Evolução e tendências formativas em angiologia e cirurgia vascular: a experiência de uma instituição

Introduction

The constant advances in Angiology and Vascular Surgery specialty has brought to us a great variety in the training during the residency. The main purpose of this study was to show the distinct trends in training during Angiology and Vascular Surgery residency over time, particularly in the field of surgical exposure and scientific activity.

Methods

After identifying the physicians who completed the Angiology and Vascular Surgery residency between January 2001 and March 2014 in the institution, a retrospective analysis was performed and all data collected from the final curriculum was reviewed. The results were obtained using the Spearman correlation coefficient.

Results

From 2001 to 2014, 13 subjects concluded Angiology and Vascular Surgery residency in the Institution, with a mean age 35 ± 5.7 and 4 subjects (31%) were female. The average exposure to surgical procedures was 2518 ± 310, which 2026 ± 291 were vascular procedures. The mean of scientific presentations as first author was 9.7 ± 5.7 and the mean of publications as first author was 4.5 ± 5.9. Although surgical exposure has remained approximately constant, there was a marked variability in the proportion of endovascular procedures. It was observed a marked correlation between the number of endovascular procedures and time (rho = 0.869, p < 0.001). There was no correlation between the number of endovascular procedures in respect to age or gender. Regarding scientific activity, variability was also large, there has also been an association between time and number of publications (rho = 0.879, p < 0.001) and presentations (rho = 0.753, p < 0.001). In a similar way, no correlation was found between the scientific activity and age or gender.

Conclusion

In overall the surgical exposure during the residency has remained stable; there was an evolution of the proportion of endovascular procedures, a growing concern with the scientific activity; also the gender or age did not affect surgical exposure and adoption of new technical or scientific activity.