Seminars in Vascular Surgery最新文献

Introduction to Contemporary Issues in Vascular Surgery Education 血管外科教育中的当代问题导论

IF 3.3 3区医学

Seminars in Vascular Surgery Pub Date : 2025-06-01 DOI: 10.1053/j.semvascsurg.2025.04.009

M. Libby Weaver (Guest Editors) , Brigitte K. Smith

引用次数: 0

Teaching health disparities in vascular surgery training programs 血管外科培训项目中的健康差异教学

IF 3.3 3区医学

Seminars in Vascular Surgery Pub Date : 2025-06-01 DOI: 10.1053/j.semvascsurg.2025.04.005

Taylor Carter , M. Libby Weaver

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Diversity, equity, and inclusivity in vascular surgical education 血管外科教育的多样性、公平性和包容性

IF 3.3 3区医学

Seminars in Vascular Surgery Pub Date : 2025-06-01 DOI: 10.1053/j.semvascsurg.2025.04.003

Chelsea Dorsey , Ashley Gordon , Maryam Hashmi , Simi Ogunnowo , Luigi Pascarella , Gabrielle Sutton , Rana Afifi

{"title":"Diversity, equity, and inclusivity in vascular surgical education","authors":"Chelsea Dorsey , Ashley Gordon , Maryam Hashmi , Simi Ogunnowo , Luigi Pascarella , Gabrielle Sutton , Rana Afifi","doi":"10.1053/j.semvascsurg.2025.04.003","DOIUrl":"10.1053/j.semvascsurg.2025.04.003","url":null,"abstract":"<div><div>The decline in diversity in medical education, following the Supreme Court’s 2023 ruling against race-based affirmative action, exacerbates existing health disparities. With decreasing enrollment of underrepresented groups in medical schools, residency attrition, and gaps in diversity, equity and inclusion (DEI) standards, urgent efforts are needed to address systemic inequities in medical training and patient care. Vascular surgery has made important progress in increasing diversity within its training programs, but there is still much work to be done to create a truly inclusive environment. While there has been growth in the representation of women within vascular surgery, the proportion of underrepresented in medicine (UriM) physicians has not kept pace. Addressing the lack of diversity in vascular surgery requires a multi-pronged approach focused on recruitment, retention, and the creation of an inclusive learning and work environment. Establishing an inclusive environment goes beyond recruitment; it requires fostering a culture where all trainees and faculty feel valued and heard. Through targeted initiatives, commitment to transparency, and systemic changes to academic and clinical environments, the field can make substantial strides in workforce diversity and in turn addressing disparities.</div></div>","PeriodicalId":51153,"journal":{"name":"Seminars in Vascular Surgery","volume":"38 2","pages":"Pages 184-191"},"PeriodicalIF":3.3,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144280434","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Autonomy, entrustment, self-efficacy, and decision-making: The current state of training independent surgeons 自主、委托、自我效能和决策：培养独立外科医生的现状

IF 3.3 3区医学

Seminars in Vascular Surgery Pub Date : 2025-06-01 DOI: 10.1053/j.semvascsurg.2025.04.001

