schedules on Retention in Simulation Based
Training for Endovascular and Open Vascular Surgery
Amount: $10,000 plus $5,000 Gortex graft material.
Role: Co-Principal Investigator with Jeffrey E. Indes, MD, Assistant Professor of
Surgery and Radiology, Yale University School of Medicine
Aims: Evaluate the impact of distribution of practice (weekly vs. monthly) of an
endovascular skill (angioplasty of a superficial femoral artery lesion) on skill
acquisition and retention.
Amount Period: 2011-2012
Source of Support: Society for Vascular Surgery, Clinical Research Grant.
Project Title: Assessment of Operative Competence in Vascular Surgery.
Amount: $15,000.00
Role: Principal Investigator
Aims: To systematically and comprehensively develop and validate a scientific
assessment tool to assess operative competence during performance of carotid
endarterectomy.
To evaluate the effectiveness of this tool for providing resident feedback.
To correlate operative logs with operative competence for carotid
6
endarterectomy.
To identify the tasks that may serve as the best indicators for overall surgical
performance.
To correlate operative competence with patient outcomes after carotid
endarterectomy
Amount Period: 2011-12
Publications/Creative Work:
Peer-reviewed
1. Stith BJ, Kirkwood AJ, Wohnlich E. Insulin, insulin-like growth factor 1, and progesterone induce
early and late increases in Xenopus oocyte sn-1, 2-diacylglycerol levels before meiotic cell division.
J Cell Physiol 1991; 149:252-59.
2. Heimbach JK, Biffl WL, Mitchell EL, Finlayson CA, et al. Breast conservations therapy in affiliated
county, university, and private hospitals. Am J Surg 1999; 178: 466-69.
3. Mitchell EL, Taylor GI, Houseman ND, Mitchell PJ, et al. The angiosome concept applied to
arteriovenous malformations of the head and neck. Plast Reconstr Surg 2001; 107 (3):633-46.
4. Ray CE Jr, Mitchell E, Zipser S, Kao EY, Brown CF, Moneta GL. Outcomes with retrievable inferior
vena cava filters: a multicenter study. J Vasc Interv Radiol. 2006 Oct; 17(10):1595-604.
5. Mitchell EL, Moneta GL. Mesenteric Duplex Scanning. Perspectives in Vascular Surgery and
Endovascular Therapy. 2006 Jun; 18 (2):175-183.
6. Landry GJ, Liem TK, Mitchell EL, Edwards JM, Moneta GL. Factors affecting symptomatic vs.
asymptomatic vein graft stenoses in lower extremity bypass grafts. Archives of Surgery 2007; 142
(9): 848-54.
7. Johnson SP, Bagrosky BM, Mitchell EL, McIntyre RC, Grant NG. CT-guided Radiofrequency
Ablation of an Aldosterone-secreting Primary Adrenal Tumor in a Surgically Unfit Patient. J Vasc
Interv Radiol 2008; 19(7):1115-1117.
8. Landry GJ, Carlson JR, Liem TK, Mitchell EL, Edwards JM, Moneta GL. The sartorius muscle flap:
an important adjunct for complicated femoral wounds involving vascular grafts. Am J Surg. 2009;
197: 655-659.
9. Mitchell EL, Chang EY, Lee DY, Liem TK, Landry GJ, Keller FS, Moneta GL. Duplex Criteria for
Native Superior Mesenteric Artery Stenosis Overestimates Stenosis in Stented Superior Mesenteric
Arteries. J Vasc Surg. 2009; 50(2): 335-340.
10. Liem TK, Mitchell EL, Landry GJ, Moneta GL. Isolated Gastro/Soleal Deep Venous Thrombosis Is
Associated with Pulmonary Embolism and a High Incidence of Additional Ipsilateral and
Contralateral DVT. J Vasc Surg; submitted.
11. Liem TK, Huynh TM, Minjarez R, Landry GL, Mitchell EL, DeLoughery TG, Moneta GL. Peri-
operative Venous Thromboembolism in Patients with a Prior History of Deep Vein Thrombosis. J
Vasc Surg; submitted.
12. Landry GJ, Lau I, Liem TK, Mitchell EL, Moneta GL. Open Abdominal Aortic Aneurysms in the
Endovascular era. Arch Surg. 2009; 144:811-6.
13. Jones MA, Segall JA, Mitchell EL, Landry GJ, Liem TK, Moneta GL. Characterizing Resolution of
Catheter Associated upper extremity Deep Venous Thrombosis. J Vasc Surg. 2010; 51(1):108-13.
14. Lee DY, Mitchell EL, Jones MA, Landry GJ, Liem TK, Moneta GL. Techniques and results of portal
vein/ superior mesenteric vein reconstruction using femoral and saphenous vein during
pancreaticoduodenectomy. J Vasc Surg. 2010; 51(3):662-6.
7
15. Landry GJ, Moneta GL, Lau I, Liem TK, Mitchell EL. Adjunctive Renal Artery Revascularization
During Juxta-and Suprarenal Abdominal Aortic Aneurysm Repairs. Am J Surg 2010, 199:641-645.
16. Mitchell EL, Lee DY, Rumwell C, Moneta GL. The Intermediate Vascular Physical Examination and
Ankle/Brachial Index. American College of Surgery/Association for Surgical Education (ACS/ASE)
National Medical School Skills Curriculum, submitted March, 2010.
17. Liem TK, Landry GJ, Moneta GL, Mitchell EL, Huynh T, Moseley S, Minjarez R, Deloughery T.
Symptomatic Perioperative Venous Thromboembolism is a Frequent Complication in Patients with a
Prior History of Deep Vein Thrombosis. J Vasc Surg. 2010; 52 (3): 651-657.
18. Mitchell EL, Lee DY, Sevdalis N, Liem TK, Landry GJ, Moneta GL. Evaluation of Distributed
Practice Schedules on Retention of a Newly Acquired Surgical Skill: A Randomized Controlled Trial.
Am J Surg. 2011; 201:31-39.
19. Mitchell EL, Furey P. Prevention of radiation injury from medical imaging. Supplement on
Radiation Exposure during Endovascular Procedures. J Vasc Surg. 2011; 53(1): 22S-27S.
20. Mitchell EL, Arora, S, Moneta GL. Ensuring Vascular Surgical Training is on the Right Tract. J
Vasc Surg. 2011; 53 (2): 517-525. 1.
21. Mitchell EL, Lee DY, Arora, S, Kwong, KL, Liem LK, Landry GJ, Moneta GL, Sevdalis N. SBAR
M&M: A feasible, reliable, and valid tool to assess quality of Surgical Morbidity & Mortality
Conference presentation. Am J Surg. 2011, in press.
22. Mitchell EL, Sevdalis N, Arora, S, Azarbal A, Liem LK, Landry GJ, Moneta GL. A Fresh Cadaver
Lab to Conceptualize Troublesome Anatomical Relationships in Vascular Surgery. J Vasc Surg.
2011; in press. 23. Mitchell EL, Lee DY, Arora, S, Liem LK, Landry GJ, Moneta GL, Sevdalis N. Enhancing the
Golden Hour of Surgical Education: The Morbidity and Mortality Conference. Ann Surg. 2011,
submitted.
24. Danczyk R, Sevdalis N, Woo K, Hingorani A, Azarbal A, Liem LK, Landry GJ, Moneta GL,
Mitchell EL .The Next Generation of Academic Vascular Surgeons: Factors Influencing Career
Choice. J Vasc Surg. 2011; submitted.
Chapters
1. Mitchell EL, Moneta GL: Ultrasound Assessment of Carotid Stenosis and Occlusion. In:
Introduction to Vascular Ultrasonography. Zwiebel WJ, editor. 5th Edition. W.B. Saunders
Company, 2004.
2. Mitchell EL, Moneta GL: Natural History and Non-interventional Treatment of Chronic Lower
Extremity Ischemia. In: Vascular and Endovascular Surgery: A Comprehensive Review. Moore WS,
editor. 7th Edition. W.B. Saunders Company, 2006.
3. Mitchell EL, Liem TK. Hemostasis and thrombosis. In Vascular and Endovascular Surgery: A
Comprehensive Review. Moore WS, and Ahn S, Editors. 7th Edition. Philadelphia, Pennsylvania:
WB Saunders Company 2006.
4. Mitchell EL, Cho D: Polyarteritis Nodosa. In: The 5-Minute Pain Management Consult. Sibell DM,
Kirsch JR, eds. Lippincott Williams, & Wilkins; 2007.
5. Mitchell EL, Cho D: Peptic Ulcer Disease. In: The 5-Minute Pain Management Consult. Sibell DM,
Kirsch JR, eds. Lippincott Williams, & Wilkins; 2007.
6. Mitchell EL, Moneta GL: Estudo das Arterias Mesentericas. In: Ultra-sonografia Vascular.
Engelhorn CA, de Morais Fiho D, Sauto Barros F, Nostradamus AC (Eds). Di Livros Editoria Ltda.
Rio de Janerio, Brazil. 2007.
7. Moneta GL, Mitchell EL, Primovich J. Extracranial carotid and Vertebral Arteries. Strandness -
Duplex Scanning in Vascular Disorders. 4th Edition. R. Eugene Zierler, Mark H. Meissner, editors. In
8
press.
8. Mitchell EL, van Herzeele I, Aggarwal R. Simulation in Vascular Surgery. Textbook of Simulation,
Surgical Skills and Team Training. 1st Edition. Daniel J. Scott, Daniel B. Jones and Shawn Tsuda,
editors. Cine-Med, Inc. In press.
