Description, Organization, and Individual Postgraduate Perspectives of One Italian School of Anesthesia and Intensive Care
Abstract
:1. Introduction
Aims of the Study
2. Materials and Methods
3. Results
3.1. First Endpoint
3.2. Secondary Endpoint
4. Discussion
Strength and Limitations
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
Appendix A
Health Facility | Site | Disciplines | Type of Hospital |
---|---|---|---|
Policlinico Teaching Hospital | Modena, Italy | Anesthesia and Intensive Care | Main domain of school: Poly-specialist hospital and pediatric and maternal hospital |
Sant’Agostino Estense Public Hospital | Baggiovara (Modena), Italy | Anesthesia and Intensive Care | Main domain of school: Trauma Center and neuro critical care |
Bernardo Ramazzini Public Hospital | Carpi (Modena), Italy | Anesthesia and Intensive Care | Peripheral Spoke |
Santa Maria Nuova Public Hospital | Reggio Emilia, Italy | Anesthesia and Intensive Care | Principal hospital of Reggio Emilia, all disciplines excluded cardiac surgery |
Public Hospital | Guastalla (Reggio Emilia), Italy | Anesthesia and Intensive Care | Peripheral Spoke |
Health Facility | Site | Disciplines | Type of Hospital |
---|---|---|---|
Regina Margherita Public Hospital | Castelfranco Emilia (Modena), Italy | Chronic Pain Service | Chronic Pain Service |
Villa Salus Private Hospital | Reggio Emilia, Italy | Anesthesia and Intensive Care | Cardiac surgery Center |
Bellaria Public Hospital | Bologna, Italy | Anesthesia and Intensive Care | Neurocritical care Center |
Montecatone Rheabilitation Center Private hospital | Imola (Bologna), Italy | Post critcal care Rehabilitation | Post critical care rehabilitation |
118 Service | Modena, Italy | Pre-hospital emergency care | Pre-hospital emergency care |
School Program | Field | Mandatory or Optional | Year |
---|---|---|---|
General surgery | Anesthesia-Operating room | Mandatory | I-II and IV-V year |
Orthopedic surgery | Anesthesia-Operating room | Mandatory | I-II and IV-V year |
Obstetrician surgery | Anesthesia-Operating room | Mandatory | I-II and IV-V year |
Urology surgery | Anesthesia-Operating room | Mandatory | I-II year |
Otolaryngology surgery | Anesthesia-Operating room | Mandatory | I-II and IV-V year |
Oral Maxillo-surgery | Anesthesia-Operating room | Mandatory | I-II year |
Plastic Surgery | Anesthesia-Operating room | Mandatory | I-II year |
Endoscopic Gastroenterology | Anesthesia-Operating room | Mandatory | II-IV year |
Operative Radiology | Anesthesia-Operating room | Mandatory | II-IV year |
Post-operative Intensive Care | Intensive Care and Resuscitation | Mandatory | II and IV-V year |
School Program | Field | Mandatory or Optional | Year |
---|---|---|---|
Echo-cardio Lab | Transversal competence | Optional | III-IV year |
Radiology Unit | Transversal competence | Optional | III-IV year |
Nephrology Unit | Transversal competence | Optional | III-IV year |
Pediatric Surgery | Anesthesia-Operating room | Mandatory | III-IV year |
Vascular surgery | Anesthesia-Operating room | Mandatory | III-IV year |
Neurosurgery | Anesthesia-Operating room | Mandatory | III-IV year |
Cardiac Surgery | Anesthesia-Operating room | Optional | IV year |
