This document outlines plans for the ESA Trainee Network (ESATN) to better represent and support trainees across Europe. It discusses establishing national trainee sections, conducting a survey of trainees' main concerns, using social media to connect trainees, and developing educational resources. Task forces were created to focus on these areas. The goals are to adapt ESA resources to trainees' needs, improve communication between trainees and leaders, and help trainees prepare for the EDAIC exam. The network aims to include trainees from all 38 European countries to most effectively represent over 30,000 anaesthesiology trainees.
2. 1) Starting from 0 (Diogo Sobreira Fernandes, Chair) – 15 min
2) Task Force: European and International Trainee Sections (Bernardo Matias, Co-opted
Member) – 7 min
3) Task Force: Social Networks (Yasemin Dark, Elected Trainee Representative) – 7 min
4) Task Force: Education (Matija Majic, Elected Trainee Representative) – 7 min
5) Future Directions: Expand the ESATN and develop its content using Evidence Based
Education (Gustavo Norte and Anne Blank) – 7 min
6) Doubts and Final discussion – 47 min
Agenda
3. 1) Starting from 0
Diogo Sobreira Fernandes, MD
5th year Trainee at Centro Hospitalar do Porto, Portugal
Chair of the ESATC
4. • Training qualified anaesthesiologists is the goal of all anaesthesiology training programs
European Union of Medical Specialists/EUMS + National Societies
Is there still room for further adjustment of the available resources ?
Yes, by assessing the trainees' needs and concerns
Effective communication between trainees and educational stakeholders
Why Establishing an European Trainees Network ?
5. Why Establishing an European Trainees Network ?
Further adapt the ESA resources to the Trainees´needs
7. • In 2014, the ESA allowed:
ESA Trainee Members to have voting rights at the General Assembly
+
2 ESA Council Trainee Representatives with full voting rights
(Diogo Sobreira Fernandes and Michela Rauseo)
ESA Council Trainee Representatives
How can we represent 30.000 European Trainees if we even do
not represent our countries´trainees?
8. • Foundation of Portuguese and Italian Trainee Networks
ESA Council Trainee Representatives – First Steps
Group of Dynamic
Trainees
Support from National
Societies´ Leadership
Plan
National Trainee Section
Local/Hospital Trainee Representative
Trainee
National Society
Leadership
9. ESA Trainee Network - Plan
National Trainee SectionS
Local/Hospital Trainee Representative
Trainee
ESA Trainees Committee
ESA Leadership
Is this real or just an uthopy?
“It is much easier to create a Network than activating one” – Prof. Dan Longrois
10. ESA Trainee Network - Plan
• The main concerns of European Anaesthesiology Postgraduate Trainees:
A European Survey
• ESA Trainee Network – Social Networks
• ESA Trainees Committee
11. European Survey
Goals and Methodology
1) Identify the Trainees´ Main Concerns
2) Message of commitment from the ESA Trainees Committee to the European Trainees
Electronic survey:
• Autonomy Transition
• Technical Skills
• Exchange Programs
• Residency Costs
• Residency Workload
• Employment Prospects
• Educational Contents/European Diploma in Anaesthesia
and Intensive Care (EDAIC)
Evidence Based
Education
12. European Survey
Methodology
Cross-sectional study
Sample of convenience: Euroanaesthesia abstract presenters (2014 and 2015), mailing list of
ESA Trainees, ESA Council Representatives, ESA NASC Representatives and the Presidents of
European National Societies
10 parts (Likert scales)
• Demographics
• 7 for each concern
• Sort each concern in terms of priority to improve
• Networking
18. European Survey
(Some) Conclusions
Education:
• Improve the visibility of ESA educational resources.
• Development of other educational resources (e.g. EDAIC multiple choice questions
collection booklets or online MCQ quizzes).
• Reduce the cost of ESA Exams
Costs
• Reduce the costs of ESA Trainee Membership and Euroanaesthesia Registration.
• Creation of more grants
…
20. European Survey
In Practice
• Eliminated the trainees’ early bird registration fee
deadline
• Organized an Informal meeting/dinner partially
supported by ESA
23. ESA Trainee Network – Social
Networks
FILL GAP BETWEEN ANY TRAINEE AND THEIR REPRESENTATIVES
1st
LEVEL OF COMMUNICATION
• Empower and enable all EAT to communicate with the ESATC.
