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Pereda E, De Hert S, El Tahan M, Romero CS. Retailoring training programmes in anaesthesia and intensive care after the coronavirus disease 2019 outbreak. Curr Opin Anaesthesiol 2023; 36:369-375. [PMID: 36994757 DOI: 10.1097/aco.0000000000001260] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/31/2023]
Abstract
PURPOSE OF REVIEW In this review, we want to collect all the adaptations that anaesthesiology training has faced because of the health crisis and social distancing measures resulting from coronavirus 2019 disease (COVID-19). We reviewed new teaching tools launched during the COVID-19 outbreak worldwide and particularly those implemented by the European Society of Anaesthesiology and Intensive Care (ESAIC) and the European Association of Cardiothoracic Anaesthesiology and Intensive Care (EACTAIC). RECENT FINDINGS Globally, COVID-19 has interrupted health services and all aspects of training programmes. These unprecedented changes have led to teaching and trainee support innovation tools, focusing on online learning and simulation programmes. Airway management, critical care and regional anaesthesia, have been enhanced during the pandemic, while there were major obstacles in paediatrics, obstetrics and pain medicine. SUMMARY The COVID-19 pandemic has altered profoundly the functioning of health systems worldwide. Anaesthesiologists and trainees have fought on the front lines of the battle against COVID-19. As a result, training in anaesthesiology during the last 2 years has focused on managing patients in intensive care. New training programmes have been designed to continue teaching residents of this speciality, focusing on e-learning and advanced simulation. It is necessary to present a review describing the impact that this turbulent period has had on the different subsections of anaesthesiology and to review the innovative measures that have been implemented to address these possible deficits in education and training.
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Affiliation(s)
- Elvira Pereda
- Anesthesiology and Critical Care Department at Hospital General Universitario, Valencia, Spain
| | - Stefan De Hert
- Department of Anesthesiology and Perioperative Medicine, Ghent University Hospital, Ghent University, Belgium
| | - Mohamed El Tahan
- Anesthesiology Department, College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia, Department of Anaesthesia and Surgical Intensive Care, College of Medicine, Mansoura University, Mansoura, Egypt
| | - Carolina S Romero
- Anesthesiology and Critical Care Department, Hospital General Universitario, European University of Valencia, Valencia, Spain
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Lee JSE, Chan JJI, Ithnin F, Goy RWL, Sng BL. Resilience of the restructured obstetric anaesthesia training programme during the COVID-19 outbreak in Singapore. Int J Obstet Anesth 2020; 43:89-90. [PMID: 32336577 PMCID: PMC7151412 DOI: 10.1016/j.ijoa.2020.04.002] [Citation(s) in RCA: 12] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/01/2020] [Revised: 04/01/2020] [Accepted: 04/07/2020] [Indexed: 11/05/2022]
Affiliation(s)
- J S E Lee
- Department of Women's Anaesthesia, KK Women's and Children's Hospital, Singapore.
| | - J J I Chan
- Department of Women's Anaesthesia, KK Women's and Children's Hospital, Singapore
| | - F Ithnin
- Department of Women's Anaesthesia, KK Women's and Children's Hospital, Singapore
| | - R W L Goy
- Department of Women's Anaesthesia, KK Women's and Children's Hospital, Singapore
| | - B L Sng
- Department of Women's Anaesthesia, KK Women's and Children's Hospital, Singapore
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Havaldar AA, Krishna B, Sampath S, Paramasivam SK. Simulation Training in Hemodynamic Monitoring and Mechanical Ventilation: An Assessment of Physician's Performance. Indian J Crit Care Med 2020; 24:423-428. [PMID: 32863635 PMCID: PMC7435101 DOI: 10.5005/jp-journals-10071-23458] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/10/2023] Open
Abstract
Background Simulation is to imitate or replicate real-life scenarios in order to improve cognitive, diagnostic and therapeutic skills. An ideal model should be good enough to output realistic clinical scenarios and respond to interventions done by trainees in real time. Use of simulation-based training has been tried in various fields of medicine. The aim of our study was to prospectively evaluate the effectiveness of simulation model “CRITICA”™ (MEDUPLAY systems) in training critical care physicians. Materials and methods The advanced intensive care unit (ICU) simulator “CRITICA”™ (MEDUPLAY systems) was developed as a joint collaboration between the Indian Institute of Science, Bengaluru and St John’s Medical College, Bengaluru. Two-day workshop was conducted. Intensive didactic and case-based scenarios were simulated to formally teach principles of advanced ICU scenarios. The physicians were tested on clinical scenarios in hemodynamic monitoring and mechanical ventilation displayed on the simulator. Assessment of the analytical thinking and pattern recognition ability was carried out before and after the display of the scenarios. Pre- and posttest scores were collected. Results The postsimulation test scores were higher than pretest scores and were statistically significant in hemodynamic monitoring and mechanical ventilation module. [Hemodynamic monitoring pre- and posttest scores 4.41 (2.06) vs 5.23 (2.22) p < 0.001] [Mechanical ventilation pre- and posttest scores 4 (2–5.5) vs 7.5 (6.5–8.5) p < 0.001]. A greater increase in posttest scores was seen in the mechanical ventilation module as compared to hemodynamic module. There was no effect of specialty or designation of a trainee on difference in pre- and posttest scores. Conclusion Simulator-based training in hemodynamic monitoring and mechanical ventilation was effective. Comparison of routine classroom teaching and simulator-based training needs to be evaluated prospectively. How to cite this article Havaldar AA, Krishna B, Sampath S, Paramasivam SK. Simulation Training in Hemodynamic Monitoring and Mechanical Ventilation: An Assessment of Physician’s Performance. Indian J Crit Care Med 2020;24(6):423–428.