Christine Kariya, Mina Boutrous, Kwame S. Amankwah

{"title":"Autonomy, entrustment, self-efficacy, and decision-making: The current state of training independent surgeons","authors":"Christine Kariya, Mina Boutrous, Kwame S. Amankwah","doi":"10.1053/j.semvascsurg.2025.04.001","DOIUrl":"10.1053/j.semvascsurg.2025.04.001","url":null,"abstract":"<div><div>Operative autonomy, entrustment, self-efficacy, and decision-making are fundamental aspects of surgical resident education. Over the past few decades, trainee operative autonomy in surgical subspecialties has been declining. Most retrospective studies evaluating clinical outcomes with increasing levels of trainee independence have found no significant rise in patient morbidity and mortality. To provide more autonomy, attendings assess their relationship with the trainee, along with the trainee's skill level, the complexity of the case, and their own confidence. Identified barriers include a desire for efficiency and expectations from patients and the hospital that the procedure be performed by the attending. Consequently, trainees can enhance their self-efficacy by fostering a relationship with the attending, demonstrating clinical competence to encourage the delegation of clinical responsibilities, and adapting to the attending’s teaching style. Techniques to improve autonomy include longitudinal evaluations of trainee independence with a variety of teaching applications and role reversal. It is essential for patients, hospital administrators, and legislators to recognize the significance of demonstrating operative independence during training to cultivate competent, self-sufficient surgeons.</div></div>","PeriodicalId":51153,"journal":{"name":"Seminars in Vascular Surgery","volume":"38 2","pages":"Pages 132-144"},"PeriodicalIF":3.3,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144280552","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Entrustable professional activity assessments in vascular surgery training 血管外科培训中可信赖的专业活动评估

IF 3.3 3区医学

Seminars in Vascular Surgery Pub Date : 2025-06-01 DOI: 10.1053/j.semvascsurg.2025.03.003

M. Libby Weaver , Brigitte K. Smith

引用次数: 0

Interview format: Current state and future directions 面试形式：现状及未来发展方向

IF 3.3 3区医学

Seminars in Vascular Surgery Pub Date : 2025-06-01 DOI: 10.1053/j.semvascsurg.2025.03.002

Jeffrey Jim , David A. Rigberg

引用次数: 0

The Use of Simulation in Vascular Surgery Education: Current State and Future Directions 模拟在血管外科教学中的应用：现状与未来方向

IF 3.3 3区医学

Seminars in Vascular Surgery Pub Date : 2025-06-01 DOI: 10.1053/j.semvascsurg.2025.03.001

Arash Fereydooni, Michael David Sgroi

{"title":"The Use of Simulation in Vascular Surgery Education: Current State and Future Directions","authors":"Arash Fereydooni, Michael David Sgroi","doi":"10.1053/j.semvascsurg.2025.03.001","DOIUrl":"10.1053/j.semvascsurg.2025.03.001","url":null,"abstract":"<div><div>Simulation-based training (SBT) has become essential in vascular surgery education, providing a risk-free environment for skill development. This scoping review evaluates the current state of vascular surgery simulation, highlighting validated models, educational impact, and areas for improvement. A systematic literature search was conducted in PubMed, Embase, and Scopus, following PRISMA-ScR guidelines. Studies assessing validated simulation models for open and endovascular procedures, vascular anastomosis, carotid interventions, peripheral vascular interventions, and nontechnical skills training were included. Data extraction focused on fidelity, skill acquisition, procedural efficiency, and accessibility. Validated high-fidelity models, including 3D-printed, virtual reality (VR), and pulsatile cadaveric systems, significantly enhance technical proficiency and confidence. Bench and porcine models improve vascular anastomosis training, while VR-based simulators enhance catheter manipulation and decision-making. However, simulation remains limited by high costs, accessibility challenges, and lack of standardized nontechnical skills training. Simulation improves competency in vascular surgery but requires further integration into training curricula. AI-driven assessments, hybrid simulation models, and expanded cost-effective solutions are needed to bridge existing gaps. Standardization and broader adoption of simulation will enhance competency-based training and improve patient outcomes.</div></div>","PeriodicalId":51153,"journal":{"name":"Seminars in Vascular Surgery","volume":"38 2","pages":"Pages 163-171"},"PeriodicalIF":3.3,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144280555","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Fundamentals of vascular surgery: A plan for the uniform instruction and assessment of basic skills in vascular surgery 血管外科基础：血管外科基本技能的统一指导和评估计划

IF 3.3 3区医学

Seminars in Vascular Surgery Pub Date : 2025-06-01 DOI: 10.1053/j.semvascsurg.2025.04.004

