A national resident survey about the current state of venous education in vascular surgery training programs

Caitlin W. Hicks, Amber Kernodle, Christopher J. Abularrage, Jennifer A. Heller

Research output: Contribution to journalArticle

Abstract

Objective: The objective of this study was to characterize U.S. vascular surgery trainees' perceptions, case numbers, and attitudes toward venous disease education, as well as their intent to incorporate it into future practice. These data will provide us with a current snapshot of postgraduate venous education from a resident's perspective. Methods: Institutional Review Board approval was obtained. A 13-question survey was created and distributed to all vascular surgery residents in the United States by SurveyMonkey. Formal electronic distribution remained deidentified as the surveys were e-mailed to residents from the Association of Program Directors in Vascular Surgery. Results: Of 464 vascular surgery trainees queried, 104 (22%) responded to the survey. The majority of responders (80%) were between 25 and 34 years of age, 60% were male, and 72% were white; 91% reported that they were in an academic training program, and 57% were enrolled in an integrated vascular surgery residency program. Postgraduate years (PGYs) of training among respondents were well represented: PGY 1, 14%; PGY 2, 8%; PGY 3, 14%; PGY 4, 12%; PGY 5, 9%; PGY 6, 18%; and PGY 7, 25%. Vascular resident training experience with venous disease revealed the following: 63% performed <10 inferior vena cava stents, 64% performed <10 vein stripping/ligation procedures, and 50% performed <10 iliac stents; 92% of responders reported having performed <10 venous bypasses during their training. Experience with endothermal ablations was slightly better, with 74% of responders reporting having performed up to 20 cases. Case volumes for endothermal ablation, vein stripping/ligation, inferior vena cava stenting, and iliac stenting increased progressively by clinical training year among integrated vascular residents (P ≤ .02) but were relatively stable for classic 5 + 2 vascular fellows (P ≥ .67). Integrated residents reported having received more didactic venous education than the 5 + 2 vascular surgery fellows (P = .01). There were no differences in overall reported venous procedure volumes between groups (P ≥ .28). The majority of trainees (82%) acknowledged that treating venous disease is part of a standard vascular surgery practice, and many (75%) indicated a desire to have increased venous training. Despite this, 59% of responders reported plans to dedicate <25% of their future vascular surgery practice to venous disease. Conclusions: In this national survey-based study of vascular surgery trainees, we demonstrate a perceived weakness in venous disease case volumes and didactic education in residency. This training deficit is apparent in both integrated (0 + 5) and traditional (5 + 2) training pathways. Our data suggest that expansion of the venous disease curriculum with clear training standards is warranted and that trainees would welcome such a change.

LanguageEnglish (US)
JournalJournal of Vascular Surgery: Venous and Lymphatic Disorders
DOIs
StateAccepted/In press - 2017

Fingerprint

Blood Vessels
Education
Inferior Vena Cava
Internship and Residency
Stents
Ligation
Surveys and Questionnaires
Veins
Research Ethics Committees
Curriculum
Teaching