9. Lee DY, Mitchell EL, and Moneta GL. Vascular Laboratory Evaluation Following Superior
Mesenteric Artery Stenting. In: Vascular Surgery Therapeutic Strategies. Eskandari MK, Morasch
MD, Pearce WH, and Yao JST. Shelton, Connecticut: People’s Medical Publishing House USA.
2010.
Electronic Publications
1. Mitchell EL, Moneta GL. Development of a Specific Vascular Skills Laboratory for Vascular
Residents and Others. Veith Symposium, New York City, NY. November, 2008.
www.veithsymposium.org/pdf/1790.pdf
2. Mitchell EL, Mohler ER. Noninvasive diagnosis of arterial disease. In: UpToDate, Basow, DS (Ed),
UpToDate, Waltham, MA, 2010.
3. Mitchell EM, Indes JE. Superior Mesenteric Artery (SMA) Embolectomy/ Thrombectomy. Surgical
Council on Resident Education (SCORE) Curriculum Module, 2011.
4. Indes J E, Mitchell E. Mesenteric Vascular Disease. Surgical Council on Resident Education
(SCORE) Curriculum Module, 2011.
Discussant
1. Surveillance of EVAR Using Wireless Intrasac Pressure Monitoring Device. Peripheral Vascular
Surgery Society Meeting at the Vascular Annual Meeting. Denver, Colorado. June 12, 2009.
2. Impact of Simulation in Physician Training during Initial Performance of thoracic Endovascular
Aneurysm Repair (TEVAR). 25th Annual Meeting of the Western Vascular Society. Sunriver, Oregon
27th September, 2010.
Abstracts/Poster Presentations
1. Stith BJ, Wohnlich E. Insulin, insulin-like growth factor 1, and progesterone increase DAG levels at
15 min. and immediately before meiotic cell division in Xenopus oocytes. J Cell Biol 1990;
3(5):365a.
2. Liem TK, Wheeler NM, Mitchell EL, Landry GJ, Moneta GL. Isolated gastro/ soleal deep venous
thrombosis is associated with pulmonary embolism and a high incidence of additional ipsilateral and
contralateral DVT. Annual Meeting of the Society for Vascular Surgery, June 2008.
3. Landry GJ, Lau I, Liem TK, Mitchell EL, Moneta GL. Modifiable predictors of perioperative
morbidity and mortality in open abdominal aortic aneurysm repair. Annual Meeting of the Society of
Vascular Surgery, June 2008.
4. Liem TK, Huynh TM, Minjarez RC, Landry GJ, Mitchell EL, Deloughery TG, and Moneta GL.
Perioperative venous thromboembolism is a frequent complication in patients with a prior history of
deep vein thrombosis. Annual Meeting of the Western Vascular Society, September 2009.
5. Landry GJ, Carlson J, Liem TK, Mitchell EL, Moneta GL. Poor nutritional status predicts
postoperative femoral wound complications following vascular reconstructions. Annual Meeting of
the Western Vascular Society, September 2009.
6. Landry GJ, Lau IH, Liem TK, Mitchell EL, Moneta GL. Adjunctive renal revascularization during
juxtarenal abdominal aortic aneurysm repair. North Pacific Surgical Association, October 2009.
9
7. Landry G, Lau I, Liem T, Mitchell EL, Moneta G. Modifiable predictors of perioperative
morbidity/mortality in open abdominal aortic aneurysm (AAA) repair. Annual meeting of the Pacific
Northwest Vascular Society, October 2009.
8. Lohr JM, Black JH, Davis JW, Hoch JR, Mitchell EL, Ramadan FM, Walsh DB, Heath N, SVS
Residency Program Development Committee. Evolution of Vascular Training Programs. Annual
Meeting of the Society for Vascular Surgery, June 2009. 9. Mitchell EL, Liem TK, Landry GJ, Moneta GM. Development of a Basic Vascular Surgical Skills
Laboratory. Second Annual Meeting of the Consortium of American College of Surgery-Accredited
Education Institutes. March, 2009. Chicago, IL.
10. Liem TK. Huynh TM, Moseley SE, Minjarez RC, Landry GJ, Mitchell EL, DeLoughery TG, Moneta
GL. Perioperative venous thromboembolism (VTE) in patients with a prior history of deep vein
thrombosis (DVT). Annual meeting of the Pacific Northwest Vascular Society, October 2009.
11. Mitchell EL, Lee DY, Liem TK, Landry GJ, Moneta GM. The Current Educational Value of
Morbidity & Mortality Conference. Third Annual Meeting of the Consortium of American College
of Surgery-Accredited Education Institutes, March 2010.
12. Liem TK, Yanit K, Moseley SE, Landry GJ, Mitchell EL, Moneta GL. Peripherally inserted central
catheter (PICC) usage patterns and associated upper extremity venous thrombosis. Annual Meeting of
the Society for Vascular Surgery, June 2010.
13. Azarbal AF, Rowell S, Lewis J, Moseley S, Urankar R, Mitchell EL, Moneta GL. Deep Venous
Thrombosis (DVT) In Critically Ill Trauma Patients: There Are No Low Risk Patients. Annual
Meeting of the Western Vascular Society, October 2010.
14. El Youssef RE, Diggs BS, Mitchell EL, Liem TK, Landry GJ, Moneta GL, Billingsley KG, Sheppard
BC. Pancreaticoduodenectomy with Portal Vein Resection for Pancreatic Adenocarcinoma. American
College of Surgeons, October 2010 Clinical Congress.
15. Mitchell EL, Lee DY, Arora S, Kenney-Moore P, Liem TK, Landry GJ, Moneta GM, Sevdalis N.
Enhancing the Educational Value of Morbidity & Mortality Conference. American College of
Surgeons, October 2010 Clinical Congress.
16. Danczyk RC, Mitchell EL, Kryger SG, Singh S, Liem TK, Landry GJ, Edwards JM, Petersen BD,
Moneta GL. Comparing Patency and Salvage Rates between Multiple Ipsilateral Iliac Artery Stents
and Isolated Iliac Artery Stents: Beyond TransAtlantic Inter-Society Consensus II. Annual Meeting of
Western Vascular Society, September 2011.
17. Dawson DL, Mitchell EL, Lee JT, Mills JL Sr.,Laird JR Jr., Hedayati N, Lee ES, Pevec WC,
Validation of Simulation as a Tool for Assessing Endovascular Procedural Conpetency. Annual
Meeting of Western Vascular Society, September 2011
18. Danczyk RC, Sevdalis N, Landry GJ, Liem TK, Moneta GL, Mitchell EM. The Next Generation of
Academic vascular Surgeons: Factors Influencing Career Choice. Annual Meeting of Western
Vascular Society, September 2011.
Other
1. Informational brochure developed for the Residency Program Development Committee of the Society
for Vascular Surgery and distributed in all attendees of the 2009 Vascular Annual Meeting.
2. Vascular Lab Toolkit: Starting a Vascular Lab. Prepared by the SVS Young Surgeons Advisory
Committee, 2010.
Podcasts:
1. Society for Vascular Surgery podcast for SVS website “Starting a Vascular Laboratory”. June 11,
2009.
10
2. Society for Vascular Surgery podcast for SVS website: “Promotion and Tenure Tips for academic
settings”. June, 11th, 2010.
Invited Lectures, Conference Presentations or Professorships:
International and National
1. Insulin, insulin-like growth factor 1, and progesterone increase DAG levels at 15 min. and
immediately before meiotic cell division in Xenopus oocytes. American Society for Cell Biology
Annual Meeting. San Diego, California. December 11, 1990.
2. Review of treatment and referral practices of TB patients at the multiple drug resistance clinics
(Brooklyn Chest Hospital); University of Cape Town, School of Medicine, Department of
Community Health Infectious Disease Forum. Cape Town, South Africa. August 4, 1993.
3. The Role of Ultrasound in the Management of Carotid Artery Stenosis. XVIII Congresso Brasileiro
de Ecocardiografia. Sao Paulo, Brazil. April 29, 2005.
4. Retrievable IVC Filters: Is Ultrasound Guided Delivery a Viable Option? XVIII Congresso Brasileiro
de Ecocardiografia. Sao Paulo, Brazil. April 29, 2005.
5. Mesenteric Duplex Scanning. XVIII Congresso Brasileiro de Ecocardiografia. Sao Paulo, Brazil.
April 29 2005.
6. Outcomes with retrievable inferior vena cava filters: a multicenter study. Pacific North West Vascular
Society Meeting. Spokane, Washington. November 9, 2006.
7. Vascular Disease in 2008: What we know and what we are doing. Maricopa Integrated Health
System. Surgical Grand Rounds. Phoenix, Arizona. March 12, 2008.
8. Duplex Criteria for Native Artery Superior Mesenteric Artery Stenosis Overestimates Stenosis in
Stented Superior Mesenteric Arteries. Vascular Annual Meeting. San Diego, California. June 8, 2008.
9. Duplex Criteria for Native Superior Mesenteric Artery Stenosis Overestimate Stenosis in Stented
Superior Mesenteric Arteries. Society for Vascular Surgery Annual Meeting. June 8, 2008.
