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October’s Black History Month celebrates the contributions of individuals of Black heritage, including those within the NHS. It is also an opportunity to highlight the academic challenges faced by healthcare professionals from under-represented groups, emphasising the need for diversity in our healthcare system.

Disparities in clinical academia stem from the intersection of ethnicity and gender, in addition to other contributing factors, including lack of mentorship, systemic biases, and the ‘minority tax’. For ethnic minorities, the negative correlation between clinical time and scholarly productivity diverts time away from career advancement, hindering their professional growth compared to peers.

Embracing research diversity improves care equity, reduces differential attainment for anaesthetists, and bridges gaps in academic leadership. It promotes equity-minded environments and builds a workforce that reflects the population it serves. This article examines these disparities and efforts to improve diversity in anaesthesia research.

With the rise of the Black Lives Matter and #MeToo movements in the last few years, media attention has been drawn to the abusive behaviours that have become embedded in our culture. Under the Equality Act 2010, it is against the law in the UK to discriminate against anyone because of nine ‘protected characteristics’. These are race, age, gender reassignment, being married or in a civil partnership, being pregnant or on maternity leave, disability, religion or beliefs, and sex and sexual orientation.

A survey among doctors and medical students highlighted that 76% had experienced racism in the work place at least once in the previous two years.¹ Similarly, 91% of woman doctors in the UK have experienced sexism at work,² and a survey among European surgeons revealed that 20% had considered quitting their job due to discrimination.³ While surgery is a specialty where discrimination and harassment concerns have been well documented, these issues have not been explored widely among anaesthetists.

Authors:

• Dr Hamish McLure, Medical Director (Professional Standards and Workforce Development) and Consultant Anaesthetist, Leeds Teaching Hospitals NHS Trust
• Dr Natalie Drury, Consultant Anaesthetist and Anaesthesia Associate Lead, Leeds Teaching Hospitals NHS Trust

The pandemic has generated a staggering backlog, with more than 7 million patients waiting for care. In order to treat these patients in a timely way, we need to increase our work rate beyond pre-pandemic levels but with our current workforce and model of care, this will be difficult. 

Fatigue, burnout, repeated acute illnesses and a punitive tax system mean we have a fragile workforce with minimal capacity or interest in additional work. RCoA workforce data shows little to be optimistic about, with a projected gap of 11,000 anaesthetists by 2040. This demand cannot be met without a massive increase in training numbers. Given the pressures in virtually every other specialty, this is unlikely.

Understandably, well-being means something different to all of us, but does it have more awareness and recognition than 20 years ago?

Dr Marie Nixon, Consultant Anaesthetist and Dr Thom O'Dell, ST7 Trainee discuss their experiences of wellbeing and what it means to them. 

Our working lives as anaesthetists revolve around effective teamwork, communication, and empathy with the many different professions we interact with. Interprofessional education (IPE) is an increasingly familiar teaching methodology which aims to enhance and improve these collaborative abilities. 

Considering recent critical reports on the lack of teamwork and interprofessional co-operation within clinical systems, we present a review of IPE and how its increased adoption may help address these failings.

Authors:

• Dr Chima Oti, Consultant Anaesthetist, London North West University Healthcare NHS Trust; Anaesthetic Lead for Undergraduate Medicine
• Dr Kimberley Hodge, Squadron Leader, RAF ST6 Anaesthesia and Intensive Care Medicine, Kimberley.hodge@nhs.net
• Dr Cara Lewis, ST5 Anaesthetics, London North West School of Anaesthesia
• Dr Aynkaran Dharmarajah, Consultant Anaesthetist, London North West University Healthcare NHS Trust

With such a minimal amount of time in the undergraduate curriculum allocated to anaesthesia, it is crucial that we maximise learning opportunities to inspire and develop future clinicians. Here is how we revolutionised the undergraduate anaesthetic placement at Northwick Park Hospital.

Why do medical students spend so little time on clinical placement with anaesthetics? As a foundation doctor one must be knowledgeable about a broad collection of topics; these include practical skills such as phlebotomy and cannulation, acute- pain management, and recognition and treatment of an acutely deteriorating patient. All of these are skills found within an anaesthetist’s armamentarium, placing us in the privileged position of being able to impart our knowledge to the next generation of doctors. As anaesthetics is a postgraduate specialty, our primary opportunity to help develop these skills for our colleagues is during their undergraduate attachment.

Had your head buried very deeply in the sand for most of the last decade? Then it may have escaped your attention that the UK has cleaved itself away from the European Union. But fear not! The College and the Association of Anaesthetists are both still represented on the European Board of Anaesthesiology (EBA), the Anaesthesia section of the European Union of Medical Specialists.

Known by its French acronym, UEMS is a non-governmental organisation created in 1958 in the same year as the European parliament. The aims of UEMS are to improve patient care throughout Europe by developing and supporting excellence in specialist medical training and practice and, as a by-product, to promote free movement of medical specialists around the EU.

The UEMS represents more than 1.6 million specialist doctors from 41 countries:

• full UEMS members – EU countries plus Iceland, Norway, Switzerland, UK
• associate members – Armenia, Israel, Serbia, Turkey, Ukraine
• observer countries – Georgia, Iraq, Lebanon, Morocco, Tunisia.