Should vascular surgeons be trained in endovascular techniques? An observational study

Area of Science:

• Medical Imaging
• Vascular Surgery
• Interventional Radiology

Background:

• Current interventional radiology (IR) coverage is insufficient to meet demand.
• Vascular surgeons report a need for enhanced endovascular techniques training.

Purpose of the Study:

• To assess the adequacy of interventional radiology cover in England.
• To evaluate the level of endovascular training received by vascular surgeons.

Main Methods:

• Observational study utilizing questionnaires.
• Survey distributed to 320 radiology and vascular trainers/trainees across 50 randomly selected NHS trusts in England.
• Achieved a 57% consultant response rate.

Main Results:

• 53% of vascular consultants have endovascular experience; 64% desire further training.
• 87% of consultants and 81% of radiologists believe demand outstrips supply.
• Emergency IR cover is lacking on most nights in 65% of trusts.
• 72% of radiologists are open to training vascular trainees in IR.

Conclusions:

• Integrated fellowships in vascular surgery and interventional radiology, successful in the US, offer a potential solution for UK vascular units.
• Addressing training deficits and service demand is crucial for improving patient care.