Vascular Surgery Qualifying Exam
- The Vascular Surgery Qualifying Examination (QE) is offered annually as the first of two exams required for board certification in vascular surgery. The exam consists of about 250 multiple-choice questions designed to assess a surgeon's cognitive knowledge of core surgery and vascular surgery. See the exam's content outline (pdf) for further information.
- It is a one-day exam lasting approximately 6 hours and is held at computer-testing facilities across the U.S. The exam is administered in four 90-minute sessions, with optional 10-minute breaks between sessions, and one longer 40-minute break offered between the second and third session. Once a session has concluded, you will not be able to revisit those questions.
- Results are posted approximately 4 to 8 weeks after the exam; you will be notified by email when they are available. The exam's contents are copyrighted and may not be reproduced or disclosed in any manner. Successful completion of the General Surgery QE or Surgical Principles Exam is no longer a prerequisite for this examination.
- Individuals who complete vascular surgery training after July 1, 2012, will have no more than 7 academic years immediately following training to become certified (i.e., pass both the QE and CE). See Exam Opportunities below for details.
To be eligible for this exam, applicants must:
- Accredited Program: Have satisfactorily completed a training program in vascular surgery accredited by the ACGME or the RCPSC. (See also Osteopathic Trainees Policy)
- Approved Application: Graduates of independent (5+2) or early specialization programs (4+2) must have an approved application to the General Surgery Qualifying Exam. All application requirements must be met and it must be signed by the general surgery program director. The exam itself, however, does not need to be taken for vascular surgery certification.
- Training Time: Have acquired no fewer than 48 weeks of full-time clinical activity in each year of the vascular surgery training program. The 48 weeks may be averaged; see Leave Policy for further details.
- Responsibility: Have obtained increasing levels of responsibility during vascular surgery training, including serving as chief resident for a 12-month period.
Operative Log: Submit an operative experience report as surgeon and assistant surgeon that is deemed acceptable to the ABS, not only as to volume, but as to spectrum and complexity of cases. Specific case requirements:
Cases must be from the applicant's vascular surgery residency or fellowship and verified by the program director.
- At least 250 major vascular reconstructions must be listed.
- For individuals who began integrated (0+5) training in July 2015 or thereafter, a minimum of 40 cases in surgical critical care must be listed, with at least one in each of the seven categories: ventilatory management; bleeding (non-trauma); hemodynamic instability; organ dysfunction / failure; dysrhythmias; invasive line management and monitoring; and parenteral / enteral nutrition.
- ACLS and ATLS: Have been certified in the programs Advanced Cardiovascular Life Support (ACLS) and Advanced Trauma Life Support® (ATLS®). Applicants are not required to be currently certified in these programs; they must only provide documentation of past certification.
- Number of Programs: Have completed their vascular surgery training at no more than 2 programs. For integrated programs, the final 2 years must be completed at the same institution. For independent programs, the final 18 months must be completed at the same institution. Individuals in independent programs must also have completed their general surgery residency at no more than 3 programs.
- Professional Activity: Be actively and primarily engaged in the practice of vascular surgery as indicated by holding full surgical privileges in this discipline at an accredited health care institution, or be currently engaged in pursuing additional graduate education in another recognized surgical specialty. An exception to this requirement is active military duty.
- Adhere to the ABS Ethics and Professionalism Policy.
Requirements for Vascular Surgery CE
The following requirements must be met for a candidate to register for the Vascular Surgery Certifying Exam (CE), upon successful completion of the QE. However, if QE applicants already possess these, they should supply the documentation with their application:
- RPVI Certification: CE candidates must have obtained Registered Physician in Vascular Interpretation® (RPVI®) certification, and provide documentation of current or past certification when registering for the CE. The exam required for RPVI certification is now offered year-round, with official results posted within the next week. See www.apca.org/pvi for more details.
- Medical License: CE candidates must possess a full and unrestricted U.S. or Canadian medical license. Candidates are encouraged to start this process early, as it may take several months. Candidates are also required to immediately inform the ABS of any conditions or restrictions in force on any active medical license they hold.
Full-Time Research Limits
- For individuals in integrated programs, no more than 6 months of residency may be devoted to research. For individuals in independent programs, no more than 10% of the total required vascular surgical experience may be devoted to research. Any research time beyond 10% requires prior ABS approval.
- Individuals who meet ABS requirements may apply for the exam through the online application process, which is posted in early spring (see How to Apply). After your application is approved, you will be sent instructions on how to register for this year's exam.
- Once you are registered for the exam, you will be mailed an exam admission authorization letter with final details and instructions on reserving a place at a computer-testing center. You must have this letter to reserve a testing center spot.
- Active duty military personnel who may encounter difficulty taking the exam due to their service should contact the ABS as soon as possible. Please see How to Apply for information about other exam accommodations.
- Canadian applicants must adhere to all of the above requirements and must have completed all general surgery and vascular surgery training in programs accredited by the RCPSC or ACGME. For independent trainees, a minimum of 12 months of rotations related to vascular surgery must have been completed during general surgery residency. Canadian applicants should also make certain that any "block rotations" will meet VSB-ABS requirements.
- Individuals who complete the required vascular surgery training after July 1, 2012, will have no more than 7 academic years following this training to complete the
certification process (i.e., pass both the QE and CE). The 7-year period begins immediately upon completion of vascular surgery training.
- Upon application approval, they will be granted up to 4 opportunities within a 4-year period to pass the Vascular Surgery QE, providing they applied immediately after training. Individuals who delay in applying for certification will lose opportunities to take and pass the QE.
- If an applicant decides not to take the exam in a given year, it is a lost opportunity. See the ABS' exam admissibility policy for further details.
- Individuals who completed vascular surgery training prior to July 1, 2012, were granted up to 5 opportunities within a 5-year period to pass the Vascular Surgery QE following application approval. If an applicant decided not to take the exam in a given year, it was a lost opportunity.
- During the exam admissibility period, individuals who postponed or were unsuccessful will be contacted each year regarding the next exam; a new application is not necessary.
- The above limits are absolute. Individuals who exceed any of the above restrictions will lose their admissibility and must pursue a readmissibility pathway to re-enter the certification process.
Vascular Surgery Certifying Exam
Upon successful completion of the Vascular Surgery QE, you will be admissible to the Vascular Surgery Certifying Exam, an oral exam, and will be contacted with registration information for the next exam.
For more information regarding certification in vascular surgery, refer to the Booklet of Information - Vascular Surgery (pdf).
For specific inquiries, please send an email to the exam coordinator.