A comparison of the knowledge base and surgical skills of integrated versus independent vascular surgery trainees.

MedStar author(s):
Citation: Journal of Vascular Surgery. 64(2):514-519, 2016 AugPMID: 27313088Institution: MedStar Heart & Vascular InstituteForm of publication: Journal ArticleMedline article type(s): Journal ArticleSubject headings: *Clinical Competence | *Education, Medical, Continuing/mt [Methods] | *Health Knowledge, Attitudes, Practice | *Internship and Residency | *Surgeons/ed [Education] | *Vascular Surgical Procedures/ed [Education] | Curriculum | Educational Status | Humans | Surgeons/px [Psychology] | Surveys and Questionnaires | Time Factors | WorkloadYear: 2016Local holdings: Available online from MWHC library: 1995 - present, Available in print through MWHC library: 1999 - 2006ISSN:
  • 0741-5214
Name of journal: Journal of vascular surgeryAbstract: CONCLUSIONS: PDs of IR trainees should consider increasing time on general surgery and performing open surgical procedures.Copyright Published by Elsevier Inc.METHODS: An anonymous survey, endorsed by the Association of Program Directors in Vascular Surgery, was sent to all program directors (PDs) of IR and IF training programs. The survey asked PDs to assess their trainees' milestones in postgraduate year (PGY) 4 to 7 pertinent to knowledge base and surgical skills using a 5-point Likert scale. The PDs were then asked to choose their trainees' three strongest and weakest milestones and to select from a list which factors were contributing most to the trainees' strengths and weaknesses. Results were grouped by training paradigm and year, with comparisons made between IR PGY4 and PGY 6 trainees and IF PGY5 and PGY7 trainees. Milestone means and strengths, weaknesses, and contributing factor response rates were compared using a Mann-Whitney U test.OBJECTIVE: The purpose of this study was to compare the knowledge base and surgical skills of 0/5 integrated resident (IR) and 5/2 independent fellow (IF) vascular surgery trainees using milestones.RESULTS: Of 166 surveys sent, 56 (34%) PDs replied and evaluated a total of 87 trainees, 12 IR PGY4, 12 IR PGY5, 35 IF PGY6, and 28 IF PGY7. IR PGY4s were found to be lower than IF PGY6s in knowledge of procedural anatomy, and there was a trend that all IR PGY4 milestones were lower than IF PGY6 milestones. There was no difference in ranking of strongest milestones. Open surgical skills were ranked as a weakness of IR PGY4s more than of IF PGY6s. Time spent on vascular surgery call contributed more to the IR PGY4's strengths, whereas time spent on general surgery contributed more to the IF PGY6's strengths. Not enough time spent in outpatient clinics contributed more to the IR PGY4's weaknesses, whereas no factors contributed more to the IF PGY6's weaknesses. IR PGY5s were found to be lower than IF PGY7s in open surgical skills, and there was a trend that all IR PGY5 milestones were lower than IF PGY7 milestones. Open surgical skills were ranked as a strength of IF PGY7s more than of IR PGY5s. Open surgical skills were ranked as a weakness of IR PGY5s more than of IF PGY7s. No factors contributed more to the IR PGY5's strengths, whereas time spent on general surgery contributed more to the IF PGY7's strengths. Not enough time spent in the vascular laboratory and performing open surgical procedures contributed more to the IR PGY5's weaknesses, whereas no factors contributed more to IF PGY7's weaknesses.All authors: Fernandez S, Macsata RAFiscal year: FY2017Digital Object Identifier: Date added to catalog: 2017-05-24
Holdings
Item type Current library Collection Call number Status Date due Barcode
Journal Article MedStar Authors Catalog Article 27313088 Available 27313088

Available online from MWHC library: 1995 - present, Available in print through MWHC library: 1999 - 2006

CONCLUSIONS: PDs of IR trainees should consider increasing time on general surgery and performing open surgical procedures.

Copyright Published by Elsevier Inc.

METHODS: An anonymous survey, endorsed by the Association of Program Directors in Vascular Surgery, was sent to all program directors (PDs) of IR and IF training programs. The survey asked PDs to assess their trainees' milestones in postgraduate year (PGY) 4 to 7 pertinent to knowledge base and surgical skills using a 5-point Likert scale. The PDs were then asked to choose their trainees' three strongest and weakest milestones and to select from a list which factors were contributing most to the trainees' strengths and weaknesses. Results were grouped by training paradigm and year, with comparisons made between IR PGY4 and PGY 6 trainees and IF PGY5 and PGY7 trainees. Milestone means and strengths, weaknesses, and contributing factor response rates were compared using a Mann-Whitney U test.

OBJECTIVE: The purpose of this study was to compare the knowledge base and surgical skills of 0/5 integrated resident (IR) and 5/2 independent fellow (IF) vascular surgery trainees using milestones.

RESULTS: Of 166 surveys sent, 56 (34%) PDs replied and evaluated a total of 87 trainees, 12 IR PGY4, 12 IR PGY5, 35 IF PGY6, and 28 IF PGY7. IR PGY4s were found to be lower than IF PGY6s in knowledge of procedural anatomy, and there was a trend that all IR PGY4 milestones were lower than IF PGY6 milestones. There was no difference in ranking of strongest milestones. Open surgical skills were ranked as a weakness of IR PGY4s more than of IF PGY6s. Time spent on vascular surgery call contributed more to the IR PGY4's strengths, whereas time spent on general surgery contributed more to the IF PGY6's strengths. Not enough time spent in outpatient clinics contributed more to the IR PGY4's weaknesses, whereas no factors contributed more to the IF PGY6's weaknesses. IR PGY5s were found to be lower than IF PGY7s in open surgical skills, and there was a trend that all IR PGY5 milestones were lower than IF PGY7 milestones. Open surgical skills were ranked as a strength of IF PGY7s more than of IR PGY5s. Open surgical skills were ranked as a weakness of IR PGY5s more than of IF PGY7s. No factors contributed more to the IR PGY5's strengths, whereas time spent on general surgery contributed more to the IF PGY7's strengths. Not enough time spent in the vascular laboratory and performing open surgical procedures contributed more to the IR PGY5's weaknesses, whereas no factors contributed more to IF PGY7's weaknesses.

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