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Authors:
- Alessandra Anzante, Employment Lead, RefuAid
- Dr Siân Jaggar, Cardiothoracic Anaesthestist, Royal Brompton Hospital
- Maria Burke, RCoA Global Partnerships Manager
World events have seen record numbers forcibly displaced from their homes – currently estimated at 103 million people.1 According to the Refugee Council, in the 3rd Quarter of 2022, 24,511 applications for asylum were made,2 an increase of 58.1% on the previous quarter. Government statistics tell us that in 2022 74,751 asylum applications were made (relating to 89,398 people).3
A study by Deloitte in 2017 surveying Syrian refugees in Europe4 found that 38% of respondents were university educated, but that despite this 82% were unemployed. It highlighted language as being one of the biggest barriers to re-entering employment, despite 63% of those surveyed wanting to continue their careers in the professions for which they had trained in their home countries. In the case of anaesthetics (and medicine as a whole), there are significant challenges for them in entering UK practice.
Chapter 18: Guidelines on the Provision of Anaesthesia Services for Cardiac Procedures 2025
Trainees should have an appropriate balance between cardiac and ICU training based on their individual requirements.
Chapter 8: Guidelines for the Provision of Regional Anaesthesia Services 2025
Sharp needle-based blocks (e.g. peribulbar) should only be administered by medically qualified personnel.
In a recent correspondence, I wrote: ‘So many ideas flying around in my head (ADHD). I need to pin them down, put them in order (ASD), and get started (ADHD inertia). I’m over the “I’m broken” phase and now feel that my mission before I finally retire is to help others realise they’re not broken either’.
Why? A Bulletin article entitled ‘Equality, diversity and inclusion (EDI): what it means to the College’1 with no mention of neurodiversity! The College wants to ‘develop a dataset of the profile and diversity of their membership and workforce’, but without neurodiversity questions I feel excluded!
One in a hundred young people have an autism spectrum disorder (ASD); 10 per cent of these may become high-functioning adults.2 Between three and six per cent of children have attention deficit hyperactive disorder (ADHD), and for one in seven of these ADHD will continue into adulthood.3 Also, adults with ASD are more likely to have ADHD!2 Everyone has individual attributes and characteristics. Experience of autism is also unique; this is the power of neurodiversity. Some professions, for example aerospace, screen positively for autistic traits4 – methodical, attention to detail, ability to hyperfocus, pattern recognition, visual memory, and novel approaches to problem solving.