Pittsburgh Surgery Tradition

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Division of Vascular Surgery David Geffen School
of Medicine at UCLA
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UCLA Faculty
Dr. Peter F. Lawrence
Dr. Wesley S. Moore
Dr. J. Dennis Baker
Dr. Hugh A. Gelabert
Dr. William J. Quiñones-Baldrich
Dr. Juan-Carlos Jimenez
Dr. David A. Rigberg
Senior Faculty - TBN
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Vascular Faculty

• NAME COLLEGE/MED SCHOOL
  RESIDENCY/FELLOWSHIP
• Peter F. Lawrence
  Dartmouth/Harvard Columbia-
  Presbyterian
• Wesley S. Moore USC/UCSF
  UCSF/UCSF
• J. Dennis Baker
  Haverford/Columbia Columbia/Henry Ford
• William Quiñones Univ. of P.R /
  Univ. of P.R. Thomas Jefferson/UCLA
• Hugh Gelabert
  Georgetown/Thomas Jefferson Eastern Virginia/
  UCLA
• David Rigberg Penn/Arizona
  UCLA
• Juan Carlos Jimenez Berkeley/UCI
  UCI/UCLA

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UCLA Medical Rankings(US News and World Report)

• Medical School
• 13 (research) in US
• Hospital
• Best in West
• 5 in US
• NIH Research Funding
• 9 in US
• Research dollars from all sources
• 3 in US
• Nobel Prize Winners
• 5 including Louis Ignarro, PhD
• affiliated with UCLA Surgery Dept.
• Award given for research on nitric oxide

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UCLA Medical Complex

• UCLA Westwood
• 670 beds
• New hospital (Ronald Reagan)
• 525 beds
• Santa Monica/UCLA Medical
• 337 beds

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UCLA Medical Center Best in the West for 17
straight years

• New Westwood hospital
• 525 beds
• Designed by IM Pei
• Opens Feb-Mar 2008
• Cost 1.2 billion
• 23 ORs
• 64 Adult ICU beds
• 2 dedicated vascular rooms
• 1 OEC Fluoro/power injector/movable table
• One for open cases
• Dedicated Ambulatory Angio Suite with flat-panel
  for Vascular Surgery

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West Los Angeles VAMC
1350 beds
UCLA Olive View Hospital
350 beds
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UCLA Vascular Surgery Division
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Inpatient Vascular Surgery Team

• Vascular Fellow 2
• Vascular Fellow 1
• GS R4
• GS R2
• GS R1
• GS R1
• ANP (nurse practitioner)
• Case manager (RN)

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Nursing Staff

• Deborah Caswell, RN, NP-C
• Co-Director, Gonda Vascular Center
• Deborah Kass, RN, ANP
• Priscilla Lee, RN, ANP-C
• Margie Vallejo, RN (Case Manager)
• Ellen Hoffman, RN Clinical Nurse
• Anne Yaple, RN Clinical Nurse
• Virginia Calilan, LVN
• Maria Cortez Medical Assistant
• Angie Wander Medical Assistant

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Vascular Laboratory

• J. Dennis Baker, MD (Director)
• H. Gelabert, MD
• P. Lawrence, MD
• Vicki Carter, RN, RVT (Supervisor)
• Eugene Hernandez, RVT Ultrasound Tech.
• Cesar Hernandez, RVT Ultrasound Tech.
• Diana Venegas Admin. Assistant

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Vascular Division Staff

• Norm Reccius, Administrator
• Maribel Robino, Surgery Scheduler
• Stormi Brandenburg, Medical Coder/Biller
• Haruko Uchida, Academic Coordinator
• Carolina Valencia, Assistant to Chief, Clinic
  Manager
• Faculty Assistants
• 4 staff
• Front office
• 4 staff

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Clinical Trials Program

• Research and Clinical Trials Staff
• Candace Vescera, RN, Director
• Kathy Walden-Land, RN

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Teaching and Vascular Conferences

• Wednesday
• 7-8 am Grand Rounds
• 8-9 am MM (Vascular Surgery participates
  regularly)
• Thursday 5-6 pm
• Pre-op/decision making conference
• Thursday 6-7 pm
• Week 1 - Research Conference
• Week 2 - Vascular Surgery Grand Rounds
• Week 3 - Vascular Lab Teaching conference
• Week 4 - Journal Club
• Visiting Professor
• Annually
• Goldstone, Kent, Sicard, and Ascher

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Division Clinical Volume 2006(Westwood CHS)
Outpatient visits 11,204
Vascular lab studies 4860
Diagnostic/Endovascular Procedures 538
Endovascular grafts 161
Open procedures 704
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Extramural Research AwardsDivision of Vascular
Surgery (2007)
Trial PI Est. Current Annual Est. Life of Trial
CREST (Carotid Revascularization Endarterectomy vs. Stenting Trial) Endovascular Grafting Moore Moore 25,000 250,000 350,000 4,000,000
Gene therapy for unreconstructable PAD Lawrence 85,000 160,000
Low/Medium Frequency Trial Center(pending) Rigberg/Lawrence 126,000 750,000
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Vascular Surgery Initiatives for 2007-2008

