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Educational opportunities for anaesthetists in training in MTC and TU will undoubtedly occur during predictable job planned consultant direct clinical care sessions out of hours as a result of the nature of trauma. Hospitals in which anaesthetists in training work a full or partial shift system should consider providing additional consultant programmed activities to allow training and supervision to take...

Anaesthetists in training should be given the appropriate level of responsibility according to their competence and level of training, to gain the experience of non-theatre environment and to enable them to function as a consultant later in their career. Anaesthetists in training must be appropriately supervised at all times; rotas and staffing arrangements should be in place to facilitate this...

Anaesthetists in training should be given the appropriate level of responsibility, according to their competence and level of training, to gain the experience of emergency anaesthesia to enable them to function as a consultant later in their career. Anaesthetists in training must be appropriately supervised at all times; rotas and staffing arrangements should be in place to facilitate this training.⁹⁶

In units where anaesthetists in training work a full or partial shift system and/or rotate through the department every three months (or more frequently), provision of additional programmed activities for autonomously practising anaesthetists should be considered, to allow initial orientation, training and supervision into the evening.³⁰

The department should have a policy on providing breaks for anaesthetists working solo which might include discussing breaks as part of the theatre team brief and providing a ‘floating’ anaesthetist to help with breaks in the theatre suite. If breaks are unavailable, then this should be formally recorded and included in the organisation’s risk register.

Arrangements to handover duties easily and swiftly should be made promptly and sympathetically to enable the anaesthetist or staff member to have time away from the workplace following a major adverse event. Additional support should be provided on return to work and also when the anaesthetist is presented with similar clinical scenarios.¹⁰⁶