Leeds Teaching Hospitals NHS Trust, Leeds, LS1 3EX, United Kingdom.
Leeds Institute of Medical Research, University of Leeds, Leeds, LS9 7TF, LS2 9JT, United Kingdom.
Br J Radiol. 2024 Dec 1;97(1164):1979-1981. doi: 10.1093/bjr/tqae186.
The development of technical skills in peripheral and aortic endovascular intervention is an essential part of interventional radiology (IR) training. Access to endovascular training remains contentious, with IR and vascular surgery (VS) trainees competing for opportunities. The Collaborative Peripheral and Aortic Endovascular Training Survey (CPAETS) aimed to evaluate IR trainees' experiences, expectations, and barriers to endovascular training.
CPAETS was a joint survey between the British Society of Interventional Radiology and the Rouleaux Club (UK Vascular Trainees' Association), open for 12 weeks and distributed to UK-based IR and VS trainees. This article focuses on IR trainee responses.
Thirty-two responses were received from IR trainees across England, Scotland, and Wales. Overall, 59% of respondents were satisfied with their endovascular training. IR trainees reported less regular hands-on experience of aortic endovascular procedures (50%) compared to peripheral endovascular procedures (93%). Consequently fewer trainees (65%) felt confident in achieving the necessary aortic endovascular competencies by the end of their training, compared to peripheral procedures (89%).
Limited exposure to aortic endovascular procedures resulted in reduced confidence levels in performing aortic intervention as compared to peripheral procedures. Potential solutions to bridge some of these IR training gaps include greater pre-operative and post-operative presence, the use of simulators, and IR fellowships to ensure adequate training opportunities.
This article provides a snapshot of the current gaps in IR endovascular training in the United Kingdom, with insight into solutions that can enable trainees to develop clinical and technical competencies required for IR consultant practice.
外周血管和主动脉血管腔内介入技术的发展是介入放射学（IR）培训的重要组成部分。血管腔内培训的机会仍然存在争议，IR 和血管外科（VS）受训者竞争机会。协作外周和主动脉血管腔内培训调查（CPAETS）旨在评估 IR 受训者的经验、期望和血管腔内培训的障碍。
CPAETS 是英国介入放射学会和 Rouleaux Club（英国血管培训师协会）之间的联合调查，开放 12 周，并分发给英国的 IR 和 VS 受训者。本文重点介绍 IR 受训者的反应。
在英格兰、苏格兰和威尔士的 IR 受训者中收到了 32 份回复。总体而言，59%的受访者对他们的血管内培训感到满意。与外周血管腔内手术（93%）相比，IR 受训者报告说他们的主动脉血管腔内手术的实际操作经验较少（50%）。因此，与外周手术（89%）相比，较少的受训者（65%）认为他们有信心在培训结束时达到必要的主动脉血管内技能，而外周手术（89%）则较少。
与外周血管腔内手术相比，主动脉血管腔内手术的接触有限，导致进行主动脉介入的信心水平降低。解决这些 IR 培训差距的一些潜在方法包括增加术前和术后的存在、使用模拟器以及 IR 研究员，以确保有足够的培训机会。
本文提供了英国目前在 IR 血管内培训中存在的差距的快照，并深入了解了可以使受训者发展所需的临床和技术能力的解决方案，以实现 IR 顾问的实践。