• Enable the flow of relevant information from the ESATC to all EAT.
24. ESA Trainee Network – Social Networks
• Any EAT can become a member of the ESATN regardless of their ESA membership status
• Convince the EAT that still are not active members of the ESA to become active members
– Cost/Benefit Analysis
26. The ESA Trainees Committee
• Terms of office – 3 years.
• No possibility of any ESA Trainees Subcommittee member
to be re-elected.
• Policies updated every 2 years.NASC Chair
Secretariat
Member
EdTC Chair
27. The ESA Trainees Committee
Task Forces
European and International Trainee Sections
Education
Social Networks
• Each Task Force: > 1 ESATC member as coordinator + 4 Trainees recruited from the ESATN
(certificates in exchange)
• Monthly Webex meetings
• Agenda regularly updated
• Google drive; Whatsapp Group
DEADLINES
Euroanaesthesia Trainees´ Programs
29. The ESA Trainees Committee
Euroanaesthesia Trainees´ Programs
• Saturday 28th
- ESA Trainee Network ( ESA TN ): Organization and Next Steps
• Saturday 28th
- ESA Trainee Network Welcome Reception
• Saturday 28th
- ESA Trainee Network "Get together"
• Sunday 29th
- ESA Trainee Network Booth Sessions
• Monday 30th
- ESA Trainee Network ( ESA TN ): Networking with the Experts about Sepsis.
30. The ESA Trainees Committee
Euroanaesthesia Trainees´ Programs
• Saturday 3rd June, 17-18h30: ESA Trainee Network Symposium: “Networking with the
Experts on Regional Anaesthesia”
• Saturday 3rd June, 11-12h30: Booth Session on “Job Hunting”.
• Saturday 3rd June, 13-14h30: Booth Session on “Meet the Experts”
• Saturday 3rd June, from 20h00: Trainees Get Together
• Sunday 4rd June, 09h30-12h00: Young Teacher Award
• Monday 5th June, 16-17h30: ESA Trainee Network Symposium: “Trainees for Trainees”
31. 2) Task Force:
European and International Trainee
Sections
Bernardo Matias, MD
3rd year Trainee at Centro Hospitalar de Setúbal, Portugal
ESATC Co-opted Member
Coordinator of the Task Force "European and International Trainee Sections"
32. The ESA Trainees Committee
European and International Trainee Sections
38 European Countries
• 35 National Trainee Representatives
• 18 National Trainee Sections/Committees (figure below)
Close articulation with NASC (National Anaesthesiologists
Societies Committee)
ESA Trainee Network Ukraine
Kosovo
Anesthesiology Trainees (RKS)
33. The ESA Trainees Committee
European and International Trainee Sections
ESA Trainee Network Ukraine
Kosovo
Anesthesiology Trainees (RKS)
34. The ESA Trainees Committee
European and International Trainee Sections
• Collaboration with the GAT in 2016
• Collaboration with the Austrian Trainee Section
www.esatrainee.com
35. The ESA Trainees Committee
European and International Trainee Sections
• Collaboration with the ASA Resident Component
36. The ESA Trainees Committee
European and International Trainee Sections
37. The ESA Trainees Committee
European and International Trainee Sections
• Currently supporting the development of the
Greek, Moldavian, Romanian, Spanish and
Ukranian Trainee Networks (European Survey
Results by Country)
• Manual for Trainee Sections
• ESA Newsletter Article from each Country – “A
Portuguese Trainee´s day”
• Post from each Trainee Section/National
Congress in Social Networks
38. The ESA Trainees Committee
European and International Trainee Sections
• Regular informal communication with each NTR
• Regular (2/2 months) formal update on the ESATC activities
European Survey every 3 years “our fuel”
Survey to all NTR about Residency Format
Available to promote and support the projects proposed by each
country
39. The ESA Trainees Committee
European and International Trainee Sections
ESATC 26 NTR
40. 3) Task Force:
Social Networks
Yasemin Dark, MD
4th year Trainee at Dokuz Eylül University Medical Faculty,Izmir,Turkey
ESATC Elected Trainee Representative
Coordinator of the Task Force “Social Networks"
41. The ESA Trainees Committee
Social Networks
www.esatrainee.com
• > 2 posts/week
• Scientific, advertisement, education, opportunities,
interaction.
Strategy
49. The ESA Trainees Committee
Education
• The ESATC pretends to develop the ESATN but also its content!!
