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Keith D. Calligaro - One of the best experts on this subject based on the ideXlab platform.
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Guidelines for hospital privileges in Vascular Surgery and endoVascular interventions: Recommendations of the Society for Vascular Surgery
Journal of Vascular Surgery, 2018Co-Authors: Keith D. Calligaro, Kwame S. Amankwah, Marcus D'ayala, O. William Brown, Paul Steven Collins, Mohammad H. Eslami, Krishna M. Jain, Daniel S. Kassavin, Brandon W. Propper, Timur P. SaracAbstract:Abstract The Hospital Privileges Practice Guideline Writing Group of the Society for Vascular Surgery is making the following five recommendations concerning guidelines for hospital privileges for Vascular Surgery and endoVascular therapy. Advanced endoVascular procedures are currently entrenched in the everyday practice of specialized Vascular interventionalists, including Vascular surgeons, but open Vascular Surgery remains uniquely essential to the specialty. First, we endorse the Residency Review Committee for Surgery recommendations regarding open and endoVascular cases during Vascular residency and fellowship training. Second, applicants for new hospital privileges wishing to perform Vascular Surgery should have completed an Accreditation Council for Graduate Medical Education-accredited Vascular Surgery residency or fellowship or American Osteopathic Association-accredited training program before 2020 and should obtain American Board of Surgery certification in Vascular Surgery or American Osteopathic Association certification within 7 years of completion of their training. Third, we recommend that applicants for renewal of hospital privileges in Vascular Surgery include physicians who are board certified in Vascular Surgery, general Surgery, or cardiothoracic Surgery. These physicians with an established practice in Vascular Surgery should participate in Maintenance of Certification programs as established by the American Board of Surgery and maintain their respective board certification. Fourth, we provide recommendations concerning guidelines for endoVascular procedures for Vascular surgeons and other Vascular interventionalists who are applying for new or renewed hospital privileges. All physicians performing open or endoVascular procedures should track outcomes using nationally validated registries, ideally by the Vascular Quality Initiative. Fifth, we endorse the Intersocietal Accreditation Commission recommendations for noninvasive Vascular laboratory interpretations and examinations to become a Registered Physician in Vascular Interpretation, which is included in the requirements for board eligibility in Vascular Surgery, but recommend that only physicians with demonstrated clinical experience in the diagnosis and management of Vascular disease be allowed to interpret these studies.
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Choice of Vascular Surgery as a Specialty: What is Important?
Seminars in Vascular Surgery, 2006Co-Authors: Keith D. Calligaro, Matthew J DoughertyAbstract:In the last few years, the Association of Program Directors in Vascular Surgery has become increasingly concerned that the number of applicants to Vascular Surgery residencies has remained stable, while the number of available positions has increased substantially and quality of applicants has diminished. What factors are relevant for residents and medical students whether they do or do not choose Vascular Surgery as a specialty? In this article, we cite specific reasons that played key roles in this decision-making process, based on various surveys and reports addressing this issue. Technical aspects of Vascular Surgery, the role of mentors, and lifestyle issues were shown to be critical factors in the choice of potential trainees. Different training paradigms were also shown to be favored by residents and students, depending on their level of training. The findings in these surveys have helped Vascular Surgery program directors devise new and innovative training paradigms and to develop strategies to attract future trainees.
