Vascular Lab 360: Are we losing control?

Abstract

The editors and reviewers of this article have no relevant financial relationships to disclose per the JVS policy that requires reviewers to decline review of any manuscript for which they may have a competition of interest.

Applying Principles of Evolutionary Biology to Plastic Surgery at an Organizational Level Predicts an Extinction Event

“… 42–44 As a result, vascular surgeons are losing the battle to exclusively perform endovascular procedures at the community level. 45 This serves as a stark warning that although healthcare practitioners from different families possess varying skills, when performing the same procedure, evolutionary principles are forefront; not who believes he or she can execute the procedure better.…”

A Roadmap for Noninvasive Vascular Laboratory Education

“…The consensus among vascular surgery educators is that it is important to provide vascular surgery residents and fellows with formal NIVL training to prepare them to not only pass the RPVI exam but also acquire expertise in reading studies as practitioners and ability to supervise sonographers. 2,6,7 The 2011 Eastern Vascular Society Vascular Laboratory Survey showed that many practicing vascular surgeons are frustrated that vascular studies are being done at NIVL directed by nonvascular specialists, who they claim are unable to correctly interpret vascular testing. This has apparently resulted in the need for repeat vascular laboratory testing at NIVL managed by vascular surgeons, which may not always be reimbursed by insurance companies.…”

“…This has apparently resulted in the need for repeat vascular laboratory testing at NIVL managed by vascular surgeons, which may not always be reimbursed by insurance companies. 7 In 2015, ARDMS also reported a survey of 2,473 registrants credentialed since 2010 with a participation rate of 38.2% of whom 92.8% (944) physicians were in active practice. 8 In the survey, 42% were cardiologists, 36% were vascular surgeons and the rest were radiologists, vascular medicine specialists, and others.…”

“…Furthermore, recent statistics show that vascular surgeons are directors of NIVL in only 47% of accredited labs. 7 Therefore, the goal of every training program should not only focus on trainees attaining competency in interpretation and passing the RPVI examination but also prepare trainees to assume directorship of an NIVL.…”