PMID- 34462201
OWN - NLM
STAT- MEDLINE
DCOM- 20220105
LR  - 20221221
IS  - 1532-8422 (Electronic)
IS  - 1053-0770 (Print)
IS  - 1053-0770 (Linking)
VI  - 36
IP  - 1
DP  - 2022 Jan
TI  - Challenges in the Cardiothoracic and Vascular Anesthesia Fellowship Program Since 
      the Coronavirus Disease 2019 (COVID-19) Pandemic: An Electronic Survey on 
      Potential Solutions.
PG  - 76-83
LID - S1053-0770(21)00680-7 [pii]
LID - 10.1053/j.jvca.2021.08.008 [doi]
AB  - OBJECTIVE: The authors explored the current practice of fellowship training in 
      cardiothoracic and vascular anesthesia and surveyed the acceptability of 
      potential solutions to mitigate the interrupted fellowship training during the 
      severe acute respiratory syndrome coronavirus disease 2019 (COVID-19) pandemic. 
      DESIGN: A prospective electronic questionnaire-based survey. SETTING: The survey 
      was initiated by the Education Committee of the European Association of 
      Cardiothoracic Anesthesiology and Intensive Care (EACTAIC). PARTICIPANTS: The 
      study comprised EACTAIC fellows, EACTAIC, and non-EACTAIC subscribers to the 
      EACTAIC newsletter and EACTAIC followers on different social media platforms. 
      INTERVENTIONS: After obtaining the consent of participants, the authors assessed 
      the perioperative management of COVID-19 patients, infrastructural aspects of the 
      workplace, local routines for preoperative testing, the perceived availability of 
      personal protective equipment (PPE), and the impact of COVID-19 on fellowship 
      training. In addition, participants rated suggested solutions by the 
      investigators to cope with the interruption of fellowship training, using a 
      traffic light signal scale. MEASUREMENTS AND MAIN RESULTS: The authors collected 
      193 responses from 54 countries. Of the respondents, 82.4% reported cancelling or 
      postponing elective cases during the first wave, 89.7% had provided care for 
      COVID-19 patients, 75.1% reported staff in their center being reassigned to work 
      in the intensive care unit (ICU), and 45% perceived a shortage of PPE at their 
      centers. Most respondents reported the termination of local educational 
      activities (79.6%) and fellowship assessments (51.5%) because of the pandemic 
      (although 84% of them reported having time to participate in online teaching), 
      and 83% reported a definitive psychological impact. More than 90% of the 
      respondents chose green and/or yellow traffic lights to rate the importance of 
      the suggested solutions to cope with the interrupted fellowship training during 
      the pandemic. CONCLUSIONS: The COVID-19 pandemic led to the cancellation of 
      elective cases, the deployment of anesthesiologists to ICUs, the involvement of 
      anesthesiologists in perioperative care for COVID-19 patients, and the 
      interruption of educational activities and trainees' assessments. There is some 
      consensus on the suggested solutions for mitigation of the interruption in 
      fellowship training.
CI  - Copyright (c) 2021 The Author(s). Published by Elsevier Inc. All rights reserved.
FAU - El Tahan, Mohamed R
AU  - El Tahan MR
AD  - Department of Anesthesia, Imam Abdulrahman Bin Faisal University, Dammam, Saudi 
      Arabia.
FAU - Wilkinson, Kirstin
AU  - Wilkinson K
AD  - Shackleton Department of Anaesthesia, University Hospital Southampton NHS 
      Foundation Trust, Southampton, United Kingdom.
FAU - Huber, Jonathan
AU  - Huber J
AD  - Shackleton Department of Anaesthesia, University Hospital Southampton NHS 
      Foundation Trust, Southampton, United Kingdom.
FAU - Schreiber, Jan-Uwe
AU  - Schreiber JU
AD  - Department of Anaesthesia, Maastricht University Medical Center, Maastricht, The 
      Netherlands.
FAU - Forner, Anna-Flo
AU  - Forner AF
AD  - Department of Anesthesiology and Intensive Care Medicine, Heart Center Leipzig, 
      Leipzig, Germany.
FAU - Diprose, Paul
AU  - Diprose P
AD  - Shackleton Department of Anaesthesia, University Hospital Southampton NHS 
      Foundation Trust, Southampton, United Kingdom.
FAU - Guarracino, Fabio
AU  - Guarracino F
AD  - Department of Anesthesia and Critical Care Medicine, Azienda 
      Ospedaliero-Universitaria Pisana, Pisa, Italy.
FAU - Erdoes, Gabor
AU  - Erdoes G
AD  - Department of Anesthesiology and Pain Medicine, Inselspital, Bern University 
      Hospital, University of Bern, Bern, Switzerland. Electronic address: 
      gabor.erdoes@insel.ch.
LA  - eng
PT  - Journal Article
DEP - 20210810
PL  - United States
TA  - J Cardiothorac Vasc Anesth
JT  - Journal of cardiothoracic and vascular anesthesia
JID - 9110208
SB  - IM
CIN - J Cardiothorac Vasc Anesth. 2022 Jan;36(1):84-85. PMID: 34654632
MH  - *Anesthesia
MH  - *Anesthesiology
MH  - *COVID-19
MH  - Electronics
MH  - Fellowships and Scholarships
MH  - Humans
MH  - Pandemics
MH  - Prospective Studies
MH  - SARS-CoV-2
MH  - Surveys and Questionnaires
PMC - PMC8352660
OTO - NOTNLM
OT  - COVID-19
OT  - Fellowship
OT  - cardiothoracic and vascular anaesthesia
OT  - survey
EDAT- 2021/09/01 06:00
MHDA- 2022/01/06 06:00
PMCR- 2021/08/10
CRDT- 2021/08/31 05:53
PHST- 2021/05/17 00:00 [received]
PHST- 2021/07/16 00:00 [revised]
PHST- 2021/08/04 00:00 [accepted]
PHST- 2021/09/01 06:00 [pubmed]
PHST- 2022/01/06 06:00 [medline]
PHST- 2021/08/31 05:53 [entrez]
PHST- 2021/08/10 00:00 [pmc-release]
AID - S1053-0770(21)00680-7 [pii]
AID - 10.1053/j.jvca.2021.08.008 [doi]
PST - ppublish
SO  - J Cardiothorac Vasc Anesth. 2022 Jan;36(1):76-83. doi: 
      10.1053/j.jvca.2021.08.008. Epub 2021 Aug 10.