10. Initial Development of a Vascular Specific Skills Laboratory. Western Vascular Society 23rd Annual
Meeting. Napa Valley, California. September14th, 2008
11. A Vascular Specific Skills Laboratory. Pacific Northwest Vascular Society 24th Annual Meeting.
Seattle, Washington, November 12th, 2008.
12. Evaluation of Superior Mesenteric Artery Stents with Duplex Ultrasound and Angiographic Pressure
Gradients. Pacific Northwest Vascular Society 24th Annual Meeting. Seattle, Washington, November
12th, 2008.
13. Getting the Mentoring You Need. Student and Resident Educational Program. Vascular Annual
Meeting. Denver, Colorado. June 11, 2009.
14. Techniques, Morbidity and Patency of Portal Vein Reconstruction using Lower extremity Vein
During Pancreaticoduodenectomy. Vascular Annual Meeting. Denver, Colorado. June 12, 2009.
15. Evaluation of Distributed Practice Schedules on Retention of a Newly Acquired Surgical Skill: A
Randomized Controlled Trial. Pacific Northwest Vascular Society 27th Annual Meeting. Portland,
Oregon, November 12, 2009.
16. Development of a Basic Vascular Surgical Skills Laboratory: The OHSU Experience. Association of
Program Directors in Vascular Surgery. Chicago, IL. April 16, 2010.
17. Evaluation of Distributed Practice Schedules on Retention of a Newly Acquired Surgical Skill: A
Randomized Controlled Trial. Association for Surgical Education, Surgical Education Week. San
Antonio, Texas. April 22, 2010.
18. Morbidity & Mortality Conference: The Golden Hour of Surgical Education? Surgical Education
Research Fellowship Forum. Association for Surgical Education, Surgical Education Week. San
11
Antonio, Texas. April 23, 2010.
19. Simulation in Open and Endovascular Procedures. Progress, Questions and Pitfalls in Open Vascular
Surgical Simulation. American College of Surgeons, 2010 Clinical Congress. Chicago, IL. October 5,
2010. 20. A Fresh Cadaver Lab to Conceptualize Troublesome Anatomical Relationships in Vascular Surgery.
Pacific Northwest Vascular Society 28th Annual Meeting. Kelowna, BC. October 23, 2010.
21. A Fresh Cadaver Lab to Conceptualize Troublesome Anatomical Relationships in Vascular Surgery.
Society for Clinical Vascular Surgeons: 2011 Annual Symposium. Orlando, Florida. March 16, 2011.
22. Morbidity and Mortality Conference: A Standardized Format for Presentation Improves Presentation
Quality And Learning. Association for Surgical Education and Association for Program Directors in
Surgery, Surgical Education Week. Boston, MA. March 24th, 2011.
23. A Fresh Cadaver Lab to Conceptualize Troublesome Anatomical Relationships in Vascular Surgery.
Association for Program Directors in Vascular Surgery: 2011 Spring Meeting. Rosemont, IL. March
26, 2011.
24. Lower Extremity Aneurysms. Cardiovascular Fellows’ Bootcamp: Laying the Foundation. Houston
Texas, August 19-21, 2011.
Regional and Local
1. Retroviral Mediated Gene Transfer. Annual Student Research Forum. University of Colorado,
School of Medicine. Denver, Colorado. January 7, 1993.
2. Managed Care vs. Single Payer Healthcare: Single Payer. University of Colorado Health Sciences
Center, Surgical Grand Rounds. Denver, Colorado. February 7, 1998.
3. Liver transplantation for Malignancy: Valuable. University of Colorado Health Sciences Center,
Surgical Grand Rounds. Denver, Colorado. October 2, 1999.
4. Laparoscopic vs. Surgical Palliative Treatment for Pancreatic Cancer. University of Colorado Health
Sciences Center, Surgical Grand Rounds. Denver, Colorado. May 18, 2002.
5. Operations for Bleeding or Perforated Peptic Ulcer: Definitive Surgery. University of Colorado
Health Sciences Center, Surgical Grand Rounds. Denver, Colorado. December 16, 2002.
6. Mesenteric Ischemia: Oregon Health & Science University, Surgical Grand Grounds. Portland,
Oregon. January 10, 2004.
7. The Role of Ultrasound in the Management of Carotid Artery Stenosis. John M. Porter Memorial
Lecture Series. Oregon Health & Science University. Portland, Oregon. April 9, 2004.
8. Fifth Annual “Keeping in Circulation” Peripheral Arterial Disease Lecture. Vascular Disease
Foundation. Denver Botanical Gardens. Denver, Colorado. August 23, 2005.
9. Peripheral Arterial Disease. Oregon Health & Sciences University/Portland Veterans Administration
Hospital Vascular Symposium. Portland, Oregon. September 23, 2006.
10. Inferior Vena Cava Filters in the Era of Retrievable Devices, Indications and Controversies. Oregon
Health & Sciences University, Surgical Grand Rounds, Portland, Oregon. June 18, 2007.
11. The Role of Endovascular Therapies in the Management of Vascular Diseases: John M. Porter
Memorial Lecture Series, Oregon Health & Science University. Portland, Oregon. April 12, 2008.
12. Women in Surgery: A Career Development Seminar for Women in Surgery. Panel presentation-Role
Models and Mentors: What is the difference; why are they important and how do you find them?
Portland, OR. October 21, 2010.
13. Women in Surgery: A Career Development Seminar for Women in Surgery. Choosing a Surgical
Specialty. Portland, OR. October 22, 2010.
12
14. Women in Surgery: A Career Development Seminar for Women in Surgery. Achieving your career
Goals. Becoming a Surgical Educator. Portland, OR. October 21, 2010.
15. The Diagnosis, Evaluation, and Treatment of Visceral Ischemic Syndromes. Gastroenterology
Fellows Lecture Series, Oregon Health & Science University. Portland, Oregon. January 10, 2011.
V. SERVICE
Membership in Professional Societies:
Society for Vascular Surgery
European Society for Vascular Surgery
American College of Surgeons, Fellow
Association for Surgical Education
Peripheral Vascular Surgery Society
Western Vascular Society
Pacific Northwest Vascular Society
Oregon Medical Association
Editorial and Ad Hoc Review Activities:
World Journal of Surgery, Invited Reviewer, 2007-
Annals of Vascular Surgery, Invited Reviewer, 2009-
European Journal of Ultrasound, Invited Reviewer, 2010-
Journal for Surgical Research, Invited Reviewer, 2010
Journal of the American College of Surgeons, Invited Reviewer, 2010-
Academic Medicine, Invited Reviewer, 2010-
Journal of Vascular Surgery, Invited Reviewer, 2011-
Journal of Vascular Medicine, Invited Reviewer, 2011-
Annals of Surgery, Invited Reviewer, 2011-
American Board of Surgery (ABS):
Examination Consultant, Vascular Surgery Board of the American Board of Surgery, 2010-
Examiner, Certification Examination for Certification in Vascular Surgery. Vascular Surgery
Board of the American Board of Surgery, 2012-
Committees:
International/National
Society for Vascular Surgery
Residency Program Development Committee, 2008-10
Resident and Student Outreach Committee, 2008-10
Chair, 2010-
Young Surgeons Advisory Committee, 2008-
13
Association for Program Directors in Vascular Surgery (APDVS)
Simulation Committee
Association for Surgical Education (ASE)
Committee on Simulation, 2008-
National Medical Student Curriculum Task Force, 2009-
American College Surgery/Association Surgical Education Medical Student
Simulation-based Surgical Skills Curriculum
Committee on Educational Research, 2010-
Peripheral Vascular Surgery Society (PVSS)
Grants & Scholarship Committee, 2010-
PVSS Academic Awards
PVSS Travelling Awards
Program Committee, 2010-
Regional
Pacific Northwest Vascular Society Junior Councilor, 2008
Middle Councilor, 2009
Program Committee, 2009
Institutional
OHSU, School of Medicine
Admissions Sub-Committee, 2006-09
Admissions Committee, 2009-
Woman in Academic Medicine, 2007-
Gender Report Subcommittee, 2008-2010
Graduate Medical Education Committee, 2009-
Curriculum Committee, 2010-
LCME Task Force Committee, 2010-
Oregon Heath & Science University
Central Venous Catheter Simulation Committee, 2011-
Departmental
OHSU, Department of Surgery
Executive Surgical Education Committee, 2008-
Advisory:
Foundation Vascular International and School
International Advisory Board 2011-
Community Service:
14
The Children’s Hospital of Denver, Association of Volunteer’s. Denver, CO
Volunteer Member 1985-89
Board Member, 1987-89
Vice President of Community Education, 1988-89
American Medical Research Exchange Foundation (AMREF)
Mission to Uganda, 2005
Clinical Responsibilities:
2006 – Attending Surgeon for Vascular Surgery at OHSU & PVAMC with clinic, ward, and
operative responsibilities.
2006 – Attending Surgeon for the Dotter Institute, responsible for endovascular and
interventional procedures.
2006 – Attending Surgeon at the Center for Health and Healing vein clinic, responsible for
endovenous laser ablation procedures.
2006 – OHSU Vascular Lab interpretation.
