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      • Preparing your mind before surgery
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      • Accessible resources and translations
      • For healthcare professionals
    • Patient and Public Involvement
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      • Our commitment to PPI
      • The Patient Information Group
      • PatientsVoices@RCoA
      • The PatientsVoices@RCoA Award
      • PatientsVoices@RCoA Strategy
      • PatientsVoices@RCoA commitment on equality, diversity and inclusion
    • More about anaesthesia
      More about anaesthesia
      • FAQs about anaesthesia
      • The anaesthesia team
      • A to Z of medical terms
      • Anaesthesia & the environment
      • External patient resources
  • Training & careers
    Training & careers
    • Considering a career in anaesthesia
      Considering a career in anaesthesia
      • What do anaesthetists do?
      • The stages of training
      • Medical school anaesthesia societies
      • Career resources
    • Training Hub
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      • Recruitment into anaesthesia
      • 2021 Anaesthetics curriculum
      • Stage 1
      • Stage 2
      • Stage 3
      • Supporting resources
      • Flexibility in training
      • Supervising and assessing
      • Portfolio Pathway
    • Working in anaesthesia
      Working in anaesthesia
      • Industrial action advice and FAQs
      • AACs and JD approvals
      • BJA Education online
      • Anaesthesia Associates
      • Revalidation
      • SAS and Specialty Doctors
      • Workforce planning
      • Simulation
    • Lifelong Learning
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      • Account request form
      • CPD accreditation of courses and events
      • Change of School form
      • Curriculum change form
      • Contact the Lifelong Learning team
      • LLP Regional Leads
      • System updates and improvements
      • Help and support
      • Change Request Form
    • College Representatives
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      • Become a College representative
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      • Anaesthetists in training representation
      • Upcoming meetings
      • External Adviser for ARCP
  • Examinations
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    • Primary FRCA examination
      Primary FRCA examination
      • Examination Syllabus Stage 1
      • Primary FRCA MCQ examination
      • Primary FRCA OSCE examination
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      • Temporary Examination Eligibility (TEE)
    • Final FRCA examination
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      • Examination Syllabus Stage 2
      • Final FRCA Written examination
      • Final FRCA SOE examination
    • FRCA examination information
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      • Sitting your examination at the College
      • Examination Complaints and Appeals Policy
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      • Reasonable Adjustments Application Form
      • Examinations Regulations
      • Visitors to the FRCA examination
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      • Primary FRCA pass rates
      • Final FRCA pass rates
      • Reports
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    • For examiners
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      • Becoming a FRCA Affiliate Examiner
  • Events & professional development
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    • Events Calendar
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      • Anaesthesia 2026
      • Winter Symposium 2025
      • Anaesthetic updates
      • Anaesthetists as Educators Programme
    • Event FAQs
      Event FAQs
      • Event terms and conditions
    • Exhibit or sponsor an RCoA event
    • Education and Professional Development
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      • e-Learning Anaesthesia
      • Videos
      • Podcasts
      • Webinars
  • Research
    Research
    • Research bodies
      Research bodies
      • National Institute of Academic Anaesthesia
      • Centre for Research and Improvement
      • Perioperative Medicine Clinical Trials Network
      • Trainee Research Networks
      • NIHR Clinical Research Networks
    • Research projects
      Research projects
      • National Audit Projects (NAPs)
      • National Emergency Laparotomy Audit (NELA)
      • eFONAr: Emergency Front of Neck Airway Registry
      • Perioperative Quality Improvement Programme (PQIP)
      • Sprint National Anaesthesia Projects (SNAPs)
      • Children's Acute Surgical Abdomen Programme (CASAP)
      • Timeliness to Emergency Laparotomy
    • Get involved in Research
      Get involved in Research
      • Research grants and awards
      • Research priorities
      • Academic training
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      • Quality Audit & Research Coordinators (QuARCs)
      • Surveys
  • Safety, standards & quality
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    • Anaesthesia Clinical Services Accreditation
      Anaesthesia Clinical Services Accreditation
      • ACSA Online Portal
      • The ACSA standards
      • The ACSA process
      • Who is accredited?
      • ACSA resources and information
    • Guidance and resources
      Guidance and resources
      • Guidelines for the Provision of Anaesthetic Services
      • Coronavirus COVID-19
      • Consultation and Endorsement
    • Patient safety
      Patient safety
      • Cappuccini Test
      • Flash card team training
      • Patient safety strategy
      • Safe Anaesthesia Liaison Group
      • Sustained Exhaled CO2
      • Unrecognised oesophageal intubation
    • Professional support
      Professional support
      • Clinical Leaders
      • Invited Reviews
      • Networks
      • Prehabilitation
    • Quality Improvement
      Quality Improvement
      • The Quality Improvement Working Group and Vacancies
      • Quality Improvement Strategy
      • Raising the standards: QI Compendium
      • Quality Network
      • Career Development Programme and QI Training Resources
      • Quality Improvement Case Studies
      • Quality Network Projects
      • Quality Improvement Newsletter
      • QI and BJA Open
  • About us
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    • Governance
      Governance
      • Board of Trustees
      • Charter, Ordinances and Regulations
      • College Calendar
      • Council
      • Elections and Appointments
      • Executive Team
      • Boards and Committees
      • Devolved Nations Boards
      • Annual Report and Accounts
    • Strategy and vision
      Strategy and vision
      • Environment and sustainability
      • Trustees’ Fiduciary and Environmental, Social & Governance Investment Statement
      • Equality, Diversity and Inclusion
      • Perioperative care
      • A new home for the College
    • Global Partnerships
      Global Partnerships
      • Global Partnerships Strategy
      • Our global projects
      • Overseas doctors training in the UK
      • Working in Low and Middle Income Countries
      • International Academy of Colleges of Anaesthesiologists
      • Global Fellowship Scheme
    • Venue hire
      Venue hire
      • Our rooms
      • Capacity and prices
      • Contact the venue hire team
      • Terms and conditions
      • Book now for up to 30% off room hire in July and August
    • Heritage
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      • Founding Fellows
      • History Articles
      • History of Anaesthesia
      • Influence of two World Wars
      • Lives of the Fellows biography listings
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      • Past Deans and Presidents
      • Coat of Arms
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      • Work for us
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    • Policy and Public Affairs
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Departmental Wellbeing Lead job description will help support health and wellbeing of anaesthetists

