Clinical Review

Recent developments in vascular surgery

BMJ 2003; 327 doi: (Published 16 October 2003) Cite this as: BMJ 2003;327:911

The need for change in vascular surgical training.

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
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: No competing interests

23 October 2003
Mario F Caruana
Specialist Registrar in Vascular Surgery
Birmingham Heartlands Hospital Bordesley Green East Birmingham B9 5SS