medigraphic.com
ISSN 2448-5640 (Print)
Diario Oficial de la Sociedad Mexicana de Cirugía Cardiaca, A.C., y del Colegio Mexicano de Cirugía Cardiovascular y Torácica, A.C.

2021, Number 4

<< Back Next >>

Cir Card Mex 2021; 6 (4)

Current status of cardiovascular surgery training in Argentina: new challenges and demands. An Argentinian College of Cardiovascular Surgeons National Survey

Ferrari-Ayarragaray JE, Peirano MA, Paolini JE, Nigro B, Osuna JM, Olivello J

Language: English
References: 17
Page: 87-92
PDF size: 174.98 Kb.


ABSTRACT

Objective: We developed a survey in order to identify the needs and demands of cardiovascular trainee population in Argentina in order to enhance quality of learning. Methods: A survey was created and distributed to medical doctors enrolled in different accredited training pathways. Results: A total of 83 trainees completed the survey (57% male). Fifty-one per cent chose for a combined training (cardiovascular), 35% only vascular and 14% pediatric cardiovascular surgery. The majority was part of an accredited training residency (59%). Most of respondents belonged to a public education system (49%). Prior general surgery training was informed by 67 surveyed (81%). Endovascular training experience revealed that 17% performed › 50 annual procedures. However, 40% of participants reported not receiving endovascular training. Open surgery experience showed that 40% of responders performed › 50 cases annually (16% › 100 cases). Cardiovascular trainees completed a higher number of open surgery procedures (64% vs 24%) whereas more endovascular cases were performed by vascular trainees (53% vs 29%). Almost one-third of participants indicated no having academic development time (28%). The choice of specialty and training paradigm option was highly considered for employabi- lity (47% and 60% respectively). More than 70% expressed to be pleased with overall training. Conclusions: More academic time, increasing number of endovascular procedures and assessing mentoring must be seriously considered. An independent, not for profit, physician led organization that sets and monitors standards for successful training programs is necessary.


REFERENCES

  1. Hekman KE, Wohlauer MV, Magee GA, et al. Current issues and future directionsfor vascular surgery training from the results of the 2016-2017 and 2017-2018Association of Program Directors in Vascu- lar Surgery annual training survey. JVasc Surg. 2019;70(6):2014-20. doi: 10.1016/j.jvs.2019.02.050.

  2. Reed AB. Advanced training in vascular surgery:how does it need to change? SeminVasc Surg. 2006;19(4):191-3. doi: 10.1053/j.semvascsurg.2006.08.006.

  3. Duran C, Bismuth J, Mitchell E. A nationwide survey of vascular surgery traineesreveals trends in operative experience, confidence, and attitudes about simulation.J Vasc Surg. 2013;58(2):524-8. doi: 10.1016/j.jvs.2012.12.072.

  4. Accreditation Committee for Graduate Medical Education. Available at: http://www.caccv.org.ar/aspirantes-a-miembros-adherentes-y-titulares.html. March 27,2021.

  5. General Requirements for Certification in Cardiovascular Surgery. Available at:https://inscripcion.fmed.uba.ar/cgi-bin/residencias/infoPosbasicas.py. Accessed:March 27, 2021.

  6. General Requirements for Certification in Cardiovascular Surgery. Available at:https://www.buenosaires.gob.ar/salud/docencia e investigacion/residencias y concurrencias/normativas. Accessed March 27, 2021.

  7. General Requirements for Certification in Cardiovascular Surgery. Availableat:https://www.colmed3.com.ar/index.php/reglamentos/especialidades. Accessed-March 27, 2021.

  8. Bracco DA. Memoria institucional: Colegio Argentino de Cirujanos Cardiovasculares1975-2015. RACCV. 2015. XIII(2):14-41.

  9. Chikiar DS, Posse MA. Evolución histórica, enseñanza y perspectivas de lacirugía vascular. Vascular surgery: Historical evolution, teaching and perspectives.Relato oficial 2019 Asociación argentina de angiología y cirugía vascular. RACCV.2018;14;18-40.

  10. Batista P, Abai B, Salvatore D, DiMuzio P. The first assessment of operative logsfor traditional vascular fellowship track versus integrated vascular training programs.J Vasc Surg. 2015;62(4):1076-82. doi: 10.1016/j.jvs.2015.05.039.

  11. Shames M, Bandyk D. Introduction: Evolution of vascular surgery training-Apprenticeto fellow to integrated resident. Semin Vasc Surg. 2019;32(1-2):1-4. doi:10.1053/j.semvascsurg.2019.05.005.

  12. Colvard B, Shames M, Schanzer A, Rectenwald J, Chaer R, Lee JT. A Comparisonof Training Experience, Training Satisfaction, and Job Search Experiencesbetween Integrated Vascular Surgery Residency and Traditional Vascular SurgeryFellowship Graduates. Ann Vasc Surg. 2015;29(7):1333-8. doi: 10.1016/j.avsg.2015.04.078.

  13. Tanious A, Wooster M, Jung A, Nelson PR, Armstrong PA, Shames ML. Openabdominal surgical training differences experienced by integrated vascular andgeneral surgery residents. J Vasc Surg. 2017;66(4):1280-4. doi: 10.1016/j.jvs.2017.02.059

  14. McMackin KK, Caputo FJ, Hoell NG, Trani J, Carpenter JP, Lombardi JV. Trendsin the 10-year history of the vascular integrated residency match: More work,higher cost, same result. J Vasc Surg. 2020;72(1):298-303. doi: 10.1016/j.jvs.2019.10.066.

  15. Sidawy AN. Prcsidcntial address: generations apart-bridging the generational dividein vascular surgery. J Vasc Surg 2003;38:1147-53.

  16. Palacios-Huatuco RM, Liaño JE, Moreno LB, Ponce Beti MS. Analysis of theimpact of the pandemic on surgical residency programs during the first wave inArgentina: A cross - sectional study. Ann Med Surg (Lond). 2021;62:455-9. doi:10.1016/j.amsu.2021.01.065.

  17. Andriole DA, Klingensmith ME, Fields RC, Jeffe DB. Is Dedicated ResearchTime During Surgery Residency Associated With Surgeons' Future CareerPaths?: A National Study. Ann Surg. 2020;271(3):590-7. doi: 10.1097/SLA.0000000000003015.




2020     |     www.medigraphic.com