Krysa J, Downes M, Taylor P
Department of Surgery, Guy's and St Thomas' NHS Foundation Trust, London, UK.
Ann R Coll Surg Engl. 2008 Mar;90(2):100-3. doi: 10.1308/003588408X261708.
The aim of this study was to determine if there is a satisfactory cover for interventional radiology and whether vascular surgeons have received sufficient training in endovascular techniques.
This was an observational study based on questionnaires sent to radiology and vascular trainers and vascular trainees in England. A total of 50 NHS trusts were chosen randomly to take part in the study and 320 questionnaires were sent out with an overall consultant response rate of 57%.
Of vascular consultants in the study group, 53% have had experience in endovascular procedures. Overall, 87% felt that there were not enough radiologists to fulfil the demand and 64% would like further training in endovascular procedures. In addition, 69% would like to be involved in a vascular rota without the general component. Similarly, 81% of radiologists felt that the demand was not being met, as emergency interventional radiology cover was not available on most nights in 65% of the trusts. Of responders, 72% would not object to training of vascular trainees in interventional work and 43% would be happy to be involved in training. Some 33% would accept a vascular trainee for 1 year.
Integrated fellowship in vascular surgery and interventional radiology has been implemented and tested in a number of centres in the US. This approach could be implemented in some of the larger vascular units in the UK.
本研究的目的是确定介入放射学是否有令人满意的人员配置，以及血管外科医生在血管内技术方面是否接受了充分的培训。
这是一项基于向英格兰的放射学和血管培训师以及血管外科实习生发放问卷的观察性研究。总共随机选择了50个国民保健服务信托机构参与研究，共发放了320份问卷，总体顾问回复率为57%。
研究组中的血管外科顾问中，53%有血管内手术经验。总体而言，87%的人认为没有足够的放射科医生满足需求，64%的人希望接受血管内手术的进一步培训。此外，69%的人希望参与不包含普通外科部分的血管轮值。同样地，81%的放射科医生认为需求未得到满足，因为在65% 的信托机构中，大多数夜晚都没有急诊介入放射学人员值班。在回复者中，72%不反对对血管外科实习生进行介入工作培训，43%愿意参与培训。约33%的人愿意接收一名血管外科实习生为期一年。
血管外科与介入放射学联合专科培训在美国的一些中心已经实施并进行了测试。这种方法可以在英国一些较大的血管科实施。
