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Resident Views on Vascular Ultrasonography Education: A Canadian Perspective
Michael D. Clemente, BSc1, Douglas Wooster, MD, FRCSC, FACS, RPVI2, Elizabeth Wooster, M.Ed., PhD Candidate3.
1Schulich School of Medicine and Dentistry, University of Western Ontario, London, ON, Canada, 2Department of Surgery, University of Toronto, Toronto, ON, Canada, 3Leadership, Higher and Adult Education, OISE/University of Toronto, Toronto, ON, Canada.
OBJECTIVE: With the requirement to obtain RPVI certification as of 2014 in American vascular surgery programs, formal vascular ultrasound (VUS) training is expected in vascular surgery training. Canadian programs, however, do not have the same credentialing requirements and not all programs require or offer formal VUS training. We, therefore, sought to determine whether Canadian trainees desire additional VUS training, how this training should be delivered and what role they see VUS playing in their future practice.
METHODS: An online questionnaire was sent to all residents and fellows in vascular surgery programs in Canada. Quantitative data was analyzed with Microsoft Excel ®. Qualitative data was analyzed for common themes.
RESULTS: 20 out of 50 trainees (40%) surveyed completed the survey, with 9 of 10 schools (90%) represented. 19 of 20 (95%) indicated being either “interested” or “extremely interested” in VUS. Most anticipate that VUS will play a large role in their future practice, including the being able to understand/interpret VUS data and images (90%), practicing as an interpreting physician (90%), acting as lab medical director (75%), physically performing scans (75%), and owning/operating a vascular lab (75%). Additionally, most respondents plan on obtaining (60%) or have already obtained (10%) RPVI certification, while only 30% plan to obtain RVT certification.
Most trainees have obtained some informal VUS training (75%); 45% have had formal VUS training in some format. Onsite training (30%), specialty rotations (25%), and e-learning (10%) were less common resources. Most (80%) indicate that they have not had enough exposure to VUS in their training, thus far. Most (95%) also see a need for additional VUS training resources, with hands-on training (100%) and interactive modules (68%) being the preferred modalities. Didactic lectures (26%), videos (26%) and textbooks (16%) were seen as less favourable resources.
CONCLUSION: There is a strong interest in vascular ultrasonography among current trainees; however, there is a need for additional training resources. In response to this, the planning of the CSVS Vascular Ultrasound Curriculum is currently underway.
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