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Current Opinion in Anaesthesiology Apr 2020Predatory publishing poses a serious educational end ethical threat to the credibility of science. The aim of this review is to discuss the main features of this... (Review)
Review
PURPOSE OF REVIEW
Predatory publishing poses a serious educational end ethical threat to the credibility of science. The aim of this review is to discuss the main features of this deceptive open-access model, its potential consequences and relevance for the whole scientific community.
RECENT FINDINGS
Recent reports showed that scholars and clinicians from all research fields, including anesthesiology, are facing an alarming invasion of predatory journals and, more recently, fake conferences. This review discusses key elements of these phenomena and proposes countermeasures to tackle the problem.
SUMMARY
Predatory journals and conferences are two sides of the same coin. As here reviewed, their deceptive practices have negative implications for scientists and clinicians, both educational and ethical. These range from publication of experimental data that are unreliable and poorly verified to inflated curricula and 'doped' academic careers. Because clinical practice is heavily based on research data, a solution is needed to ultimately ensure patients' safety.
Topics: Anesthesiology; Congresses as Topic; Deception; Humans; Periodicals as Topic; Publishing
PubMed: 31876786
DOI: 10.1097/ACO.0000000000000829 -
Brazilian Journal of Anesthesiology... 2023
Topics: Humans; Anesthesia; Anesthesiology
PubMed: 37062412
DOI: 10.1016/j.bjane.2023.04.001 -
British Journal of Anaesthesia Nov 2019
Topics: Anesthesiology; China; Health Policy; Humans; Societies, Medical
PubMed: 31543268
DOI: 10.1016/j.bja.2019.08.004 -
Anesthesia and Analgesia May 2018There are many reasons for evaluating our approach and improving our teaching of America's future doctors, whether they become anesthesiologists (recruitment) or...
There are many reasons for evaluating our approach and improving our teaching of America's future doctors, whether they become anesthesiologists (recruitment) or participate in patient management in the perioperative period (general patient care). Teaching medical students the seminal aspects of any medical specialty is a continual challenge. Although no definitive curricula or single clinical approach has been defined, certain key features can be ascertained from clinical experience and the literature. A survey was conducted among US anesthesiology teaching programs regarding the teaching content and approaches currently used to teach US medical students clinical anesthesia. Using the Accreditation Council for Graduate Medical Education website that lists 133 accredited anesthesiology programs, residency directors were contacted via e-mail. Based on those responses and follow-up phone calls, teaching representatives from 125 anesthesiology departments were identified and asked via e-mail to complete a survey. The survey was returned by 85 programs, yielding a response rate of 68% of individuals contacted and 63% of all departments. Ninety-one percent of the responding departments teach medical students, most in the final 2 years of medical school. Medical student exposure to clinical anesthesia occurred as elective only at 42% of the institutions, was requirement only at 16% of responding institutions, and the remainder had both elective and required courses. Anesthesiology faculty at 43% of the responding institutions reported teaching in the preclinical years of medical school, primarily in the departments of pharmacology and physiology. Forty-five percent of programs reported interdisciplinary teaching with other departments teaching classes such as gross anatomy. There is little exposure of anesthesiology faculty to medical students in other general courses. Teaching in the operating room is the primary teaching method in the clinical years. Students are allowed full access to patient care, including performing history and physical examinations, participating in the insertion of IVs and airway management. Simulation-based teaching was used by 82% of programs during medical student anesthesia clerkships. Sixty-eight percent of respondents reported that they have no formal training for their anesthesiology faculty teachers, 51% stated that they do not receive nonclinical time to teach, and 38% of respondents stated that they received some form of remuneration for teaching medical students, primarily nonclinical time. This article presents a summary of these survey results, provides a historical review of previous evaluations of teaching medical students clinical anesthesia, and discusses the contributions of anesthesiologists to medical student education.
Topics: Anesthesiology; Clinical Clerkship; Clinical Competence; Education, Medical; Faculty, Medical; Humans; Students, Medical; Surveys and Questionnaires; Teaching
PubMed: 29401078
DOI: 10.1213/ANE.0000000000002802 -
Critical Reviews in Biomedical... 2017Assessing adequacy of anesthesia requires evaluation of its components: hypnosis, analgesia, and neuromuscular transmission. In order to do this, many methods have been... (Review)
Review
Assessing adequacy of anesthesia requires evaluation of its components: hypnosis, analgesia, and neuromuscular transmission. In order to do this, many methods have been developed that process signals representing different modalities. Assessment of hypnosis requires cortical measures of the central nervous system (CNS); methods that assess analgesia concentrate on subcortical and spinal levels of the CNS; and neuromuscular transmission is a peripheral phenomenon. This article presents an overview of the current state of methods available for measuring each of these components. We conclude that, whereas important gains have been made in the area of assessment of hypnosis, mainly owing to the advancement of methods using EEG and auditory evoked potentials, and whereas neuromuscular transmission can be objectively monitored using motor nerve stimulation, assessment of analgesia still contains many challenges.