• The main concern identified on the European Survey was related to Education / Preparation for
EDAIC
• “41.5% of the candidates for the part 1 exam (the written part) failed to pass in 2014”
EDAIC "tips and tricks" Improve the visibility of the existent educational resources
EDAIC "MCQ monthly posts " Video exemplifying the EDAIC 2 examination
Develop educational resources based in the fields with lower success rates on the last EDAIC
50. 5) Future Directions
Gustavo Norte, MD
3rd year Resident, Centro Hospitalar e Universitário de Coimbra, Portugal
ESATC Council Trainee Representative
Coordinator of the Task Force "European and International Trainee Sections"
Anne Blank, MD
2nd year Resident , Charité Universitatsmedizin Berlin, Germany
ESATC Elected Council Representative
Coordinator of the Task Force "European and International Trainee Sections"
51. 2) Future Steps
2.1) Know what to ask to European Trainees from the ESA Leadership
2.2) Reach as many European Trainees as possible to collect representative answers
2.3) Characterize the different European Anaesthesiology residency programs
Focus Enthusiasm Increase Specificity
• Surveys are Representative but not practical
• Ideas coming from a small number of people are practical, but not Representative
• Ideas collected from the ESATN Social Groups
Balanced compromise between Representativity and Practability
Know the differences between countries before defining Goals
European Union of Medical Specialists (EUMS) committed itself to contribute to the improvement of anesthesiology training at the European level through the development of the Anaesthesiology Training Guideline and Syllabus, to complement the content of postgraduate training defined by each country National Authority and ensure that high quality training is provided across Europe [1,2].
European Union of Medical Specialists (EUMS) committed itself to contribute to the improvement of anesthesiology training at the European level through the development of the Anaesthesiology Training Guideline and Syllabus, to complement the content of postgraduate training defined by each country National Authority and ensure that high quality training is provided across Europe [1,2].
“Group of Anaesthetists in Training” (GAT), initiated in 1967, and now with more than 3500 members.
American Society of Anesthesiology - Resident Component (ASA-RC) was initiated in the U.S.A in 1988 to encourage anaesthesiology trainees’ participation in ASA activities
The main concerns of the 363 anaesthesiology trainees who completed the questionnaire in descending order were “educational contents/EDAIC” (median=5; IQR=3-7), “residency costs” (median=5; IQR =3-6), “employment prospects” (median=4; IQR =3-5), “residency workload” (median=4; IQR =3-5), “exchange programmes” (median=4; IQR =2-5), “technical skills” (median=4; IQR =2-6) and “autonomy transition” (median=3; IQR =1-5). Therefore, the three main concerns were “educational contents/EDAIC”, “residency costs” and “employment prospects”.
The graphic distribution of the medians for each concern among the considered regions (Figure 2) demonstrated that: “educational contents/EDAIC” was still the main concern for all four regions; “residency costs” were the second main concern except for the Eastern European region, despite having the same median as the second, third and fourth concern for that region; “employment prospects” was the third main concern for the Northern/Central European region, the second for the Eastern European region and the fourth main concern for the Southern and non-European regions (Figure 2).
When analysed by region using the Kruskall-Wallis test, differences were found for: “educational contents/EDAIC” (higher concern for Eastern European and non-European regions; p=0.014), “residency costs” (lesser concern for Eastern European region; p=0.034), “residency workload” and “autonomy transition” (higher concerns for Southern and Northern/Central European regions; p=0.048 and p=0.002, respectively) (Figure 2).
Although there were expected differences between European regions regarding their demographic characteristics, the concern with education/EDAIC was the most important for all of them and for the others, even if one concern was not the most important for a specific region, it still remained an important concern.
According to the absolute number of trainees in each European country16, the authors considered that if a country had more than thirty anaesthesiology trainees that initiated the survey, these results could be representative of the trainees from that country.
Portuguese Survey - In Portugal, for example, around 400 anaesthesiology trainees are working, but only 20% of these anaesthesiology trainees initiated the survey and 14% completed it.
Immediate goal could be to improve its communication strategy with and for the trainees
35 NTR – Missing countries: Bulgaria (no answer), Estonia (next year), Russia (no answer)
18 National Trainee Sections/Committees (figure below) – 2 countries with 2 committees (France and Germany)
Manual for Trainee Sections – Specific task force, now being reconsctructed (Aim: after EA 2017)
