Migration of skilled anaesthesiologists from low to high-income economies

Mitre, Calin; Breazu, Caius; Mitre, Ileana; Filipescu, Daniela

doi:10.1097/eja.0000000000000382

Cited by 5 publications

(6 citation statements)

References 9 publications

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“…Urgent action is needed to reduce massive migration [14]. Still, we find that many of the obvious reasons for this transfer are mentioned by the trainees -excessive workload, pay gap, little perspective of professional progress -, all of which lead to an alarming proportion of 78% of trainees who plan to emigrate, most of them to Western Europe.…”

Section: Discussionmentioning

confidence: 96%

Anaesthesiology trainees and their needs: a Romanian perspective. Results from a European survey

Văleanu

Ştefan

Fernandes

et al. 2018

Rom J Anaesth Int Care

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Anaesthesiology training is going through continuous transformations worldwide. Recent data from a European Survey on anaesthesiology postgraduate trainees and their concerns have been published for the first time, following an initiative by the European Society of Anaesthesiology. Among the responders of this survey, 10.8% were represented by Romanian trainees. The main needs of the Romanian anaesthesiology trainees who completed the questionnaire were, in descending order educational contents/EDAIC, technical skills, exchange programmes, residency workload, residency costs and autonomy transition. Another observation coming from the analysed data is that Romanian anaesthesiologists in training are highly concerned and interested in the field of intensive care medicine. The results also pinpoint to the high costs associated with continuous medical education, leading to a high incentive for workforce migration.

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Section: Discussionmentioning

confidence: 96%

Anaesthesiology trainees and their needs: a Romanian perspective. Results from a European survey

Văleanu

Ştefan

Fernandes

et al. 2018

Rom J Anaesth Int Care

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“…This was possible because our tertiary center is not involved in the main local and regional emergency pathway but provides highly specialized expertise when requested [ 15 ]. Secondly, the local medical personnel are already accustomed to difficult and continuously changing logistic conditions [ 7 ].…”

Section: Discussionmentioning

confidence: 99%

“…From the anesthesiologists’ perspective, the Romanian healthcare system has a history of chronic personnel deficits [ 7 ]; it was confronted with several challenges during the first year of the COVID-19 pandemic. The anesthesiologists are also intensive care medicine physicians and are responsible for ICU management and care, like those in various countries worldwide.…”

Section: Introductionmentioning

confidence: 99%

COVID-19 Pandemic Was Associated with Lower Activity but Not Higher Perioperative Mortality in a Large Eastern European Center

et al. 2022

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Background Surges of critically ill patients can overwhelm hospitals during pandemic waves and disrupt essential surgical activity. This study aimed to determine whether hospital mortality increased during the COVID-19 pandemic and during pandemic waves. Material/Methods This was a retrospective analysis of a prospective, observational, epidemiological database. All patients who underwent surgery from January 1 to December 31, 2020, were included in the analysis. The setting was a large Eastern European Surgical Center referral center of liver transplant and liver surgery, a major center of abdominal surgery. Results A total of 1078 patients were analyzed, and this number corresponded to a reduction of surgical activity by 30% during the year 2020 compared with 2019. Despite an increase in surgery complexity during the pandemic, perioperative mortality was not different, and this was maintained during the pandemic wave. The pandemic (OR 1.45 [0.65–3.22], P =0.365) and the wave period (OR 0.897 [0.4–2], P =0.79) were not associated with hospital mortality in univariate analysis. In the multivariate model analysis, only the American Society of Anesthesiology (ASA) score (OR 5.815 [2.9–11.67], P <0.0001), emergency surgery (OR 5.066 [2.24–11.48], P <0.0001), and need for surgical reintervention (OR 5.195 [1.78–15.16], P =0.003) were associated with hospital mortality. Conclusions Despite considerable challenges, in this large retrospective cohort, perioperative mortality was similar to that of pre-pandemic practice. Efforts should be made to optimize personnel issues, while maintaining COVID-19-free surgical pathways, to adequately address patients’ surgical needs during the following waves of the pandemic.

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“…11 The Romanian ICUs already faced chronic pressure because of shortages of equipment, materials and medical personnel, and despite recent improvements and governmental efforts in funding mechanisms, it remains a relatively under-funded system. 11,12 In this fragile context, the impact of the SARS-Cov-2 pandemic on Romanian healthcare has not been evaluated. Reports of large cohorts of critically ill patients from Central and Eastern Europe are scarce.…”

Section: Introductionmentioning

confidence: 99%

Clinical characteristics and factors associated with ICU mortality during the first year of the SARS-Cov-2 pandemic in Romania

Bubenek-Turconi¹,

Andrei²,

Văleanu³

et al. 2022

European Journal of Anaesthesiology

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BACKGROUND The epidemiology of critically ill patients with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) may be different worldwide. Despite similarities in medicine quality and formation, there are also significant differences concerning healthcare and ICU organisation, staffing, financial resources and population compliance and adherence. Large cohort data of critically ill patients from Central and Eastern Europe are also lacking.OBJECTIVES The study objectives were to describe the clinical characteristics of patients admitted to Romanian ICUs with SARS-CoV-2 infection and to identify the factors associated with ICU mortality.

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Migration of skilled anaesthesiologists from low to high-income economies

Cited by 5 publications

References 9 publications

Anaesthesiology trainees and their needs: a Romanian perspective. Results from a European survey

Anaesthesiology trainees and their needs: a Romanian perspective. Results from a European survey

COVID-19 Pandemic Was Associated with Lower Activity but Not Higher Perioperative Mortality in a Large Eastern European Center

Clinical characteristics and factors associated with ICU mortality during the first year of the SARS-Cov-2 pandemic in Romania

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