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2 results

  • Chapter 44 - Be the Best!

  • from Section 4 - Walking the Walk (and Talking the Talk)
  • William Fawcett, Royal Surrey County Hospital, Guildford and University of Surrey, Olivia Dow, Guy's and St Thomas' NHS Foundation Trust, London, Judith Dinsmore, St George's Hospital, London
  • Book:
    Robinson and Hall's How to Survive in Anaesthesia
    Published online:
    09 June 2025
    Print publication:
    26 June 2025, pp 242-250

  • Summary

    Training as an anaesthetist can be very demanding and self-care and the wellbeing of the anaesthetist are of essence. Demanding work schedules include night shifts which can be particularly difficult to adjust to for some. Practical advice is stated on how to overcome and adapt to these. Green anaesthesia has gained large importance in ensuring sustainability in healthcare. In the UK anaesthetic cases and Nitrous Oxide contribute around 2% of all NHS greenhouse gas emissions. Steps to reduce the individual anaesthetists’ carbon footprint are discussed.

    An overview of the anaesthetic training program is stated in addition to practical advice on enhancing portfolio work. Departments are required to run morbidity and mortality meetings which can be a good opportunity for the anaesthetic trainee. These meetings focus on a specific patient case and may lead to an action plan within the department. This chapter focuses on ways to make the most out of anaesthetic training and offers guidance to the training structure and requirements.

  • 27 - Training and practice protocols

  • from Part VI - Models for collaborative services and staff training
  • Edited by Michael Göpfert, Webb House Democratic Therapeutic Community, Crewe, Jeni Webster, 5 Boroughs Partnership, Warrington, Mary V. Seeman, University of Toronto
  • Book:
    Parental Psychiatric Disorder
    Published online:
    09 August 2009
    Print publication:
    13 May 2004, pp 375-392

  • Summary

    This chapter describes the development of a training programme commissioned by the Department of Health (UK) in 1998. It provides examples of its use and ongoing challenges to implementation and evaluation. Risks for staff and costs to families are presented to highlight the need for improving practice through the use of service protocols. The chapter emphasizes the need to integrate training and protocols in order to achieve better outcomes for children and their mentally ill parents. A programme of training and a clear, fully supported protocol must be the minimum necessary requirements to ensure implementation of best practice. The opportunities for prevention and early intervention would be well supported by adherence to a protocol which promoted timely referrals and an appropriate network of relevant professionals to assess, support, treat and review needs. Early intervention is good risk management, which requires early intervention.