EVOLUTION AND TRAINING TRENDS IN VASCULAR SURGERY IN THE LAST 15 YEARS IN PORTUGAL
Introduction: Introduction: The evolution in the specialty of Angiology and Vascular Surgery was accompanied by differences in training during the internship.
Objectives: The main goal of this study was to show the different trends in training in Vascular Surgery Internship over the last 15 years, namely with regard to surgical learning and scientific production.
Methods: After identifying the physicians who completed the Angiology and Vascular Surgery internship between 2002 and 2017, in a National level, all data were collected retrospectively, by consultation of the curriculum vitae presented for the final specialty exam.
Results: In Portugal, from 2002-2017 an increase in the total number of surgeries as 1º surgeon (p <0.024) was observed as well as in the proportion of endovascular procedures (p <0.001), and in the advanced differentiation of endovascular procedures (p <0.001). Aorto-iliac occlusive disease procedures revealed a decrease in the number of conventional procedures (p <0.022) and an increase in the number of endovascular procedures (p <0.017). In abdominal aortic aneurysm (AAA) surgery, although there was no variability in the total number of conventional operations, there was a decrease in those performed as 1st surgeon (p <0.02); there was a marked increase in the total number of endovascular procedures of AAA (p <0.002) as well as 1st surgeon (p <0.001). At the scientific level, there was an increase in the total number of publications (p <0.108).
Conclusion: Although the exposure to surgical interventions during the complementary internship has remained approximately constant in the last 15 years in Portugal, a marked increase in the number and advanced differentiation of endovascular procedures has been reported. It was found a decrease innumber and differentiation of conventional surgical procedures, namely in aorto-iliac occlusive disease and in AAA surgery. There is a growing concern about the scientific dimension during training.
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