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Authors:
- Dr Anna Simpson ST7 Anaesthetics, Bristol Royal Infirmary
- Dr Neil Botting CT3 Anaesthetics, Worthing Hospital
- Dr Joe Hetherington ST6 Geriatric and General Internal Medicine, Guy’s and St Thomas’ NHS Foundation Trust
- Hannah Wilson Consultant Anaesthetist, Bristol Royal Infirmary
- Dr Claire Swarbrick SNAP-3 Fellow Specialty Registrar, Royal Devon and Exeter Hospital
- Dr Jude Partridge Consultant Anaesthetist, Guy’s and St Thomas’ NHS Foundation Trust
- Dr Patrick Thorburn Consultant in Anaesthetics and Intensive Care Medicine, Worthing Hospital
The Associate Principal Investigator (API) scheme is a new initiative from the National Institute of Health Research (NIHR) which aims to formalise research involvement for those not normally exposed to research in their day-to-day jobs.
The aim is to help develop health professionals to become the Principal Investigators (PIs) of the future. It is a six-month, in-work training opportunity providing practical research experience in order to learn what it is like to deliver an NIHR portfolio study at a local level guided by an enthusiastic PI.1 It has endorsement from 16 Medical Royal Colleges, including the Royal College of Anaesthetists, and at present there are 330 studies eligible for the scheme, which can recruit one API per site every six months.
Training in anaesthesia is one of the cornerstones of the profession. It is often cited as one of the specific attractions of choosing anaesthesia as a career. However, anaesthetists in training are unfortunately not immune from the challenges faced by all resident doctors working within the UK.
In recent years, there have been growing concerns about low morale and burnout. Anaesthetists in training provide a pivotal role in the provision of services in many areas of secondary care. Furthermore, there is a well recognised shortage of consultant anaesthetists in the UK. It’s essential that the NHS is able to train and retain this uniquely skilled workforce to provide care for patients both now and in the future.
It’s apparent from both the College’s own work, such as the 2017 survey on morale and welfare in anaesthetists in training (‘A need to listen’) and also evidence from the GMC’s National Trainee Survey (NTS), that there is a high proportion of anaesthetists in training at risk of burnout. There have also been significant external factors impacting on the training programme, such as the transition to the 2021 curriculum and the COVID-19 pandemic. Competition ratios to enter anaesthetic training are at record levels, and concerns remain about training-post numbers and progression between Core and Higher training programmes.