Yesterday anesthesia residents, new anesthesiologists today. Road to excellence

Fernandez Pérez, A.B.

doi:10.1016/j.redare.2019.10.008

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Road to excellence" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "177" "paginaFinal" => "178" ] ] "autores" => array:1 [ 0 => array:3 [ "autoresLista" => "A.B. Fernandez Pérez" "autores" => array:1 [ 0 => array:3 [ "nombre" => "A.B." "apellidos" => "Fernandez Pérez" "email" => array:1 [ 0 => "anabfp@gmail.com" ] ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Unidad Intensiva Posquirúrgica, Servicio de Anestesiología y Reanimación, Hospital Universitario Ntra. Sra. De Candelaria, Santa Cruz de Tenerife, Spain" "identificador" => "aff0005" ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Ayer residentes, hoy nuevos adjuntos. Camino hacia la excelencia" ] ] "textoCompleto" => "To the Editor:Medical training in recent decades has tended to move away from the humanities to focus almost entirely on science and technology, to which almost magical, overriding powers are attributed. Greater efforts are needed to cultivate the humanities aspect of medicine, because this brings us closer to our patients, maximises our empathy, and helps us understand them more clearly. Overemphasising science and technology distracts us from the essence and ultimate goal of medicine: caring for humans who suffer, and creates the need in doctors to praise and admire themselves, instead of concentrating on the only thing that should concern them: their patient. This attitude puts us at risk of whipping up a storm of professional competitiveness with our peers that wears us, and our colleagues, down to such an extent that we struggle to acquire and retain new knowledge and deliver quality care.It is interesting to observe the practice of anaesthesiology, which places us every day in situations that test our capacity for complete responsiveness. Moreover, we must always act with efficiency, efficacy and effectiveness, because any deviation from the plan is a challenge. However, being prepared to respond appropriately also requires total commitment: physical, mental and emotional, and this, unfortunately, is not always present.Therefore, when our stress goes beyond acute stress to the level we experience in a situation that demands total attention and concentration, it undermines our physical, mental and emotional stability at a time when we most need to balance these spheres in order to give the best of ourselves. If this is compensated by the action of the other members of the team or group, the situation will be defused and our level of tension will decrease.However, given the real and/or imaginary hierarchy that exists between us and the rest of the team, the tension, anxiety and all the emotions we transmit will alter the emotional balance of the group. At this point, we become a stress factor in ourselves, and the combination of the normal stress we experience in our daily practice and the stress of our team, triggered by our violent response, places a serious psychological and physiological burden on all involved that will be proportional to the duration of the situation. Our goal must be to work in harmony with others, and we can only achieve this if we are totally aware of our own capabilities.In the words of Karen Boylston, an expert in creative leadership, “Customers are telling businesses, ‘I don’t care if every member of your staff graduated with honours from Harvard, Stanford, and Wharton. I will take my business and go where I am understood and treated with respect” Good communication and mutual support among team members will mitigate the negative effects of stress and improve our capabilities, efficiency and productivity, and ultimately, our clinical outcomes. Patients will be treated in a climate of safety and maximum care, and feel themselves respected.Recent articles in the literature place greater emphasis on learning and improving social and emotional skills, on treating ourselves with respect, and on stress management. This will facilitate intelligent decision-making in our daily practice, considerably improve the dynamics of intra- and inter-speciality teams, and reduce the incidence of human error.<a class="elsevierStyleCrossRefs" href="#bib0005">1–3</a> Knowing how to recognise our emotions and those of others is the most important skill we can acquire, since it allows us to exercise self-control, while improving our quality of life and well-being in the workplace. This has helped us understand the meaning and importance of self control, and transmit it to our residents at this turning point in their career when they need to be guided towards a more complete, efficient and healthy path.We are responsible for this change, because we have the power to drive and influence their development with our medical knowledge and the example we set in our daily practice. We all inevitably contribute in one way or another to shaping the future.In the past year, after a process of group observation and reflection, we have observed a series of personal qualities in our final year residents that presumably applies to all: empathy, kindness, and the ability to correctly interpret situations. This holds out hope for humanitarian professionals with excellent problem-solving and situation-management skills who are worthy of our admiration. In the time shared working with them as a critical care consultant they have shown their willingness and self-control, and have maintained a positive, healthy attitude towards conflict resolution, and been open and kind when speaking to others. In this way they have upheld, not betrayed, our ethical and moral principles.It is pleasant to think that the new generations of residents can change how we manage situations—something that will have an impact on practically the whole group, on different specialists, on the advancement of critical and original scientific thought, and of course, on better medical and surgical decision making, without sacrificing ethics for personal gain." "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "Please cite this article as: Fernandez Pérez AB. Ayer residentes, hoy nuevos adjuntos. Camino hacia la excelencia. Rev Esp Anestesiol Reanim. 2020;67:177–178." ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:3 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Burnout syndrome and wellbeing in anesthesiologists: the importance of emotion regulation strategies" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "T.A. Lapa" 1 => "F.M. Madeira" 2 => "J.S. Viana" 3 => "J. Pinto-Gouveia" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.23736/S0375-9393.16.11379-3" "Revista" => array:6 [ "tituloSerie" => "Minerva Anestesiol" "fecha" => "2017" "volumen" => "83" "paginaInicial" => "191" "paginaFinal" => "199" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/27701371" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0010" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "emotional regulation techniques in trainee anaesthetics: enhancing self-compassion, emphaty and resilience" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "A.B. Fernández" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:4 [ "tituloSerie" => "J Anesth Clin Res" "fecha" => "2018" "volumen" => "9" "paginaInicial" => "811" ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib0015" "etiqueta" => "3" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Enhancing. Feedback on professionalism and communication skills in anesthesia residency programs" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "J.D. Mitchell" 1 => "C. Ku" 2 => "C.A.B. Diachun" 3 => "A. DiLorenzo" 4 => "D.E. Lee" 5 => "S. Karan" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1213/ANE.0000000000002143" "Revista" => array:6 [ "tituloSerie" => "Anesth Analg" "fecha" => "2017" "volumen" => "125" "paginaInicial" => "620" "paginaFinal" => "631" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/28598926" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] "agradecimientos" => array:1 [ 0 => array:4 [ "identificador" => "xack456885" "titulo" => "Acknowledgements" "texto" => "To our newly qualified anaesthesiologists, for the inspiration and positive encouragement they have given me, and to the group in charge of anaesthesia resident training for their dedication and ability to drive though change." 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Revista Española de Anestesiología y Reanimación (REDAR) -the Spanish Journal of Anesthesiology and Resuscitation- is the scientific body of the Spanish Society of Anesthesiology, Resuscitation and Pain Therapy. This is a monthly journal (10 issues) that publishes scientific articles of all areas within its specialty: clinical anesthesia, resuscitation-intensive medicine and critical care, diagnosis and treatment of acute and chronic pain, urgent care and emergencies and studies on basic science and related fields. The journal accepts work in both Spanish and English.

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Vol. 67. Issue 3.

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