What is Adequate Training in Endovascular Treatment for Ischemic Cerebrovascular Disease: A Survey from China
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LETTER TO THE EDITOR
What is Adequate Training in Endovascular Treatment for Ischemic Cerebrovascular Disease: A Survey from China Kangmo Huang1 • Mingming Zha2 • Yunfei Han1 • Rui Liu1 • Xinfeng Liu1,2
Received: 14 October 2020 / Accepted: 30 October 2020 Ó Springer Science+Business Media, LLC, part of Springer Nature and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE) 2020
To the Editor Endovascular treatment was proved to be an effective way of treating ischemic stroke [1]. Consensus-based guidelines gave some recommendations on training standards of endovascular treatment for ischemic stroke, but they were not completely consistent with each other [2–5]. Moreover, the expectations of interventional neuroradiologists on training standard have not been reported yet. To provide reference for the future training programs, a national survey was conducted to investigate the training expectations of interventional neuroradiologists on endovascular treatment for ischemic cerebrovascular disease. An online questionnaire was distributed to interventional neuroradiologists who registered in three major academic institutions of China. The 31-question questionnaire was designed to gather demographic information, self-evaluations on professional skills, training expectations and career attitude. SPSS software package version 25 (IBM, Chicago, IL) was used to build the database and
Kangmo Huang and Mingming Zha have contributed equally to this work. & Rui Liu [email protected] & Xinfeng Liu [email protected] 1
Department of Neurology, Jinling Hospital, Affiliated Medical School of Nanjing University, Nanjing, Jiangsu 210002, People’s Republic of China
2
Department of Neurology, Jinling Hospital, Medical School of Southeast University, Nanjing, Jiangsu 210002, People’s Republic of China
perform the analysis. The Chi-square test, Fisher exact test and Mann–Whitney U test were used for comparing variables, as appropriate. A two-tailed P value B 0.05 was considered as significant. A total of 580 neurointerventionalists responded to the survey. They were divided into two groups by their working experience in neurointervention (the less-experienced group [interventional working experience less than 5 years] and the experienced group [working 5 years or more]). There were significant differences in self-evaluation on basic knowledge and interventional skills between the two groups (all P values \ 0.001) (Fig. 1). Familiarity with professional knowledge increased with working experience, which suggested that the newly engaged neurointerventionalists needed to enrich their basic knowledge and improve their operation skills through experience accumulation. Hence, the training content should be customized according to trainees’ experience, knowledge and skills. Participants chose 3–9 months as an ideal training period accounted for 60.6% and 58.3% in the less-experienced and experienced group, respectively. The median expected training criteria for angiography were 90 cases as operator. Median expe
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