Jaju Rishabh, Saxena Medhavi, Paliwal Naveen, Bihani Pooja, Tharu Vidya
Department of Anaesthesiology, AIIMS, Deoghar, Jharkhand, India.
Department of Anaesthesiology, AIIMS, Jodhpur, Rajasthan, India.
Saudi J Anaesth. 2022 Oct-Dec;16(4):452-456. doi: 10.4103/sja.sja_563_22. Epub 2022 Sep 3.
COVID-19 has caused tectonic changes in the personal and professional lives of anesthesiologists and, among several aspects, anesthesiology residency and sub-specialty training has also undergone an unforeseen overhaul. We read the articles published on the impact of COVID-19 on training of anesthesiologists and set out to extract and narrate all the significant observations. At the outset, we begin by explaining how this pandemic posed a threat to the safety of the residents and mitigating measures like PPE and barriers that have now become 'the new normal'. Sub-specialties like critical care, cardiac anesthesia, pain and palliative care have also faced difficulty in imparting training due to an initial dearth in elective surgery case load but have adapted innovative measures to overcome that. Initially, conducting thesis and research became difficult due to problems in achieving the desires sample size needed to get significant results, but this pandemic has emerged as a dynamic laboratory where topics like 'psychological impact of COVID-19' and 'development of artificial intelligence models in COVID -19 ICUs' came into the fore. Pattern of examination has also become virtual and webinars showed how knowledge, with the right medium, has the potential of global outreach. As the pandemic took a toll on the mental health of the residents, attention was paid to this previously neglected aspect and ensuring their emotional well-being became a priority to avoid the issue of burn-out. We comment on how what initially was considered a scary problem, actually paved way for growth. It brought attention to safety, innovation, new tools for training, finding solutions within constraints, continuing developing our residents into future leaders who were also trained for mitigating disasters. Changes like online education, research on socio-economic impact, priority to mental health and artificial intelligence are here to stay and by imbibing it, we ensure that 'the show must go on'.
新冠疫情给麻醉医生的个人和职业生涯带来了巨大变化,在多个方面,麻醉学住院医师培训和亚专业培训也经历了意想不到的全面改革。我们阅读了关于新冠疫情对麻醉医生培训影响的文章,并着手提炼和讲述所有重要的观察结果。首先,我们解释了这场疫情如何对住院医师的安全构成威胁,以及个人防护装备和屏障等缓解措施如何成为了“新常态”。重症监护、心脏麻醉、疼痛与姑息治疗等亚专业,由于择期手术病例量最初不足,在提供培训方面也面临困难,但已采取创新措施来克服这一问题。起初,由于难以达到获得显著结果所需的理想样本量,开展论文和研究变得困难,但这场疫情已成为一个充满活力的实验室,“新冠疫情的心理影响”和“新冠重症监护病房人工智能模型的开发”等主题脱颖而出。考试模式也变成了线上进行,网络研讨会展示了知识借助合适的媒介,具有全球传播的潜力。由于疫情对住院医师的心理健康造成了影响,人们开始关注这一此前被忽视的方面,确保他们的情绪健康成为避免职业倦怠问题的首要任务。我们评论了最初被视为可怕问题的疫情,实际上如何为发展铺平了道路。它让人们关注安全、创新、新的培训工具、在限制条件内寻找解决方案,持续将我们的住院医师培养成未来的领导者,这些领导者也要接受应对灾难的培训。在线教育、社会经济影响研究、心理健康和人工智能优先等变化将持续存在,通过接受这些变化,我们确保“演出必须继续”。