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Standards of training
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     In a recent CMAJ news article about the challenges currently faced by cardiac surgeons in Canada,1 Stephen Fremes, head of cardiac surgery at Sunnybrook and Women's College Health Sciences Centre in Toronto, is quoted as saying that training may need to change so that cardiac surgeons can perform other surgeries, such as vascular surgery.

    Vascular surgery is an independent surgical subspecialty in Canada. A specialty training program approved by the Royal College of Physicians and Surgeons of Canada (RCPSC), leading to a certificate of special competency, already exists. This certificate is obtained by completing a 2-year residency in vascular surgery and successfully passing an oral and written examination by the RCPSC. Entry into a vascular surgery residency program requires completion of a 5-year program in either general or cardiac surgery.

    Training to anything less than the standard that currently exists would be a great step backward and a disservice to the population that we serve.

    REFERENCE

    Sibbald B. Declining CABG rate means fewer jobs for surgeons. CMAJ 2005;173(6):583-4.(Daryl S. Kucey*, Andrew B)