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Deficiencies in venous experience in UK vascular trainees: a survey of Rouleaux Club members.

Abstract：

OBJECTIVE:The aim of this study was to evaluate the training experience of current UK vascular trainees in the modern management of venous disease. METHOD:A web-based questionnaire of the 145 members of the Rouleaux Club (www.rouleauxclub.com), which represents UK vascular trainees. Members were asked to complete the survey between June and October 2009 with regular email reminders being sent out to non-responders. RESULTS:One hundred and twenty-three trainees (85% response rate) representing all 17 UK training Deaneries responded. Seventy-eight per cent reported having received no formal venous duplex training either for diagnosis of venous disease or to guide endovenous therapy. Operative experience of great and small saphenous vein surgery improved with years of training. Surgical experience for recurrent varicose veins was poor. Experience with endovenous techniques was limited and variable. No experience of endovenous laser ablation or radiofrequency ablation was reported by 39% and 67% of trainees, respectively. Experience and/or training with foam sclerotherapy was limited to <40%. Many of those reporting no experience with endovenous ablation techniques were within the final two years of their training. Less than 25% of trainees reported having had any experience (assisted/performed) of advanced venous interventions such as thrombolysis techniques for deep venous thrombosis, inferior vena cava filter placement/removal, venous stenting or deep venous reconstruction. Less than a quarter of trainees are currently involved in the acute management of deep venous thrombosis. The majority (76%) of current trainees would like a formal approved UK venous training course to be offered. CONCLUSION:The current level of training in the management of venous disease will not allow UK vascular trainees to become the competent all round vascular specialists of the future.

journal_name

Phlebology

journal_title

Phlebology

authors

Scurr JR,Oshin OA,Hinchliffe RJ,Holt PJ,Gohel M

doi

10.1258/phleb.2010.010046

subject

Has Abstract

pub_date

2011-09-01 00:00:00

pages

227-31

issue

6

eissn

0268-3555

issn

1758-1125

pii

phleb.2010.010046

journal_volume

26

pub_type

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