What inspired you to pursue vascular surgery as a specialty?

I trained in vascular and transplant surgery and worked as a consultant in both specialties for the first five years as a consultant. Both specialties require an excellent knowledge of medicine and need the clinician to think of the whole patient and their co-morbidity, as well as the immediate problem where a surgical solution is only part of the management.

Hence the old adage in vascular and transplant surgery: 'Think like a physician and behave like a surgeon'.

I also worked for some fantastic role models, like Richard Corbett, Rozanne Lord and Stephen Brearley.

How does vascular surgery differ from other surgical settings?

There is a lot of out-of-hours work and about 50% of our operative workload is generated from urgent or emergency presentations. A large amount of our outpatient work is non-operative management, initiating best medical therapy and managing expectations.

The other part of our elective work is very rewarding, with technically challenging surgery making a difference to the quality and duration of people's lives – carotid surgery in preventing stroke, abdominal aortic surgery in prolonging life, and treatment of peripheral arterial occlusive disease in improving quality of life or in limb salvage.

The variety of surgery is also an attraction – operating on all parts of the body – as well as the emergency operating for limb salvage (for acute limb ischaemia) and life saving for ruptured abdominal aortic aneurysms and multiple traumas.

What additional skills have you learned as a result?

I've learned mainly about the combination of best medical therapy, lifestyle modification and surgical interventions working in combination to get the best outcomes for patients.

I've also learned how important it is to work in teams to offer the best option for patients, as it sometimes means asking colleagues for help or to take over the care of your patient – most importantly in the use of meaningful dialogue with patients and their families to get shared decision making and hence shared responsibility for the outcomes of treatment and management of their condition.

Why I decided to become a...vascular surgeon

Why I decided to become a...vascular surgeon