Impact of an Office Based Interventional Lab on Resident and Fellow Training at a University Vascular Surgery Program.

IF 1.6 4区 医学 Q3 PERIPHERAL VASCULAR DISEASE
William Duong, Jesus Ulloa, Juan Carlos Jimenez, Karen Woo, John Rollo, Steven Farley, David Rigberg, Jessica O'Connell, Brian DeRubertis, Vincent Rowe, Hugh Gelabert
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引用次数: 0

Abstract

Objective: Office-based interventional labs (OBLs) are a well-established site for vascular procedures in vascular surgical practices. Safe and effective performance of interventions in this setting requires careful patient selection and methodology specific to this particular practice environment. Most university-based vascular surgery training programs do not offer an OBL training experience as part of their educational curriculum. Our study goal was to describe the impact of an OBL experience on the case volume and training environment of vascular surgery trainees at an academic vascular surgery program.

Methods: Resident training logs were reviewed from 2004 to 2023. Two 10-year time periods were compared: before the OBL was established (Period 1, from 2004-2013) and after the OBL (Period 2, from 2014-2023). A registry of cases performed in our OBL with trainee involvement were reviewed for number and types of cases and then compared to self-reported training logs.

Results: Over the 20-year study period, a total of 44,816 open and endovascular resident training vascular cases were logged, with 17,431 in Period 1 and 27,385 in Period 2. This represented a 57% increase in cases (p=0.02). Trainees logged a total of 17,930 endovascular cases, with 7,039 cases in Period 1 and 10,891 cases in Period 2. This represented an increase of 55% (p=0.03). Trainees logged an average of 476 cases per trainee over the entire study, with an average of 444 cases in Period 1 and an average of 496 in Period 2 (p>0.05). Overall endovascular cases represented 40% of total cases, of which 16% were performed in the OBL. Out of 1,892 total OBL cases, only 4 (0.21%) emergency transfers to the main hospital were required.

Conclusion: The establishment of an OBL within an academic vascular surgery program was associated with an 57% increase in overall trainee case volume from Period 1 to Period 2. This increased case volume allowed for expansion of our training program without compromising case volume. Trainees learned the elements of an OBL in clinical practice. Clinical experience in an OBL as part of vascular surgery training offers experience absent from most traditional educational paradigms and is directly applicable to modern vascular surgery practice.

以办公室为基础的介入实验室对大学血管外科项目住院医师和研究员培训的影响。
目的:在血管外科实践中,基于办公室的介入实验室(obl)是一个成熟的血管手术场所。在这种情况下,安全有效的干预措施需要仔细的患者选择和针对这种特殊实践环境的方法。大多数以大学为基础的血管外科培训项目不提供OBL培训经验作为其教育课程的一部分。我们的研究目的是描述在学术血管外科项目中,OBL经历对病例量和血管外科学员培训环境的影响。方法:回顾2004 - 2023年住院医师培训日志。比较了两个10年的时间段:OBL建立之前(第一阶段,2004-2013年)和OBL建立之后(第二阶段,2014-2023年)。在我们的OBL中,对受训者参与的案例进行了登记,并对案例的数量和类型进行了审查,然后与自我报告的培训日志进行了比较。结果:在20年的研究期间,共记录了44,816例开放和血管内住院医师训练血管病例,其中第一期为17,431例,第二期为27,385例。这表明病例数增加了57% (p=0.02)。学员共记录血管内病例17930例,第一阶段7039例,第二阶段10891例。这表示增加了55% (p=0.03)。在整个研究过程中,每个受训者平均记录了476例病例,第一阶段平均为444例,第二阶段平均为496例(p>0.05)。总的血管内病例占总病例的40%,其中16%是在OBL进行的。在1,892例OBL病例中,只有4例(0.21%)需要紧急转到主要医院。结论:在学术血管外科项目中建立OBL与从第1期到第2期总体受训病例量增加57%相关。病例量的增加使我们能够在不影响病例量的情况下扩大培训计划。学员在临床实践中学习了OBL的要素。作为血管外科培训的一部分,OBL的临床经验提供了大多数传统教育模式所缺乏的经验,并直接适用于现代血管外科实践。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
3.00
自引率
13.30%
发文量
603
审稿时长
50 days
期刊介绍: Annals of Vascular Surgery, published eight times a year, invites original manuscripts reporting clinical and experimental work in vascular surgery for peer review. Articles may be submitted for the following sections of the journal: Clinical Research (reports of clinical series, new drug or medical device trials) Basic Science Research (new investigations, experimental work) Case Reports (reports on a limited series of patients) General Reviews (scholarly review of the existing literature on a relevant topic) Developments in Endovascular and Endoscopic Surgery Selected Techniques (technical maneuvers) Historical Notes (interesting vignettes from the early days of vascular surgery) Editorials/Correspondence
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