Evidence map›Paper›PMID 39917424›Full record

ArticleEuropean journal of anaesthesiology and intensive care2024

Challenges in professional development of anaesthesiology trainees: A cross-sectional survey by the European Society of Anaesthesiology and Intensive Care Trainee Committee.

Olivia Dow, Antonia Kustura, Yotam Lior, Joana Berger-Estilita, Diogo Morais, Stefan De Hert, Igor Abramovich

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Article in European journal of anaesthesiology and intensive care, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Olivia DowFrom the Royal Surrey NHS Foundation Trust, Guildford, UK (OD), Division of Anaesthesiology, Intensive Care and Pain Medicine, Sestre milosrdnice University Hospital Centre, Zagreb, Croatia (AK), Division of Anaesthesia, Intensive Care, and Pain Management, Tel Aviv Medical Centre, Faculty of Medicine, Tel-Aviv University, Tel-Aviv, Israel (YL), Institute for Medical Education, University of Bern (JB-E), Institute of Anaesthesiology and Intensive Care, Salemspital, Hirslanden Medical Group, Bern, Switzerland (JB-E), CINTESIS@RISE, Centre for Health Technology and Services Research, Faculty of Medicine, University of Porto, Porto, Portugal (JB-E), Department of Anaesthesiology, Centro Hospitalar De Trás-Os-Montes E Alto Douro, Villa Real, Portugal (DM), Department of Anaesthesiology and Peri-operative Medicine, Ghent University Hospital (SDH), Department of Basic and Applied Sciences, Ghent University, Ghent, Belgium (SDH) and Department of Anaesthesiology and Intensive Care Medicine (CCM, CVK), Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt Universität zu Berlin and Berlin Institute of Health, Berlin, Germany (IA).
Antonia KusturaFrom the Royal Surrey NHS Foundation Trust, Guildford, UK (OD), Division of Anaesthesiology, Intensive Care and Pain Medicine, Sestre milosrdnice University Hospital Centre, Zagreb, Croatia (AK), Division of Anaesthesia, Intensive Care, and Pain Management, Tel Aviv Medical Centre, Faculty of Medicine, Tel-Aviv University, Tel-Aviv, Israel (YL), Institute for Medical Education, University of Bern (JB-E), Institute of Anaesthesiology and Intensive Care, Salemspital, Hirslanden Medical Group, Bern, Switzerland (JB-E), CINTESIS@RISE, Centre for Health Technology and Services Research, Faculty of Medicine, University of Porto, Porto, Portugal (JB-E), Department of Anaesthesiology, Centro Hospitalar De Trás-Os-Montes E Alto Douro, Villa Real, Portugal (DM), Department of Anaesthesiology and Peri-operative Medicine, Ghent University Hospital (SDH), Department of Basic and Applied Sciences, Ghent University, Ghent, Belgium (SDH) and Department of Anaesthesiology and Intensive Care Medicine (CCM, CVK), Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt Universität zu Berlin and Berlin Institute of Health, Berlin, Germany (IA).
Yotam LiorFrom the Royal Surrey NHS Foundation Trust, Guildford, UK (OD), Division of Anaesthesiology, Intensive Care and Pain Medicine, Sestre milosrdnice University Hospital Centre, Zagreb, Croatia (AK), Division of Anaesthesia, Intensive Care, and Pain Management, Tel Aviv Medical Centre, Faculty of Medicine, Tel-Aviv University, Tel-Aviv, Israel (YL), Institute for Medical Education, University of Bern (JB-E), Institute of Anaesthesiology and Intensive Care, Salemspital, Hirslanden Medical Group, Bern, Switzerland (JB-E), CINTESIS@RISE, Centre for Health Technology and Services Research, Faculty of Medicine, University of Porto, Porto, Portugal (JB-E), Department of Anaesthesiology, Centro Hospitalar De Trás-Os-Montes E Alto Douro, Villa Real, Portugal (DM), Department of Anaesthesiology and Peri-operative Medicine, Ghent University Hospital (SDH), Department of Basic and Applied Sciences, Ghent University, Ghent, Belgium (SDH) and Department of Anaesthesiology and Intensive Care Medicine (CCM, CVK), Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt Universität zu Berlin and Berlin Institute of Health, Berlin, Germany (IA).
Joana Berger-EstilitaFrom the Royal Surrey NHS Foundation Trust, Guildford, UK (OD), Division of Anaesthesiology, Intensive Care and Pain Medicine, Sestre milosrdnice University Hospital Centre, Zagreb, Croatia (AK), Division of Anaesthesia, Intensive Care, and Pain Management, Tel Aviv Medical Centre, Faculty of Medicine, Tel-Aviv University, Tel-Aviv, Israel (YL), Institute for Medical Education, University of Bern (JB-E), Institute of Anaesthesiology and Intensive Care, Salemspital, Hirslanden Medical Group, Bern, Switzerland (JB-E), CINTESIS@RISE, Centre for Health Technology and Services Research, Faculty of Medicine, University of Porto, Porto, Portugal (JB-E), Department of Anaesthesiology, Centro Hospitalar De Trás-Os-Montes E Alto Douro, Villa Real, Portugal (DM), Department of Anaesthesiology and Peri-operative Medicine, Ghent University Hospital (SDH), Department of Basic and Applied Sciences, Ghent University, Ghent, Belgium (SDH) and Department of Anaesthesiology and Intensive Care Medicine (CCM, CVK), Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt Universität zu Berlin and Berlin Institute of Health, Berlin, Germany (IA).
Diogo MoraisFrom the Royal Surrey NHS Foundation Trust, Guildford, UK (OD), Division of Anaesthesiology, Intensive Care and Pain Medicine, Sestre milosrdnice University Hospital Centre, Zagreb, Croatia (AK), Division of Anaesthesia, Intensive Care, and Pain Management, Tel Aviv Medical Centre, Faculty of Medicine, Tel-Aviv University, Tel-Aviv, Israel (YL), Institute for Medical Education, University of Bern (JB-E), Institute of Anaesthesiology and Intensive Care, Salemspital, Hirslanden Medical Group, Bern, Switzerland (JB-E), CINTESIS@RISE, Centre for Health Technology and Services Research, Faculty of Medicine, University of Porto, Porto, Portugal (JB-E), Department of Anaesthesiology, Centro Hospitalar De Trás-Os-Montes E Alto Douro, Villa Real, Portugal (DM), Department of Anaesthesiology and Peri-operative Medicine, Ghent University Hospital (SDH), Department of Basic and Applied Sciences, Ghent University, Ghent, Belgium (SDH) and Department of Anaesthesiology and Intensive Care Medicine (CCM, CVK), Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt Universität zu Berlin and Berlin Institute of Health, Berlin, Germany (IA).
Stefan De HertFrom the Royal Surrey NHS Foundation Trust, Guildford, UK (OD), Division of Anaesthesiology, Intensive Care and Pain Medicine, Sestre milosrdnice University Hospital Centre, Zagreb, Croatia (AK), Division of Anaesthesia, Intensive Care, and Pain Management, Tel Aviv Medical Centre, Faculty of Medicine, Tel-Aviv University, Tel-Aviv, Israel (YL), Institute for Medical Education, University of Bern (JB-E), Institute of Anaesthesiology and Intensive Care, Salemspital, Hirslanden Medical Group, Bern, Switzerland (JB-E), CINTESIS@RISE, Centre for Health Technology and Services Research, Faculty of Medicine, University of Porto, Porto, Portugal (JB-E), Department of Anaesthesiology, Centro Hospitalar De Trás-Os-Montes E Alto Douro, Villa Real, Portugal (DM), Department of Anaesthesiology and Peri-operative Medicine, Ghent University Hospital (SDH), Department of Basic and Applied Sciences, Ghent University, Ghent, Belgium (SDH) and Department of Anaesthesiology and Intensive Care Medicine (CCM, CVK), Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt Universität zu Berlin and Berlin Institute of Health, Berlin, Germany (IA).
Igor AbramovichFrom the Royal Surrey NHS Foundation Trust, Guildford, UK (OD), Division of Anaesthesiology, Intensive Care and Pain Medicine, Sestre milosrdnice University Hospital Centre, Zagreb, Croatia (AK), Division of Anaesthesia, Intensive Care, and Pain Management, Tel Aviv Medical Centre, Faculty of Medicine, Tel-Aviv University, Tel-Aviv, Israel (YL), Institute for Medical Education, University of Bern (JB-E), Institute of Anaesthesiology and Intensive Care, Salemspital, Hirslanden Medical Group, Bern, Switzerland (JB-E), CINTESIS@RISE, Centre for Health Technology and Services Research, Faculty of Medicine, University of Porto, Porto, Portugal (JB-E), Department of Anaesthesiology, Centro Hospitalar De Trás-Os-Montes E Alto Douro, Villa Real, Portugal (DM), Department of Anaesthesiology and Peri-operative Medicine, Ghent University Hospital (SDH), Department of Basic and Applied Sciences, Ghent University, Ghent, Belgium (SDH) and Department of Anaesthesiology and Intensive Care Medicine (CCM, CVK), Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt Universität zu Berlin and Berlin Institute of Health, Berlin, Germany (IA).

