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Related Experiment Videos

Supervised training in carotid endarterectomy is safe

A W Bradbury1, J Brittenden, J A Murie

  • 1University Department of Surgery, Edinburgh Royal Infirmary, UK.

The British Journal of Surgery
|February 4, 1998
PubMed
Summary

Supervised surgical training in carotid endarterectomy (CEA) has increased significantly. This training is safe and effective, showing no difference in outcomes compared to consultant-led procedures, even with complex cases.

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Area of Science:

  • Vascular Surgery
  • Surgical Education
  • Neurosurgery

Background:

  • Increasing demand for carotid endarterectomy (CEA) necessitates robust surgical training programs.
  • Assessing the quality and outcomes of supervised CEA training is crucial for maintaining standards.

Purpose of the Study:

  • To evaluate the quality, clinical outcomes, and patient case-mix associated with supervised training in carotid endarterectomy (CEA).

Main Methods:

  • Analysis of a prospectively collected database of all CEAs performed at a single institution from 1975 to 1996.
  • Comparison of outcomes and patient demographics between supervised trainees and consultants for CEAs performed after January 1, 1992.

Main Results:

  • A tenfold increase in CEAs performed by supervised trainees was observed between 1991 and 1996.

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  • No significant differences were found in patient characteristics or procedural factors between trainee and consultant-performed CEAs post-1992.
  • Perioperative neurological event rates were comparable between trainees (7.6%) and consultants (7.1%), with similar mortality rates.

    • Conclusions:

    • Supervised training in CEA has expanded significantly without compromising patient safety or clinical outcomes.
    • Adequate supervision enables trainees to safely manage a diverse range of CEA cases, including high-risk patients.