A career in cardiac anaesthesia in India

Misra, Satyajeet; Parida, Satyen; Chakravarthy, Murali; Mehta, Yatin; Puri, Goverdhan Dutt

doi:10.4103/ija.ija_1488_20

Cited by 8 publications

(3 citation statements)

References 25 publications

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“…Виокремлення серед пріоритетних для вивчення напрямків в анестезіології акушерської анестезіології (47,62 % опитаних) та кардіоанестезіології (66,66 %) свідчить про розуміння, наскільки ці розділи практичної анестезіології є складними, особливо для початківців [6,12,17]. У практичній діяльності анестезіолога нерідко трапляються ситуації, коли існує розрив між принципом і реальністю, а також ситуації, які надають можливості для рефлексії фактичних критичних подій.…”

Section: оригінальні дослідження / Original Researchesunclassified

Formation of professional competence in anesthesiology interns (sociological research data)

Loskutov

Markov

2023

ЕМ

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Background. A sociological study has been conducted among anesthesiology interns of the second year of study whose results make it possible to interpret the formation of a body of knowledge, abilities and skills in them, which are gained in the process of training on the specialty “Anesthesiology and intensive care”. Among the tasks in postgraduate medical education, those stand out that involve the training of competent specialists capable of quickly solving practical tasks in health care with the introduction of innovative technologies. The aim of the study: to establish trends in the formation of professional competence among anesthesiology interns through their sociological survey. Materials and methods. At the end of 2022, a sociological survey was conducted among anesthesiology interns (a total of 63 doctors of both sexes, average age was 24.2 years). Results. When choosing the future profession of an anesthesiologist, 49.20 % of respondents indicated that it was their own choice; 23.80 % of interns noted the influence of parents on the choice of future specialty, 15.87 % indicated their friends or acquaintances or other factors. The interns noted the presence of personal experience of working in health care institutions — 88.88 % answered positively (at the same time, 14.28 % of respondents mentioned previous experience of working in an intensive care unit as a nurse) and 11.12 % denied such experience. Most respondents said what attracts them to anesthesiology as a specialty: the possibility of obtaining a quick positive result of their activity — 85.71 % and the satisfaction of saving a human life — 57.14 %. A significant part of the interviewees noted such a factor as prestige (38.09 %) and a small number of interns noted “other” (6.34 %). Among the subjects and disciplines during training at a higher educational institution, the most important for anesthesiologists, according to the interns, are physiology and pathophysiology — 93.65 %, pharmacology — 80.95 %, normal or pathological anatomy — 46.03 %, physics — 28.57 %, chemistry — 25.39 %; 1.58 % of the respondents answered that all subjects are important at the same time or clinical pharmacology. When choosing a future specialty, interns chose from such medical specialties as surgery (39.6 %), neurology (9.52 %), emergency medicine (19.04 %), and others. Among the directions in anesthesiology, interns consider obstetric anesthesiology (47.62 % of respondents), cardiac anesthesiology (66.66 %), neuroanesthesiology (53.96 %), trauma anesthesia (68.25 %), pediatric anesthesiology (46.03 %), anesthesia in abdominal surgery (46.03 %), intensive care (3.17 %), and 4.76 % of respondents answered that all directions in anesthesiology are important. Intern doctors noted the following necessary personality traits and human values for successful work as an anesthesiologist: determination (74.60 %), leadership qualities (44.44 %), excellent health (33.33 %), the ability to quickly make the right decisions (90.47 %), other (11.11 %). The interns indicated which directions in anesthesiology they would like to thoroughly study during the face-to-face training at the department, namely: cardiopulmonary resuscitation (92.06 % of respondents), intensive care in emergency situations (85.71 %), ultrasound diagnosis in anesthesiology (71.42 %), acute poisonings (68.25 %), prevention and treatment of pain syndromes (80.95 %), features of providing assistance to the victims (39.68 %) and others: emergency medical care and management of patients with combat trauma in the intensive care unit (4.76 %), features of anesthesia in various pathological conditions, regional anesthesia, pharmacotherapy of emergencies, intensive care for acute pathologies (1.58 % of respondents). Conclusions. The conducted sociological research among anesthesiology interns of the second year of study allowed to detect the following trends in the formation of professional competence of anesthesiology interns: a significant amount of information and high professional requirements for anesthesiologists imply constant improvement of their knowledge and skills that is impossible without a sufficiently high level of motivation. The presence of previous work experience of intern doctors in health care institutions emphasizes the meaningfulness of the choice of future specialty, social and professional understanding of the essence of practical medicine, ensures communication skills with colleagues. Among the subjects and disciplines taught in higher education institutions, in the opinion of anesthesiology interns, the most important are: physiology and pathophysiology, pharmacology, normal or pathological anatomy, physics and chemistry. When choosing the future specialty “Anesthesiology and intensive care”, interns most often chose from such medical specialties as surgery, neurology, and emergency medicine. For successful work as an anesthesiologist, according to anesthesiology interns, the most relevant are: determination, leadership qualities, excellent health, the ability to quickly make the right decisions, etc. Among the directions in anesthesiology, interns of the second year of study expressed their desire to thoroughly study: cardiopulmonary resuscitation, intensive care in emergency situations, ultrasound diagnosis in anesthesiology, acute poisonings, prevention and treatment of pain syndromes, features of providing assistance to the victims, and others.