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choice of Vascular Surgery as a specialty survey of Vascular Surgery residents general Surgery chief residents and medical students at hospitals with Vascular Surgery training programs
Journal of Vascular Surgery, 2004Co-Authors: Keith D. Calligaro, Matthew J Dougherty, Anton N Sidawy, Jack L CronenwettAbstract:Purpose Under the direction of the Association of Program Directors in Vascular Surgery, a survey was mailed to Vascular Surgery residents (VSRs), general Surgery chief residents (GS-CRs), and fourth-year medical students (MSs) to better define reasons why trainees do and do not choose Vascular Surgery as a career. Methods Questionnaires were mailed to all accredited VSR programs and their associated GS programs in the United States and Canada in 2001 (survey 1) and in 2003 (survey 2) and to 2 medical schools with VSR programs in 2001. A total of 197 VSRs, 169 GS-CRs, and 78 MSs responded (overall program response rate of 78% for VSRs, 46% for GSRs, 20% for MSs). A scoring system was assigned, with 1.0 the least important and 5.0 the most important reasons to choose or not choose Vascular Surgery. Results Technical aspects, role of mentors, and complex decision making involved in Vascular Surgery were the most important reasons that VSRs, GS-CRs, and MSs would choose Vascular Surgery as a specialty (average scores ≥4.0 for VSRs and GS-CRs; ≥3.5 for MSs). Responses of GS-CRs and VSRs did not vary significantly between surveys 1 and 2, except endoVascular capabilities of Vascular surgeons had a more important role in choosing Vascular Surgery, and future loss of patients to other interventionalists had a more important role in not choosing this specialty in the more recent survey of GS-CRs and VSRs. MSs identified lifestyle as a surgical resident (4.3) and as a surgeon (4.2) as the most important negative factors. A training paradigm consisting of 4 years general Surgery + 2 years Vascular Surgery with a GS certificate was favored by 64% of GS-CRs and 48% of VSRs, compared with a paradigm of 5 years + 2 years with a general Surgery certificate, which was favored by 29% of GS-CRs and 25% of VSRs, or 3 years + 3 years without a general Surgery certificate, favored by 7% of GS-CRs and 27% of VSRs. Of note, 86% of MSs favored 3 years general Surgery + 3 years Vascular Surgery or 2 years general Surgery + 4 years Vascular Surgery compared with longer general Surgery training periods. Conclusion These findings may help Vascular Surgery program directors devise strategies to attract future trainees. The importance of mentorship to general Surgery junior residents and medical students in choosing Vascular Surgery cannot be overestimated. EndoVascular capabilities of Vascular surgeons have an increasingly positive role in career choice by GS-CRs and VSRs, but these residents express increasing concerns about potential loss of patients to other specialists. Lifestyle concerns are the most important reasons why medical students do not choose Vascular Surgery as a career.
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Guidelines for hospital privileges in Vascular Surgery: An update by an ad hoc committee of the American Association for Vascular Surgery and the Society for Vascular Surgery
Journal of Vascular Surgery, 2002Co-Authors: Wesley S. Moore, G.patrick Clagett, Frank J. Veith, Gregory L. Moneta, Marshall W. Webster, James C. Stanley, Kenneth Ouriel, George Andros, Keith D. Calligaro, K.craig KentAbstract:When Vascular Surgery emerged as a separate specialty from its general Surgery parent, hospitals were in need of guidelines for granting privileges to individuals wishing to practice Vascular Surgery. In 1989, a report of an ad hoc committee of the Joint Council of the Society for Vascular Surgery and the International Society for CardioVascular Surgery (North American Chapter) was published. The Guidelines for Hospital Privileges in Vascular Surgery was widely accepted and became the primary source document for hospital credentials committees. In the ensuing 12 years, Vascular Surgery has continued to expand as a specialty. Therefore, there is a clear need to update the original guidelines for hospital privileges. The new ad hoc committee of the American Association for Vascular Surgery and the Society for Vascular Surgery was charged with this responsibility. Since the publication of the 1989 document, 4 developments have occurred that have made this update necessary. The first is the publication of multiple studies that document the variability of practice and outcomes of common Vascular procedures. Most of these studies have established a clear relationship between good outcomes and high volume of procedures performed for individual surgeons and, conversely, alarmingly high morbidity and mortality rates for surgeons who have performed a low volume of procedures. Some