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The impact of COVID-19 on cardiology training
Samuel Conway1, Ali Kirresh2, Alex Stevenson3
1Senior Clinical Fellow in Heart Failure Royal Free London NHS Foundation Trust, Pond Street, Hampstead, London, NW3 2QG.
Insights
The COVID-19 pandemic significantly impacted cardiology training in the UK, reducing opportunities and affecting career progression. Adapting with online education and simulation is crucial for maintaining world-class cardiology training.
Area of Science:
- Medical Education
- Cardiology
- Public Health
Background:
- The COVID-19 pandemic drastically altered medical practice and training globally.
- Cardiology trainees in the UK faced substantial reductions in clinical and procedural training opportunities.
- Concerns arose regarding extended training durations and trainee mental health due to pandemic-related disruptions.
Purpose of the Study:
- To analyze the impact of the COVID-19 pandemic on UK cardiology training.
- To identify challenges and opportunities for adapting cardiology training in the post-pandemic era.
- To propose strategies for ensuring continued high-quality cardiology education.
Main Methods:
- Review of training disruptions and their effects on cardiology trainees.
- Examination of adaptations in other medical specialties during the pandemic.
- Analysis of the potential role of digital tools and simulation in future training.
Main Results:
- Significant loss of specialist clinics and procedural work for trainees.
- Cancellation or postponement of training events and career progression disruptions.
- Increased adoption of video conferencing and online education platforms.
Conclusions:
- The pandemic necessitates a re-evaluation of cardiology training structures.
- Integrating online education and simulation can mitigate training deficits.
- A coordinated national strategy is essential for equitable and high-quality cardiology training in the UK.
Abstract:
The coronavirus disease 2019 (COVID-19) pandemic has produced a dramatic shift in how we practise medicine, with changes in working patterns, clinical commitments and training. Cardiology trainees in the UK have experienced a significant loss in training opportunities due to the loss of specialist outpatient clinics and reduction in procedural work, with those on subspecialty fellowships perhaps losing out the most. Training days, courses and conferences have also been cancelled or postponed. Many trainees have been redeployed during the crisis, and routes of career progression have been greatly affected, prompting concerns about extensions in training time, along with effects on mental health. With the pandemic ongoing and its effects on training likely long-lasting, we examine areas for improvement and opportunities for change in preparation for the 'new normal', including how other specialties have adapted. The increasingly routine use of video conferencing and online education has been a rare positive of the pandemic, and simulation will play a larger role. A more coordinated, national approach will need to be introduced to ensure curriculum components are covered and trainees around the country have equal access to ensure cardiology training in the UK remains world class.
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