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• W2055141034 abstract "The examination of vascular surgery within the UEMS (EBSQ-VASC) started in Venice in 1996 under the chairmanship of Bernhard Nachbur from Switzerland. Since then the examination has been conducted yearly in conjunction with the annual ESVS meeting. To date 145 candidates have participated in Part II of the examination; 113, or 78%, have passed. There are several reasons for having a European examination when there is free mobility of manpower between EU countries. We hope to achieve harmonisation of knowledge and skills and provide an indication that the candidates have received a structured vascular training programme. The exam should also guarantee a level of competence. The candidates may use this to improve their chance of employment in their own country or in another European country (particularly if there is no vascular CCST in their own country). An examination should not ossify but must be open to change, hopefully for the better. Through discussion within the UEMS Board of Vascular Surgery and its Executive Committee some changes have been made in order to provide a useful service to the various states of Europe. We hope that the changes provide useful criteria for entry and a quality of examination that will become acceptable as an element of CCST recognition. It is important to stress that the examination is a service and the Examination Board cannot provide CCST (Certificate of Completion of Surgical Training); the award of CCST is the remit of the individual sovereign states within their healthcare educational system. However, some countries may use the European qualification in vascular surgery as part of their CCST criteria since the need for multiple specialist exams for a small number of candidates in each country may cause logistic problems. To sit the Part II examination the candidates must have fulfilled the criteria for Part I, which are based upon training and logbook experience. They are then examined in four fields of vascular surgery; clinical case analysis, interpretation of a scientific publication, assessment of surgical technical skill and an overall assessment of experience based upon logbooks, continuing education and their training programme. To fulfil the criteria for Part I of the examination the candidates must have performed a minimum of 120 non-vascular operations to show basic surgical skill. This is part of the training even in those countries where vascular surgery is a mono-specialty. There is no longer a time requirement for the so called common trunk. The minimum acceptable total duration of surgical training is 6 years, with at least 2 years in nationally recognised vascular surgical training posts. The number of specified arterial operations is more than 200. To ensure this the logbook experience of the 2 years prior to the exam must be submitted, but if the numbers have not been achieved previous logbook experience can also be submitted to the Examination Board for consideration. The candidates are expected to have been the principal surgeon in more than 50% of these operations. Most operations should be supervised to ensure good training but, in addition, unsupervised operations will be taken into consideration in the overall score. In addition to this the candidates should have performed at least 50 varicose vein operations. The structure of Part II consists of four parts:1.Clinical case analysis (one aneurysm problem, one lower limb ischaemia and one miscellaneous arterial case). These cases are chosen at random by the candidates from the bank of questions and the questions pertain to diagnosis and treatment (medical, endovascular and open surgery). Each case provides 16 points and 20 min is given to answer the questions (i.e., a 1 h examination on clinical cases).2.Scientific evaluation of a publication with structured questions. These questions are not intended to test statistical and scientific competence, but rather a critical evaluation and an ability to form conclusions that relate to clinical practice.3.Overall assessment (which analyses the clinical experience of the candidates). This has been the most subjective part of the examination but will now be carefully structured.4.Technical skill evaluation. This has been validated in pilot ‘examinations’ during the EBSQ-VASC meetings in Istanbul and Dublin and will now be formally incorporated into the examination. It will include three bench stations; one testing dexterity and knot tying, one testing ability to dissect the sapheno-femoral junction and one the performance of a femoro-anterior tibial anastomosis. With the unifying European exam we hope to raise standards of education and training and provide a benchmark that can be used by sovereign states as part of their CCST evaluation. Those countries that already have a national vascular exam may well wish to continue with their current system, but by a continuing process of evolution we hope to stay abreast of assessment within an exciting and rapidly altering field of surgery." @default.
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• W2055141034 date "2004-04-01" @default.
• W2055141034 modified "2023-10-11" @default.
• W2055141034 title "The Developing European Board Vascular Examination" @default.
• W2055141034 doi "https://doi.org/10.1016/j.ejvs.2004.02.014" @default.
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