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Section: оригінальні дослідження / Original Researchesunclassified

Formation of professional competence in anesthesiology interns (sociological research data)

Loskutov

Markov

2023

ЕМ

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“…Over the past few years, anaesthesia has diversified to various specialities, including but not limited to neuroanaesthesia,[ 23 ] cardiac anaesthesia,[ 2 ] obstetric anaesthesia,[ 24 ] critical care,[ 25 ] pain[ 26 ] and palliative care. It is important that residents become aware of various opportunities such as fellowship, super-speciality and research programmes, both national as well as international.…”

Section: Newer Non-procedural Skillsmentioning

confidence: 99%

The changing face of postgraduate anaesthesia teaching curriculum: Need of the hour!

Jain

Malhotra

Koshy

et al. 2022

Indian Journal of Anaesthesia

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The speciality of anaesthesiology is evolving rapidly. The recent pandemic witnessed anaesthesiologists as the front-liners catering not only as critical care physicians but also as trainers and even administrators. Today, anaesthesiologists are required to have not just sound clinical knowledge but also proficiency in skills and techniques and aptitude for leadership. The recently introduced competency-based postgraduate training programme for anaesthesiology in India with its specific learning objectives envisages the creation of competent specialists with a broad range of skills who are competent not only to handle effectively medical problems but also acquire the basic teaching skills, communication skills and leadership qualities. The curriculum marks a paradigm shift from university-based, passive, teacher-centric to student-centric, active teaching-learning methods including problem-based and self-directed learning. The mindset, lack of adequately trained faculty, infrastructure, learning resources and time constraints form the major impediment in the successful implementation of the new curriculum.

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“…Traditionally confined to the operating room (OR), cardiac anesthesia has witnessed a paradigm shift in recent years, with an increasing emphasis on interventions and procedures conducted outside the traditional surgical setting. This shift has been driven by advancements in technology, changes in procedural approaches, and a growing recognition of the potential benefits of non-OR environments for certain cardiac interventions [1]. The historical roots of cardiac anesthesia trace back to the mid-20th century, marked by milestone achievements such as the introduction of cardiopulmonary bypass and the development of specialized techniques to manage the unique physiological challenges associated with cardiac surgery.…”

Section: Introductionmentioning

confidence: 99%

Revolutionizing Cardiac Anesthesia: A Comprehensive Review of Contemporary Approaches Outside the Operating Room

Durai Samy,

Taksande

2024

Cureus

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This review article provides a comprehensive examination of the evolution of cardiac anesthesia, emphasizing contemporary approaches beyond the traditional operating room (OR) setting. Tracing the historical roots of cardiac anesthesia from its inception in the mid-20th century, the narrative explores the significant paradigm shift driven by technological advancements and changing procedural approaches. The review highlights the emergence of non-OR environments, such as hybrid operating rooms, catheterization laboratories, and electrophysiology labs, as integral spaces for cardiac interventions. Key findings underscore the importance of patient selection, preoperative assessment, and specialized anesthetic management in optimizing outcomes. Implications for the future of cardiac anesthesia include the potential for enhanced patient-centered care, reduced complications, and improved resource utilization through the integration of advanced technologies. The call to action involves encouraging ongoing research and fostering collaboration among healthcare professionals to refine protocols further, address challenges, and propel the field toward continued innovation in contemporary cardiac interventions.

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A career in cardiac anaesthesia in India

Cited by 8 publications

References 25 publications

Formation of professional competence in anesthesiology interns (sociological research data)

Formation of professional competence in anesthesiology interns (sociological research data)

The changing face of postgraduate anaesthesia teaching curriculum: Need of the hour!

Revolutionizing Cardiac Anesthesia: A Comprehensive Review of Contemporary Approaches Outside the Operating Room

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