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      • Nominations proposal form
  • For patients
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    • Patient information resources
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      • Leaflets and video resources
      • Patient information search tool
      • Preparing for surgery
      • Preparing your mind before surgery
      • For children, parents and carers
      • Anaesthesia and risk
      • Accessible resources and translations
      • For healthcare professionals
    • Patient and Public Involvement
      Patient and Public Involvement
      • Our commitment to PPI
      • The Patient Information Group
      • PatientsVoices@RCoA
      • The PatientsVoices@RCoA Award 2025
      • 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
      Training Hub
      • 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
      Lifelong Learning
      • 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
      • Regional Advisers Anaesthesia (RAA)
      • Anaesthetists in training representation
      • Upcoming meetings
      • External Adviser for ARCP
  • Examinations
    Examinations
    • Primary FRCA examination
      Primary FRCA examination
      • Examination Syllabus Stage 1
      • Primary FRCA MCQ examination
      • Primary FRCA OSCE examination
      • Primary FRCA SOE examination
      • Temporary Examination Eligibility (TEE)
    • Final FRCA examination
      Final FRCA examination
      • Examination Syllabus Stage 2
      • Final FRCA Written examination
      • Final FRCA SOE examination
    • FRCA examination information
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      • Examination calendars
      • Sitting your examination at the College
      • Examination Complaints and Appeals Policy
      • Reasonable Adjustments Policy
      • Reasonable Adjustments Application Form
      • Examinations Regulations
      • Visitors to the FRCA examination
    • Performance and Progress in Our Exams
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      • Primary FRCA pass rates
      • Final FRCA pass rates
      • Reports
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      • Becoming a FRCA examiner
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    • Event FAQs
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    • Exhibit or sponsor an RCoA event
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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
      • CR&I Fellowships
      • Patient, Carer and Public Involvement
      • Quality Audit & Research Coordinators (QuARCs)
      • Surveys
  • Safety, standards & quality
    Safety, standards & quality
    • 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
    About us
    • 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
      Heritage
      • Founding Fellows
      • History Articles
      • History of Anaesthesia
      • Influence of two World Wars
      • Lives of the Fellows biography listings
      • Lives of the Fellows
      • Obituaries
      • Origins of the College
      • Past Deans and Presidents
      • Coat of Arms
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      • Blog
      • Media Centre
      • Work for us
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    • Policy and Public Affairs
      Policy and Public Affairs
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      • What we think
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We've found 203 results

What would you like to see in 2024?

It's 2024! We spoke to several of our members to find out their hopes and aspirations for the new year.

Discrimination: an issue for anaesthetists in training?

This article explores the results of an anonymous survey into the discriminatory experiences of trainees within the Warwickshire School of Anaesthesia, and the impact it's had on their mental health, work performance and career progression.

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.

Spotlight on new anaesthetists in training

They're the fresh faces of anaesthesia and the future of our specialty - we introduce you to some of our newest anaesthetists in training

They're the fresh faces of anaesthesia and the future of our specialty.

We introduce you to some of our newest anaesthetists in training. We hope all of them and the rest of our trainees have very long, rewarding, and fulfilling careers as anaesthetists.

Guest Editorial: Spring 2025

Dr Ruth Bennet and Dr Eimear McClenaghan share their experiences of finding out they were dyslexic as adults in the hope it might help others in similar positions.

National Emergency Laparotomy Audit: A decade of NELA

The National Emergency Laparotomy Audit (NELA) is 10 years old this year, so this is a timely point to review progress, highlight achievements, and look at the persisting challenges ahead.

Author: Dr Dave Murray, Consultant Anaesthetist South Tees NHS Trust; Chair NELA

The National Emergency Laparotomy Audit (NELA) is 10 years old this year, so this is a timely point to review progress, highlight achievements, and look at the persisting challenges ahead.

In the beginning

NELA was commissioned in 2012. One of the key pieces of evidence to support its funding was the paper published by the Emergency Laparotomy Network.1 This observational study of more than 1,800 patients highlighted a 15% mortality rate, but with a nine-fold variation in mortality across the 35 trusts. Consultant presence was 74% for surgeons and anaesthetist presence was 64%. Half the patients were admitted to critical care, and patients returning to the ward had a 6.7% mortality rate.

Meet your new Council members

We are delighted to announce that since September 2022 we have welcomed new elected and co-opted Council members. Find out more about them in this article.

We're delighted to announce that since September 2022 we have welcomed new elected and co-opted Council members.

The main purpose of Council is to provide clinical leadership to the specialty, set standards for education, learning and examinations, and ensure adherence to evidence-based practice.

It is the role of Council members to make sure that the College represents the needs of members and the profession. Find out more about new Council members in this article.

Guest Editorial: Summer 2024

Dr Wicker and Dr Sanders provide some helpful top tips for anaesthetist wellbeing.

Wellbeing is a fashionable term at present and for some will cause instant eye-rolling. We sympathise with this reaction – the word has a lot of unhelpful connotations including, probably most problematically, that it offers yet another opportunity to fail at something else in your life. You are already overwhelmed by work and home stressors, and now you’re also not getting your wellbeing right and that’s why you’re struggling.

Please know this gentle advice comes from a place of compassion and acknowledgement of the wonderful job you all do. After everything anaesthetists have had to deal with over the last few years, we tip our hats to the courage and resilience of our profession.

Here are some top tips for anaesthetist wellbeing (in no particular order):

Fire safety and evacuation simulation training

This article is about how Newham University Hospital made extensive refurbishments to make the theatre complex compliant with current fire-safety regulations.

At Newham University Hospital there were extensive refurbishments taking place in order to make the theatre complex compliant with current fire-safety regulations. As well as this, there have been a number of fires in intensive care units in the UK over the past decade requiring full-scale staff and patient evacuation.

We realised that we were unsure ourselves of how we would manage such a situation, and so we looked up whether there were fire-safety guidelines specifically for anaesthetists. We came across the recent Association of Anaesthetists fire-safety and emergency evacuation guidelines, published in May 2021. One of the key recommendations was that all healthcare workers should have ‘practical walk-through and/or simulated evacuation training’ at least every two years.

Dennis has an anaesthetic

Beano superfan, Edward Shepherd, (aged 11) tells us all about his online survey: ‘Helping children prepare for surgery and anaesthesia’.

I am a huge fan of the Beano and sent feedback to the Royal College of Anaesthetists about a special collaborative edition I had read, Dennis has an anaesthetic. My Granny was in hospital at the time, and I was worried about her. She had broken her ankle. I read the Beano comic to help me understand and feel better about her being unwell and having an operation.

Children’s anxiety related to hospital admissions and procedures is a huge problem and affects up to 80% of children. 75% experience anxiety in the anaesthetic room, and 60% develop ‘new’ dysfunctional behaviour in the three weeks after surgery. Sadly, 12% still display this new behaviour one year after surgery. In the US, surveys show that 25% of children are held down for a general anaesthetic.

Dennis has an anaesthetic teaches children about:

  • finding out about the operation
  • getting ready for the operation
  • having the anaesthetic and operation
  • waking up and going home.

Wellbeing 2004 vs 2024

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

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. 

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