UKOM Sp.DVE study plan
UKOM Sp.DVE · Give each week a clear focus.
8 weeks · About 7 hours per week
Vascular and endovascular anatomy, physiology, and pathophysiology & Arterial occlusive disease (peripheral arterial disease, aortoiliac and infrainguinal disease)
Draw and label the arterial tree from aortic arch to pedal arch from memory, then correct errors against an anatomy atlas
Explain the hemodynamics of stenosis (Poiseuille, Bernoulli, critical stenosis, collateral recruitment) in writing without notes
Differentiate the pathophysiology of claudication vs critical limb-threatening ischemia, including microcirculatory and metabolic changes
Map the angiographic segments of the femoropopliteal and tibial vessels to the corresponding open surgical exposures
Your checkpoint
A one-page hand-drawn arterial map with 30+ labeled segments plus a 300-word written explanation of stenosis hemodynamics, self-graded against a reference
Aortic disease (aneurysm, dissection, and thoracoabdominal pathology) & Endovascular techniques, devices, and imaging (catheter-based intervention, angiography, radiation safety)
Classify aortic aneurysms by location, morphology, and etiology, and state repair thresholds with the evidence behind them
Describe the Stanford and DeBakey dissection classifications and the immediate management priorities for each type
Sequence the steps of EVAR and TEVAR planning: sizing, landing zones, access assessment, and device selection
List the deterministic and stochastic radiation risks and apply ALARA, collimation, and last-image-hold principles to a hypothetical case
Compare contrast-induced nephropathy prevention strategies and select an appropriate one for a patient with eGFR 35
Your checkpoint
A written EVAR/TEVAR planning worksheet for two constructed cases (one infrarenal, one thoracoabdominal) including neck measurements, landing zones, and access strategy
Venous and lymphatic disease (chronic venous insufficiency, varicose veins, venous thrombosis, lymphedema) & Vascular trauma and acute limb ischemia
Apply the CEAP classification and duplex criteria to grade chronic venous insufficiency and select conservative vs interventional management
Outline the diagnostic pathway and anticoagulation decisions for suspected lower-limb deep vein thrombosis, including provoked vs unprovoked duration rules
Distinguish primary from secondary lymphedema and describe complete decongestive therapy components
Execute the acute limb ischemia workup: Rutherford classification, immediate heparinization, imaging choice, and revascularization decision within a stated time frame
Describe hard signs of vascular trauma and the indications for immediate exploration vs CT angiography
Your checkpoint
A decision-flow diagram covering acute limb ischemia from presentation to revascularization, with Rutherford classes and time targets annotated
Clinical assessment and non-invasive vascular diagnostics & Dialysis access and vascular access surgery
Interpret ankle-brachial index, toe-brachial index, and segmental pressures in calcified and non-calcified limbs
Read a duplex report and translate peak systolic velocity ratios and waveform changes into a stenosis grade
Compare arteriovenous fistula, graft, and catheter configurations for hemodialysis access and state the advantages and failure modes of each
Apply the rule of 6s and physical exam plus surveillance criteria to detect access dysfunction, and outline management of steal syndrome and access-related infection
Perform a structured vascular history and pulse/exam sequence and document findings in a standard format
Your checkpoint
A completed mock objective structured clinical examination note for one PAD and one dialysis access patient, including ABI and duplex interpretation with a stated plan
Arterial occlusive disease (peripheral arterial disease, aortoiliac and infrainguinal disease) & Aortic disease (aneurysm, dissection, and thoracoabdominal pathology)
Compare endovascular and open revascularization for aortoiliac and infrainguinal disease using TASC-style anatomic reasoning and current guideline recommendations
Select conduit and approach for infrainguinal bypass and state graft surveillance and antiplatelet/anticoagulation plans
Distinguish ruptured, symptomatic, and asymptomatic aortic aneurysm management pathways including permissive hypotension and transfer decisions
Describe open and endovascular options for thoracoabdominal aneurysm and the spinal cord ischemia mitigation strategy
