Can a Vascular Surgeon Also Perform General Surgical Operations?

Completing a general surgery residency and a fellowship in vascular surgery offers you a unique set of skills but also raises questions about your ability to perform all types of general surgical procedures. This article explores whether you can continue to perform general surgical operations after training in vascular surgery, the factors influencing this decision, and the potential challenges you might face.

Plurality of Specialization: A Choice Worth Considering

When deciding whether to specialize in both general surgery and vascular surgery, you face a significant decision. One of the key points to consider is that you have the choice to pursue both areas of expertise if you believe they are valuable. However, it’s crucial to decipher where the demand lies. Hospitals cannot legally restrict your privileges based on a perceived need but only your qualifications. This means that if you are qualified, you have the latitude to perform a diverse range of surgical operations.

Specialization in Vascular Surgery

The risk in specializing in vascular surgery is that you may encounter a focus on vascular cases from the start of your career. Many vascular surgeons prioritize vascular operations since part of their board examinations involves presenting cases they have personally handled. This can limit your opportunities to perform general surgical procedures unless you actively seek out avenues to maintain and demonstrate your general surgical proficiency.

General Surgery Background in Vascular Practice

Hospitals and surgical environments that value a diverse set of skills often look favorably on candidates with a foundation in general surgery. For example, cardiovascular surgeons who completed a general surgery residency often perform both general surgical cases and peripheral vascular surgeries. However, this is contingent on the availability of cases and the hospital's willingness to grant you the necessary privileges.

Focus on Vascular Surgery

In contrast, cardiovascular surgeons who did not complete a general surgery residency are often not involved in general surgical operations but excel in peripheral vascular surgery. If you have completed a five-year general surgery residency, you are better positioned to handle both types of surgery.

Hybrid Specialization: Balancing Vascular and General Surgery

Not all vascular surgeons continue to perform general surgical operations, as many find that their vascular work is already busy enough. They may also choose not to take on general surgery call due to their focus on vascular procedures. It is important to assess how much time and effort you can dedicate to maintaining proficiency in both areas.

Potential Challenges and Compromises

One potential issue is the competition for general surgery patients. Vascular surgeons who also perform general surgical operations might face resistance from general surgeons who need consultations during their procedures. These general surgeons might be concerned that you are competing with them for their patients.

This scenario can impact your relationship with referring physicians and your career trajectory. If you successfully maintain proficiency in both general and vascular surgery, hospitals may grant you appropriate privileges initially. However, as your vascular caseload increases, your ability to maintain proficiency in general surgery may decrease. Your referring base may also view you primarily as a vascular surgeon rather than a general surgeon, leading to a reduction in referrals.

In summary, while the decision to specialize in both general surgery and vascular surgery is yours, it comes with considerations of demand, competition, and the need to maintain proficiency in both areas. Understanding the dynamics and potential challenges can help guide your career choices and ensure a successful surgical practice.