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AAs should be supervised in accordance with the scope of practice published by the RCoA.⁴³

Where an anaesthetist is supervised by a sessional supervisor, the individual should be aware of their supervisor’s identity, location and how to contact them.^37,42

Sessional supervisors should know who they are supervising, where their supervisees are and their clinical activity.³⁷

Support, including supervision and shadowing, should be provided to international medical graduates (IMGs) based on their experience and competency for a length of time agreed with the department.⁴³,⁴⁴

There should be a health and wellbeing policy in place for all staff.

Departments should consider having a health and wellbeing lead who has access to adequate expertise and resources.⁴³,⁴⁵  The RCoA and the Association of Anaesthetists have published a model job description for this role. ⁴³

To promote high job satisfaction departments should strive to achieve good working conditions, strong inter departmental relationships and appropriate resources.

Departments should promote working conditions known to provide job satisfaction, including varied work, input into individual anaesthetist’s job plans and opportunities for colleagues to contribute their ideas and skills to the department.

Departments should promote a caring and supportive culture, in which every effort is made to identify and support those who may be in difficulty and have a means of offering appropriate support.¹⁵

Poor teamwork can impact on the wellbeing of all staff and can lead to lower job satisfaction. Departments should consider providing team-based training to promote cohesiveness and collaboration.