Impact of the COVID-19 Pandemic on U.S. Pulmonary and Critical Care Medicine Fellowship Training

Matta, Atul; Adamson, Rosemary; Hayes, Margaret M.; Carmona, Hugo; Soffler, Morgan; Benzaquen, Sadia; Gupta, Ena

doi:10.34197/ats-scholar.2021-0067oc

Cited by 10 publications

(12 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Themes 1 and 2 suggest the need for focused and proactive assessment of trainee needs with regard to perceived gaps in skill, knowledge, and career development. Recent survey studies report a more global decrease in pulmonary training, an increase in critical care training opportunities, decreased supervision, and reductions in didactic learning ( 7 , 8 ). Our qualitative study emphasizes that gaps are highly individualized and vary from trainee to trainee and depend on ultimate trainee career goals.…”

Section: Discussionmentioning

confidence: 99%

“…A global survey including critical care trainees reported primarily on the perceived negative impact on curricular aspects of training ( 8 ). Another survey of pulmonary and critical care medicine (PCCM) program directors highlighted less exposure to outpatient medicine and bronchoscopy ( 7 ). Few groups have systematically addressed the multidimensional impact of this pandemic on critical care trainees with regard to their professional and personal lives, career development, and well-being.…”

mentioning

confidence: 99%

See 1 more Smart Citation

Evolving Needs of Critical Care Trainees during the COVID-19 Pandemic: A Qualitative Study

et al. 2022

View full text Add to dashboard Cite

Background Critical care trainees were integral in the coronavirus disease (COVID-19) pandemic response. Several perspective pieces have provided insight into the pandemic’s impact on critical care training. Surveys of program directors and critical care trainees have focused on curricular impact. There is a lack of data from the trainee perspective on curricular enhancements, career development, and emotional and well-being needs to succeed in a critical care career in the ongoing COVID-19 pandemic. Objective Our objective was to elicit perspectives from critical care trainees on their personal and professional needs as they continue to serve in the COVID-19 pandemic. Methods This was a hypothesis-generating qualitative study. Individuals in a U.S. critical care training program during the COVID-19 pandemic participated in either focus groups or semistructured interviews. Interviews were conducted between July 2020 and March 2021 until data saturation was achieved. Audio recordings were professionally transcribed and analyzed using qualitative content analysis. A codebook was generated by two independent coders, with a third investigator reconciling codes when there were discrepancies. Themes and subthemes were identified from these codes. Results Thirteen participants were interviewed. The major themes identified were as follows: 1 ) Curricular adaptation is necessary to address evolving changes in trainee needs; 2 ) COVID-19 impacted career development and highlighted that trainees need individualized help to meet their goals; 3 ) receiving social support at work from peers and leaders is vital for the sustained well-being of trainees; 4 ) fostering and maintaining a sense of meaning and humanity in one’s work is important; and 5 ) trainees desire assistance and support to process their emotions and experiences. Conclusion The needs expressed by critical care trainees are only partially captured in conceptual models of physician well-being. The need for multilevel workplace social networks and identifying meaning in one’s work have been magnified in this pandemic. The themes discussing curricular gaps, career development needs, and skills to process work-related trauma are less well captured in preexisting conceptual models and point to areas where further research and intervention development are needed.

show abstract

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

Evolving Needs of Critical Care Trainees during the COVID-19 Pandemic: A Qualitative Study

et al. 2022

View full text Add to dashboard Cite

show abstract

“… [54] A different survey outlined the effect of contagion issues in certain fellowship programs (i.e., bronchoscopy and outpatient clinics), while some core aspects of critical care training, such as central venous and arterial line catheterizations, were enhanced. [55] …”

Section: Obstacles In Training In Icmmentioning

confidence: 99%

The future of training in intensive care medicine: A European perspective

Makris¹,

Tsolaki²,

Robertson³

et al. 2023

Journal of Intensive Medicine

View full text Add to dashboard Cite

“…The coronavirus disease 2019 (COVID-19) pandemic has had a significant impact on critical care medicine, with approximately 5-20% of patients becoming critically ill and requiring intensive care monitoring [ 1 ]. This scenario led to drastic changes in the education and teaching of fellow experience.…”

Section: Introductionmentioning

confidence: 99%

“…This scenario led to drastic changes in the education and teaching of fellow experience. According to a study by Matta A et al., there was a significant decrease in outpatient pulmonary medicine (bronchoscopies, pulmonary function tests) with a universal increase in inpatient critical care medicine (chest tubes, extracorporeal membrane oxygenation (ECMO)) [ 1 ].…”

Section: Introductionmentioning

confidence: 99%

Evaluation of Online Critical Care Fellowship Programs

Donenfeld¹,

Basnet²,

Clemen³

et al. 2023

Cureus

View full text Add to dashboard Cite

BackgroundThe objective of this study was to assess the accessibility and content of the critical care fellowship websites provided on the Electronic Residency Application Services (ERAS) website. MethodsUsing the online information provided by ERAS, we compiled a list of Accreditation Council for Graduate Medical Education (ACGME)-accredited critical care fellowship programs. Each of the links provided by ERAS was evaluated by a standard search on Google as follows: the program name + "critical care fellowship". After assembling the working links, those websites were subsequently evaluated based on the program description, application process, and educational content. ResultsWe reviewed 59 critical care fellowship programs that were obtained from ERAS. Of the 59 programs, one retracted its participation and was not included in the study, and six other programs were excluded due to repeated links on ERAS, nonworking links, and websites without any content. We analyzed the data collected from the remaining 52 programs. Our data shows a general lack of information being provided to prospective critical care candidates. ConclusionsERAS is a major source of information for prospective fellows looking for critical care fellowships in the current match. Unfortunately, the majority of the programs evaluated lack substantial information for prospective candidates. Despite many websites containing adequate information regarding program descriptions, there was a lack of information regarding the application process and educational activities.

show abstract

Impact of the COVID-19 Pandemic on U.S. Pulmonary and Critical Care Medicine Fellowship Training

Cited by 10 publications

References 16 publications

Evolving Needs of Critical Care Trainees during the COVID-19 Pandemic: A Qualitative Study

Evolving Needs of Critical Care Trainees during the COVID-19 Pandemic: A Qualitative Study

The future of training in intensive care medicine: A European perspective

Evaluation of Online Critical Care Fellowship Programs

Contact Info

Product

Resources

About