Topics: Anesthesia; Anesthesiology; Electromyography; Evoked Potentials, Auditory; Evoked Potentials, Somatosensory; Humans; Hypnosis; Monitoring, Intraoperative; Pain; Quality Assurance, Health Care
PubMed: 29953379
DOI: 10.1615/CritRevBiomedEng.v45.i1-6.100 -
British Journal of Hospital Medicine... May 2018Surgeons and anaesthetists work closely together, sometimes in challenging circumstances. To help surgeons cooperate with anaesthetists to deliver high quality care for... (Review)
Review
Surgeons and anaesthetists work closely together, sometimes in challenging circumstances. To help surgeons cooperate with anaesthetists to deliver high quality care for patients, a working knowledge of modern anaesthetic practice is useful. The specialty of anaesthetics is developing rapidly, and periodic updating of this knowledge is likely to be required. This article provides an update of anaesthetic practice for surgeons, covering the varied roles of anaesthetists, preoperative assessment, management on the day of surgery (induction, maintenance and reversal of anaesthetic), general anaesthesia, the role of regional blocks and sedation. It also discusses safety issues, the management of frail patients and future challenges.
Topics: Anesthesia, Conduction; Anesthesia, General; Anesthesiology; General Surgery; Humans; Interdisciplinary Communication; Interdisciplinary Placement; Surgical Procedures, Operative
PubMed: 29727235
DOI: 10.12968/hmed.2018.79.5.270 -
Current Opinion in Anaesthesiology Dec 2017
Topics: Airway Management; Anesthesia; Anesthesiology; Decision Support Systems, Clinical; Humans; Monitoring, Physiologic; Pain Management; Patient Safety; Simulation Training
PubMed: 28938304
DOI: 10.1097/ACO.0000000000000525 -
International Anesthesiology Clinics 2018
Review
Topics: Advanced Cardiac Life Support; Anesthesiology; Humans; Manikins; Robotics
PubMed: 29521791
DOI: 10.1097/AIA.0000000000000188 -
Anesthesia and Analgesia Feb 2022Ensuring a productive clinical and research workforce requires bringing together physicians and communities to improve health, by strategic targeting of initiatives with... (Review)
Review
Ensuring a productive clinical and research workforce requires bringing together physicians and communities to improve health, by strategic targeting of initiatives with clear and significant public health relevance. Within anesthesiology, the traditional perspective of the field's health impact has focused on providing safe and effective intraoperative care, managing critical illness, and treating acute and chronic pain. However, there are limitations to such a framework for anesthesiology's public health impact, including the transient nature of acute care episodes such as the intraoperative period and critical illness, and a historical focus on analgesia alone-rather than the complex psychosocial milieu-for pain management. Due to the often episodic nature of anesthesiologists' interactions with patients, it remains challenging for anesthesiologists to achieve their full potential for broad impact and leadership within increasingly integrated health systems. To unlock this potential, anesthesiologists should cultivate new clinical, research, and administrative roles within the health system-transcending traditional missions, seeking interdepartmental collaborations, and taking measures to elevate anesthesiologists as dynamic and trusted leaders. This special article examines 3 core themes for how anesthesiologists can enhance their impact within the health care system and pursue new collaborative health missions with nonanesthesiologist clinicians, researchers, and administrative leaders. These themes include (1) reframing of traditional anesthesiologist missions toward a broader health system-wide context; (2) leveraging departmental and institutional support for professional career development; and (3) strategically prioritizing leadership attributes to enhance system-wide anesthesiologist contributions to improving overall patient health.
Topics: Anesthesiologists; Anesthesiology; Career Mobility; Humans; Leadership; Physician-Patient Relations
PubMed: 33684091
DOI: 10.1213/ANE.0000000000005428 -
Canadian Journal of Anaesthesia =... Sep 2019
Topics: Anesthesiology; History, 19th Century; Humans; Medicine in Literature
PubMed: 31012053
DOI: 10.1007/s12630-019-01376-x