15
VI. TEACHING (OHSU Educator’s Portfolio):
Overview of your Role as an Educator:
My academic focus is surgical education. My role as an educator is my top priority as an academician. I
have and continue to pursue the skill set that I need to become an effective clinician-teacher-researcher. I
have completed the OHSU Education Leadership Initiative (ELI) program in 2008. This year long course
supported a cohort of OHSU faculty from differing fields and provided the elemental principles behind
educational theory. I have also completed a Surgical Education Research Fellowship sponsored through
the Association of Surgical Education (ASE). This program paired novice researchers with mentors
experienced in surgical education research. The course was designed to provide the fundamentals of
research methodology used in surgical education research. Through this program I evaluated the
educational value of morbidity and mortality (M&M) conference. I hypothesized that introduction of a
standardized format of presentation would improve the quality of M&M presentations and improve
learning outcomes for both junior and senior M&M attendees. This work was presented at the American
College of Surgeons, 2010 Clinical Congress meeting and has been submitted to the ASE meeting.
I am currently enrolled in a Master’s of Surgical Education program at Imperial College in London,
England. This master’s program provides sound theoretical background to the principles of education,
curriculum design, and assessment. My research and dissertation will focus on the assessment of
operative competence in Vascular Surgery. The design of the study utilizes both qualitative and
quantitative research design; it is my hope that I can develop a tool for assessing intraoperative operative
competence using both qualitative and quantitative research methods.
My main teaching environment is the surgical ward, clinic and operating room, where I attend as an
Assistant Professor. I care for patients while teaching medical students, surgical residents, as well as
vascular surgical fellows. The majority of my clinical teaching of medical students and surgical residents
is through one-on-one precepting, although I do teach in various other settings, such as small and large
groups for didactic sessions and discussions. I teach surgical operative skills and techniques primarily in
the operating room through a one-on-one basis but I also teach basic open and endovascular operative
skills to medical students and surgical residents in a weekly vascular surgical skills laboratory.
Educational Publications
1. Mitchell EL, van Herzeele I, Aggarwal R. Simulation in Vascular Surgery. Textbook of Simulation,
Surgical Skills and Team Training. 1st Edition. Daniel J. Scott, Daniel B. Jones and Shawn Tsuda,
editors. Cine-Med, Inc. In press.
2. Mitchell EL, Lee DY, Rumwell C, Moneta GL. The Intermediate Vascular Physical Examination and
Ankle/Brachial Index. American College of Surgery/Association for Surgical Education (ACS/ASE)
National Medical School Skills Curriculum, submitted March, 2010.
3. Mitchell EL, Arora, S, Moneta GL. Ensuring Vascular Surgical Training is on the Right Tract. J
Vasc Surg. 2011; 53 (2): 517-525.
4. Mitchell EL, Lee DY, Sevdalis N, Liem TK, Landry GJ, Moneta GL. Evaluation of Distributed
Practice Schedules on Retention of a Newly Acquired Surgical Skill: A Randomized Controlled Trial.
Am J Surg. 2011; 201:31-39.
16
5. Mitchell EL, Lee DY, Arora, S, Kwong, KL, Liem LK, Landry GJ, Moneta GL, Sevdalis N. SBAR
M&M: A feasible, reliable, and valid tool to assess quality of Surgical Morbidity & Mortality
Conference presentation. Am J Surg. 2011, in press.
6. Mitchell EL, Sevdalis N, Arora, S, Azarbal A, Liem LK, Landry GJ, Moneta GL. A Fresh Cadaver
Lab to Conceptualize Troublesome Anatomical Relationships in Vascular Surgery. J Vasc Surg.
2011; in press. 7. Mitchell EL, Lee DY, Arora, S, Liem LK, Landry GJ, Moneta GL, Sevdalis N. Enhancing the
Golden Hour of Surgical Education: The Morbidity and Mortality Conference. Ann Surg. 2011,
submitted.
8. Danczyk R, Sevdalis N, Woo K, Hingorani A, Azarbal A, Liem LK, Landry GJ, Moneta GL,
Mitchell EL .The Next Generation of Academic Vascular Surgeons: Factors Influencing Career
Choice. J Vasc Surg. 2011; submitted.
Educational Conference Presentations
1. Initial Development of a Vascular Specific Skills Laboratory. Western Vascular Society 23rd Annual
Meeting. Napa Valley, CA. September14th, 2008
2. Development of a Vascular Surgical Skills Laboratory. Pacific Northwest Vascular Society 24th
Annual Meeting. Seattle, WA. November 12th, 2008.
3. Development of a Basic Vascular Surgical Skills Laboratory. Second Annual Meeting of the
Consortium of American College of Surgery-Accredited Education Institutes. March 20-21, 2009.
Chicago, IL.
4. Getting the Mentoring You Need. Student and resident Educational Program. Vascular Annual
Meeting. Denver, Colorado. June 11, 2009.
5. Acquisition and Retention of a Newly Acquired Surgical Skill: A Randomized Controlled Trial.
Pacific Northwest Vascular Society 27th Annual Meeting. Portland, Oregon, November 12, 2009.
6. The Current Educational Value of Morbidity & Mortality Conference. Third Annual Meeting of the
Consortium of American College of Surgery-Accredited Education Institutes. Chicago, Illinois.
March 20, 2010.
7. Development of a Basic Vascular Surgical Skills Laboratory: The OHSU Experience. Association of
Program Directors in Vascular Surgery. Chicago, IL. April 16, 2010.
8. Evaluation of Distributed Practice Schedules on Retention of a Newly Acquired Surgical Skill: A
Randomized Controlled Trial. Association for Surgical Education, Surgical Education Week. San
Antonio, Texas. April 22, 2010.
9. Morbidity & Mortality Conference: The Golden Hour of Surgical Education? Surgical Education
Research Fellowship Forum. Association for Surgical Education, Surgical Education Week. San
Antonio, Texas. April 23, 2010.
10. Enhancing the Educational Value of Morbidity & Mortality Conference. American College of
Surgeons, 2010 Clinical Congress. Chicago, IL. October 4, 2010.
11. Simulation in Open and Endovascular Procedures. Progress, Questions and Pitfalls in Open Vascular
Surgical Simulation. American College of Surgeons, 2010 Clinical Congress. Chicago, IL. October 5,
2010. 12. Women in Surgery: A Career Development Seminar for Women in Surgery. Panel presentation-Role
Models and Mentors: What is the difference; why are they important and how do you find them?
Portland, OR. October 21, 2010.
13. Women in Surgery: A Career Development Seminar for Women in Surgery. Choosing a Surgical
Specialty. Portland, OR. October 22, 2010.
17
14. Women in Surgery: A Career Development Seminar for Women in Surgery. Achieving your career
Goals. Becoming a Surgical Educator. Portland, OR. October 22, 2010.
15. A Fresh Cadaver Lab to Conceptualize Troublesome Anatomical Relationships in Vascular Surgery.
Pacific Northwest Vascular Society 28th Annual Meeting. Kelowna, BC. October 23, 2010.
16. A Fresh Cadaver Lab to Conceptualize Troublesome Anatomical Relationships in Vascular Surgery.
Society for Clinical Vascular Surgeons: 2011 Annual Symposium. Orlando, Florida. March 16, 2011.
17. Morbidity and Mortality Conference: A Standardized Format for Presentation Improves Presentation
Quality And Learning. Association for Surgical Education and Association for Program Directors in
Surgery, Surgical Education Week. Boston, MA. March 24th, 2011.
18. A Fresh Cadaver Lab to Conceptualize Troublesome Anatomical Relationships in Vascular Surgery.
Association for Program Directors in Vascular Surgery: 2011 Spring Meeting. Rosemont, IL. March
26, 2011.
Paid Educational Lectures
The Osler Institute, Board Review Courses:
1. Endovascular Therapies I & II. Vascular Surgery Board Review. Chicago, IL. September 28-29,
2007.
2. Non-atherosclerotic Vascular Disease I & II. Vascular Surgery Board Review. Chicago, IL.
September 28-29, 2007.
3. Renovascular Disorders I & II. Vascular Surgery Board Review. Chicago, IL. September 28-29,
2007.
4. Aortic and Carotid Disorders. General Surgery Recertification Exam Seminar. San Francisco, CA.
November 18, 2007.
5. Venous Diseases and DVT. General Surgery Recertification Exam Seminar. San Francisco, CA.
November 18, 2007.
6. Peripheral Arterial Disease. General Surgery Recertification Exam Seminar. San Francisco, CA.
November 18, 2007.
7. Aneurysm Disease. General Surgery Board Review. Seattle, WA. February 29, 2008.
8. Carotid Disease. General Surgery Board Review. Seattle, WA. February 29, 2008.
9. Peripheral Arterial Disease. General Surgery Board Review. Seattle, WA. February 29, 2008.
10. Venous Diseases, DVT and PE. General Surgery Board Review. Seattle, WA. February 29, 2008.
11. Mock Oral Exams. General Surgery Certification Board Review. Seattle, WA. March 1, 2008
12. Endovascular Therapies I & II. Vascular Surgery Board Review. Philadelphia, PA. September 19-20,
2008.
13. Non-atherosclerotic Vascular Disease I & II. Vascular Surgery Board Review. Philadelphia, PA.
September 19-20, 2008.
14. Renovascular Disorders I & II. Vascular Surgery Board Review. Philadelphia, PA. September 19-20,
2008.
15. Aortic and Carotid Disorders. General Surgery Recertification Exam Seminar. San Francisco, CA.
October 19, 2008.
16. Venous Diseases and DVT. General Surgery Recertification Exam Seminar. San Francisco, CA.
October 19, 2008.
17. Peripheral Arterial Disease. General Surgery Recertification Exam Seminar. San Francisco, CA.
October 19, 2008.
