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Adapting to change is the theme for this year's training issue. As always, the issue is packed with the usual great mix of features, opinions and guidance. You'll also get to meet our new editorial board anaesthetist in training members and we have a new feedback form.

We hope this last print issue of the Bulletin provides many opportunities to feel inspired today and beyond the 75th anniversary of the NHS.

We are really excited to be publishing the second edition of our new Digital Bulletin. This month's edition is filled with features, editor's picks, opinion pieces, and newsworthy topics. We hope you enjoy the new Digital Bulletin experience.

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

Welcome to the October Bulletin 2022. We are really excited to be launching our new Digital Bulletin. This month is our Research Edition, packed with features, editor's picks, opinion pieces, and newsworthy topics. We hope you enjoy the new Digital Bulletin experience.

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.

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 welcome you to this issue and hope you'll find it uplifting and re-energising during these uniquely difficult times.

This issue, as is traditional for autumn, focuses on research and innovation. We highlight several forward-thinking initiatives from equitable recruitment to sustainable healthcare.