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