18. Aneurysm Disease. General Surgery Board Review. Houston, TX. March 22, 2009.
19. Carotid Disease. General Surgery Board Review. Houston, TX. March 22, 2009.
20. Peripheral Arterial Disease. General Surgery Board Review. Houston, TX. March 22, 2009.
18
21. Venous Diseases, DVT and PE. General Surgery Board Review. Houston, TX. March 22, 2009.
22. Endovascular Therapies I & II. Vascular Surgery Board Review. Chicago, IL. August 9th, 2009.
23. Non-atherosclerotic Vascular Disease I & II. Vascular Surgery Board Review. Chicago, IL. August
9th, 2009.
24. Renovascular Disorders I & II. Vascular Surgery Board Review. Chicago, IL. August 9th, 2009.
25. Management of Venous Diseases I & II. Vascular Surgery Board Review. Chicago, IL. August 9th,
2009.
Education Grants and Contracts:
Source of Support: W. L. Gore & Associates, Flagstaff, AZ.
Project Title: Teaching Vascular Surgery Skills: Reinforcing the Practice: A Randomized Trial.
Amount: $10,000 plus $5,000 Gortex graft material.
Role: Principal Investigator
Aims: Evaluate the impact of distribution of practice (weekly vs. monthly) of a surgical
skill (vascular end-side anastomosis) on skill acquisition and retention.
Amount Period: 2008-2009
Source of Support: Sonosite, Bothell, WA.
Project Title: Teaching Vascular Surgery Skills: Reinforcing the Practice: A Randomized Trial.
Amount: 2 loaner Sonosite ultrasounds.
Role: Principal Investigator
Aims: Evaluate the impact of distribution of practice (weekly vs. monthly) of a surgical
skill (vascular end-side anastomosis) on skill acquisition and retention.
Amount Period: 2008-2009
Source of Support: Johnson & Johnson, Ethicon Endo-Surgery, Inc.
Project Title: The Use of High Fidelity Models to Enhance Surgical Skills Training in an ACS
Accredited Institute.
Amount: $210,226.86 (cadavers, facility and staffing fees) for 2010
Role: Associate Medical Director, VirtuOHSU (with Donn Spight M.D.,
Medical Director, VirtuOHSU)
Aims: Implementation of Phase 2 of the American College of Surgeons/Association of
Program Directors for Surgery (ACS/APDS) Surgical Skills Laboratory
curriculum and Complex Vascular Anatomic Exposures for PGY3, PGY4 and
research residents in General Surgery and Vascular surgical residents at OHSU.
Amount Period: 2010
Source of Support: Cordis® Cardiac & Vascular Institute.
Project Title: The Impact of a Simulation-based Endovascular Curriculum on Trainee
performance and Clinical Outcomes in Vascular Surgery.
Amount: Simbionix endovascular simulator ~ $210,000.00
Role: Co-Investigator (Principal Investigator, Jason T. Lee, MD)
Aims: Evaluate the impact of endovascular simulation on learning curve, operative
performance, and error reduction.
Amount Period: 2009-2012 (renewed January 2011 through 2015)
Source of Support: Johnson & Johnson, Ethicon Endo-Surgery (EES), Inc.
19
Project Title: The Use of High Fidelity Models to Enhance Surgical Skills Training in an ACS
Accredited Institute.
Amount: $140,160.00 (cadavers, facility and staffing fees) for 2011
plus EES products (sum total 220,000.00)
Role: Associate Medical Director, VirtuOHSU (with Donn Spight M.D., Medical
Director, VirtuOHSU)
Aims: Implementation of Phase 2 of the American College of Surgeons/Association of
Program Directors for Surgery (ACS/APDS) Surgical Skills Laboratory
curriculum and Complex Vascular Anatomic Exposures for PGY3, PGY4 and
research residents in General Surgery and Vascular surgical residents at OHSU.
Amount Period: 2010 & 2011
Source of Support: OSHE
Project Title: The Effect of Distributed Practice Schedules on Retention in Simulation Based
Training for Endovascular and Open Vascular Surgery
Amount: $10,000 plus $5,000 Gortex graft material.
Role: Co-Principal Investigator with Jeffrey E. Indes, MD, Assistant Professor of
Surgery and Radiology, Yale University School of Medicine
Aims: Evaluate the impact of distribution of practice (weekly vs. monthly) of an
endovascular skill (angioplasty of a superficial femoral artery lesion) on skill
acquisition and retention.
Amount Period: 2011-2012
Source of Support: Society for Vascular Surgery, Clinical Research Grant.
Project Title: Assessment of Operative Competence in Vascular Surgery.
Amount: $15,000.00
Role: Principal Investigator
Aims: To systematically and comprehensively develop and validate a scientific
assessment tool to assess operative competence during performance of carotid
endarterectomy.
To evaluate the effectiveness of this tool for providing resident feedback.
To correlate operative logs with operative competence for carotid
endarterectomy.
To identify the tasks that may serve as the best indicators for overall surgical
performance.
To correlate operative competence with patient outcomes after carotid
endarterectomy
Amount Period: 2011-12
20
Direct teaching:
Medical Students
Principles of Clinical Medicine Preceptor:
Work one-on-one preceptor 1st year medical students in the vascular surgery clinic, ward, and operating
room, demonstrating and monitoring practice of interviewing and exam skills; discussing differential
diagnoses and management plans, providing mentoring, feedback and formative and summative
evaluations.
Year Learner Student Contact time Evidence of
Effectiveness (mean global rating)
2007-2008
1st year
medical
student
Katelyn Atkins
Thanh Huynh
Jessica Carlson
~ 4 hrs/week
per quarter
5.0
5.0
5.0
2008-2009
1st year
medical
student
Chad Burk
Sarguni Singh
Jared Madsen
~ 4 hrs/week
per quarter
4.86
2009-2010 1
st year
medical
student
Valerie Carlberg
Freddy Farbod
~ 4 hrs/week
per quarter
5.0
4.86
2nd
year
medical
student
Jade Koide 4.5
2010-2011
1st year
medical
student
Margaret Gorman
Merritt Hoover
Ashley Thrower
~ 4 hrs/week
per quarter
4.8
4.7
4.4
2011-2012 1st year
medical
student
Rakendu Shukla ~ 4 hrs/week
per quarter
Circulation Course Lecture:
Large group teaching module incorporating PowerPoint lecture and lecture material handouts. Examples
of core topics: Aneurysmal disease, carotid disease, peripheral arterial disease, and venous disease
Year Learner Topic Didactic/Prep
Time
Evidence of
Effectiveness
2006-2007
2007-2008
2009-2010
2010-2011
2011-2012
2nd
year
medical
students
Diagnosis and treatment of
Peripheral Arterial Disease
1 hour/ 6 hours
1 hour/ 6 hours
1 hour/ 6 hours
1 hour/ 6 hours
1 hour/ 6 hours
General Surgery Clerkship Lecture:
Small group teaching module incorporating lecture material, handouts, and interactive discussion as part
of the General Surgery Rotation for 3rd
year medical students. Examples of core topics: Aneurysmal
disease, carotid disease, peripheral arterial disease, and venous disease
Year Learner Topic Didactic/Prep
Time
Evidence of
Effectiveness
21
2006-2007
3rd
year
medical
students
Peripheral Vascular Disease
Abdominal Aortic
Aneurysms
2 hour/ 8 hours
2008-2009
2009-2010
2009-2010
2010-2011
2011-2012
3rd
year
medical
students
Abdominal Aortic
Aneurysms
2 hour/ 4 hours
Student Clinical Teaching:
Attending Surgeon for multiple medical students rotating through the general surgery clerkship at the
Portland Veterans Hospital or vascular surgery elective at OHSU; bedside instruction and feedback on
interviewing, exam, clinical reasoning and communication skills (all), and management decisions for
vascular surgery patients at the medical student level.
Year Learner Hospital Average
interaction
Evidence of
Effectiveness
2006-2007
2007-2008
2009-2010
2010-2011
2011-2012
3rd
year
medical
students
Portland Veterans Hospital 20 hours/week per
rotation. Rotation
period 1 week/6
weeks
2006-2007
2007-2008
2009-2010
2010-2011
2011-2012
4th year
medical
students
OHSU 20 hours/week per
rotation. 6 week
rotation, 2-3/year
Residents & Fellows
Vascular Surgery Attending, University Hospital and Veteran’s Hospital
Direct supervision of multiple levels of learners in the Department of Surgery; individual instruction
regarding patients; read and comment on case write-ups (students), give direction and constructive
criticism of dictations (interns and residents) and charting (all); didactic teaching on focused topics;
bedside instruction and feedback on interviewing, exam, clinical reasoning and communication skills
(all), and management decisions (interns and residents); operative planning; surgical instruction and
debriefing; post-operative management (all).
Year Type of Learner Average
Interaction
Evidence of
Effectiveness
2006-2007
2007-2008
2009-2010
2010-2011
2011-2012
General Surgery residents: 1st, 2
nd , 4
th
and chief year and vascular surgical
fellows
4.76
4.44-4.72
General and Vascular Surgery Residency Core Curriculum Lectures
One-hour lectures over the course of the year on assorted core topics as part of the didactic curriculum for
General and Vascular surgery residents. The audience may also include medical students, Physician-
Assistants, and faculty
Year Topics Average Evidence of
22
hours/year Effectiveness
2006-2010 Cerebrovascular Disease
Abdominal Aortic Aneurysms
Peripheral/Visceral Aneurysms
Acute Limb Ischemia
Peripheral Arterial Disease
Diabetic Foot Ulcers
Mesenteric Syndromes
Renovascular Disease
Upper Extremity Problems
Hemodialysis and Vascular Access
Venous Thromboembolism
Venous and Lymphatic Diseases
1 hr didactic ~ 10
hrs prep. 2
lectures/month.
