Does training paradigm matter? A comparison of outcomes of frail patients treated by integrated vascular surgery residency and vascular surgery fellowship-trained surgeons - 28/08/22
, Tyler W. Wilson b, Bruce A. Perler c, Chelsea M. Allen d, Angela P. Presson d, Benjamin S. Brooke aAbstract |
Background |
It is unclear whether shortened training of integrated vascular surgery residencies (IVSR) has detrimental effects on graduates’ performance. We sought to investigate whether there is a difference in frail patient outcomes based on the training paradigm completed by their surgeon.
Methods |
IVSR and vascular surgery fellowship (VSF)-trained surgeons were identified in the American Board of Surgery database and linked to the Vascular Quality Initiative registry (2013–2019) to evaluate provider-specific patient outcomes for frail patients following vascular procedures using mixed-effects logistic regression.
Results |
105 IVSR graduates (31%) and 233 VSF graduates (69%) were included. Composite 1-year outcomes of frail patients were comparable between IVSR and VSF-trained surgeons following carotid endarterectomy (16%-IVSR vs 25%-VSF; p = 0.76), lower extremity revascularization (37%-IVSR vs 36%-VSF; p = 0.83), and aortic aneurysm repair (25%-IVSR vs 23%-VSF; p = 0.89).
Conclusions |
The type of training paradigm completed by vascular surgeons was not associated with differences in their post-operative outcomes in frail patients.
Le texte complet de cet article est disponible en PDF.Highlights |
• | Education data is linked to a clinical registry to investigate education outcomes. |
• | Graduates of integrated and fellowship programs treat similarly frail patients. |
• | Frail patient outcomes do not differ between vascular surgery training paradigms. |
Keywords : education, Integrated vascular surgery residency, Vascular surgery fellowship, Outcomes
Plan
Vol 224 - N° 3
P. 881-887 - septembre 2022 Retour au numéro
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