Impact of the COVID-19 pandemic on anaesthesia trainees and their training.

Journal: British journal of anaesthesia

Volume: 125

Issue: 4

Year of Publication: 2020

Affiliated Institutions:  Peninsula Medical School, University of Plymouth, Plymouth, UK. Electronic address: robert.sneyd@pms.ac.uk. Department of Anaesthesia, University Hospitals Plymouth NHS Trust, Plymouth, UK. Department of Anaesthesia, St James' Hospital, Dublin, Ireland. Department of Anaesthesiology, Queen Mary Hospital, Hong Kong; Department of Anaesthesiology, University of Hong Kong, Hong Kong. Department of Anaesthesia, St Vincent's University Hospital, Dublin, Ireland. Department of Anaesthesia, Alfred Hospital, Melbourne, Australia. Department of Anesthesia, Pontificia Universidad Catolica de Chile, Santiago, Chile. Department of Education, Training and Examinations, Royal College of Anaesthetists, London, UK. Department of Anesthesiology, University of Texas Health Science Centre at Houston, Houston, TX, USA. Department of Anaesthesia and Critical Care, Nelson R. Mandela School of Medicine, University of KwaZulu-Natal, Durban, South Africa.

Abstract summary 

Coronavirus disease 2019 (COVID-19; severe acute respiratory syndrome coronavirus 2 [SARS-CoV-2] has dislocated clinical services and postgraduate training. To better understand and to document these impacts, we contacted anaesthesia trainees and trainers across six continents and collated their experiences during the pandemic. All aspects of training programmes have been affected. Trainees report that reduced caseload, sub-specialty experience, and supervised procedures are impairing learning. Cancelled educational activities, postponed examinations, and altered rotations threaten progression through training. Job prospects and international opportunities are downgraded. Work-related anxieties about provision of personal protective equipment, and risks to self and to colleagues are superimposed on concerns for family and friends and domestic disruption. These seismic changes have had consequences for well-being and mental health. In response, anaesthetists have developed innovations in teaching and trainee support. New technologies support trainer-trainee interactions, with a focus on e-learning. National training bodies and medical regulators that specify training and oversee assessment of trainees and their progression have provided flexibility in their requirements. Within anaesthesia departments, support transcends grades and job titles with lessons for the future. Attention to wellness, awareness of mental health issues and multimodal support can attenuate but not eliminate trainee distress.

Authors & Co-authors:  Sneyd John R JR Mathoulin Sophie E SE O'Sullivan Ellen P EP So Vincent C VC Roberts Fiona R FR Paul Aaron A AA Cortinez Luis I LI Ampofo Russell S RS Miller Caitlynn J CJ Balkisson Maxine A MA

Study Outcome 

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Statistics
Citations :  Myles P.S., Maswime S. Mitigating the risks of surgery during the COVID-19 pandemic. Lancet. 2020;296:2–3. doi: 10.1016/S0140-6736(20)31256-3.
Authors :  10
Identifiers
Doi : 10.1016/j.bja.2020.07.011
SSN : 1471-6771
Study Population
Male,Female
Mesh Terms
Anesthesiology
Other Terms
COVID-19;SARS-CoV-2;anaesthesia;medical education;mental health;postgraduate medical education;training;well-being
Study Design
Cross Sectional Study
Study Approach
Country of Study
Publication Country
England