Provision of simulation-based training (SBT) within UK vascular surgery training programmes

Abstract

BackgroundSimulation based training (SBT) enhances endovascular psychomotor skill acquisition and is a requirement of the UK vascular surgical curriculum. We aimed to assess the provision and obstacles to the delivery of SBT within regional UK vascular surgical training programmes. MethodsAn electronic survey was distributed to all UK regional vascular surgical training programme directors (TPDs) assessing SBT regional infrastructure and provision. ResultsThe survey response rate was 12/14 (86%). All regions incorporated SBT into regional training programmes, but with varying regularity: 50% every 6–12 months, 25% every 3–6 months and 25% bi-monthly. Twenty-five percent of regions provide SBT in conjunction with vascular surgery from another region and 33% of regions combine with interventional radiology training programmes. Only seven regions possess a high-fidelity endovascular simulator and a further 2 have access to industry-sponsored facilities. The majority of SBT (92%) is delivered by consultants outside of their NHS or deanery contracts. All TPDs reported a regular reliance (>50%) on industry sponsorship for the provision of SBT and only 3 TPDs reported receiving sufficient deanery funding for the majority of SBT. ConclusionsThe provision of SBT within regional vascular surgical training programmes is variable and hindered by insufficient resources and funding. A uniform policy for the provision of SBT is required to address these regional disparities.