Critical Care During the Coronavirus Crisis—Reflections on the Roles of Anesthesiologists in Meeting the Challenges of the Pandemic

Kiefer, Jessie J.; Rock, Peter; Augoustides, John; Mazzeffi, Michael

doi:10.1053/j.jvca.2020.04.061

Cited by 2 publications

(2 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In specialties with more pronounced ethically contentious dilemmas such as Anaesthesia & Intensive Care, diversity may help alleviate some of the challenges of the conflicting voices that feed into difficult decisions by patients and their families, and can potentially lead to more comprehensive ‘informed consent’ and treatment concordance. The focus on this specialty is topical, as Anesthetist and Intensivists have been key stakeholders in the critical care of COVID-19 patients [ 65 , 66 ], being at the centre of dealing with the complexity of critical care decisions under circumstances of a global pandemic, and widespread cultural/religiously influenced skepticism to vaccination and treatment of COVID-19.…”

Section: Discussionmentioning

confidence: 99%

Workforce diversity in specialist physicians: Implications of findings for religious affiliation in Anaesthesia & Intensive Care

Alim-Marvasti,

Jawad,

Ogbonnaya

et al. 2023

PLoS ONE

View full text Add to dashboard Cite

Background Minority ethnic identification between physician and patient can reduce communication and access barriers, improve physician-patient relationship, trust, and health outcomes. Religion influences health beliefs, behaviours, treatment decisions, and outcomes. Ethically contentious dilemmas in treatment decisions are often entangled with religious beliefs. They feature more in medical specialties such as Anaesthesia & Intensive Care, with issues including informed consent for surgery, organ donation, transplant, transfusion, and end-of-life decisions. Methods We investigate diversity in religious affiliation in the UK medical workforce, using data from the General Medical Council (GMC) specialist register and Health Education England (HEE) trainee applications to medical specialties. We performed conservative Bonferroni corrections for multiple comparisons using Chi-squared tests, as well as normalised mutual-information scores. Robust associations that persisted on all sensitivity analyses are reported, investigating whether ethnicity or foreign primary medical qualification could explain the underlying association. Findings The only significant and robust association in both GMC and HEE datasets affecting the same religious group and specialty was disproportionately fewer Anaesthesia & Intensive Care physicians with a religious affiliation of “Muslim”, both as consultants (RR 0.57[0.47,0.7]) and trainee applicants (RR 0.27[0.19,0.38]. Associations were not explained by ethnicity or foreign training. We discuss the myriad of implications of the findings for multi-cultural societies. Conclusions Lack of physician workforce diversity has far-reaching consequences, especially for specialties such as Anaesthesia and Intensive Care, where ethically contentious decisions could have a big impact. Religious beliefs and practices, or lack thereof, may have unmeasured influences on clinical decisions and on whether patients identify with physicians, which in turn can affect health outcomes. Examining an influencing variable such as religion in healthcare decisions should be prioritised, especially considering findings from the clinician-patient concordance literature. It is important to further explore potential historical and socio-cultural barriers to entry of training medics into under-represented specialties, such as Anaesthesia and Intensive Care.

show abstract

Section: Discussionmentioning

confidence: 99%

Workforce diversity in specialist physicians: Implications of findings for religious affiliation in Anaesthesia & Intensive Care

Alim-Marvasti,

Jawad,

Ogbonnaya

et al. 2023

PLoS ONE

View full text Add to dashboard Cite

show abstract

“…Some 70 years after the polio epidemics of the 1950s, the coronavirus pandemic has again placed intensive care center stage, testing our resilience, multidisciplinary teamworking, and commitment to research in emergency conditions while training redeployed staff (including medical students) who generously came to our support (88). Responding to these challenges requires technical and nontechnical skills of the highest order, best achieved through harmonized competency-based training programs, and requiring continuous adaptation of educational processes to meet the evolving clinical needs of our patients.…”

Section: Discussionmentioning

confidence: 99%

Society of Critical Care Medicine 50th Anniversary Review Series: Critical Care Education

Bion

Brown

Gomersall

et al. 2021

Critical Care Medicine

View full text Add to dashboard Cite

Critical Care During the Coronavirus Crisis—Reflections on the Roles of Anesthesiologists in Meeting the Challenges of the Pandemic

Cited by 2 publications

References 19 publications

Workforce diversity in specialist physicians: Implications of findings for religious affiliation in Anaesthesia & Intensive Care

Workforce diversity in specialist physicians: Implications of findings for religious affiliation in Anaesthesia & Intensive Care

Society of Critical Care Medicine 50th Anniversary Review Series: Critical Care Education

Contact Info

Product

Resources

About