Became scheduled
annual ABSITE
review lecture
series
Vascular Journal Club:
1 hour group discussion held every other week on assorted topics relevant to vascular surgery including:
epidemiology; prevention; risk-stratification; medical management; endovascular management; surgical
management; complications; outcomes and ethics.
Year Topics Average
hours/year
Evidence of
Effectiveness
2006-2012 Variable. Articles for review picked
from JVS, Circulation, NEJM, JAMA,
SIR and Annals Vascular Surgery
25 excluding
reading journals
Morbidity & Mortality Conference: 1 hour discussion held every alternating week reviewing complications from the University and VA
service. Discussion includes prevention awareness, treatment options and alternatives, systems or
communication problems, and learning points.
Year Topics Average
hours/year
Evidence of
Effectiveness
2006-2012 Variable
Vascular Specific Surgical Skills lab
Small group teaching module incorporating didactics, demonstration, and practice of vascular surgical
skills. Surgical psychomotor skills learned include: end-side and end-end vascular anastomosis;
ultrasound guided percutaneous access for arterial lines and central venous catheterization; ultrasound
visualization of venous conduits. Other cognitive skills learned are vascular lab interpretation and
vascular imaging interpretation.
Year Learners Modules Average
hours/year
Evidence of
Effectiveness
2007-08 PGY 1 and 4
General Surgery
Residents
Non-invasive
vascular lab
interpretation,
vascular
anastomoses,
ultrasound-guided
vascular access,
vascular radiology
2 week/ 16 weeks
2008-09 PGY 1, 2, 3 and 4 Vascular PE, ABI, 2 week/ 40 weeks
23
General Surgery
Residents
ultrasound-guided
vascular access
and vein mapping,
vascular
anastomoses,
endovascular
simulation
2009-10 PGY 1, 2, 3 and 4
General Surgery
Residents
Vascular Surgery
Fellows
Same as above &
cadaver
dissections
2 week/ 40 weeks
ABSITE Review
Year Topics Average
hours/year
Evidence of
Effectiveness
2008-2011 Cerebrovascular Disease
Aneurysmal Disease
Peripheral Artery Occlusive Disease
Mesenteric Syndromes
Renovascular Disease
Upper Extremity Problems
Hemodialysis and Vascular Access
Venous Diseases and Venous
Thromboembolism
6-8 hours lecture
General Surgery Oral Board Examination Review
Small Group sessions held weekly with the General Surgery Interns. This session covers pre-assigned
reading assignments from the SCORE curriculum.
Year Topics Average
hours/year
Evidence of
Effectiveness
2009-2011 Breast cancer, anorectal disease,
nutrition, hernias, amputations,
pancreatic diseases, gastrointestinal
bleeding, etc.
~ 1 hour/week
Other Learners
Educational programs for Nursing Staff
Small and Large Group didactic, lecture and discussions on common place problems seen by vascular
nurses managing peri-operative and post-operative vascular surgical patients
Year Type of Learner Topics Average
hours/year
Evidence of
Effectiveness
2006-2007 Kohler 11
Vascular Nurses
Dialysis Access
and Complications
2
2007-2008 VA Operative
services
Aortic Operations:
Aneurysms and
Occlusive Disease
4
Kohler 11 Bypass graft 1
24
Vascular Nurses surveillance
25
Curriculum Development:
Title: Vascular Surgical Skills Lab: Low Fidelity Simulation Curriculum for Surgical Residents Role: Designer- responsible for content and development of the modules.
Purpose/Need: Teach surgical skills outside of the operating room, in a safe learner centered
environment. The vascular surgical skills taught in this lab are considered essential for beginning vascular
surgical residents on a vascular surgical service. These skills include: performance of an ABI and a
vascular specific physical examination, interpretation of non-invasive vascular laboratory studies,
ultrasound guided percutaneous vascular access, ultrasound assessment of venous conduits for bypass
grafting and dialysis access, techniques of performing basic vascular anastomoses, interpretation of
imaging studies pertinent to vascular surgery (angiography, CTA , MRA), radiation safety, fluoroscopy,
and basic catheter skills.
Intended audience: General Surgical Interns, PGY 2-4’s
Duration: 2 hours/module, 4 weeks/module, 40 weeks year. 2007- 2009.
Methods/Design: Didactic, demonstration
Significant Results & Outcomes: Satisfaction surveys revealed intended outcomes.
Dissemination:
Title: Vascular Surgery Core Lecture Series for Surgical Residents
Role: Lecturer
Purpose/Need: Cover the core vascular surgery topics essential for the surgical education of medical
students and general surgical residents. Topics included cerebrovascular disease, abdominal aortic
aneurysms peripheral/visceral aneurysms, acute limb ischemia, peripheral arterial disease, diabetic foot
ulcers, mesenteric syndromes, renovascular disease, upper extremity problems, and hemodialysis and
vascular access.
Intended audience: Medical students and surgical residents rotating on the OHSU and VA Vascular
Service.
Duration: 1 hour lectures, 2x/month, 2007-2009
Methods/Design: Didactic small group lectures with discussion.
Significant Results & Outcomes: This series became the core ABSITE review topics.
Dissemination:
Title: Vascular Surgery ABSITE Review Course Role: Lecturer
Purpose/Need: Cover topics of vascular surgery pertinent to the American Board of Surgery In-service
Training Examination.
Intended audience: All General Surgery residents
Duration: 6 hours each January, scheduled prior to the examination. 2007- current.
Methods/Design: Large group didactic with question and answer session following the hour long
lectures.
Significant Results & Outcomes: Resident satisfaction
Dissemination:
Title: Transition to Surgical Internship Role: Course designer responsible for the content and development design of the course.
Purpose/Need: Prepare medical students for the rigors of surgical internship.
Intended audience: 4th year OHSU medical students entering a surgical internship.
26
Duration: 4 weeks, 60 hours/week. Course held once per year, initial session 2010.
Methods/Design: Didactic lectures, small group sessions, technical skills lab training modules with low
and high fidelity simulation, mock pages, and simulated scenario case-based discussions and morbidity
and mortality presentations.
Significant Results & Outcomes: Course well received by the medical students.
Dissemination:
Title: Vascular Skills Lab: Low and High Fidelity Simulation Curriculum for Surgical Residents.
Role: Associate Director for surgical simulation, VirtuOHSU. Designer- responsible for content and
development of the modules.
Purpose/Need: Creation of a stepwise, structured and proficiency based training curriculum. The
curriculum focuses on only the technical surgical skills essential for vascular surgical training.
Endovascular skills and cadaver dissection are new additions to the curriculum.
Intended audience: General surgical residents (PGY1-PGY4 levels) and vascular surgical residents.
Duration: 2 hours/module, 4 weeks/module, 40 weeks year. 2009 - present.
Methods/Design: Modules include didactic portion, video demonstration, and deliberate practice with
formative feedback.
Significant Results & Outcomes: Resident performance is evaluated using the objective structured
assessment of technical skills (OSATS) checklists and global rating scales, final product ratings,
completion time and offline videotape assessments.
Dissemination:
Title: Increase in complement with reorganization of the OHSU Vascular Surgical Fellowship
Program
Role: Program Director for Vascular Surgery at OHSU
Purpose/Need: The vascular program has been restructured to accommodate a 3rd
vascular resident. The
curriculum has been expanded to include a 3rd
rotation. Rotations include 2 clinical rotations at OHSU
and Emmanuel Legacy Hospital. A 2nd
OHSU rotation has been created to allow the resident to gain more
experience in endovascular techniques (Dotter Institute), endovenous laser techniques (Center for Health
and Healing Vein Clinic) and outpatient clinical experience (OHSU Vascular Clinic). A vascular lab
reading and interpretation course has also been designed and integrated into this rotation. A fellow’s
lecture series has been implemented into the program to cover topics essential to a vascular surgical
practice.
Intended audience: Vascular fellows
Duration: 2010-present
Methods/Design: The curriculum format has been restructured according to the ACGME competencies.
Significant Results & Outcomes: Inclusion of M&M evaluation form, conference presentation
assessment tool and operative assessment tool.
Dissemination:
Title: Vascular Surgery Cadaver Dissection Course
Role: Associate Director for surgical simulation, VirtuOHSU. Designer- responsible for content and
development of the course.
Purpose/Need: This course was designed to help 3rd, 4th and 5th year surgical residents understand
difficult anatomical relationships with regard to vascular surgical exposures. This Course was designed to
complement the ACS/APDS phase 2 national surgical skills lab curriculum.
Intended audience: General surgical senior residents and vascular surgical fellows.
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Duration: 3 hours/session, 5 sessions 2009-10 academic year.
Methods/Design: Small group discussion and dissection sessions. 3 residents/cadaver and
faculty/resident ratio 1/3.
Significant Results & Outcomes: Quantifiable increase in resident self-reported confidence levels and
knowledge after the lab sessions.
Dissemination: To be continued annually (funding dependent).
Title: Transition to Surgical Residency Role: Developed all curriculum content for the course. Small Group Leader and facilitator
Purpose/Need: Provide 4th year medical students with basic surgical skills needed for residency
Intended audience: 4th year OSHU medical students.
