Surgical specialties;
Training programmes;
Curriculum;
Treatment of vascular diseases;
ABDOMINAL AORTIC-ANEURYSM;
GENERAL-SURGERY;
PRIMARY CERTIFICATION;
PATIENT;
VOLUME;
IMPACT;
OUTCOMES;
REPAIR;
D O I:
10.1016/j.ejvs.2009.12.013
中图分类号:
R61 [外科手术学];
学科分类号:
摘要:
Despite its short existence, vascular surgery has already grown out of the scope of a mono-specialty. Meanwhile emerging interests of other competing specialties push into the field of vascular care. Continuous technological innovation drives the need for sub-specialisation to provide disease-centred expertise; however, treatment success equally depends on balanced patient-centred care. Vascular surgeons are amidst this controversy and are currently challenged by their own demand to offer all aspects of vascular care - as "the vascular specialist". This article discusses the natural driving forces towards sub-specialisation and appraises advantages and limitations with respect to the future of integrated vascular care. (C) 2009 European Society for Vascular Surgery. Published by Elsevier Ltd. All rights reserved.