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"As I sit down to write this article, I am very much aware that today is the anniversary of the death of my mother. A strong-minded, intelligent and, above all, proud woman, her greatest fear as she became increasingly physically frail was a loss of dignity."

Dr Lorraine de Grey provides an update on the credential for the pain medicine specialist, following a stall in progress due to the pandemic.

Dr Alison Pittard, OBE: "The end of my tenure brings an opportunity to reflect on the last three years. COVID-19 has dominated and it is easy to focus on the negatives, but, as an eternal optimist, I see many positives. I had three objectives when I became dean, the first of which was to promote our specialty."

We have recently been adding some important updates to the Revalidation section of the College website, and we would like to draw your attention to these. The first update focuses on appraisal: a key component of revalidation is the annual appraisal during which doctors will discuss their supporting information to demonstrate that they are continuing to meet the principles and values set out in Good Medical Practice.

The Anaesthesia Clinical Services Accreditation (ACSA) scheme has the concept of continuous quality improvement at its heart, and departments who engage with the scheme have to demonstrate this in order to gain and retain accreditation.