Duration: 6 hours each February, scheduled as part of Transition to Residency Week (February 28th-
march 4th, 2011).
Methods/Design: Small group hands on seminar.
Significant Results & Outcomes: Resident satisfaction
Dissemination: OHSU SOM
Title: Continuity Curriculum Role: Identification of procedural skills list and development of course content pertinent to performance
of a vascular physical examination. Faculty facilitator for procedural skill: Vascular physical examination
and performance of an ankle/brachial index.
Purpose/Need: Provide 4th year medical students with knowledge of basic procedural skills needed for
residency
Intended audience: All OHSU 4th year medical students.
Duration: 6 hours each February, scheduled as part of SOM Continuity Course (November 15th-19th,
2010).
Methods/Design: Small group hands on seminar.
Significant Results & Outcomes: Checklist and global rating score for procedure.
Dissemination: OHSU SOM
Title: American College Surgery/Association Surgical Education (ACS/ASE) Medical Student
Simulation-based Surgical Skills Curriculum Role: Identification of simulation-based skills pertinent to medical student’s years 1-3. Development of
course content for ‘The vascular physical examination’.
Purpose/Need: Provide medical students with knowledge of basic procedural skills needed for residency
Intended audience: National Curriculum intended for all medical schools and all medical students’ years
1-3.
Duration: Plan 2010-.
Methods/Design: Small group hands on seminar.
Significant Results & Outcomes: Checklist and global rating score for procedure.
Dissemination: ACS/ASE 2011-12.
Title: Society for Vascular Surgery (SVS) Resident & Student Program Role: Chair for SVS Resident & Student Outreach Committee
Purpose/Need: Provide medical students and general surgery residents interested in vascular surgery with
the opportunity to perform simulated vascular surgical procedures; enhance awareness of vascular
surgical programs, belonging intervention.
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Intended audience: National Curriculum intended for all medical student and general surgery resident
scholarship recipients attending the SVS Vascular Annual Meeting (VAM).
Duration: 2011-2012.
Methods/Design: Simulation. Small group hands on seminar. Didactic Lectures. Competition.
Significant Results & Outcomes: Checklist and global rating score for procedural skills. Survey of
attitudes.
Dissemination: SVS VAM 2011-12.
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Advising and Mentoring
Pre-medical Students
Individual advising & mentoring:
High School and College one-on-one advising regarding a career in medicine/vascular surgery,
application process and personal statements for medical school, summer internship activities; and writing
letters of support for enrollment into medical school.
Name of Advisee Level of Advisee Duration and
Process
Outcome(s) of Relationship
Ashley De Monte 11th & 12
th grade 2008-2010 Accepted to U. Washington
2010
Conducted research on
promotion and tenure in an
academic vascular surgical
practice
Ignatius Lau Jr & Sr College 2008-2010 Applying to medical School
2011
Nick Esmonde Post-baccalaureate 2008-2009 Accepted OHSU School of
Medicine MD & MPH
program 2009
Ramya Raman Jr College 2008-2009 Accepted to medical School
2010
Medical Students
Academy of Advisors and MedNet Mentoring Groups:
Meet with medical students of all levels in a longitudinal mentoring curriculum that continues from
matriculation to graduation. Topics include academic and career success, as well as a focus on
professionalism. One-on-one advising regarding selecting medical specialty, applying for residency,
summer internship activities; writing letters of support for enrollment or employment.
Name of Advisee Level of Advisee Duration Outcome(s) of Relationship
Thanh Huynh MS 1-4 2007-current Conducted research with the
Division of Vascular Surgery
Summer 2008
Pediatric residency, 2011
Jessica Carlson MS 1-4 2007-current Conducted research with the
Division of Vascular Surgery
Summer 2008
General Surgery Residency
2011
Robert Morrison MS2 2008-2009 General Surgery Residency
2011
Keenan Yanit MS 1-3 2008-2010 Conducted research with the
Division of Vascular Surgery
Summer 2009
Obstetrics & Gynecology
Residency 2012
Chad Burke MS 1-3 2008-present Conducted research with the
Division of Vascular Surgery
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Summer 2009
NIH research 2010-2011
Sarguni Singh MS 1-3 2008-2010 Conducted research with the
Division of Vascular Surgery
Summer 2009
Internal Medicine residency
2012
Lori Cardwell MS3 2009-2010 General Surgery Residency
2012
Kevin Davey MS1-2 2009-2011
Merrit Hoover MS1 2010-11
Ashley Thrower MS1 2010-11 Summer Research Division
Vascular Surgery 2011
Scholarship recipient SVS
Vascular Annual Meeting
Brittany Arnold MS1 2011-12
Jordan Allensworth MS1 2011-12
Ian Wright MS1 2011-12
Research Advisor:
Direct one-on-one supervision of 1st year medical students involved in a summer research project with the
Division of Vascular Surgery; individual instruction regarding research protocols; research databases;
ongoing prospective randomized controlled educational studies and research outcomes. I meet twice a
month with the Division of Vascular Surgery faculty and other members involved in research to discuss
ongoing research concerns and progress.
Name of Advisee Level of Advisee Duration Outcome(s) of Relationship
Thanh Huynh MS 2 2008 J Vasc Surg publication
Jessica Carlson MS 2 2008 Am J Surg publication
Keenan Yanit MS 2 2009 J Vasc Surg publication
Chad Burke MS 2 2009 Society for Vascular Surgery,
Vascular Annual Meeting
poster
Sarguni Singh MS 2 2009 Society for Vascular Surgery,
Vascular Annual Meeting
poster
Nick Esmonde MS 2 2010 Society for Clinical Vascular
Surgery presentation
Transition to Medical School Program:
Participated in the Small Group Book Review with 20 incoming 1st year medical students. The book
“Strength in What Remains” by Tracy Kidder was discussed in 2010 with the group. The discussion
emphasized the role of perseverance and resilience on personal achievement particularly within medicine.
The book “Cutting for Stone” by Abraham Verghese was discussed in 2011 with the group. This
discussion focused on the sacrifices made in pursuit of a career and life in medicine.
Name of Advisee Level of Advisee Duration Outcome(s) of Relationship
Small group MS 1 2010 Feedback positive
Small group MS 1 2011
Surgical Residents
Assigned Faculty Mentor:
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Meet with mentee for review of resident’s goals and self-assessment, performance ratings from all
sources, and educational planning linked to stage of development; communicate with Program Director
regarding resident progress.
Name of Advisee Level of Advisee Duration Outcome(s) of Relationship
Terah Issacson PGY1-3 2006-2009 Colorectal Fellowship 2011
Rachel Danczyk PGY2- 2008-present Bidwell Research Fellowship
in Vascular Surgery
Society for Vascular Surgery,
Vascular Annual Meeting
posters
Jason Jundt PGY2- 2009-present Accepted to Early
Specialization Program in
Vascular Surgery 2009
Research Advisor:
Direct one-on-one supervision of surgical residents involved in research for the Division of Vascular
Surgery; individual instruction regarding research protocols; research databases; ongoing prospective
randomized controlled educational studies and research outcomes.
Name of Advisee Level of Advisee/
Duration
Outcome(s) of Relationship
Eugene Chang PGY 7
2008-09
Duplex Criteria for Native Superior Mesenteric
Artery Stenosis Overestimate Stenosis in Stented
Superior Mesenteric Arteries:
Work Presented at Vascular Annual Meeting 2008
Publication JVS 2009
Dae Lee PGY 6
2009-2010
Techniques, Morbidity and Patency of Portal Vein
Reconstruction Using Lower Extremity Vein
During Pancreaticoduodenectomy:
Work Presented at Vascular Annual Meeting 2009
Publication JVS 2010
Evaluation of Distributed Practice Schedules on
Retention of a Newly Acquired Surgical Skill:
Work presented at Association for Surgical
Education Meeting 2010
Submitted to Am J Surg 2010
The Current Educational Value of Morbidity &
Mortality Conference:
Work presented at Consortium of American
College of Surgery-Accredited Education Institutes
2010
Rachel Danzyck PGY 4
2010-2011
Salvage Procedures after Iliac Artery stenting:
When is less enough?
Educational Administration and Leadership:
32
Year Administrative or
Leadership Role
Description of Activities/
Outcomes
2008- Director, Vascular Skills
Laboratory
Developed and implemented a stepwise proficiency based
vascular skills laboratory curriculum at OHSU. This
multilevel curriculum includes modules for both open and
endovascular skills and utilizes bench top models, cadaver and
porcine models, as well as an endovascular virtual reality
simulator. Non-invasive vascular lab interpretation and
vascular imaging modules are also included in this
comprehensive vascular skills lab.
2008- Associate Medical Director,
VirtuOHSU
Develop educational curriculum to enhance simulation
training for the surgical residents and medical students at
OHSU. Collaborative efforts are being made to make this a
multi-disciplinary training program to include Anesthesiology,
Obstetrics and Gynecology. Neurosurgery, Critical care,
Orthopedics, Nursing and Hospital Administration.
2009- Vascular Surgery, Program
Director
Devote principal effort to the OHSU Vascular Surgery
Program’s administration/management, in sponsoring
teaching, research, and clinical care in vascular surgery.