studies document significantly better outcomes in trained Vascular surgeons who are board-certified in Vascular Surgery. The second development has been the incorporation of catheter-based endoVascular therapies into the practice of Vascular Surgery. The Accreditation Council for Graduate Medical Education (ACGME) has designated endoVascular therapies as an important component of Vascular Surgery training and has said that contemporary graduates from Vascular residencies should be trained in endoVascular intervention. The third development was the formation of the Vascular Surgery Board of the American Board of Surgery (VSB-ABS). The American Board of Surgery (ABS) has delegated responsibility to the VSB-ABS for all board/examination-related activities pertaining to Vascular Surgery. The final development has been the competence initiative of the American Board of Medical Specialties (ABMS). This organization has charged all of their member boards with developing mechanisms to link board certification and competence. Until now, board certification and recertification in most medical specialties were primarily dependent on passing examinations that tested cognitive knowledge and judgment ability. The charge to all boards by the ABMS is to expand areas of assessment to include professionalism, evidence of ongoing learning, ethical conduct, interpersonal skills, and evidence of attempts at practice improvement on the basis of outcomes. Although proper training and certification are a means of defining a surgeon’s qualifications, they do not assure competence in a particular specialty. The ultimate determination of who should and should not practice Vascular Surgery in a given hospital is the responsibility of the individual hospital through its credentialing mechanisms. This report will define optimal criteria for credentialing, although they may require modification by individual hospitals to meet local community needs and standards. The ultimate goal in preparing this document is to assist hospitals and practicing physicians in improving the quality of care and treatment outcomes for patients with Vascular disease. From the Division of Vascular Surgery, UCLA Center for the Health Sciences. Competition of interest: nil. Reprint requests: Wesley S. Moore, MD, Professor of Surgery, Division of Vascular Surgery, UCLA Center for the Health Sciences, 10833 LeConte Ave, Room 72-156, Los Angeles, CA 90095-6904 (e-mail: wmoore@mednet.ucla.edu). J Vasc Surg 2002;36:1276-82. Copyright © 2002 by The Society for Vascular Surgery and The American Association for Vascular Surgery. 0741-5214/2002/$35.00 0 24/9/129651 doi:10.1067/mva.2002.129651
Ricardo C. Rocha Moreira - One of the best experts on this subject based on the ideXlab platform.
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Critical issues in Vascular Surgery: Education in Brazil.
Journal of vascular surgery, 2020Co-Authors: Ricardo C. Rocha MoreiraAbstract:Vascular Surgery practice and education vary widely across the globe. In Brazil, the largest and most populated country of South America, Vascular Surgery is an independent specialty, with >3000 practicing specialists. Vascular Surgery education in Brazil consists of 6 years of medical school, followed by a 4-year residency in Vascular Surgery. EndoVascular Surgery training is provided by part-time mini-fellowships after a residency program has been completed. The author of this report, who represents the Sociedade Brasileira de Angiologia e de Cirurgia Vascular (SBACV) or Brazilian Society of Angiology and Vascular Surgery, presents the critical issues in Vascular Surgery education in Brazil. An informal survey was conducted among residency program directors and members of the SBACV National Board to identify the critical issues in Vascular surgical education in Brazil. The 25 responders pointed to two issues as the most critical. The first is funding for Vascular surgical education. Currently, 73 Vascular residency programs are accredited, with 142 first-year positions and 288 residents in training. Vascular Surgery residents are paid a meager stipend, but instructors receive no pay. EndoVascular fellows have to pay for their training. This has led to endoVascular training being financed by the industry, despite the potential conflicts of interest created by this situation. The second critical issue is endoVascular Surgery training. The Vascular surgical community in Brazil faces the huge task of how to offer training in endoVascular techniques to the 140 or so young Vascular surgeons coming out of residency programs every year, as well as how to teach endoVascular techniques to several hundred certified Vascular surgeons already in practice. Funding Vascular Surgery educational programs and training surgeons in the new endoVascular techniques are the critical issues faced by Vascular surgical educators in Brazil.