We have published a Wellbeing Lead job description and person specification to make it easier for anaesthetic departments to support the health and wellbeing of staff.

Guest Editorial: Spring 2024

Dr Elliott and Dr Agarwal, our AiT Committee members write about their personal experiences at the end of training and the start of their new consultant roles.

It's been a pleasure working with the Anaesthetists in Training Committee and the Bulletin editorial team, but we will soon be handing over the reins to new representatives as we've moved on to start consultant jobs.

So, for our last training issue of the Bulletin, we thought it would be fitting to write about our personal experiences at the end of training and starting our new roles, along with some insight into how to get through the process smoothly.

SAS as leaders: breaking the glass ceiling!

Dr Laura Hipple reflects on her great SAS career, the challenges she's overcome and what she has learnt over the last 30 years.

It all started conventionally enough – A-levels, a medical degree, house officer jobs. Nobody in my family was medical, so I had no preconceived ideas about postgraduate career pathways.

During my interview for the regional Obstetrics and Gynaecology training scheme, I was asked how I would combine this career with getting married and having a family. As I wasn’t in a relationship at the time, I didn’t feel this was a major consideration, and fortunately neither did the other members of the interview panel!

However, having completed the training scheme and obtained my MRCOG, my career then took a different path…

An SAS anaesthetist's career journey

I have recently been offered a role as a specialist anaesthetist. This is the final stage of my career pathway. To most, becoming a consultant is the final stage. To those not on the trainee pathway, the goal is to become a specialist.

