War Impact on the Final Year Ukrainian Resident's Competence Acquisition

The study to identify the war impact on the second (final) year residents-anaesthesiologists' education quality and their ability to get necessary competencies.

Study Overview

• Status: Completed
• Conditions: Educational Problems

Detailed Description

The study was conducted at the postgraduate surgery, anesthesiology and intensive care department of Bogomolets National Medical University (Bogomolets NMU).

It started before the war to assess the education quality and residents-anesthesiologists readiness for independent work after two years of residency. When the war started, the study was continued and then results 2021 compared against 2022.

In Ukraine we have a 2-year residency program in anaesthesiology and intensive care, it includes 12 months of a so-called theoretical part, which is provided by postgraduate faculties with rotation on different clinical departments of the faculty (like obstetric anaesthesiology, cardio anaesthesiology, intensive care, transplantology, thoracic anesthesiology etc.), and 10 months of practical part - in one of the major acute hospitals. When Russia invaded Ukraine, 41 final-year residents were studying at the postgraduate department of surgery, anesthesiology and intensive care at Bogomolets NMU. From the 5th day of the war education program was changed to online-based, including an interactive platform for distance learning, ZOOM-meeting for lectures and seminars, and individual work with teachers through online messengers and video calls. 30 (73%) residents and 3 (20%) teachers left Kyiv for 1,5-2 months due to the direct attack of the artillery, missile and troops, with occupied and destroyed Kyiv suburbs, where part of them was living. Those residents, who have left Kyiv, were distributed to hospitals in the Western part of Ukraine to continue their practice in anesthesiology and intensive care departments. Residents, who stayed in Kyiv, were distributed to trauma and military hospitals, which had a lot of patients due to the ongoing war in the city.

After Ukrainian counter offences and Russian withdrawal from the Kyiv district, most of the residents (39) and all teachers came back in April 2022. As a result, live practical sessions and master classes were restored to overtake the program, although we continued online learning with lectures, seminars and other activities.

On the 22nd of June, all residents had an OSCE exam. After passing the OSCE exam, investigators send questionaries' to all residents to reflect on the education quality, competence acquisition and readiness to work as an independent anesthesiologist.

Other questionaries' were sent to all teachers to assess the educational outcomes and war impact, efficacy of the different types of learning and reflection on what needs to be improved.

• Study Type: Observational
• Enrollment (Actual): 63

Contacts and Locations

Study Locations

• Ukraine
  • Kyiv, Ukraine
    • Bogomolets NMU

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 22 years to 35 years (Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

• Sampling Method: Non-Probability Sample

Study Population

residents-anesthesiologists in the second year of postgraduate surgery, anesthesiology and intensive care department of Bogomolets National Medical University

Description

Inclusion Criteria:

• residents-anesthesiologists of the second year

Exclusion Criteria:

• residents-anesthesiologists, who didn't pass final exams

Study Plan

How is the study designed?

Design Details

• Observational Models: Ecologic or Community
• Time Perspectives: Retrospective

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Educational outcomes evaluation by the final year residents	Educational outcomes evaluation by the final year residents (theoretical and practical parts)	2 years

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Readiness to work independently in different clinical situations	Readiness of the residents to work independently in different clinical situations.	2 years

Collaborators and Investigators

• Sponsor: Bogomolets National Medical University

Publications and helpful links

General Publications

• Jain N, Panag DS, Srivastava M, Mohan S, Chodnekar SY, Akbari AR, Raj D, Kravarioti D, Swiatek D, Platos E, Khetsuriani K, Gristina KL, Evangelou K, Lica M, Thirumushi RS, Rozani S, Jain S, Fedirko P, Reinis A, Pilmane M. Fate and future of the medical students in Ukraine: A silently bubbling educational crisis. Med Educ. 2022 Aug;56(8):779-782. doi: 10.1111/medu.14818. Epub 2022 May 18.
• Raleigh C, Linke A, Hegre H, Karlsen J. Introducing ACLED-armed conflict location and event data. J Peace Res. 2010;47(5):651-660
• "Ukraine: civilian casualty update 1 August 2022". Office of the United Nations High Commissioner for Human Rights. 1 August 2022. Retrieved 1 August 2022
• Roland, Gérard. (2006). The Long Run Impact of Bombing Vietnam. Journal of Development Economics. 96. 1-15. 10.1016/j.jdeveco.2010.07.004.
• Dobiesz VA, Schwid M, Dias RD, Aiwonodagbon B, Tayeb B, Fricke A, Pham P, Erickson TB. Maintaining health professional education during war: A scoping review. Med Educ. 2022 Aug;56(8):793-804. doi: 10.1111/medu.14808. Epub 2022 Apr 25.
• UNESKO Institute for Statistics " The quantitative impact of conflict on education". 2011.

Study record dates

Study Major Dates

• Study Start (Actual): August 1, 2021
• Primary Completion (Actual): August 1, 2022
• Study Completion (Actual): August 1, 2022

Study Registration Dates

• First Submitted: September 26, 2022
• First Submitted That Met QC Criteria: September 26, 2022
• First Posted (Actual): September 29, 2022

Study Record Updates

• Last Update Posted (Actual): October 3, 2022
• Last Update Submitted That Met QC Criteria: September 29, 2022
• Last Verified: September 1, 2022

More Information

Terms related to this study

• Keywords: medical education; anaesthesiology; war
• Other Study ID Numbers: HJ45kds32

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: No

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No