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Turning problems into solutions is the very essence of this issue produced by the recently launched RCoA Centre for Research and Improvement (CR&I).

The issue led by anaesthetists in training for those in training and trainers. The feeling we're left with reading this issue is one of commitment to change responding to the challenges within our specialty, whether long standing or emergent. Please enjoy the issue.

We're always filled with renewed enthusiasm at the start of a new year. This is not to take away from the fact winter is extremely challenging within the NHS. The paradox of hope in the face of current harsh realities is captured throughout this issue. Let's walk the tightrope together this year and support each other along the way.