Transplant Surgery | Anesthesia-Operating room | Optional | IV year |
Neurocritical care | Intensive Care and Resuscitation | Mandatory | IV year |
Pre-hospital emergency | Intensive Care and Resuscitation | Mandatory | IV year |
Chronic Pain Management | Pain Management | Mandatory | IV year |
Hyperbaric Therapy | Hyperbaric Therapy | Mandatory | IV-V year |
Abroad Experience | Transversal competence | Optional | IV-V year |
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Type of Hospital after 12 Months | I 2009–2014 | II 2010–2015 | III 2011–2016 | IV 2012–2017 | |
---|---|---|---|---|---|
Spoke hospital | 44.0% | 27.7% | 55.6% | 11% | |
Hub Hospital | 22.2% | 63.7% | 33.3% | 66.67% | |
Private Hospital | 33.0% | 9.09% | 11.1% | 22.2% | |
0.248 |
I 2009–2014 | II 2010–2015 | III 2011–2016 | IV 2012–2017 | p Value | |
---|---|---|---|---|---|
Post graduated difficulties were present? (Yes) | 11% | 0% | 0% | 0% | 0.317 |
Were all programs available to residents (No) | 25% | 18.8% | 0% | 0% | 0.177 |
Percentage of Satisfaction (Yes) | 88.89% | 100% | 90.91% | 88.89% | 0.736 |
Months/Observations (obs) | I 2009–2014 (9 obs) | II 2010–2015 (11 obs) | III 2011–2016 (11 obs) | IV 2012–2017 (9 obs) | p-Value |
---|---|---|---|---|---|
ORAUH (mean ± std. dev) | 29.4 ± 6.62 | 33.54 ± 5.78 | 27.81 ± 7.65 | 32.44 ± 5.70 | 0.188 |
IECUH (mean ± std. dev) | 18.22 ± 2.68 | 15.45 ± 2.46 | 15.18 ± 5.87 | 18.44 ± 5.44 | 0.103 |
School Network months (mean ± std. dev) | 7.55 ± 5.54 | 7.364 ± 4.22 | 9.18 ± 5.15 | 7.70 ± 3.86 | 0.769 |
Abroad Experience months (mean ± std. dev) | 3.70 ± 3.84 | 2.54 ± 3.01 | 1.90 ± 2.34 | 1.33 ± 6.64 | 0.429 |
Hub or Not | Odds. | St.Err. | t-Value | p-Value | [95% Conf | Interval] | Sig |
---|---|---|---|---|---|---|---|
IECUH | 1.459 | 0.226 | 2.44 | 0.015 | 1.077 | 1.977 | ** |
ORAUH | 1.189 | 0.103 | 1.99 | 0.047 | 1.002 | 1.409 | ** |
Time | 0.988 | 0.009 | −1.33 | 0.184 | 0.97 | 1.006 | |
Constant | 0 | 0 | −2.37 | 0.018 | 0 | 0.139 | ** |
Mean dependent var | 0.450 | SD Dependent var | 0.504 | ||||
Pseudo r-squared | 0.216 | Number of obs | 40 | ||||
Chi-square | 11.872 | Prob > chi2 | 0.008 | ||||
Akaike crit. (AIC) | 51.179 | Bayesian crit. (BIC) | 57.934 |
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Villani, M.; Lob, V.; Del Prete, A.; Guerra, E.; Chili, E.; Bertellini, E. Description, Organization, and Individual Postgraduate Perspectives of One Italian School of Anesthesia and Intensive Care. Int. J. Environ. Res. Public Health 2022, 19, 12645. https://doi.org/10.3390/ijerph191912645
Villani M, Lob V, Del Prete A, Guerra E, Chili E, Bertellini E. Description, Organization, and Individual Postgraduate Perspectives of One Italian School of Anesthesia and Intensive Care. International Journal of Environmental Research and Public Health. 2022; 19(19):12645. https://doi.org/10.3390/ijerph191912645
Chicago/Turabian StyleVillani, Matteo, Valentina Lob, Anna Del Prete, Emmanuele Guerra, Elisabetta Chili, and Elisabetta Bertellini. 2022. "Description, Organization, and Individual Postgraduate Perspectives of One Italian School of Anesthesia and Intensive Care" International Journal of Environmental Research and Public Health 19, no. 19: 12645. https://doi.org/10.3390/ijerph191912645