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• W4377262201 abstract "Shortages of vascular surgeons are projected through 2050. Despite expansion of integrated vascular surgery residency programs, vascular surgery fellowships (VSFs) are a critical pipeline for training surgeons. We aimed to identify general surgery residents’ perceptions of and attitudes toward vascular surgery (VS). Anonymous/electronic questionnaires were sent to general surgery residents. Questions assessed demographics, fellowship preferences, and exposure to/perceptions of VS. Univariate analyses were performed using the χ2 and Fisher exact tests, and multivariate analyses were performed using two-tailed t tests and analysis of variance. Of 152 respondents, 20 (13.2%) will apply for VSF, 64 (42.1%) are interested in VS, 62 (40.8%) are not interested in VS, and 6 (3.9%) remain undecided (Table I). Overall, 106 (69.7%) felt comfortable with the medical management of vascular disease, whereas 52 (34.2%) felt comfortable with open surgical management, and 14 (9.2%) felt comfortable with endovascular management. Compared with residents not interested in VS or undecided, trainees applying for VSF or interested in VS reported greater familiarity with the diseases treated (97.6%; P = .003) and procedures performed (88.1%; P = .013) by vascular surgeons. Compared with other residents, those applying VSF were more likely to perceive they were essential members of the vascular team (95%; P = .003), and their time in the operating room was productive (100%; P = .001). Fifty-five respondents (36.2%) believed their exposure to VS in residency was inadequate for a surgeon not pursuing VSF. More trainees not interested in VS or undecided reported disrespectful treatment by VS attendings, residents, and fellows (P = .043). Stratified by gender, 25 female residents (29.4%) cited “male-dominant” (P < .001) as a reason for not choosing VS. When asked how vascular training programs impacted exposure while on VS rotations, 45 residents (70.3%) at institutions with both paradigms indicated diminished experiences due to presence of vascular residents/fellows (P = .014), and 25 (39.1%) expressed lower satisfaction with their rotation (P = .012). Many general surgery residents indicated exposure to VS during residency was inadequate for a general surgeon entering practice and noted less engagement and satisfaction on their VS rotation. Reasons for not pursuing VSF included disrespectful interactions from VS residents/fellows and attendings, as well as “male-dominant” field. Residents at institutions with vascular training programs expressed lower satisfaction and experiences gained. Improving these factors may increase interest in VSF.TableDemographic informationTotal (n = 152)Applying VS (n = 20)Interested in VS (n = 64)Not interested in VS (n = 62)Undecided (n = 6)Clinical year PGY-121 (13.8)3 (15)11 (17.2)5 (8.1)2 (33.3) PGY-246 (30.3)7 (35)15 (23.4)22 (35.5)2 (33.3) PGY-340 (26.3)2 (10)24 (37.5)13 (21)1 (16.7) PGY-429 (19.1)5 (25)10 (15.6)14 (22.6)0 (0) PGY-515 (9.9)3 (15)4 (6.3)8 (12.9)1 (16.7)Residency program University-affiliated136 (89.5)18 (90)56 (87.5)58 (93.5)4 (66.7) Community8 (5.3)2 (10)4 (6.3)1 (1.6)1 (16.7) Military6 (3.9)0 (0)3 (4.7)2 (3.2)1 (16.7) Other2 (1.3)0 (0)1 (1.6)1 (1.6)0 (0)Age, years 24-265 (3.3)2 (10)3 (4.7)0 (0)3 (50) 27-2952 (34.2)10 (50)18 (28.1)23 (37.1)1 (16.7) 30-3260 (39.5)5 (25)29 (45.3)26 (41.9)0 (0) >3332 (21.1)3 (15)14 (21.9)13 (21)2 (33.3)Gender Male67 (44.1)12 (60)29 (45.3)26 (41.9)0 (0) Female85 (55.9)8 (40)35 (54.7)36 (58.1)6 (100)Race American Indian or Alaska Native0 (0)0 (0)0 (0)0 (0)0 (0) Asian23 (15.1)6 (30)11 (17.2)5 (8.1)1 (16.7) Black or African American7 (4.6)0 (0)2 (3.1)5 (8.1)0 (0) Native Hawaiian or Pacific Islander2 (1.3)0 (0)1 (1.6)1 (1.6)0 (0) White115 (75.7)14 (70)47 (73.4)50 (80.6)4 (66.7) Other6 (3.9)1 (5)3 (4.7)2 (3.2)0 (0)Marital status Single82 (53.9)11 (55)35 (54.7)32 (51.6)4 (66.7) Married69 (45.4)9 (45)29 (45.3)29 (46.8)2 (33.3)Children Yes27 (17.8)5 (25)11 (17.2)11 (17.7)0 (0) No124 (81.6)15 (75)52 (81.3)51 (82.3)6 (100)Medical school training United States allopathic medical school126 (82.9)16 (80)55 (85.9)50 (80.6)5 (83.3) United States osteopathic medical school9 (5.9)0 (0)5 (7.8)4 (6.5)0 (0) Foreign medical graduate (United States citizen)4 (2.6)1 (5)1 (1.6)1 (1.6)1 (16.7) Foreign medical graduate (non-United States citizen)13 (8.6)3 (15)3 (4.7)7 (11.3)0 (0)Debt, $ None38 (25)6 (30)14 (21.9)16 (25.8)2 (33.3) <50,00016 (10.5)2 (10)8 (12.5)4 (6.5)2 (33.3) 50,000-100,0008 (5.3)1 (5)3 (4.7)4 (6.5)0 (0) 100,000-200,00023 (15.1)5 (25)8 (12.5)10 (16.1)0 (0) >200,00065 (42.8)6 (30)31 (48.4)26 (41.9)2 (33.3)PGY, Post-graduate year; VS, vascular surgery.Data are presented as number (%). Open table in a new tab" @default.
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• W4377262201 date "2023-06-01" @default.
• W4377262201 modified "2023-09-27" @default.
• W4377262201 title "Factors Associated With General Surgery Residents’ Perceptions of Vascular Surgery: Can We Improve the Pipeline?" @default.
• W4377262201 doi "https://doi.org/10.1016/j.jvs.2023.03.285" @default.
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