Current status and needs for changes in critical care training: the voice of the young cardiologists
Por:
Czerwinska-Jelonkiewicz, K, Montero, S, Baneras, J, Wood, A, Zeid, A, De Rosa, S, Guerra, F, Tica, O, Serrano, F, Bohm, A, Ahrens, I, Gierlotka, M, Masip, J, Bonnefoy, E, Lettino, M, Kirchhof, P, Sionis, A
Publicada:
1 ene 2021
Ahead of Print:
1 ene 2021
Resumen:
Aims The implementation of the 2013 European Society of Cardiology (ESC) Core Curriculum guidelines for acute cardiovascular care (acc) training among European countries is unknown. We aimed to evaluate the current status of acc training among cardiology trainees and young cardiologists (<40 years) from ESC countries.
Methods and results The survey (March-July 2019) asked about details of cardiology training, self-confidence in acc technical and nontechnical skills, access to training opportunities, and needs for further training in the field. Overall 614 young doctors, 31 (26-43) years old, 55% males were surveyed. Place and duration of acc training differed between countries and between centres in the same country. Although the majority of the respondents (91%) had completed their acc training, the average self-confidence to perform invasive procedures and to manage acc clinical scenarios was low-44% (27.3-70.4). The opportunities for simulation-based learning were scarce-18% (5.8-51.3), as it was previous leadership training (32%) and knowledge about key teamwork principles was poor (48%). The need for further acc training was high-81% (61.9-94.3). Male gender, higher level of training centres, professional qualifications of respondents, longer duration of acc/intensive care training, debriefings, and previous leadership training as well as knowledge about teamwork were related to higher self-confidence in all investigated aspects.
Conclusions The current cardiology training program is burdened by deficits in acc technical/non-technical skills, substantial variability in programs across ESC countries, and a clear gender-related disparity in outcomes. The forthcoming ESC Core Curriculum for General Cardiology is expected to address these deficiencies.
Filiaciones:
Czerwinska-Jelonkiewicz, K:
Andrzej Frycz Modrzewski Krakow Univ, Gustawa Herlinga Grudzinskiego 1, PL-30705 Krakow, Poland
Royal Brompton & Harefield NHS Fdn Trust, Harefield Hosp, Hill End Rd, London UB9 6JH, England
Montero, S:
Comenius Univ, Fac Med, Dept Internal Med, Bratislava, Slovakia
Univ Autonoma Barcelona, Dept Med, Placa Civica 08193 Bellaterra, Barcelona, Spain
Baneras, J:
Univ Autonoma Barcelona, Ctr Simulacio Clin Avancada VHISCA, Dept Cardiol, Acute Cardiovasc Care Unit, Vall dHebron Barcelona Hosp Campus 119, Barcelona 08035, Spain
Wood, A:
Univ Hosp Leicester, Leicester LE3 9QP, Leics, England
Zeid, A:
Maamoura Chest Hosp, Cardiol Dept, Alexandria, Egypt
De Rosa, S:
Magna Graecia Univ Catanzaro, Dept Med & Surg Sci, I-88100 Calabria, Italy
Guerra, F:
Marche Polytech Univ, Univ Hosp Osped Riuniti Umberto I Lancisi Salesi, Cardiol & Arrhythmol Clin, I-60121 Ancona, Italy
Tica, O:
Univ Oradea, Fac Med & Pharm, Med Discipline, 1st December Sq 10, Oradea, Romania
Serrano, F:
European Soc Cardiol, Sophia Antipolis, CS 80179, Biot, France
Bohm, A:
Natl Inst Cardiovasc Dis, Dept Acute Cardiol, Bratislava 83348 37, Slovakia
Ahrens, I:
Augustinerinnen Hosp, Cardiol & Med Intens Care, D-50678 Cologne, Germany
Gierlotka, M:
Univ Opole, Univ Hosp, Inst Med Sci, Dept Cardiol, Pl Kopernika 11a, PL-45040 Opole, Poland
Masip, J:
Consorci Sanitari Integral Univ Barcelona, Intens Care Dept, AVE JOSEP MOLINS 29-41, Barcelona 08906, Spain
Bonnefoy, E:
Univ Lyon 1, Cardiol Hosp Louis Pradel, Intens Cardiac Care Unit, Hosp Civils Lyon, F-69002 Lyon, France
Lettino, M:
San Gerardo Hosp, Cardiovasc Dept, ASST Monza, Via Pegolesi 33, I-20900 Monza, Italy
Kirchhof, P:
Univ Birmingham, Inst Cardiovasc Sci, Birmingham B15 2TT, W Midlands, England
UKE Hamburg, Univ Heart & Vasc Ctr, Martinistr 52, D-20246 Hamburg, Germany
Sionis, A:
Cardiol Dept, Intens Cardiac Care Unit, Hosp Santa Creu & St Pau, Carrer St Quinti 89, Barcelona 08041, Spain
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