Educational Handouts & Teaching Resources - Samples
Learner Title
Medical Students General Surgery Medical Student Lecture Series
How to perform a vascular physical exam and ABI
General Surgery Residents Vascular lab Summary Sheets
o Arterial Duplex Studies: PAE, Segmental Pressures,
PAE Exercise Testing
o Bypass Graft Flow Studies and surveillance protocols
o Carotid Stenosis (ACAS & NASCET criteria,
surveillance protocols)
o Visceral Duplex studies
o Renal Artery Duplex studies
o Pre-dialysis Evaluation Protocols
ABSITE Review: Highlights
o Cerebrovascular Disease
o Aneurysmal Disease
o Peripheral Artery Occlusive Disease
o Mesenteric Syndromes
o Renovascular Disease
o Upper Extremity Problems
o Hemodialysis and Vascular Access
o Venous Diseases and Venous Thromboembolism
33
Learner Assessment:
1. Developed and am currently validating operative evaluation forms for core open vascular procedures.
2. Examining the effects of presentation format at morbidity and mortality conference. Specifically,
presentation format can improve the educational value and perceived quality assurance of surgical
morbidity and mortality conferences.
3. Evaluating the impact of a simulation-based endovascular curriculum on trainee performance and
clinical outcomes in vascular surgery.
Service and Membership of Educational Committees:
2008-2010 Society for Vascular Surgery, Residency Program Development Committee
Committee mission: Develop SVS programs and materials to facilitate development of
new residency programs in vascular surgery.
2008- Society for Vascular Surgery, Resident and Student Outreach Committee
Committee mission: develop SVS sections programs to encourage medical
students and residents to consider a career in vascular surgery.
2008- Association for Surgical Education, Simulation Center Committee
Committee mission: develop a text book on surgical simulation.
Task force: develop a national medical student skills curriculum.
2008- Association of Program Directors in Vascular Surgery, Simulation Committee
Committee mission: Develop a low fidelity and high fidelity simulation curriculum for
vascular surgical training to include formal assessment tools of skill acquisition.
2008- Oregon Health & Science University, Executive Surgical Education Committee
Committee Mission: Set policy and philosophy for surgical education at OHSU in
accordance with the ACGME guidelines.
2009- Oregon Health & Science University, Graduate Medical Education Committee
Committee Mission: Set policy and philosophy for resident education at OHSU in
accordance with the ACGME guidelines.
2010- Oregon Health & Science University, School of Medicine Curriculum Committee
Committee Mission: reviewing and revising the overall goals and objectives of the
medical undergraduate curriculum and for assuring that these goals are achieved.
2010- Oregon Health & Science University, School of Medicine LCME Review Task Force
Learning Environment Committee
Evaluate the current status of the OHSU SOM learning environment and propose
innovative suggestions to address current and expected challenges with regard to
34
Professionalism, Student Health Service, Career and Academic Counseling, and
Facilities.
Honors and Awards for Education:
2006 Radiology Fellow Research Award.
University of Colorado, Health Sciences Center.
2008 Women’s Leadership Retreat Travel Award.
Society for Vascular Surgery.
2008 Education Leadership Initiative (ELI) Training Award.
Oregon Health & Science University, School of Medicine.
This one-year curriculum led by Kris Wessel PhD and sponsored by the OHSU School of
Medicine involved twice monthly seminars and independent study to provide the learner
with advanced curriculum development skills. The participants in this small group
seminar are all junior faculty from multiple specialties in the clinical-educator track with
an interest in education. The course includes the following topics: instructional design,
learning styles and managing learner behavior, cooperative or group/team based learning,
selecting the appropriate instructional method, clinical/workplace teaching and assessing
curriculum. Approximate time: 8 hours/week.
2008 E. J Wylie Travelling Fellowship Award.
Lifeline Programs of the American Vascular Association (AVA).
The E. J. Wylie Memorial Traveling Fellowship awards $12,000 for expenses of travel,
research, and clerical help.
Aims: The E. J. Wylie Memorial Traveling Fellowship provides the recipient with the
opportunity to visit a number of vascular surgery centers in the United States and abroad.
Though brief, these visits stimulate academic inspiration, promote international
exchange, and foster development of fraternal fellowship in vascular surgery. The
achievement of these objectives will help to enhance the development of the fellow's
career in vascular surgery.
2009 Surgical Education Research Fellowship (SERF) Program.
Association for Surgical Education.
This one-year home-site fellowship sponsored by the Association for Surgical Education
is designed to equip investigators with the skills and knowledge needed to plan,
implement and report research studies in the field of surgical education. The program
provides a faculty advisor to serve as the fellows mentor and consultant on research
conducted through the program. The objectives of the SERF program are as follows:
methodically and thoroughly assess and review the education literature, formulate
original and significant research questions, design and educational research project using
appropriate methodologies, manage a surgical education project, and organize
presentation of completed educational research projects for peer-reviewed academic
publications and/or conferences.
2010 Visiting Scholar, Imperial College London, United Kingdom.
Division of Surgery and the Imperial Centre for Patient Safety and Service Quality
Invitation from Prof Lord A Darzi and Prof CA Vincent to extend collaboration with Dr.
35
N Sevdalis.
Professional Development in Education:
2008 –2009 Education Leadership Initiative
Oregon Health & Science University, School of Medicine.
2009 Course on Statistics and Research Design.
Association for Surgical Education.
2009 Surgical Skills Training Laboratory Workshop.
Southern Illinois University, School of Medicine.
2009 Simulation Committee Workshop.
Association for Surgical Education.
2009 2nd
Annual meeting of the Consortium of ACS-Accredited Education Institutes.
American College of Surgery.
2009 –2010 Surgical Education Research Fellowship (SERF) Program. Association for Surgical
Education.
2010 2nd Annual meeting of the Consortium of ACS-Accredited Education Institutes.
American College of Surgery.
2009 –2012 Master’s in Surgical Education. Imperial College, London, UK.
36
CONTINUING MEDICAL EDUCATION (CME)
Year Dates Meeting Attended and Educational Activity Learned
AMA PRA
Category 1
Credit(s)
2006-2007
November
9,2006 24
th Annual meeting, Pacific Northwest
Vascular Society. Spokane WA 7
June 7-10,
2007 2008 Vascular Annual Meeting, Society for
Vascular Surgery. Baltimore, MD 20
May 16-19,
2007 International Vein Congress. Miami, Florida. 8
35
2007-2008 September 8-
11, 2007 Western Vascular Society 23
rd Annual
Meeting. Kona, HI. 12
May 13, 2008 HeartCode ACLS, OHSU. Portland, OR. 12 June 5-8, 2008 2008 Vascular Annual Meeting, Society for
Vascular Surgery. San Diego, CA. 24
48
2008-2009 September 13-
16, 2008 Western Vascular Society 23
rd Annual
Meeting. Napa Valley, CA. 11.5
November 13,
2008 26
th Annual meeting, Pacific Northwest
Vascular Society. Seattle, WA 7
December 23,
2009 Pain management modules, American Medical
Association. 6
December 23,
2009 Advancing pain management in Oregon,
Oregon Department of Human services. 1
January 11-15,
2009 D. Eugene Strandness Symposium. Diagnostic
and Therapeutic Approaches to Vascular
Disease. Maui, HI.
19.25
January 30-
February 1,
2009
19th
Annual Winter Meeting, Peripheral
Vascular Surgical Society. Steamboat Springs,
CO.
10
March 20-21,
2009 2
nd Annual Meeting of the Consortium of
American College of Surgeons-Accredited
Education Institutes. Chicago, IL.
13
March 26, 2009 Pacific Northwest Endovascular Conference,
Tacoma, WA. 4
April 28-May
2, 2009 Surgical Education Week Association for
Surgical Education/Association of Program
Directors in Surgery. Salt Lake City, UT.
30
June 11-14,
2009 2009 Vascular Annual Meeting, Society for
Vascular Surgery. Denver, CO. 18
122.75
2009-2010 November 12,
2009 Pacific Northwest Vascular Society 2009
Meeting. Portland, OR 7
February 13-
16, 2010 Pacific Coast Surgical Association 81
st Annual
Meeting American College of Surgeons. Maui,
HI
10
37
March 25, 2010 Pacific Northwest Endovascular Conference
The U.S. Army Medical Command. Tacoma,
WA
7.25
April 22-24,
2010 Surgical Education Week Association for
Surgical Education/Association of Program
Directors in Surgery. San Antonio TX
10
July 1 2009-
June 30, 2010 Oregon Health & Science University, Surgery
Grand Rounds 9
2010-2011 September 25-
28, 2010 Western Vascular Society 25th Annual
Meeting. Sunriver, OR. 11
October 3-5,
2010 American College Surgery, 2010 Clinical
Congress. Washington, DC. 18.25
October 29,
2010 American College of Surgeons, Accredited
Education Institutes, Enhancing Patient Safety
Through Simulation. Toronto, Canada.
11.75
January 16-20,
2011 D. Eugene Strandness Jr. Symposium:
Diagnostic and Therapeutic Approaches to
Vascular Disease. Maui, Hawaii.
15
March 16-19,
2011 Society for Clincal Vascular Surgery 39
th
Annual Symposium. Orlando, Florida 17
March 22-26,
2011 Surgical Education Week Association for
Surgical Education/Association of Program
Directors in Surgery Boston, Massachusetts.
15
July 1 2010-
June 30, 2011 Oregon Health & Science University, Surgery
Grand Rounds 19
2011-2012 September 17-
20, 2011 Western Vascular Society 25th Annual
Meeting. Kauai, Hawaii TBD