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe coronavirus disease (COVID-19) pandemic disrupted training in anaesthesiology. The global shortage of healthcare workers has also negatively affected training opportunities.

objectiveTo evaluate the current experiences, challenges and professional development of anaesthesiology trainees across Europe.

designAn online cross-sectional survey of anaesthesiology trainees.

participantsAnaesthesiology trainees from the 42 European Society of Anaesthesiology and Intensive Care (ESAIC)-affiliated countries.

main outcome measuresQuality of training supervision and program structure; the impact of COVID-19 on training and practical learning, trainee support systems, financial challenges and professional development, involvement in the ESAIC Exchange Program and career mobility insights.

resultsSeven hundred and seventy-one participants from 35 ESAIC-affiliated European countries highlighted several aspects of anaesthesiology training. Approximately 30.5% of trainees reported being able to independently anaesthetise patients with ASA class 1 and 2 within 3 months, whereas independence for ASA 3 and 4 patients under indirect supervision was achieved by 24.3% between 6 and 9 months. Half of the respondents attained an independent working capacity in the ICU after 1.5 years. Although 51.3% reported receiving adequate training and supervision, only 30.1% received employer financial support for educational activities. The COVID-19 pandemic led to 40.2% being redeployed, primarily to ICUs, with 45.2% experiencing negative training effects. Career-wise, 12.5% engaged in international exchange programs, and 49.1% considered relocating for better career opportunities and work-life balance.

conclusionThe findings provide valuable insights into the current state of anaesthesiology training in Europe, highlighting the need for adaptive strategies in medical education and training to meet evolving challenges and ensure continual professional growth.

Identifiers

PMID39917424
PMCPMC11798376

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