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Related Experiment Videos

Evaluating the venous experience in vascular surgery training.

Michael C Siah1, Steven D Abramowitz2, Paul Haser3

  • 1Medstar Heart and Vascular Institute/Georgetown University, Washington, D.C..

Journal of Vascular Surgery. Venous and Lymphatic Disorders
|April 17, 2017
PubMed
Summary

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Vascular surgery trainees report variable venous procedure experience, with some noting training gaps. Despite this, knowledge remains unaffected, suggesting a need for standardized venous surgical curricula.

Area of Science:

  • Vascular Surgery
  • Medical Education

Background:

  • Venous disease management is increasingly recognized and treated, comprising a significant portion of vascular surgery practice.
  • Current vascular surgery training lacks specific operative objectives or case requirements for venous disease.

Purpose of the Study:

  • To examine the training experiences of graduating vascular surgery trainees concerning venous surgical procedures.
  • To identify potential gaps in current venous surgical training.

Main Methods:

  • Analysis of survey data from the Association of Program Directors in Vascular Surgery (2014).
  • Review of Vascular Surgery In-Training Examination (VSITE) venous scores.
  • Summarization and comparison of venous case logs from 2012-2015 using Current Procedural Technology codes.

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Main Results:

  • 15% of graduates perceived training gaps in venous procedures, attributing them to training or technological evolution.
  • Venous and overall VSITE scores were comparable between residents and fellows.
  • Significant variability was observed in the number of venous cases completed during training.

Conclusions:

  • Vascular surgery trainee experience with venous procedures is inconsistent and does not align with clinical practice demands.
  • While knowledge retention appears unaffected, a standardized venous curriculum with defined case minimums is recommended for program directors.