ASJC Scopus subject areas

  • Surgery
  • Cardiology and Cardiovascular Medicine

Cite this

@article{93779c916d6e466e918243779ef6520b,
title = "A national resident survey about the current state of venous education in vascular surgery training programs",
abstract = "Objective: The objective of this study was to characterize U.S. vascular surgery trainees' perceptions, case numbers, and attitudes toward venous disease education, as well as their intent to incorporate it into future practice. These data will provide us with a current snapshot of postgraduate venous education from a resident's perspective. Methods: Institutional Review Board approval was obtained. A 13-question survey was created and distributed to all vascular surgery residents in the United States by SurveyMonkey. Formal electronic distribution remained deidentified as the surveys were e-mailed to residents from the Association of Program Directors in Vascular Surgery. Results: Of 464 vascular surgery trainees queried, 104 (22{\%}) responded to the survey. The majority of responders (80{\%}) were between 25 and 34 years of age, 60{\%} were male, and 72{\%} were white; 91{\%} reported that they were in an academic training program, and 57{\%} were enrolled in an integrated vascular surgery residency program. Postgraduate years (PGYs) of training among respondents were well represented: PGY 1, 14{\%}; PGY 2, 8{\%}; PGY 3, 14{\%}; PGY 4, 12{\%}; PGY 5, 9{\%}; PGY 6, 18{\%}; and PGY 7, 25{\%}. Vascular resident training experience with venous disease revealed the following: 63{\%} performed <10 inferior vena cava stents, 64{\%} performed <10 vein stripping/ligation procedures, and 50{\%} performed <10 iliac stents; 92{\%} of responders reported having performed <10 venous bypasses during their training. Experience with endothermal ablations was slightly better, with 74{\%} of responders reporting having performed up to 20 cases. Case volumes for endothermal ablation, vein stripping/ligation, inferior vena cava stenting, and iliac stenting increased progressively by clinical training year among integrated vascular residents (P ≤ .02) but were relatively stable for classic 5 + 2 vascular fellows (P ≥ .67). Integrated residents reported having received more didactic venous education than the 5 + 2 vascular surgery fellows (P = .01). There were no differences in overall reported venous procedure volumes between groups (P ≥ .28). The majority of trainees (82{\%}) acknowledged that treating venous disease is part of a standard vascular surgery practice, and many (75{\%}) indicated a desire to have increased venous training. Despite this, 59{\%} of responders reported plans to dedicate <25{\%} of their future vascular surgery practice to venous disease. Conclusions: In this national survey-based study of vascular surgery trainees, we demonstrate a perceived weakness in venous disease case volumes and didactic education in residency. This training deficit is apparent in both integrated (0 + 5) and traditional (5 + 2) training pathways. Our data suggest that expansion of the venous disease curriculum with clear training standards is warranted and that trainees would welcome such a change.",
author = "Hicks, {Caitlin W.} and Amber Kernodle and Abularrage, {Christopher J.} and Heller, {Jennifer A.}",
year = "2017",
doi = "10.1016/j.jvsv.2017.06.014",
language = "English (US)",
journal = "Journal of Vascular Surgery: Venous and Lymphatic Disorders",
issn = "2213-333X",
publisher = "Elsevier Inc.",

}

TY - JOUR

T1 - A national resident survey about the current state of venous education in vascular surgery training programs

AU - Hicks,Caitlin W.

AU - Kernodle,Amber

AU - Abularrage,Christopher J.

AU - Heller,Jennifer A.

PY - 2017

Y1 - 2017

N2 - Objective: The objective of this study was to characterize U.S. vascular surgery trainees' perceptions, case numbers, and attitudes toward venous disease education, as well as their intent to incorporate it into future practice. These data will provide us with a current snapshot of postgraduate venous education from a resident's perspective. Methods: Institutional Review Board approval was obtained. A 13-question survey was created and distributed to all vascular surgery residents in the United States by SurveyMonkey. Formal electronic distribution remained deidentified as the surveys were e-mailed to residents from the Association of Program Directors in Vascular Surgery. Results: Of 464 vascular surgery trainees queried, 104 (22%) responded to the survey. The majority of responders (80%) were between 25 and 34 years of age, 60% were male, and 72% were white; 91% reported that they were in an academic training program, and 57% were enrolled in an integrated vascular surgery residency program. Postgraduate years (PGYs) of training among respondents were well represented: PGY 1, 14%; PGY 2, 8%; PGY 3, 14%; PGY 4, 12%; PGY 5, 9%; PGY 6, 18%; and PGY 7, 25%. Vascular resident training experience with venous disease revealed the following: 63% performed <10 inferior vena cava stents, 64% performed <10 vein stripping/ligation procedures, and 50% performed <10 iliac stents; 92% of responders reported having performed <10 venous bypasses during their training. Experience with endothermal ablations was slightly better, with 74% of responders reporting having performed up to 20 cases. Case volumes for endothermal ablation, vein stripping/ligation, inferior vena cava stenting, and iliac stenting increased progressively by clinical training year among integrated vascular residents (P ≤ .02) but were relatively stable for classic 5 + 2 vascular fellows (P ≥ .67). Integrated residents reported having received more didactic venous education than the 5 + 2 vascular surgery fellows (P = .01). There were no differences in overall reported venous procedure volumes between groups (P ≥ .28). The majority of trainees (82%) acknowledged that treating venous disease is part of a standard vascular surgery practice, and many (75%) indicated a desire to have increased venous training. Despite this, 59% of responders reported plans to dedicate <25% of their future vascular surgery practice to venous disease. Conclusions: In this national survey-based study of vascular surgery trainees, we demonstrate a perceived weakness in venous disease case volumes and didactic education in residency. This training deficit is apparent in both integrated (0 + 5) and traditional (5 + 2) training pathways. Our data suggest that expansion of the venous disease curriculum with clear training standards is warranted and that trainees would welcome such a change.

