The need for change in vascular surgical training.

23 October 2003

The authors of this clinical review article highlight clearly the rapid and important changes in the field of vascular surgery. These changes have serious implications on the way by which future vascular surgeons are being trained both in terms of the dwindling numbers of suitable open procedures available for training(1)and, equally importantly, on curriculum targeting and development and methodology of training.

If vascular surgery is to continue developing, and if the turf wars are to be avoided, vascular trainees need more formal training in angiology, risk factor medical management,endovascular procedures and imaging techniques. Perhaps the time has come to allow angiology and vascular surgical training to seperate from general surgery in terms of training programme development and intercollegiate assessment.

1) Nasr MR, Taylor PJ and Horrocks M. Vascular Training in the UK: femorodistal bypass,an index procedure? Eur J. Vasc Endovasc Surg 2003 Feb; 25(2): 135-8.

Competing interests: None declared

Competing interests: None declared

Mario F Caruana, Specialist Registrar in Vascular Surgery

Birmingham Heartlands Hospital Bordesley Green East Birmingham B9 5SS

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