• Remodeling of Wound Care Clinic and transition of
  wound care to hospital-based clinic
• Construction of combined ambulatory venous
  center, procedure room, and angio suite
• Institution of carotid stenting program
• Development of spine exposure training program
• Transfer of hyperbaric program to Vascular
  Surgery
• Transfer of DFCon to UCLA
• Transfer of APDVS to UCLA course
• Recruitment of basic research team
• Begin clinical activity in new hospital
• Dedicated angio suite with flat panel imaging for
  OP angios
• Two ORs available for angios, endografts and
  thrombolysis
• Dedicated vascular floor

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Strengths/Weaknesses of UCLA Vascular Program

• Strengths
• Quality of Faculty
• Patient volume
• Breadth of cases
• Gonda Center/nursing and staff support
• Wound care/hyperbaric program
• Housestaff in GS and other programs
• UCLA Med Center/University
• Cultural/living environment

• Weaknesses
• Carotid stent volume (being corrected)
• Basic research in the division (being corrected)
• Healthcare and Regional Issues
• Physician reimbursement in So Cal (get used to
  it!)
• Cost of living in So Cal

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UCLA Vascular Fellowship

• Year 1
• Endovascular Aneurysms
• Angiography/plasty/stents
• Endovenous
• Minimally Invasive Aortic
• Vascular Lab (RVT new ARDMS)
• Outpatient Clinic
• Journal Club
• Year 2
• Open Inpatient Surgery
• TAG
• Debranching procedures
• Outpatient Clinic
• Consultations
• Grand Rounds
• MM
• Year 3 (optional)

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Operating Room Experience
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2007 Fellow Cases (2 years)
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National Meetings

• UCLA Symposium (Fellows Symposium)
• A Comprehensive Review and Update of Whats New
  in Vascular (Endovascular Surgery)
• Wesley S. Moore, MD Course Chair
• SVS Annual Meeting
• Wesley Moore, M.D. President 1987
• SCVS Annual meeting (Gore fellow symposium)
• Peter F. Lawrence, M.D. President 2005
• Dennis Baker, M.D. President 1992
• William Quiñones M.D. Program Committee Chair 2007

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Research Opportunities

• Basic Bench
• STAR program
• Division funded with UCLA faculty
• Vascular biology program
• Diabetes/atherosclerosis
• Gonda Diabetes Center
• Division faculty (Recruitment in progress)
• Clinical Trials Center (Westwood)
• CREST trial
• Database registry
• Outcomes research program (VA)
• Associated with Rand Corp.
• Low and Medium Frequency Diseases

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Salary and Benefits

• Competitive Salary Structure (see Program
  Coordinator for details)
• Healthcare and disability insurance at minimal
  cost
• One paid trip to national academic meeting
• Additional travel for first authored papers
• Participation in UCLA symposium
• Gore support for the SCVS meeting
• 28 days vacation which can also be applied to
• Job Interviews
• Courses

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Recent Vascular Fellows
Year Fellow Residency Position 2007-2009 Jessi
ca OConnell UCLA New Fellow 2006-2008 Kris
ten Biggs Univ. TX/San Antonio Current
Fellow 2005-2007 Juan-Carlos Jimenez UC
Irvine UCLA School of Medicine 2004-2006 Sydney
Guo UCLA Private Practice/Virginia 2003-05 Bry
ce Beseth, MD UCLA Private Practice/Upland,
CA 2002-04 Todd D. Reil, MD UCLA Private
Practice/Los Angeles 2001-03 David A. Rigberg,
MD UCLA UCLA School of Medicine 2000-02 John
Lane, MD UCLA UCI Medical Center 1999-2001
Niren Angle, MD UCSD UCSD Medical
Center 1999-2000 Fernando Kafie, MD UC
Irvine Private Practice/Florida
1998-99 Pavel Petrik, MD UCLA Lancaster
Heart Institute 1997-98 Vikram S. Kashyap,
MD Mass. General Cleveland Clinic/Ohio
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University of California at Los Angeles

• 4 ranked public university in US
• 7 Nobel prize winners
• Extracurricular
• 195 Olympic medals (98 Gold)
• 99 NCAA Championships!
• National Champs in Basketball 10 times

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The UCLA Neighborhood
Downtown Los Angeles, looking south on the 110
freeway during sunset
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Downtown Los Angeles
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Neighbors
Rodeo Drive, Beverly Hills
Third Street Promenade, Santa Monica
Old Town Pasadena
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Beaches
Malibu
Venice Beach
Santa Monica
Long Beach
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ACTIVITIES
Six Flags Six Flags Hurricane Harbor
Universal Studios Universal City Walk
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The Music Center
Walt Disney Concert Hall
Mark Taper Forum
Ahmanson Theater
Dorothy Chandler Pavilion
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Museums
La Brea Tar Pits
Getty Museum
Museum of Contemporary Art
Armand Hammer Museum
Los Angeles County Museum of Art
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Dodger Stadium
Dodger Stadium
Staples Center
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LA Lakers NBA Champs x 11!!!
Jordan Farmar
Kobe Bryant
Lamar Odom
Luke Walton
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Attractions
Santa Monica Pier
Hollywood Park
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Music Under the Stars
Greek Theatre
Hollywood Bowl
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