Division of Vascular Surgery, Department of Surgery, University of Washington, Seattle, WA.
Division of Vascular Surgery and Endovascular Therapy, Department of Surgery, The Johns Hopkins Hospital, Baltimore, MD.
J Vasc Surg. 2023 Aug;78(2):534-538. doi: 10.1016/j.jvs.2023.04.003. Epub 2023 Apr 8.
The Vascular Surgery Surgical Council on Resident Education (VSCORE) program is a standardized curriculum intended to prepare Vascular Surgery trainees for the annual Vascular Surgery In-Training Examination (VSITE). This study evaluated the performance of 0+5 and 5+2 Vascular Surgery trainees on the VSITE prior to and following implementation of the VSCORE curriculum.
VSITE scores, measured as percentage of questions correct, were collected for Vascular Surgery trainees at a United States academic medical center between 2015 and 2022. The VSITE scores were compared for the periods prior to (2015-2021) and following (2022) implementation of the VSCORE curriculum.
Fifty-seven VSITE scores were evaluated, including 46 examinations completed prior to and 11 after the implementation of the VSCORE curriculum. The mean VSITE score across all training levels (post-graduate year [PGY] 1-7) increased significantly from 68.4% ± 1.5% prior to implementation of VSCORE curriculum to 76.5% ± 3.1% following implementation (P = .03). Two-way analysis of variance identified pre- and post-VSCORE implementation as a statistically significant categorical variable when residents were stratified into junior (PGY 1-2), senior (PGY 3-5), and fellow (PGY 6-7) training levels (P < .001). The mean change in score between consecutive years also increased following VSCORE implementation (14.1% ± 2.3%) compared with the pre-VSCORE era (5.7% ± 1.7%; P = .002) CONCLUSIONS: The implementation of the VSCORE curriculum at an academic medical center improved VSITE scores across vascular surgery trainees at all levels.
血管外科学住院医师教育外科委员会（VSCORE）项目是一个标准化课程，旨在使血管外科学受训者为年度血管外科学住院医师考试（VSITE）做好准备。本研究评估了在实施 VSCORE 课程之前和之后，0+5 和 5+2 血管外科学受训者在 VSITE 上的表现。
在美国学术医疗中心收集了 2015 年至 2022 年血管外科学受训者的 VSITE 分数，以正确问题的百分比表示。比较了在实施 VSCORE 课程之前（2015-2021 年）和之后（2022 年）的 VSITE 分数。
评估了 57 个 VSITE 分数，包括在实施 VSCORE 课程之前完成的 46 次考试和之后完成的 11 次考试。所有培训水平（住院医师后 1 年[PGY]1-7）的平均 VSITE 分数从实施 VSCORE 课程前的 68.4%±1.5%显著增加到实施后的 76.5%±3.1%（P=0.03）。当将住院医师分为初级（PGY 1-2）、高级（PGY 3-5）和研究员（PGY 6-7）培训水平时，双因素方差分析确定了实施前后作为统计学上的分类变量（P<0.001）。与实施 VSCORE 之前相比（5.7%±1.7%；P=0.002），实施 VSCORE 后连续几年的分数变化平均值也有所增加（14.1%±2.3%）。
在学术医疗中心实施 VSCORE 课程提高了各级血管外科学受训者的 VSITE 分数。
