The Fellowship Experience in Adult Cardiothoracic Anesthesiology—Strategies for Applicants and Fellows to Navigate the Coronavirus Crisis

Feinman, Jared W.; Roberts, Monique L.; Al-Ghofaily, Lourdes; Adenwala, Adam Y.; Augoustides, John

doi:10.1053/j.jvca.2020.04.057

Cited by 5 publications

(3 citation statements)

References 36 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…We have previously reported – similarly to others - that some of the CTVA fellows were required to take over the direct care of COVID-19 patients in the Intensive Care Unit (ICU) while their original duties caring for patients undergoing cardiothoracic and vascular surgeries and interventions could not be completed as per the requirements of the EACTAIC CTVA Fellowship Curriculum. 3 , 4 We also reported that during the first wave of the COVID-19 pandemic, EACTAIC fellowship program directors stated that training of their fellows was interrupted in 55.6% of the hosting centers. 3 Consequently, a significant proportion of fellows were unable to meet the required basic and advanced rotations in cardiothoracic and vascular anesthesia.…”

Section: Introductionmentioning

confidence: 86%

“…At level 3, the response to the pandemic overtaxes the contingency planning and reserves of the fellowship program with a moderate to severe interruption of the everyday activities of the community, leading to the suspension of the program. 4 The negative impact of the pandemic on the continuity of the formal training of the fellowships is likely to be prolonged in the case of subsequent waves.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Challenges in the Cardiothoracic and Vascular Anesthesia Fellowship Program Since the Coronavirus Disease 2019 (COVID-19) Pandemic: An Electronic Survey on Potential Solutions

El-Tahan

Wilkinson

Huber

et al. 2022

Journal of Cardiothoracic and Vascular Anesthesia

View full text Add to dashboard Cite

Objective We 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 (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 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, we assessed the peri-operative 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 We collected 193 responses from 54 countries. 82.4% of respondents reported cancelling or postponing elective cases during the first wave. Of the respondents, 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, deployment of anesthesiologists to intensive care units, involvement of anesthesiologists in perioperative care for COVID-19 patients, and interruption of educational activities and trainees’ assessments. There is some consensus on suggested solutions for mitigation of the interruption in fellowship training.

show abstract

Section: Introductionmentioning

confidence: 86%

Section: Introductionmentioning

confidence: 99%

Challenges in the Cardiothoracic and Vascular Anesthesia Fellowship Program Since the Coronavirus Disease 2019 (COVID-19) Pandemic: An Electronic Survey on Potential Solutions

El-Tahan

Wilkinson

Huber

et al. 2022

Journal of Cardiothoracic and Vascular Anesthesia

View full text Add to dashboard Cite

show abstract

“…The Accreditation Council for Graduate Medical Education issued methods and strategies to cope with the altered educational landscape created by COVID-19. [5][6][7] In the view of the authors of the present article, the following proposed (still theoretical) measures could help take the pressure off both fellows and hosting centers concerned about fulfilling the fellowship requirements (Fig 2). They will be discussed further by the EACTA Educational Committee and the Directory Board.…”

Section: Potential Measures To Help Fellows Cope With the Interruption Of Their Fellowship Programmentioning

confidence: 99%

Interruption of the European Association of Cardiothoracic Anaesthesiology (EACTA) Fellowship Program During the Coronavirus Disease 2019 Pandemic: Consequences and Solutions

El-Tahan

Schreiber

Diprose

et al. 2020

Journal of Cardiothoracic and Vascular Anesthesia

View full text Add to dashboard Cite

This article discusses the impact of the COVID-19 pandemic on the EACTA fellowship program. The authors present three points that in their view are important and give cause for concern because they could make it difficult or impossible to achieve the original goals of the fellowship program. Corresponding points are discussed and possible solutions are presented. An implementation in the fellowship curriculum is planned.

show abstract

Maximizing the Calm before the Storm: Tiered Surgical Response Plan for Novel Coronavirus (COVID-19)

Ross

Lauer

Miles

et al. 2020

Journal of the American College of Surgeons

108

100

View full text Add to dashboard Cite

The novel coronavirus (COVID-19) was first diagnosed in Wuhan, China in December 2019 and has now spread throughout the world, being verified by the World Health Organization as a pandemic on March 11. This had led to the calling of a national emergency on March 13 in the US. Many hospitals, healthcare networks, and specifically, departments of surgery, are asking the same questions about how to cope and plan for surge capacity, personnel attrition, novel infrastructure utilization, and resource exhaustion. Herein, we present a tiered plan for surgical department planning based on incident command levels. This includes acute care surgeon deployment (given their critical care training and vertically integrated position in the hospital), recommended infrastructure and transfer utilization, triage principles, and faculty, resident, and advanced care practitioner deployment.

show abstract

The Fellowship Experience in Adult Cardiothoracic Anesthesiology—Strategies for Applicants and Fellows to Navigate the Coronavirus Crisis

Cited by 5 publications

References 36 publications

Challenges in the Cardiothoracic and Vascular Anesthesia Fellowship Program Since the Coronavirus Disease 2019 (COVID-19) Pandemic: An Electronic Survey on Potential Solutions

Challenges in the Cardiothoracic and Vascular Anesthesia Fellowship Program Since the Coronavirus Disease 2019 (COVID-19) Pandemic: An Electronic Survey on Potential Solutions

Interruption of the European Association of Cardiothoracic Anaesthesiology (EACTA) Fellowship Program During the Coronavirus Disease 2019 Pandemic: Consequences and Solutions

Maximizing the Calm before the Storm: Tiered Surgical Response Plan for Novel Coronavirus (COVID-19)

Contact Info

Product

Resources

About