Vascular surgery training: Is there enough case material?
Vascular surgery training: Is there enough case material?
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DOI：
10.1053/j.semvascsurg.2006.08.005
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发表时间：
2006-12-01
影响因子：
2.5
通讯作者：
Cronenwett, Jack L.
中科院分区：
文献类型：
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作者：
Cronenwett, Jack L.
近年来，血管外科奖学金已经发生了很大的变化，以满足介入以及开放手术培训的要求。来自外科住院医师审查委员会的数据表明，2000年，平均血管研究员进行的介入手术不到15例，但到2005年，这一数量增加到200多例介入手术，增加了255%。在同一时间段内，进行的主要开放血管重建的平均数量略有减少（4%）。2005年，平均每个血管研究员进行450例初次手术，开放性手术和介入性手术几乎各占一半。由于血管内手术的替代，选定的开放手术（如主动脉瘤修复术）的手术量有所减少。普通外科住院医师进行的大型血管手术减少了19%，部分保留了血管研究员的手术量。然而，由于老龄化人群中血管疾病的患病率增加而增加了总体数量，似乎有足够的病例材料来培训未来的血管外科医生，只要不太常见的手术继续集中在血管受训者身上。
In recent years, vascular surgery fellowships have changed substantially to meet the requirements for interventional as well as open surgical training. Data from the Residency Review Committee for Surgery indicate that the average vascular fellow performed fewer than 15 interventional procedures in 2000, but that this volume had increased to more than 200 interventional procedures by 2005, an increase of 255%. During the same interval, there was a slight (4%) decrease in the average number of major open vascular reconstructions performed. In 2005, the average vascular fellow performed 450 primary procedures, nearly equally divided between open and interventional cases. Selected open operations, such as aortic aneurysm repair, have decreased in volume due to the substitution by endovascular procedures. Operative volume for vascular fellows has been preserved in part by a 19% reduction in major vascular operations performed by general surgery residents. However, with added overall volume due to the increased prevalence of vascular disease in the aging population, there appears to be adequate case material to train future vascular surgeons, as long as less commonly performed operations continue to be focused on vascular trainees.