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Calman, venous surgery and the vascular trainee.
E P Turton1, M S Whiteley, D C Berridge
1Department of Vascular and Endovascular Surgery, St James's University Teaching Hospital, Leeds, U.K. eplt@aol.com
Journal of the Royal College of Surgeons of Edinburgh
|June 18, 1999
Summary
Current surgical training in Great Britain inadequately covers venous surgery. Vascular trainees report insufficient instruction in deep venous procedures and microsclerotherapy, highlighting a need for improved training curricula.
Area of Science:
- Vascular Surgery
- Surgical Education
- Medical Training
Background:
- Surgical training in Great Britain is evolving with Higher Surgical Training.
- Concerns exist regarding haphazard training and inadequate supervision for junior surgeons.
- The Calman Report and Vascular Surgical Society recommendations necessitate changes in training.
Purpose of the Study:
- To audit the venous surgical experience of vascular trainees in Great Britain.
- To identify deficiencies in current vascular surgery training programs.
- To assess the adequacy of venous surgery training for junior and senior trainees.
Main Methods:
- A questionnaire survey was distributed to 90 vascular surgical trainees.
- A response rate of 76.7% (n=69) was achieved.
- Data collected focused on the duration of vascular firm experience and specific training received.
Main Results:
- Nearly half of trainees had over 12 months on a pure vascular firm.
- Most trainees received formal training in sapheno-femoral and sapheno-popliteal junction ligation.
- Significant training gaps were identified in deep venous surgery and microsclerotherapy.
Conclusions:
- Current training schedules inadequately cover the scope of venous surgery.
- Specialized vascular units do not guarantee comprehensive venous surgery training.
- Training requires greater focus and tailoring to individual trainee experience levels.