NELA year 10 report_Table 14.3
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We collaborated with the OAA to provide you with some great resources on obstetric anaesthesia.
Authors:
- Dr Kirsty Maclennan, RCoA Council Member; Committee Member, Obstetric Anaesthetists’ Association
- Dr Nuala Lucas, President, Obstetric Anaesthetists’ Association
- Anna McGilvray, RCoA Education Content Co-ordinator
For this issue, we’re collaborating with the Obstetric Anaesthetists’ Association (OAA) to focus on obstetric anaesthesia.
If you’d like us to feature resources from your subspecialty here, or have any other suggestions or feedback, please email us at education-resources@rcoa.ac.uk.
East of England share their experience in establishing a new TRN.
Authors:
- Dr Caroline Phillips, ST6, Peterborough City Hospital
- Dr Lara Allen, ST7, Cambridge University Hospitals
Trainee Research Networks (TRNs) provide resident doctors with a valuable opportunity to obtain research experience.
In the 2021 curriculum, the College introduced ‘Research and Managing Data’ as one of seven generic professional domains, emphasising the importance of research in the consultant anaesthetist’s skill-set. However, the East of England was among a few UK regions without an active TRN. In 2022, together with a group of colleagues, we identified a need for research led by anaesthetists in training in the East of England and began a journey to establish a new TRN.
Read the latest letters about GLP-1 Receptor Agonists and the SALG-BIDMC fellowship, and see our responses.
Read the latest letters submitted by members in summer's Bulletin.
The North-West School of Anaesthesia turned social loneliness and low morale into a strength by finding joy in Fest North-West.
Authors:
- Dr Phoebe Hill, ST4 Anaesthetics, Wythenshawe Hospital, Manchester
- Dr Jack Dalziel, SCF Anaesthetics, Preston Hospital, Lancashire
- Dr Stephanie Harrison, ST7 Anaesthetics, Salford Royal Hospital, Manchester
Founded in 2021 (at the height of COVID) and now in its third year, ‘Fest North-West’ was born out of the need for togetherness and team spirit. We’ve all become far too familiar with a common theme of anaesthetists in training struggling with stress and low morale and feeling underappreciated.
Unfortunately, trainee wellbeing is affected by both individual and external factors – social isolation as well as wider cultural issues of feeling underappreciated contribute negatively to trainee wellbeing. Long waiting lists, pay disputes and social media negativity haven’t helped wellbeing for any of us.
This article shows us that LGBTQ+ allyship is not a title or role that can be assumed on a personal whim.
Author: Dr Duncan McGregor, anaesthetist in training in the north-west of England; Ex-Chair of GLADD – The Association of LGBTQ+ Doctors and Dentists; Honorary Assistant Professor at the University of Nottingham and an LGBTQ+ Healthcare Activist
Advocating for effective analgesia in labour and perioperative care; advocating for high-quality care by considering patients as a whole; often advocating for patients for whom no intervention may be in their best interests.
Much of our work and training as anaesthetists is centred on ensuring that our patients are advocated for to receive the very best possible care wherever we’re involved.
However, for some of us, our advocacy work can involve other areas too. I’ve spent nearly 10 years in the field of LGBTQ+ health activism.
This article provides some helpful advice and resources on treating patients with learning disabilities and autism.
This article discusses the importance of respecting patients’ beliefs and values and how prescribing requires collaboration and shared responsibility.
Author: Dr Kaisha Roser, CT3 Anaesthetics, Freeman Hospital, Newcastle-upon-Tyne
Patient autonomy is rightly a cornerstone of modern medical practice, but the reality of healthcare can present challenges when a patient’s ideals clash with a proposed treatment plan.
A particularly delicate issue arises when an individual’s religious or cultural beliefs prohibit the use of particular medications or the ingredients within them. Respecting a patient’s values while ensuring effective treatment requires a collaborative approach with shared responsibility.
Recently, this matter was highlighted during the preoperative assessment of a male patient undergoing orthopaedic surgery. As part of the Enhanced Recovery After Surgery (ERAS) protocol, we discussed a multimodal approach to postoperative pain management, with an oral morphine solution identified as the primary analgesic option.
Ethics underpins all we do. However, it can be difficult to integrate into clinical practice. This article tells you how to get involved.
Author: Dr John Shenouda, ST6, Queen Charlotte’s Hospital; Member, RCoA Ethics Committee
Ethics underpins all that we do in medicine and anaesthesia. It’s a topic that’s always fascinated me, though I’ve found it challenging to incorporate into anaesthetic training besides daily clinical decision-making.
Seeking to further my understanding of medical ethics and global health, I completed a Medicine in Conflict and Catastrophe postgraduate diploma. This provided the platform for me to start vulnerability assessments. Working alongside colleagues, we successfully rehoused asylum seekers from Penally barracks to safer, more appropriate housing while their applications were reviewed.
Many royal colleges have recently formed ethics committees to advise their councils on matters relevant to the colleges and their membership.
Queen Elizabeth Hospital Birmingham tells us about their successful listening event to improve anaesthetic training.
Authors:
- Dr Catherine Browne, Anaesthetics Registrar, Queen Elizabeth Hospital, Birmingham
- Dr Emma Plunkett, Consultant Anaesthetist, Queen Elizabeth Hospital, Birmingham
- Dr Nancy Redfern, Consultant Anaesthetist, Newcastle-upon-Tyne Hospitals NHS Foundation Trust
Six weeks into the academic year, 40 resident anaesthetists and Locally Employed Doctors gathered on a grey September morning in the Military Seminar Room.
The room was equipped with a flipchart, coloured pens, and a selection of baked goods — all designed to foster an atmosphere of collaboration and engagement.
Our event was facilitated by Nancy Redfern, a consultant anaesthetist from the Newcastle-upon-Tyne Hospitals NHS Foundation Trust, who has extensive mentoring experience and who had facilitated a similar event in our organisation in 2023. Nancy began with a brief presentation that outlined the current context, the principles for enhancing staff wellbeing, and the change-management model guiding the event.