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Critical issues in Vascular Surgery: Education in Brazil
Journal of Vascular Surgery, 2008Co-Authors: Ricardo C. Rocha MoreiraAbstract:Background Vascular Surgery practice and education vary widely across the globe. In Brazil, the largest and most populated country of South America, Vascular Surgery is an independent specialty, with >3000 practicing specialists. Vascular Surgery education in Brazil consists of 6 years of medical school, followed by a 4-year residency in Vascular Surgery. EndoVascular Surgery training is provided by part-time mini-fellowships after a residency program has been completed. The author of this report, who represents the Sociedade Brasileira de Angiologia e de Cirurgia Vascular (SBACV) or Brazilian Society of Angiology and Vascular Surgery, presents the critical issues in Vascular Surgery education in Brazil. Methods An informal survey was conducted among residency program directors and members of the SBACV National Board to identify the critical issues in Vascular surgical education in Brazil. Results The 25 responders pointed to two issues as the most critical. The first is funding for Vascular surgical education. Currently, 73 Vascular residency programs are accredited, with 142 first-year positions and 288 residents in training. Vascular Surgery residents are paid a meager stipend, but instructors receive no pay. EndoVascular fellows have to pay for their training. This has led to endoVascular training being financed by the industry, despite the potential conflicts of interest created by this situation. The second critical issue is endoVascular Surgery training. The Vascular surgical community in Brazil faces the huge task of how to offer training in endoVascular techniques to the 140 or so young Vascular surgeons coming out of residency programs every year, as well as how to teach endoVascular techniques to several hundred certified Vascular surgeons already in practice. Conclusions Funding Vascular Surgery educational programs and training surgeons in the new endoVascular techniques are the critical issues faced by Vascular surgical educators in Brazil.
Luca Faust - One of the best experts on this subject based on the ideXlab platform.
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Issues And Answers In Vascular Surgery Book Ii
2020Co-Authors: Luca FaustAbstract:Thank you for reading issues and answers in Vascular Surgery book ii. As you may know, people have search numerous times for their chosen books like this issues and answers in Vascular Surgery book ii, but end up in harmful downloads. Rather than enjoying a good book with a cup of coffee in the afternoon, instead they are facing with some malicious virus inside their laptop. issues and answers in Vascular Surgery book ii is available in our digital library an online access to it is set as public so you can get it instantly. Our book servers spans in multiple locations, allowing you to get the most less latency time to download any of our books like this one. Merely said, the issues and answers in Vascular Surgery book ii is universally compatible with any devices to read.
Andreas Holzman - One of the best experts on this subject based on the ideXlab platform.
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Issues And Answers In Vascular Surgery Book Ii
2020Co-Authors: Andreas HolzmanAbstract:Thank you very much for reading issues and answers in Vascular Surgery book ii. Maybe you have knowledge that, people have search numerous times for their chosen novels like this issues and answers in Vascular Surgery book ii, but end up in infectious downloads. Rather than enjoying a good book with a cup of tea in the afternoon, instead they are facing with some infectious virus inside their desktop computer. issues and answers in Vascular Surgery book ii is available in our book collection an online access to it is set as public so you can get it instantly. Our books collection saves in multiple locations, allowing you to get the most less latency time to download any of our books like this one. Kindly say, the issues and answers in Vascular Surgery book ii is universally compatible with any devices to read.
J. Hajo Van Bockel - One of the best experts on this subject based on the ideXlab platform.
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Education in Vascular Surgery: critical issues around the globe-training and qualification in Vascular Surgery in Europe.
