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Anaesthetists should be given support and time to familiarise themselves with non-theatre locations and different environments prior to solo sessions and out of hours work. This may include undertaking operating lists with a colleague.

Departments should include requirements for PPE into the induction process including fit testing where appropriate and the appropriate and safe use of PPE.⁶⁸

Departments should have specific processes in place to support IMGs starting work in the UK for the first time.^68,69  Medical training initiative trainees and other IMGs, should undergo hospital and department induction, specifically tailored for them.^70,71This may include information and orientation about working in the NHS, accommodation facilities, city, banking etc.

There should be a named trust/board lead for IMGs.^71,72

Departments should commit to providing the time and resources to educate those who provide anaesthetic care for patients by facilitating access to education and training. Continuing professional development (CPD) and education should be balanced between the individual’s clinical and other areas of responsibility.^19,73

Departments should have regular clinical governance time where educational activity and clinical governance activity can take place. Clinical activity should be reduced during clinical governance time to maximise attendance, which should ideally occur monthly.

Anaesthetists should demonstrate engagement with ongoing education and CPD as required.⁷⁴

All staff should have access to adequate time, funding and facilities to undertake and update training that is relevant to their clinical and non-clinical practice, including annual mandatory training.

The department should have a structured educational training programme for anaesthetists covering updates on new techniques and practice developments.

All anaesthetists should complete training in adult and paediatric life support, safeguarding and consent, appropriate to their clinical practice and case load (emergency as well as elective). Knowledge and skills in these domains should be maintained through CPD and planned as part of annual appraisal and personal development plans (PDP).