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Vascular surgery training, exposure, and knowledge during general surgery residency: implications for the future
John Boutros1, Mypinder S Sekhon, Eric M Webber
1Division of General Surgery, Department of Surgery, University of British Columbia, Faculty of Medicine, 910 West 10th Avenue, Vancouver, British Columbia, Canada V5Z 4E3.
American Journal of Surgery
|April 17, 2007
Summary
General surgery residents report inadequate training and knowledge in vascular surgery (VS). This impacts their ability to manage vascular emergencies, despite mandatory VS rotations.
Area of Science:
- Medical Education
- Surgical Training
- Vascular Surgery
Background:
- Vascular surgery (VS) status in general surgery (GS) is uncertain following curriculum changes.
- VS is now a primary specialty in the US, distinct from GS.
Purpose of the Study:
- Assess GS residents' perceived competence in VS.
- Evaluate GS residents' fundamental knowledge of VS.
Main Methods:
- A survey on attitudes and experience in VS was administered to GS residents.
- A short-answer examination assessed fundamental vascular knowledge.
Main Results:
- 83% of residents participated; 29 responded.
- Residents felt inadequately trained in 10/13 surveyed procedures, including 6 essential ones.
- Despite intent to perform VS procedures, none planned VS fellowship; mean exam score was 47%.
Conclusions:
- GS residents exhibit inadequate training and marginal knowledge in VS.
- Trainees may lack essential skills for vascular emergencies.
- Current training may not sufficiently prepare residents for VS demands.