I have recently been offered a role as a specialist anaesthetist. This is the final stage of my career pathway. To most, becoming a consultant is the final stage. To those not on the trainee pathway, the goal is to become a specialist.

The introduction of the specialist grade in April 2021 has finally given SAS doctors a new genuine career progression opportunity. This contract allows experienced anaesthetists to have a role that recognises the value we bring to our departments. Although this is a very new role, many trusts have created specialist anaesthetist posts that offer a fair and balanced job plan.

I will have started in my new role by the time of publication of this article. The agreed job plan is very different to the role that I currently have. I will be working on a variety of elective, urgent and emergency lists in a range of specialties in a major trauma centre. My employers have been very understanding about my family situation, and have agreed to keep my days fixed and close together so that time away from home is minimised.

College seeks new authors for GPAS chapters

The College is currently looking for anaesthetists to take part in the full review of selected chapters from the Guidelines for the Provision of Anaesthetic Services (GPAS) for publication in 2024.

GMC Council recruitment

The GMC is recruiting a medical member for its Council.

The new SAS doctor contract

The College welcomes the introduction of a new specialty doctor and specialist grade contract in England and Wales.

Anaesthetics? As FY1s? That’s unusual!

Dr Peacock and Dr Atkinson share their experience of starting on an anaesthetics rotation straight after medical school.

Whenever we introduce ourselves in the team brief, we tend to get the same response: ‘Anaesthetics? As FY1s? That’s unusual!’ They are right, of course, and we feel lucky to be here! Both of us, unsurprisingly, were very nervous about starting our first jobs as doctors in August.

Fortunately, we settled in quickly thanks to being well supported by the anaesthetic consultants, SASs, anaesthetists in training, and operating department practitioners. We thought it would be a great idea to share our unique experience of starting on an anaesthetics rotation straight after medical school.

Whereas many of our FY1 friends describe endless ward rounds, discharge letters and medications, we’ve had a very hands-on first month – lots of cannulas, airway management, iGels, intubations, and even some spinals. We initially found the idea of one-to-one consultant training quite daunting, this being something we hadn’t encountered much at medical school. However, we couldn’t have been more wrong – we’ve had nothing but positive experiences with our seniors, even if we’re taught a different way to tie a knot and secure the airway by each consultant.

Anaesthesia: clinician wellness and burnout

Dr Plessis looks at burnout - what causes it, the impact, signs and symptoms and what we can do to mitigate it.

In the operating theatre environment, the perpetual demands, emotional toll, and the need for precision contribute to the potential vulnerability of anaesthetic staff to burnout.

What is burnout?

Burnout, as recognised by the World Health Organization in the International Classification of Diseases, is a syndrome characterised by ‘symptoms’ in three domains:

  • feelings of energy depletion or exhaustion
  • increased mental distance from the job or feelings of negativity and cynicism related to the job
  • reduced professional efficacy.

Burnout is not classified as a ‘health condition’. Instead, it is an occupational phenomenon and due to chronic, unmanaged, workplace stress. People who are burned out are also at high risk of developing mental health conditions, for example depression and generalised anxiety disorder.

R&I shaping the future of critical care

The Faculty reviews what it should and could do to support and foster research.

Author: Dr Dhruv Parekh, FICM Board Member and Academic Lead

Research activity is beneficial to patients, enabling earlier diagnosis, effective treatments, and care pathways.

More ‘research-active’ hospitals have lower mortality rates, an effect that isn’t limited to research participants. This benefit extends to healthcare professionals, helping to develop solutions for real NHS problems and increasing job satisfaction.

The pandemic thrust our specialty into the spotlight, and our workforce weren’t only at the forefront of delivering clinical care, but also of recruitment to practice-changing studies. Research leaders from our specialty made impactful contributions to develop this evidence and lead the response.

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