Baidya Dalim Kumar, Ravikumar Rajathadri Hosur, Gurjar Mohan, Kothekar Amol Trimbakrao, Krishna Bhuvana
Department of Anesthesiology, Pain Medicine and Critical Care, All India Institute of Medical Sciences, New Delhi, India.
Department of Critical Care Medicine, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, India.
ATS Sch. 2024 Jul 25;5(3):408-419. doi: 10.34197/ats-scholar.2023-0081OC. eCollection 2024 Sep 30.
The 3-year training in the critical care medicine (CCM) specialty is a relatively new recognized program in India. This program has been run at a few premier institutes across India over the past few years.
The present study aimed to get a critical appraisal of the 3-year training program in CCM from the initial 50 trained Indian intensivists, regarding their research, publications, and self-perceived clinical training adequacy in the various areas of the CCM.
This was a prospective cross-sectional study. The list of participants (initial trainees who completed the course between 2015-2021) was compiled by contacting the respective teachers of the institutes that were permitted and recognized by the competent national authority to run a 3-year training course in CCM in India. A questionnaire was developed with questions related to demographic details; self-reports about clinical training program adequacy measured on the Likert scale; and their research area, publications, and current job profiles. After receipt of institutional ethics committee approval, responses from the participants were collected through Google Forms, which were sent through e-mails.
Responses were received from 51 of 62 participants. Among the 51, the majority were male (43; 84%), and their basic training was in anesthesiology (88%). All of them had conducted at least one mandatory research project; three-fourths were prospective observational. The main areas of research projects were cardiovascular (20%), followed by respiratory (18%), sepsis and infection (18%), and renal (14%). Only less than one-third reported being published in any PubMed-indexed journal, with most as a first authorship (93%). One-fourth to one-third of participants reported inadequate training in areas such as extracorporeal therapies and financial and administrative managerial skills in critical care, followed by cardiac and neurocritical care and research methodology. Eight (16%) underwent further training, including 6 from outside India.
The present study critically evaluated the 3-year training in the CCM from the perspective of trainees who completed the program in India; highlighting areas of inadequate training such as extracorporeal therapies and financial and administrative managerial skills. Participants reported concern about the training and allocated time for their research and getting it published in an indexed journal.
重症医学（CCM）专业的3年培训项目在印度是一个相对较新的认可项目。在过去几年里，该项目已在印度各地的一些顶尖机构开展。
本研究旨在从最初50名接受培训的印度重症医学专家的角度，对CCM的3年培训项目进行批判性评估，涉及他们的研究、发表情况以及对CCM各个领域自我感知的临床培训充分性。
这是一项前瞻性横断面研究。通过联系印度国家主管部门允许并认可开展CCM 3年培训课程的机构的各自教师，编制了参与者名单（2015年至2021年期间完成课程的初始学员）。设计了一份问卷，包含与人口统计学细节相关的问题；关于临床培训项目充分性的自我报告，采用李克特量表进行衡量；以及他们的研究领域、发表情况和当前工作概况。在获得机构伦理委员会批准后，通过谷歌表单收集参与者的回复，这些表单通过电子邮件发送。
62名参与者中有51人回复。在这51人中，大多数为男性（43人；84%），他们的基础培训是麻醉学（88%）。他们所有人都至少开展了一个强制性研究项目；四分之三是前瞻性观察性研究。研究项目的主要领域是心血管（20%），其次是呼吸（18%）、脓毒症和感染（18%）以及肾脏（14%）。只有不到三分之一的人报告在任何被PubMed索引的期刊上发表过文章，大多数是第一作者（93%）。四分之一到三分之一的参与者报告在体外治疗、重症监护中的财务和行政管理技能等领域培训不足，其次是心脏和神经重症监护以及研究方法。8人（16%）接受了进一步培训，其中6人来自印度境外。
本研究从在印度完成该项目的学员角度对CCM的3年培训进行了批判性评估；突出了培训不足的领域，如体外治疗以及财务和行政管理技能。参与者报告了对培训以及为他们的研究分配时间并在索引期刊上发表研究成果的担忧。
