Brazilian Journal of Anesthesiology
https://app.periodikos.com.br/journal/rba/article/doi/10.1016/j.bjane.2018.04.003
Brazilian Journal of Anesthesiology
Scientific Article

Evaluation of a Brazilian's cardiovascular anesthesia fellowship by its former trainees

Avaliação do programa de aprimoramento em anestesia cardiovascular por seus ex-estagiários

Sávio Cavalcante Passos; Adriene Stahlschmidt; Carolina Baeta Neves Duarte Ferreira; João Henrique Zucco Viesi; Indara Mattei Dornelles; Caetano Nigro Neto

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Abstract

Abstract Background: After advancement of cardiovascular surgery, there is also exponential development of anesthetic techniques in this field. Patients with increasing clinical complexity challenge cardiac anesthesiologists to keep constantly updated. An evaluation of Brazilian's cardiovascular anesthesia fellowship at Dante Pazzanese Institute of Cardiology has been made and information has been collected to evaluate the fellowship program in cardiovascular anesthesia. Method: Target participants were made up of former fellowships, contacted via e-mail containing an invitation to voluntarily participate. Explanation of the survey's purpose was provided. This communication was signed by the authors and contained a hyperlink to the survey, which was constructed on and hosted on a web platform. The survey was composed of 10 objectives questions designed to describe training and subsequent career. Results: The adjusted survey response rate was 71%. Two-thirds of respondents agreed that fellowship training provided them an advantage in the job market and 93% of respondents currently work with cardiac anesthesia. At least 87% of participants would recommend the course to other anesthesiologists. Conclusion: Fellowship graduates judge their technical training as excellent and incorporated the knowledge acquired in their daily practice. However, there are improvements to be made. We believe this document may be useful as a reference for other institutions to develop their own cardiovascular anesthesia fellowship programs.

Keywords

Cardiovascular anesthesia, Fellowships, Medical education

Resumo

Resumo Justificativa: Com o avanço da cirurgia cardiovascular nos últimos anos, houve também um desenvolvimento exponencial das técnicas anestésicas. Pacientes com complexidade clínica crescente desafiam os anestesiologistas cardíacos a se manterem constantemente atualizados. Uma avaliação do programa de aprimoramento em anestesia cardiovascular brasileira do Instituto Dante Pazzanese de Cardiologia foi feita e informações foram coletadas para avaliar o programa. Método: Os participantes-alvo eram formados por ex-aprimorandos, contatados via e-mail com um convite para participação voluntária. A explicação do objetivo da pesquisa foi fornecida. Essa comunicação foi assinada pelos autores e continha um link para a pesquisa, que foi construída e hospedada em uma plataforma web. A pesquisa foi composta por 10 questões objetivas destinadas a descrever o treinamento e a carreira subsequente. Resultados: A taxa de resposta ajustada para a pesquisa foi de 71%. Dois terços dos entrevistados concordaram que o treinamento do programa lhes proporcionou uma vantagem no mercado de trabalho e 93% dos entrevistados trabalham atualmente com anestesia cardíaca. Pelo menos 87% dos participantes recomendariam o curso a outros anestesiologistas. Conclusão: Os graduados do programa de aprimoramento julgam sua formação técnica como excelente e incorporaram os conhecimentos adquiridos em sua prática diária. No entanto, há melhorias a serem feitas. Acreditamos que este documento possa ser útil como referência para outras instituições desenvolverem seus próprios programas de aprimoramento em anestesia cardiovascular.

Palavras-chave

Anestesia cardiovascular, Bolsas de estudo, Educação médica

References

Gibbon JJ. The development of the heart-lung apparatus. Am J Surg. 1978;135:608-19.

Nagre AS. The rise of cardiac anesthesia!. Anaesth Pain Intensive Care. 2016;20:15-6.

Accreditation Council for Graduate Medical Education (ACGME) program requirements for graduate medical education in adult cardiothoracic anesthesiology. .

Feneck R, Jakobsen CJ, Ranucci M. Consensus Document of the European Society of Anaesthesiology (ESA) and the European Association of Cardiothoracic Anaesthesiology (EACTA) for European education and training in anaesthesia for cardiothoracic and major vascular surgery. A proposal for accreditation of educational and training programmes. .

Memtsoudis SG, Mazumdar M, Stundner O. Perioperative research fellowship. Reg Anesth Pain Med. 2014;39:363-7.

Neal JM, Liguori GA, Hargett MJ. The training and careers of regional anesthesiology and acute pain medicine fellows, 2013. Reg Anesth Pain Med. 2015;40:218-22.

Khan J, Gilbert J, Sharma A. Perspectives of anesthesia residents training in Canada on fellowship training, research, and future practice location. Can J Anaesth. 2015;62:956-63.

Desjardins G, Cahalan MK. Subspecialty accreditation: is being special good?. Curr Opin Anaesthesiol. 2007;20:572-5.

Glance LG, Kellermann AL, Hannan EL. The impact of anesthesiologists on coronary artery bypass graft surgery outcomes. Anesth Analg. 2015;120:526-33.

Landoni G, Augoustides JG, Guarracino F. Mortality reduction in cardiac anesthesia and intensive care: results of the first International Consensus Conference. Acta Anaesthesiol Scand. 2011;55:259-66.

Swaminathan M, Glas KE, Heller L. Mission possible: successful careers in adult cardiothoracic anesthesiology - what I wish I had known in the first 5 years after fellowship. J Cardiothorac Vasc Anesth. 2017;31:321-8.

Salgado Filho MF. Intraoperative echocardiography guidelines in Brazil - is it time for a task force?. Rev Bras Anestesiol. 2017;67:318-20.

Bose R, Matyal R, Panzica P. Transesophageal echocardiography simulator: a new learning tool. J Cardiothorac Vasc Anesth. 2009;23:544-8.

Auler JOC, Moraes A, Pereira J. Monitorização intraoperatória com ecocardiograma transesofágico durante aneurismectomia do ventrículo esquerdo. Rev Bras Anestesiol. 1994;44:144.

Application for Certification Basic Perioperative Transesophageal Echocardiography (Basic PTEeXAM) - certification requirements and application. .

European Society of Cardiology (ESC) and European Association of Cardiovascular Imaging (EACVI). .

Burmeister LF. Principles of successful sample surveys. Anesthesiology. 2003;99:1251-2.

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