The aviation model of vascular surgery education John F. Eidt, MD, Little Rock, Ark First, let me express my gratitude to all of you for allowing me to serve as the President of the Southern Association for Vascular Surgery. Today, I will explore the state of vascular surgery education, including my personal view of the strengths and weaknesses. Then, I will review the aviation training model and, finally, offer a few thoughts on ways to improve vascular training. As we begin this journey, I would remind you that our education system is critical to our success as a specialty, and that each of us has a stake in the outcome.What is the current state of vascular training? We must be doing something right! We are producing vascular surgeons with a skill set that is unmatched by other vascular specialists. We are leaders in minimally invasive endovascular procedures and masters of the most complex open operations. Further, there is growing interest in vascular surgery among medical students, especially women who now represent more than 30% of all vascular residents. 1 There are now 40 positions offered in 36 Accreditation Council of Graduate Medical Education (ACGME) approved integrated vascular residencies, (the so-called 0 ϩ 5 programs), and an additional 16 programs are in the process of submitting applications. 2-4 Vascular surgery is now recognized as one of the most competitive residencies based on the percentage of positions filled by US medical school graduates along with dermatology, orthopedics, ear, nose, and throat, radiation oncology, plastic surgery, and thoracic surgery. 5 The year 2012 will be a historic year in vascular surgery. This June, the first 0 ϩ 5 trainee will complete an integrated vascular surgery residency. But what will these surgeons