A Trainee Perspective to Issues Needing Redressal in Current Vascular Surgery Training Programs: Survey Results from 2004 to 2015

Abstract

Vascular surgery training and practice have been constantly evolving in the last 2 decades. The goal of this study is to report the changing trends in perspectives of vascular surgery trainees on current training program and issues that need redressal in vascular training and practice. Vascular surgery trainees in the United States, who attended the Society of Clinical Vascular Surgery meeting from 2004 to 2015, were surveyed annually with an anonymous questionnaire during the meet. Questions pertaining to their endovascular and open surgical learning experience, independent performance of procedures, challenges of job search, starting an independent practice, and their perception of issues in vascular surgery training were analyzed. Responses from the first half of the decade (2004-2009) were compared with the second half (2010-2015) to identify evolving trends in trainee perception. Among the 908 vascular surgery trainees who attended the annual meeting from 2004 to 2015, 670 (74%) trainees responded to the questionnaire. The mean age of vascular trainees was 32.5years. In the latter half of the decade, there was a 2-fold increase in female trainees, from 12.3% to 23.6% (P=0.002), and the integrated program trainees also increased from 0% to 12% of respondents (P=0.0023). Trainee satisfaction with endovascular training improved from 78% to 90% (P=0.0001), and satisfaction with open surgical experience was unchanged at 83% over the 10-year period (P=0.16). The perception of vascular laboratory experience improved with only 35% vs. 27% (P=0.016) of respondents dissatisfied, despite only a third of respondents actually performing the noninvasive tests in both the former and the latter half of the decade, respectively. Although the quality of vascular cases during training has improved, vascular trainees desire shorter training paradigms, and vascular laboratory education is still viewed as deficient. These findings can be used by training programs to re-examine their curricula and implement changes to improve the quality of training the next generation of vascular surgeons.