Course syllabus:

Rationale of conducting MCH programme:

Purpose is to create specialists who would provide high quality care and advance cause of science in field of vascular and endovascular surgery through research and training. Vascular surgery is a highly specialised and technical discipline in clinical medicine comprising treatment with open vascular bypasses and endovascular procedure such as angioplasty and stenting. They also specialise in endovenous procedures like laser ablation of varicose veins, RFA, sclerotherapy of varicose veins, vascular malformation management and AV access procedures.

Mch programme objectives:

1. Train and produce competent individuals in field of vascular surgery to meet the healthcare needs of society
2. Develop new skills in surgical and simulation labs and transfer these skills to real cases, reducing operating time, errors and patient discomfort
3. Shorten length of learning curve while acquiring new skills to perform on patients cost effectively
4. Improve cognitive skills in decision making, judgement and communication and to define proficiency levels and to ensure one has ability for independent and competent practise

MCh programme outcomes:

1. Develop knowledge and skills to handle elective vascular surgical problems
2. Expose and train individuals to plan and operate on vascular emergencies including vascular traumas
3. Diagnose, manage and follow-up of vascular illness patients including streamlining of management protocols
4. Update recent knowledge and keep in pace with recent advances in progress of vascular surgery and endovascular techniques
5. Sensitize trainee to research, their tools and encourage clinical research

Educational objectives:

1. Diagnosis and management of aneurysmal disease
2. Diagnosis and management of extremity arterial occlusive diseases
3. Diagnosis and management of renal artery occlusive disease
4. Diagnosis and management of visceral ischemia
5. Diagnosis and management of carotid artery occlusive disease
6. Diagnosis and management thoracic outlet syndrome
7. Diagnosis and management of acute arterial obstruction
8. Diagnosis and management of diabetic foot problems
9. Diagnosis and management of complications in vascular therapy
10. Diagnosis and management of vascular trauma
11. Diagnosis and management of venous thromboembolism
12. Diagnosis and management of venous insufficiency
13. Diagnosis and management of lymphedema
14. Diagnosis and management of vascular malformations
15. Diagnosis and management of portal hypertension
16. Diagnosis and management of non atherosclerotic vascular diseases
17. Indications and techniques in Vascular access
18. Diagnosis and management of coagulation disorders

Academic calendar:

Every month schedule:

1. Monday – Group discussion / Major Ot day
2. Tuesdays – Case presentation / Minor Ot day
3. Wednesday – Faculty lecture/ Major Ot day
4. Thursday – Journal presentation / Speciality clinics/ Minor Ot day
5. Friday – Group discussion / Major Ot day
6. Saturday – Seminar presentation / Log book submission
   • Internal department audit presentation (every last saturday)

Year wise PGs posting:

1. 2nd year students – posted for 2 weeks each in the departments of radiology and cardiothoracic surgery
2. 3rd year students – posted for 1 month each in external institutions for training purposes.

Examination and grading system:

1. Every last Sundays of a month à short test (for 50 marks and 1.5 hours), conducted in prior announced topics
2. Every 3rd month à full test (university exam pattern) conducted and remarks of the performance, discussed with trainees in person by faculties.
3. Theory: University exams Conducted at end of three years completion of the trainee from TN Dr.MGR university for all affiliated colleges
   • Total of 4 papers, each 100 marks, in three hours duration
   • Marks pattern: for a total of 100 marks
   • Essays – 2*15 marks = 30 marks
   • Short notes – 10*7 marks = 70 marks
4. Practicals: One day exam
   • Comprises of short case, long case presentation
   • Ward round, OSCEs, spotters and Viva Voce

Research projects :

Ongoing:

1. Implications of NT-PRO BNP measurements in PAOD patients.
2. Study on gene polymorphisms in therapeutic dosing and safety of vitamin K antagonist and its implications in clinical practise with venous thromboembolism – a single center study
3. Biomarkers of neutrophil activation as predictors of outcome after intervention in Symptomatic PAOD patients.

Completed:

1. Comparitive study of NLR and MPV in PAOD patients. (May 2024)

Research papers published:

1. Prospective study of patients undergoing infra inguinal bypass with single tibial artery outflow. IOSR – JDMS. DOI: 10.9790/0853-1801041722.
2. Retrospective study of angiographic features in TAO. IOSR- JDMS. DOI : 10.9790/0853-1801023337.
3. Endovenous ablation versus open surgery for the treatment of varicose veins – A comparative study. IJDMSR. DOI : volume 2, issue 12, Dec 2018, PP 50-56.
4. Prospective randomized comparative study between vasculomimetic supera stent and drug coated balloons for superficial femoral artery disease. IOSR-JDMS. DOI :10.9790/0853-1709060914
5. Peripheral vascular system thrombosis and COVID – 19 : A chilling revelation. IJVES. DOI : 10.4103/ijves.ijves_150_20
6. Perioperative outcomes of open surgical repair for juxtarenal and infrarenal aortoiliac occlusive disease in patients with poor cardiac status. IJVES. DOI : 10.4103/ijves.ijves_37_22.
7. Role of neutrophil – lymphocyte ratio and mean platelet volume in outcome of atherosclerotic peripheral vascular disease interventions. IJVES. DOI: 10.4103/ijves.ijves_39_22.
8. Panel great saphenous vein reconstruction in emergency: A case report and literature review of traumatic venous injuries. IJVES. DOI : 10.4103/ijves.ijves_39_24.

Collaborations and funding:

Combined Projects ongoing in collaboration funding with the MRU unit at Madurai medical college.

1. Implications of NT-PRO BNP measurements in PAOD patients.
2. Study on gene polymorphisms in therapeutic dosing and safety of vitamin K antagonist and its implications in clinical practise with venous thromboembolism – a single center study
3. Biomarkers of neutrophil activation as predictors of outcome after intervention in Symptomatic PAOD patients

Events and Activities:

Annual CME programme – NAALAM

• A two-day programme , Conducted by the department of vascular surgery, under the auspices of TN Dr.MGR medical university
• Last programme in April 2025 – was first of its kind in the state with cadaveric vascular workshop programme for postgraduates on first day of CME

Annual walkathon programme

• Happens during the first week of August month every year with a distinguished guest of honour to start the event
• Conducted to bring awareness amongst the public about the field of vascular surgery and also promote a nationwide motto of “Amputation free india”