AB - Objective: The objective of this study was to characterize U.S. vascular surgery trainees' perceptions, case numbers, and attitudes toward venous disease education, as well as their intent to incorporate it into future practice. These data will provide us with a current snapshot of postgraduate venous education from a resident's perspective. Methods: Institutional Review Board approval was obtained. A 13-question survey was created and distributed to all vascular surgery residents in the United States by SurveyMonkey. Formal electronic distribution remained deidentified as the surveys were e-mailed to residents from the Association of Program Directors in Vascular Surgery. Results: Of 464 vascular surgery trainees queried, 104 (22%) responded to the survey. The majority of responders (80%) were between 25 and 34 years of age, 60% were male, and 72% were white; 91% reported that they were in an academic training program, and 57% were enrolled in an integrated vascular surgery residency program. Postgraduate years (PGYs) of training among respondents were well represented: PGY 1, 14%; PGY 2, 8%; PGY 3, 14%; PGY 4, 12%; PGY 5, 9%; PGY 6, 18%; and PGY 7, 25%. Vascular resident training experience with venous disease revealed the following: 63% performed <10 inferior vena cava stents, 64% performed <10 vein stripping/ligation procedures, and 50% performed <10 iliac stents; 92% of responders reported having performed <10 venous bypasses during their training. Experience with endothermal ablations was slightly better, with 74% of responders reporting having performed up to 20 cases. Case volumes for endothermal ablation, vein stripping/ligation, inferior vena cava stenting, and iliac stenting increased progressively by clinical training year among integrated vascular residents (P ≤ .02) but were relatively stable for classic 5 + 2 vascular fellows (P ≥ .67). Integrated residents reported having received more didactic venous education than the 5 + 2 vascular surgery fellows (P = .01). There were no differences in overall reported venous procedure volumes between groups (P ≥ .28). The majority of trainees (82%) acknowledged that treating venous disease is part of a standard vascular surgery practice, and many (75%) indicated a desire to have increased venous training. Despite this, 59% of responders reported plans to dedicate <25% of their future vascular surgery practice to venous disease. Conclusions: In this national survey-based study of vascular surgery trainees, we demonstrate a perceived weakness in venous disease case volumes and didactic education in residency. This training deficit is apparent in both integrated (0 + 5) and traditional (5 + 2) training pathways. Our data suggest that expansion of the venous disease curriculum with clear training standards is warranted and that trainees would welcome such a change.

UR - http://www.scopus.com/inward/record.url?scp=85027438215&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85027438215&partnerID=8YFLogxK

U2 - 10.1016/j.jvsv.2017.06.014

DO - 10.1016/j.jvsv.2017.06.014

M3 - Article

JO - Journal of Vascular Surgery: Venous and Lymphatic Disorders

T2 - Journal of Vascular Surgery: Venous and Lymphatic Disorders

JF - Journal of Vascular Surgery: Venous and Lymphatic Disorders

SN - 2213-333X

ER -