In this retrospective review of Accreditation Council for Graduate Medical Education
case logs from 2012 to 2018 collected from 887 vascular surgery residents and fellows
from 137 programs. Phair et al
1
document that vascular surgery fellows (VSFs) perform more open and endovascular
(and total) lower extremity cases than integrated senior vascular surgery residents
(IVSRs). This stands somewhat in contrast to earlier reports,
2
,
3
that suggested that VSFs typically perform equal to or more open vascular cases,
while vascular surgery residents tend to perform more endovascular cases in the totality
of training, presumably because endovascular cases can be performed earlier in training.
The present study, which only examines peripheral artery disease (PAD) cases, also
suggests VSFs perform more PAD cases at every anatomic level (aorto-iliac, femoral-popliteal,
and tibial). The authors highlight that the data from these case log numbers provide evidence
that VSFs are performing more PAD cases during those important chief years, when autonomy
is at its peak, compared with the IVSR.To read this article in full you will need to make a payment
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References
- Peripheral arterial occlusive disease operative case volume in the final years of 5+2 and 0+5 vascular training paradigms.Surgery. 2019; 166: 198-202
- The first assessment of operative logs for traditional vascular fellowship track versus integrated vascular training programs.J Vasc Surg. 2015; 62: 1076-1082
- Comparison of the integrated vascular surgery resident operative experience and the traditional vascular surgery fellowship.J Vasc Surg. 2017; 66: 307-310
- Predicted shortage of vascular surgeons in the United States: population and workload analysis.J Vasc Surg. 2009; 50: 946-952
Article info
Publication history
Published online: May 08, 2019
Accepted:
April 2,
2019
Footnotes
The author has indicated that he has no conflict of interest regarding the content of this article.
The author is a member of the Vascular Surgery Board of the American Board of Surgery. This article reflects personal opinions and in no way reflects the stance of the Vascular Surgery Board of the American Board of Surgery.
Identification
Copyright
© 2019 Elsevier Inc. All rights reserved.
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- Peripheral arterial occlusive disease operative case volume in the final years of 5+2 and 0+5 vascular training paradigmsSurgeryVol. 166Issue 2
- PreviewPeripheral arterial occlusive disease constitutes a substantial portion of clinical practice in vascular surgery and, as such, trainees must graduate with proficiency in endovascular and open procedures to become capable vascular surgeons. Case volume for 0+5 integrated vascular surgery residents in the chief and junior years was compared with their 5+2 fellowship counterparts for the treatment of peripheral arterial occlusive disease.
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