Explain type I to IV endoleak mechanisms and their respective management options
Your checkpoint
Two written case resolutions (one TASC D aortoiliac, one ruptured AAA) with a justified operative plan, alternatives, and expected complications
Endovascular techniques, devices, and imaging (catheter-based intervention, angiography, radiation safety) & Open vascular surgical techniques, perioperative care, and anesthesia
Sequence a diagnostic angiogram and a peripheral intervention: access, sheath selection, wire and catheter choice, anticoagulation dosing, and closure
Select balloons, stents, covered stents, and atherectomy devices for defined lesion morphologies and justify each choice
Describe open surgical technique steps for endarterectomy, patch angioplasty, and prosthetic graft placement including infection prophylaxis
Outline perioperative care for vascular patients: cardiac risk assessment, beta-blockade and statin continuation, fluid strategy, and regional vs general anesthesia considerations
Identify the major complications of endovascular access and their immediate management
Your checkpoint
A step-by-step written procedural protocol for a superficial femoral artery angioplasty and stent, including device sizes, drug doses, and a complication checklist
Vascular medicine, risk factor management, and anticoagulation/antiplatelet therapy & Professionalism, ethics, communication, and health law in vascular practice & Patient safety, quality improvement, and evidence-based vascular practice
Apply current antiplatelet and anticoagulation regimens to PAD, carotid disease, EVAR, and bypass patients, including perioperative bridging decisions
Construct a risk factor modification plan covering smoking cessation, lipid targets, blood pressure, and diabetes control with specific agents and targets
Analyze a consent scenario for a high-risk revascularization using shared decision-making and capacity assessment principles
Explain confidentiality, duty of candour, and error disclosure obligations in a vascular adverse event
Design a small quality improvement measure for a vascular service using a structure-process-outcome framework and an audit cycle
Your checkpoint
A one-page quality improvement proposal with a defined indicator, data source, baseline assumption, and re-audit interval, plus a written consent script for an EVAR discussion
Vascular and endovascular anatomy, physiology, and pathophysiology & Arterial occlusive disease (peripheral arterial disease, aortoiliac and infrainguinal disease) & Aortic disease (aneurysm, dissection, and thoracoabdominal pathology) & Venous and lymphatic disease (chronic venous insufficiency, varicose veins, venous thrombosis, lymphedema) & Vascular trauma and acute limb ischemia & Dialysis access and vascular access surgery & Endovascular techniques, devices, and imaging (catheter-based intervention, angiography, radiation safety) & Open vascular surgical techniques, perioperative care, and anesthesia & Vascular medicine, risk factor management, and anticoagulation/antiplatelet therapy & Professionalism, ethics, communication, and health law in vascular practice & Patient safety, quality improvement, and evidence-based vascular practice
Complete two full-length timed mock examinations and log every incorrect item by domain and error type
Re-teach the five weakest topics from the error log by writing a short explanation for each without reference material
Recite the numeric thresholds and time targets that recur across domains: repair sizes, ABI cutoffs, ischemia windows, and anticoagulation durations
Simulate a rapid-fire case review of 20 mixed scenarios under time pressure and verbalize the decision for each
Your checkpoint
A scored mock exam report with a domain-by-domain accuracy table and a prioritized final-week revision list of no more than 10 items
Milestones
Week 2: Score at least 70% on a self-made 25-question quiz covering domains 1, 3, 4, and 8; if below, reallocate two hours from week 3 to anatomy and aortic pathology
Week 4: Correctly interpret five duplex and ABI vignettes without notes and complete the mock clinical notes to a self-assessed passing standard
Week 6: Write the SFA intervention protocol from memory with all device sizes and drug doses within acceptable ranges, and pass a 20-question mixed-domain quiz at 70% or higher
Week 8: Achieve 75% or higher on the second full mock exam with no single domain below 60%, and confirm every item on the final revision list has been re-taught and self-tested