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Affiliation(s)
- Amarja A Havaldar
- Department of Critical Care, St. John's Medical College, Koramangala, Bengaluru, Karnataka, India
| | - Bhuvana Krishna
- Department of Critical Care, St. John's Medical College, Koramangala, Bengaluru, Karnataka, India
| | - Sriram Sampath
- Department of Critical Care, St. John's Medical College, Koramangala, Bengaluru, Karnataka, India
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Web-Based Learning for Emergency Airway Management in Anesthesia Residency Training. Anesthesiol Res Pract 2015; 2015:971406. [PMID: 26788056 PMCID: PMC4695649 DOI: 10.1155/2015/971406] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/20/2015] [Accepted: 11/29/2015] [Indexed: 11/17/2022] Open
Abstract
Introduction. Web-based learning (WBL) is increasingly used in medical education; however, residency training programs often lack guidance on its implementation. We describe how the use of feasibility studies can guide the use of WBL in anesthesia residency training. Methods. Two case-based WBL emergency airway management modules were developed for self-directed use by anesthesia residents. The feasibility of using this educational modality was assessed using a single cohort pretest/posttest design. Outcome measures included user recruitment and retention rate, perceptions of educational value, and knowledge improvement. The differences between pre- and postmodule test scores and survey Likert scores were analysed using the paired t test. Results. Recruitment and retention rates were 90% and 65%, respectively. User-friendliness of the modules was rated highly. There was a significant improvement in perceptions of the value of WBL in the postsurvey. There was a significant knowledge improvement of 29% in the postmodule test. Conclusions. Feasibility studies can help guide appropriate use of WBL in curricula. While our study supported the potential feasibility of emergency airway management modules for training, collaboration with other anesthesia residency programs may enable more efficient development, implementation, and evaluation of this resource-intensive modality in anesthesia education and practice.
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Andrews P, Azoulay E, Antonelli M, Brochard L, Brun-Buisson C, de Backer D, Dobb G, Fagon JY, Gerlach H, Groeneveld J, Mancebo J, Metnitz P, Nava S, Pugin J, Pinsky M, Radermacher P, Richard C, Tasker R. Year in review in intensive care medicine. 2005. I. Acute respiratory failure and acute lung injury, ventilation, hemodynamics, education, renal failure. Intensive Care Med 2006; 32:207-216. [PMID: 16450098 DOI: 10.1007/s00134-005-0027-z] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/08/2005] [Accepted: 12/08/2005] [Indexed: 01/20/2023]
Affiliation(s)
- Peter Andrews
- Intensive Care Medicine Unit, Western General Hospital, Edinburgh, UK
| | - Elie Azoulay
- Intensive Care Medicine Unit, Saint Louis Hospital, Paris, France
| | - Massimo Antonelli
- Department of Intensive Care and Anesthesiology, Universita Cattolica del Sacro Cuore, Rome, Italy
| | - Laurent Brochard
- Réanimation Médicale, AP-HP, Hôpital Henri Mondor, INSERM U 615, Université, Paris 12, France.
| | - Christian Brun-Buisson
- Medical Intensive Care Unit, University Hospital Henri Mondor, 51 avenue du Marechal de Lattre de Tassigny, 94000, Creteil, France
| | - Daniel de Backer
- Service des Soins Intensifs, Hôpital Erasme, 808 route de Lennick, 1070, Bruxelles, Belgium
| | - Geoffrey Dobb
- Intensive Care Medicine Unit, Royal Perth Hospital, Perth, Australia
| | - Jean-Yves Fagon
- Intensive Care Medicine Unit, European Georges Pompidou Hospital, Paris, France
| | - Herwig Gerlach
- Department of Anesthesiology, Vivantes-Klinikum Neukoelln, Berlin, Germany
| | | | - Jordi Mancebo
- Intensive Care Medicine Unit, Hospital Sant Pau, Barcelona, Spain
| | - Philipp Metnitz
- Department of Anesthesia and General Intensive Care Medicine, University Hospital of Vienna, Vienna, Austria
| | - Stefano Nava
- Intensive Care Medicine Unit, Fondazione S. Maugeri, Pavia, Italy
| | - Jerome Pugin
- Intensive Care Medicine Unit, University Hospital of Geneva, Geneva, Switzerland
| | - Michael Pinsky
- Intensive Care Medicine Unit, University of Pittsburgh Medical Center, Pittsburgh, Pa., USA
| | - Peter Radermacher
- Department of Anesthesia, University Medical School of Ulm, Ulm, Germany
| | - Christian Richard
- Intensive Care Medicine Unit, University Hospital of Le Kremlin-Bicetre, Le Kremlin Bicetre, France
| | - Robert Tasker
- Pediatric Intensive Care Unit, Addenbrooke's Hospital, Cambridge, UK
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