Minimizing problems between vascular trainees and general surgery residents

Abstract

The current problems and conflicts associated with training of vascular and general surgery residents exemplify the larger dilemma of educating subspecialists while preserving the wellspring of general surgery. Previous vascular fellowship programs during the era of evolution of our subspecialty were characterized by clinical preceptorships or research programs with little thought about the impact on training of general surgery residents. The current era of educational safeguards permits approved vascular training programs provided that adequate educational experience, operative caseload, and appropriate supervision are ensured for both the vascular and general surgical trainee. The future portends significant changes in general surgical and subspecialty training to enhance the career goals of all surgical residents. Such evolutionary changes are necessary to not only capitalize on the benefits of subspecialty care but also enhance the professional standing and expertise of the general surgeon. These modifications in training programs will require the coordinated efforts of major societal, governmental, accrediting, and certifying organizations.