Angiology

Internal medicine and angiology: arteries and veins, duplex, vascular interventions. A small specialty where many patients have problems with their legs, feet and wounds.
Training in Germany (model regulations)
• Training 72 months, including 36 in angiology, 6 in the emergency department and 6 in intensive care
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Core task
Vascular duplex scanning
Arteries and veins from neck to foot. You look for occlusions, stenoses and thrombi, often for many hours a day.
Core task
Caring for patients with peripheral arterial disease
Intermittent claudication, rest pain and walking training. Many patients smoke or have diabetes and would need to change their habits.
Core task
Looking at chronic wounds and feet
Ulcers, necrosis and gangrene on toes and heels. You assess them even when they smell, and discuss amputations.
Opening vessels with a catheter
Balloons and stents in pelvic and leg arteries, usually via the groin, in critically ill patients also via the foot.
Veins and pulmonary embolism
Thrombosis, post-thrombotic syndrome, compression and the question of when to give thrombolysis.
Rare vascular diseases
Vasculitis, Raynaud’s and vascular malformations. These are puzzle cases with a lot of rheumatology and diagnostics.
Vascular board with surgery and radiology
You discuss whether a bypass, a stent or amputation will save the leg.
A small specialty
Angiology is considered a small specialty, and training posts can be scarce. You may need to be flexible about location.
This test is a structured self-assessment, not a validated psychometric instrument. The specialty profiles are informed estimates. Use the result as a starting point for conversations and check it with shadowing days and talks with specialists. Training information applies to Germany; the binding rules are those of the relevant state medical chamber. Specialty preferences often change during medical school, so retake the test after new rotations.
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