Priscilla Tanamal , Claudie Sheahan , Malachi Sheahan III

{"title":"Fundamentals of vascular surgery: A plan for the uniform instruction and assessment of basic skills in vascular surgery","authors":"Priscilla Tanamal , Claudie Sheahan , Malachi Sheahan III","doi":"10.1053/j.semvascsurg.2025.04.004","DOIUrl":"10.1053/j.semvascsurg.2025.04.004","url":null,"abstract":"<div><div>Training surgeons poses many unique challenges. In addition to the clinical acumen that must be learned, a minimum threshold of technical competency is a requisite for independent practice. The trends of endovascular interventions and open surgical procedures add another layer of complexity to vascular surgery training. Simulation can provide a solution for both technical skills training and evaluating proficiency. The Education Committee of the Association of Program Directors of Vascular Surgery (APDVS) developed the Fundamentals of Vascular and Endovascular Surgery platform to provide an opportunity for more uniform basic technical skill teaching and assessment across all vascular training programs. Evaluation by experts with standardized scoring of Objective Structured Assessment of Technical Skills (OSATS) Global Rating Score and Global Summary grading systems have demonstrated correlation with participant ability when completing the end-to-side anastomosis, patch angioplasty, and clockface suturing models. Future research should be directed toward developing autonomous and objective methods for technical assessments on these models.</div></div>","PeriodicalId":51153,"journal":{"name":"Seminars in Vascular Surgery","volume":"38 2","pages":"Pages 155-162"},"PeriodicalIF":3.3,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144280554","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A narrative review of psychological safety in the surgical learning environment 外科学习环境中心理安全的叙述性回顾

IF 3.3 3区医学

Seminars in Vascular Surgery Pub Date : 2025-06-01 DOI: 10.1053/j.semvascsurg.2025.04.008

Christina L. Cui , Brandi Tuttle , Dawn M. Coleman

{"title":"A narrative review of psychological safety in the surgical learning environment","authors":"Christina L. Cui , Brandi Tuttle , Dawn M. Coleman","doi":"10.1053/j.semvascsurg.2025.04.008","DOIUrl":"10.1053/j.semvascsurg.2025.04.008","url":null,"abstract":"<div><div>Psychological safety is a critical component of the medical learning environment. While multiple synthesis studies exist for psychological safety within broader medical education, few have focused specifically on surgical training paradigms. This narrative review evaluates psychological safety for surgical trainees. A literature search of PubMed was conducted to identify studies discussing psychological safety within the surgical learning environment. Studies were included if psychological safety was a primary outcome, predictor, or theme. Studies were excluded if surgical trainees were not included or specifically discussed. A total of 53 articles were screened. Of these, 36 were excluded for relevance, and the remaining 17 full texts were reviewed. Reasons for exclusion include: study was conducted internationally; psychological safety was not a critical outcome, predictor, or theme; study focused on nonsurgical medical specialties (ie, anesthesia or psychiatry); and psychological safety of surgical trainees was not discussed despite surgical trainees being within the study cohort. A total of 11 studies were included for comparison. Four studies evaluated the positive impact of psychological safety within care teams that included surgical trainees. Two discussed the importance of building psychological safety as a surgical educator. Five studies evaluated learning environment factors or interventions that predicted psychological safety. Existing literature on psychological safety within the surgical learning environment focuses on educators, surgical teams, and specific aspects of the learning environment. While these studies offer valuable insight, additional studies are needed to identify effective interventions and operationalization of previous recommendations.</div></div>","PeriodicalId":51153,"journal":{"name":"Seminars in Vascular Surgery","volume":"38 2","pages":"Pages 176-183"},"PeriodicalIF":3.3,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144280433","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A contextual review of trainee unions in the United States 美国培训生工会的背景回顾

IF 3.3 3区医学

Seminars in Vascular Surgery Pub Date : 2025-06-01 DOI: 10.1053/j.semvascsurg.2025.04.002

Clara M Gomez-Sanchez, Curtis Woodford

引用次数: 0