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Dr Jack Parry-Jones, Intensivist Royal Gwent Hospital, FICM Board member
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Listing summary
Frequently Asked Questions designed for Trusts
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.
Chapter 15: Guidelines for the Provision of Anaesthesia Services for Vascular Procedures 2025
In all hospitals undertaking major vascular anaesthesia a vascular anaesthetist should be appointed clinical lead (see Glossary) to manage service delivery. This should be recognised in their job plan, and they should be involved in multidisciplinary service planning and governance within the unit.
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The College acknowledges the pivotal role that doctors working in career posts make to the NHS and is keen to encourage all aspects of professional and career development.
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Read the findings from the RCoA report which outlines the factors affecting retention in anaesthesia and solutions to address this challenge.
Chapter 16: Guidelines for the Provision of Anaesthesia Services for Trauma and Orthopaedic Surgery 2025
Trauma and orthopaedic surgery should be included in anaesthetic departmental audit programmes, including continuing audit of complications and adverse events. The trauma anaesthetists should have provision in their job plan to attend trauma MDT meetings for discussion regarding high risk patients.
Chapter 1: Guidelines for the Provision of Anaesthesia Services: The Good Department 2025
Departments should be aware that colleagues may still attend work even when they do not have the physical or psychological resources to do the job well. Processes should be in place to address these situations sensitively.54
Chapter 12: Guidelines for the Provision of Anaesthesia Services for ENT, Oral Maxillofacial and Dental surgery 2025
A multidisciplinary team may be required, which this may include plastic, vascular or neurosurgical surgeons for complex head and neck surgery. Anaesthetists may be required to attend multidisciplinary team meetings preoperatively. Attendance should be included in their job plan if it forms a regular commitment.
All members of the anaesthetic team should receive non-clinical training and education, which should be reflected in job plans and job planning. This might include a locally arranged list of topics – for example, fire safety, consent, infection contr...
All members of the anaesthetic team should receive non-clinical training and education, which should be reflected in job plans and job planning. This might include a locally arranged list of topics – for example, fire safety, consent, infection control, blood product administration, mental capacity, safeguarding children and vulnerable adults, communication skills. Some of this will be mandatory under the legislation...