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ANZSVS Conference 2024

Never too early: embarking on a career in vascular surgery starts at medical school

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Poster

Disciplines

Vascular

Presentation Description

Institution: Waikato Hospital - Waikato , Aotearoa New Zealand

Purpose Vascular surgery (VS) is a subspecialty nearing staffing crisis. Positive experiences during undergraduate surgical rotations are associated with increased interest in a surgical career and lack of exposure is a deterrent. The aim of this review is to clarify the current quantity and quality of vascular specific education in NZ medical schools (MS) and compare this to international standards to identify existing gaps. Methodology: Medical school alumni, administrators and educators in NZ were contacted to collect data on the clinical VS components of their MS curriculum. Subsequently an integrative literature review was conducted with a search of Cochrane databases, Medline, and Google Scholar performed. Relevant review articles and original research were collated. Results: Across NZ medical schools, VS is often included as part a general surgery placement with only a small number of students assigned to the rotation. The Christchurch campus of Otago MS is the only centre in NZ where a VS rotation is compulsory for most students, achieving this through a truncated placement with 6 half-day sessions. In all other campuses from both Auckland and Otago MS, less than one third of students complete a VS rotation but are allocated to the specialty for a longer duration. Standardisation of a vascular curriculum is lacking worldwide and in international literature exposure to vascular surgery is highly variable. Mentorship is reported as frequently contributing to vocational interest in VS, and for these relationships to be fostered, early exposure is crucial. Conclusion: In NZ, exposure to VS during MS is low. In the shadow of an impending workforce shortage, active and urgent steps must be taken to increase the attraction of the specialty. This could be through revising the structure of VS placements, increasing mentorship opportunities and creating opportunities for exposure to the specialty outside of the standard MS curriculum.

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Authors

Authors

Dr Christina Powell - , Dr Anantha Narayanan - , Dr Manar Khashram -

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