Journal of vascular surgery, 2020Co-Authors: J. Hajo Van Bockel, D. Bergqvist, Marc Anton Cairols, Christos D. Liapis, Vikas Pandey, Fabrizio Benedetti-valentini, John WolfeAbstract:In 1958, the Union Européene des Médecins Spécialistes (UEMS), or European Union (EU) of Medical Specialists the European Union, was founded by the professional organizations of medical specialists in Europe. Among the objectives of the UEMS are to promote the highest level of patient care in the EU and to promote the harmonization of high-quality training programs within the various specialities throughout the EU. Within the 38 Specialist Sections of the UEMS are the European Boards, which are the working groups of the Specialist Sections. In 2005 Vascular Surgery was recognized as a separate and independent Section, a monospecialty, within the UEMS. The efforts of the UEMS are directed at facilitating the free exchange of training and work of trainees and medical specialists between EU countries. This situation, in combination with large differences in requirements and length of training in Vascular Surgery within the EU, stresses the importance of harmonization in training and certification in Vascular Surgery within the EU. For that reason, the European Board of Vascular Surgery has organized voluntary examinations yearly since 1996. The candidates who pass qualify as "Fellow of the European Board of Vascular Surgery" (FEBVS) since 2005. The first part of the examination evaluates the eligibility of the candidate (Certificate of Completion of Specialist Training, training center, logbook). The second part is a viva voce assessment that includes (1) case analyses, (2) a review of a scientific article, (3) an overall assessment, (4) a technical skills, and (5) an endoVascular skills assessment. To pass the examination, the candidates must achieve a 67% success rate in each part of the examination. During the last 10 years, approximately 75% of the candidates have successfully taken the examination. In the near future the Section and Board, in close collaboration with the Vascular societies in the EU, will develop a European Vascular surgical syllabus and curriculum that will further harmonize and professionalize the training and certification of Vascular Surgery in Europe.
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Education in Vascular Surgery: Critical issues around the globe—training and qualification in Vascular Surgery in Europe
Journal of Vascular Surgery, 2008Co-Authors: J. Hajo Van Bockel, D. Bergqvist, Marc Anton Cairols, Christos D. Liapis, Benedetti-valentini F, Vikas Pandey, John H.n. WolfeAbstract:In 1958, the Union Europeene des Medecins Specialistes (UEMS), or European Union (EU) of Medical Specialists the European Union, was founded by the professional organizations of medical specialists in Europe. Among the objectives of the UEMS are to promote the highest level of patient care in the EU and to promote the harmonization of high-quality training programs within the various specialities throughout the EU. Within the 38 Specialist Sections of the UEMS are the European Boards, which are the working groups of the Specialist Sections. In 2005 Vascular Surgery was recognized as a separate and independent Section, a monospecialty, within the UEMS. The efforts of the UEMS are directed at facilitating the free exchange of training and work of trainees and medical specialists between EU countries. This situation, in combination with large differences in requirements and length of training in Vascular Surgery within the EU, stresses the importance of harmonization in training and certification in Vascular Surgery within the EU. For that reason, the European Board of Vascular Surgery has organized voluntary examinations yearly since 1996. The candidates who pass qualify as "Fellow of the European Board of Vascular Surgery" (FEBVS) since 2005. The first part of the examination evaluates the eligibility of the candidate (Certificate of Completion of Specialist Training, training center, logbook). The second part is a viva voce assessment that includes (1) case analyses, (2) a review of a scientific article, (3) an overall assessment, (4) a technical skills, and (5) an endoVascular skills assessment. To pass the examination, the candidates must achieve a 67% success rate in each part of the examination. During the last 10 years, approximately 75% of the candidates have successfully taken the examination. In the near future the Section and Board, in close collaboration with the Vascular societies in the EU, will develop a European Vascular surgical syllabus and curriculum that will further harmonize and professionalize the training and certification of Vascular Surgery in Europe.
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Status of Vascular Surgery in The Netherlands
International Congress Series, 2004Co-Authors: J. Hajo Van Bockel, J.d BlankensteijnAbstract:Abstract In the Netherlands, Vascular Surgery is not a monospecialty. Vascular interventions are performed by general surgeons with an interest and additional training in Vascular Surgery. The Dutch Society for Vascular Surgery was founded in 1981, is stimulating and coordinating patient care and research and is also involved in postgraduate training of Vascular Surgery. An official 2-year training programme has been established in 1986. Currently, there are 12 Vascular training programmes certified to certify surgeons as Vascular surgeons. The quality of the training programmes is thoroughly evaluated every 5 years. Renewed certification is based on a written report from the director of the programme, supplemented with an 'on-site' visit and established by the Dutch Association of Surgeons of the Netherlands. Currently, (Vascular) surgical training is being restructured due to working hour requirements (EC Directive), shortening of the years of training (currently 6+2) and further improvement of the quality of training.
