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 PS72. Integrated Vascular Training Programs: The Beginning of the End for Traditional Vascular Surgery Training?

Edward McGillcudy, Jason Chin, Luis Suarez, Richard Gusberg, Walter Longo, Jeffrey Indes
Yale University School of Medicine, New Haven, CT.

OBJECTIVES: The number of integrated (0+5) vascular surgery programs has increased. This may detract from both traditional vascular fellow (5+2) and categorical general surgery (CGS) resident training. We surveyed vascular program directors (PDs) regarding applicant quality and resident case volume. We reviewed operative case-logs at a single institution with both training tracks to corroborate PD opinions.

METHODS: A 9-question electronic survey was delivered to PDs (n=38) at institutions with both 0+5 and 5+2 training tracks. The survey focused on applicant quality, case volumes, and trainee confidence with open procedures. Index vascular case volume was abstracted from ACGME logs from 2000-2013. Statistics: student's T-test and ANOVA.

RESULTS: Sixteen of 38 PDs completed the survey. Fifty percent believed the quality of 5+2 applicants had declined over the preceding 5 years, but 88% responded that there will be continued need for a 5+2 training track. Forty-four percent responded that 0+5 residents would be better suited for competitive academic faculty positions. Twenty-five percent agreed with the statement "the presence of a 0+5 program negatively impacts open or endovascular case volumes for other trainees." Eighty-seven percent felt 5+2 graduates will be comfortable with open aortic surgery, while 61% felt 0+5 residents would be comfortable. There was no difference in mean CGS resident vascular case volumes following matriculation of 0+5 residents (11.9 cases/resident/PGY year prior to 0+5, 10.8 cases/resident/year following 0+5; p=0.61). There was no difference in 5+2 vascular fellow case volumes (204 cases/fellow/year prior to 0+5, 196 cases/fellow/year following 0+5; p=0.76).

CONCLUSIONS: The majority of PDs do not believe traditional trainees are negatively impacted by 0+5 training tracks; this belief is supported by case volume data at our institution. Multi-institution data is necessary as 0+5 programs mature.

AUTHOR DISCLOSURES: J. Chin: Nothing to disclose; R. Gusberg: Nothing to disclose; J. Indes: Nothing to disclose; W. Longo: Nothing to disclose; E. McGillcudy: Nothing to disclose; L. Suarez: Nothing to disclose.
Posted April 2013

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