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letter
. 2020 Apr 11;43:89–90. doi: 10.1016/j.ijoa.2020.04.002

Table 1.

Impact of COVID-19 on training and mitigating measures

Impact Mitigating measures
Classroom teaching
  • Insufficient tutorial rooms to allow team segregation for teaching

  • Lack of well-ventilated tutorial rooms

  • Lack of protected teaching time from team segregation roster

  • Use of videoconferencing platform for webcast lectures that are accessible from home and different areas at work

  • Accessibility of webcast lectures from mobile devices

  • Easy playback of webcast lectures

Clinical teaching
  • Insufficient caseload from cancellation of elective cases

  • Minimising number of staff from managing ‘high infection risk’ cases

  • Suspension of cross-institutional rotation, consequent prolonged obstetric anaesthesia rotation and potential loss of learning opportunities

  • Focusing more on ‘quality’ than ‘quantity’, with resident-consultant debriefing of cases after every shift

  • Progression of obstetric anaesthesia training to the next residency year once current competencies have been met

  • Introducing concepts such as protective measures required during aerosol-generating procedures in ‘high infection risk’ cases, which are common in anaesthesia practice but not covered in the residency curriculum

Procedural training
  • Difficulties with performing regional anaesthesia with personal protective equipment (loss of dexterity, need for sterility and increased psychological stress)

  • Cancellation of difficult airway simulation sessions in clinical areas

  • Conducting training on performing regional anaesthesia with personal protective equipment and aseptic technique on epidural trainers

  • Conducting virtual reality difficult airway gaming scenarios for residents

  • Conducting case-based discussions on obstetric difficult airway management

Assessment and feedback
  • Decreased number of assessors

  • Clinical and psychological stress can impact performance

  • Lack of effective mentorship for mentor–mentee pairs should they be placed in different teams

  • Focusing more on qualitative rather than quantitative feedback from consultants

  • Increased number of assessments from peers and nursing

  • Performance of direct observation of procedural skills on ‘low infection risk’ patients

  • Placing mentor–mentee in the same team