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Main navigation

  • Membership
    Membership
    • Become a member
      Become a member
      • Membership benefits
      • Membership categories and subscriptions
      • Membership FAQs
      • Senior Fellows and Members Club (SFMC)
    • Publications and resources
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      • BJA Journals
      • Bulletin
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    • Get involved
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      • Education and exams
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    • Honours, Awards and Prizes
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      • Fellowships
      • College Awards
      • Lectureships
      • Application and guidance for Fellowship ad eundem
      • Nominations proposal form
  • For patients
    For patients
    • Patient information resources
      Patient information resources
      • Preparing for surgery
      • Preparing your mind before surgery
      • Leaflets and video resources
      • For children, parents and carers
      • Anaesthesia and risk
      • Accessible resources and translations
      • Leave your feedback on our patient resources
    • 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
    • About anaesthesia
      About anaesthesia
      • FAQs about anaesthesia
      • Anaesthesia explained
      • Shared decision making
      • The anaesthesia team
      • A to Z of medical terms
      • Anaesthesia & the environment
  • 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
      • Stage 1
      • Stage 2
      • Stage 3
      • Supporting resources
      • Legacy curricula
      • Flexibility in training
      • Supervising and assessing
      • Portfolio Pathway
      • External Adviser for ARCP
    • 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
      College Representatives
      • Become a College representative
      • Regional Advisers Anaesthesia (RAA)
      • Anaesthetists in training representation
      • Upcoming meetings
  • 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
      FRCA examination information
      • 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
      Performance and Progress in Our Exams
      • Primary FRCA pass rates
      • Final FRCA pass rates
      • Reports
      • Independent Review
      • FRCA Internal Review
    • For examiners
      For examiners
      • Becoming a FRCA examiner
      • FRCA Examiner Regulations
      • Becoming a FRCA Affiliate Examiner
  • Events & professional development
    Events & professional development
    • Events Calendar
      Events Calendar
      • Anaesthesia 2025
      • Anaesthetic updates
      • Anaesthetists as Educators Programme
    • Event FAQs
      Event FAQs
      • Event terms and conditions
    • Exhibit or sponsor an RCoA event
    • Education and Professional Development
      Education and Professional Development
      • 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
      • 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
    • Latest
      Latest
      • News
      • Blog
      • Media Centre
      • Work for us
  • Policy
    Policy
    • Policy and Public Affairs
      Policy and Public Affairs
      • Coalitions
      • Anaesthesia – fit for the future
      • What we think
      • Our consultations responses

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Initiating and maintaining change and quality improvement as a resident doctor

Dr Tara Keogh looks at how resident doctors can try to implement change and make meaningful contributions while training.

It is not an understatement to say that resident doctors in training often face significant challenges when attempting to implement change initiatives. As they rotate through multiple hospitals, they may struggle to establish rapport and trust with established staff, making it difficult to garner support for new ideas. 

The fast-paced environment, heavy workload and burden of exams and portfolio, can leave little time for trainees to engage in the necessary discussions or meetings to advocate for change. Additionally, the hierarchical structure of medical training can inhibit resident doctors from voicing their ideas as they may not feel respected enough to have influence.

‘Safety and Quality Improvement’ is one of the generic professional domains throughout the anaesthetic training programme. Trainees are expected to conduct local quality-improvement projects, in addition to participation in regional or national projects.

Take a break

Games can be a fantastic way to reset your mind and boost productivity during work breaks. So for this Bulletin issue, we give you the popular Japanese puzzle game, Sudoku.

We've been told playing a game can be a fantastic way to reset your mind and boost productivity during work breaks.

So for this Bulletin issue, we give you the popular Japanese puzzle game, Sudoku.

あなたへの私たちの贈り物 (Our gift to you. Thanks, Google Translate.)

Have you missed a Bulletin issue?

Our full selection of back digital issues has you covered and will keep you up-to-date and informed on what’s happening in our specialty.

Our full selection of back digital issues will keep you up-to-date and informed on what’s happening in our specialty. We hope you continue enjoying your membership magazine.

Announcements: Winter 2025

Find out the latest appointments approved, and with sadness we record the deaths of some of our fellows.

Find out the latest appointments approved, and with sadness we record the deaths of some of our fellows. 

CEO update: our plans for 2025

Jono Bruun reflects on the work done in 2024 and looks forward to the year ahead.

Jono Bruun reflects on the work done in 2024 and looks forward to the year ahead.

BJA and BJA Education journals

You can read the latest editions via their flipbooks. For access to the full library of previous editions, please log in to My RCoA.

Here, you will find the latest monthly editions of the BJA journals.

You can access all the links and articles in the current edition of each journal through these flipbooks. If you'd like to access the full library of articles and editions, please visit the Publications section in your My RCoA account.

Anaesthesia 2025: the Belle of Belfast City

This year, for the first time, we’re taking our flagship conference, ‘Anaesthesia’, to Belfast. Book your tickets before 31 January 2025 to get 20% off.

The conference takes place at ICC Belfast in the heart of the city, moments from the maze of cobblestoned streets in Belfast's Cathedral Quarter. We'll be close to the Metropolitan Arts Centre, St Anne’s Cathedral and just a short stroll from the Titanic Belfast, where you can see the story of the Titanic from conception to its maiden voyage. And Belfast is also the home of the blockbuster ‘Game of Thrones’ TV show. Visitors can visit filming locations across Belfast and Northern Ireland.

Our Anaesthesia 2025 venue is a designated conference space with excellent transport links and ‘Green Meetings’ accreditation, helping us to deliver a more sustainable event that benefits the local economy. ‘Visit Belfast’ have an array of local attractions and activities for you to explore, and we plan to help you make the most of your time in the city, and to make your conference experience that much more fulfilling.

 

Anaesthetic Wellbeing Network

Dr James Wicker updates us on AWN's important work, which involves members sharing ideas and supporting each other.

The Anaesthetic Workforce: UK State of the Nation Report 2024 was a sobering reminder of the challenging working environment we find ourselves in. An Anaesthetic Wellbeing Network was born two years before that, meeting online for the first time in February 2022. 

It was an attempt to share ideas on how to improve the working conditions of healthcare providers within a network of anaesthetists and clinicians with an interest in this field from the Kent, Surrey and Sussex/London region. The group has proved to be very successful, and has grown, with colleagues from around the country joining virtually, every few months.

So, what have we achieved as a group and what do we hope to do next?

Providing your voice at the UK Covid-19 Inquiry

Intensivists and anaesthetists were vital to the Covid-19 response. We hope our involvement has demonstrated to the Inquiry the vital role our members played.

Neurodivergence and the hidden vulnerable

Dr Charlotte Redshaw explores neurodivergence and asks what extent our perception of vulnerability is a stereotypical one and how often we assume that an unlabelled person is neurotypical.

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