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Critical terms must be clearly and consistently used.
For example, UK law recognises protected titles; ‘general practitioner’, ‘registered nurse’, or ‘paramedic’ have specific meanings, and to use one carries legal weight. Interestingly ‘surgeon’ appears on the GMC’s list of legally protected titles, but ‘anaesthetist’ does not.
While meaning can appear clear from context, ambiguity creates risk. It need not be highly technical terminology to cause problems. Misunderstanding of ‘OK’ contributed to the 1977 Tenerife air disaster, where a tower controller probably intended ‘I acknowledge your request to take off’, but the flight commander understood ‘you are giving me clearance for take-off’. The Boeing 747 accelerated down the runway, and shortly thereafter collided with another aircraft.
Chapter 6: Guidelines for the Provision of Anaesthesia Services for Day Surgery 2025
Anaesthetists should have been trained in this field to the standards required by the Royal College of Anaesthetists.12
Chapter 15: Guidelines for the Provision of Anaesthesia Services for Vascular Procedures 2025
Some anaesthetists may have responsibility for management of major vascular surgical cases on an occasional or out-of-hours basis. Departments of anaesthesia should ensure that opportunities are made available for these anaesthetists to maintain appropriate skills and knowledge. Notwithstanding this provision, all anaesthetists must recognise and work within the limits of their professional competence.
Anaesthetists in training, whatever route they are taking, are the future of our specialty. This is a guiding principle of the College and it cuts across all aspects of our work.
I have always been incredibly impressed by the professionalism, compassion, skill and knowledge of the anaesthetists in training I work with and, as a prospective service user, I can see that the future is bright but that we need to play our part by supporting you to realise that promise.
I hear many positive things from anaesthetists in training, ranging from what you love about the job, to your well-deserved pride in your achievements and your commitment to supporting your patients and colleagues. But I also hear the negative aspects. I hear you when you tell me about training interrupted by the pandemic and the unaddressed trauma from that time. Or how your life and career have been impacted by frequent rotations, exam pressures or difficulty securing a higher training place.