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  3. The long and winding road: a longitudinal study of UK anaesthetists in training.

The long and winding road: a longitudinal study of UK anaesthetists in training.

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DOI
10.48620/99244
Publisher DOI
10.1016/j.bja.2026.05.011
PubMed ID
42350170
Abstract
While cross-sectional surveys provide a snapshot of the anaesthesia workforce, they fail to capture how pressures accumulate or when trainee disengagement actually begins. The UK anaesthesia community has historically faced a 'seven-year gap' in data between entry into training and consultant practice. The baseline results from the Longitudinal Study of the 2024 Cohort reveal a trainee population that is more diverse and open about health conditions than previous generations, but is also more stressed. Key findings include an overwhelming preference (76%) for less-than-full-time training and high levels of 'effort-reward imbalance' at the very start of specialty training. The study also identifies specific areas of concern, most notably the Acute Care Common Stem (ACCS) pathway, where non-anaesthetic rotations correlate with higher burnout, and systemic anxiety regarding training bottlenecks and the role of Anaesthesia Associates. Longitudinal research is critical to moving workforce planning from anecdote to evidence. As trainees make their experiences visible, the responsibility now falls on training bodies to use these baseline data to create more flexible, psychologically safe, and sustainable training environments.
Date Issued
2026-08
Publication Type
Article
Subject(s)
600 Technology > 610 Medicine & health
Subjects
burnout
•
longitudinal study
•
medical education
•
well-being
•
workforce planning
Language(s)
en
Author(s)
Berger-Estilita, Joana  
Institut für Medizinische Lehre, Forschung / Evaluation (FE)  
Institute for Medical Education  
Institut für Medizinische Lehre, Assessment und Evaluation, Forschung / Evaluation  
Leslie, Kate
Additional Credits
Institut für Medizinische Lehre, Forschung / Evaluation (FE)  
Institute for Medical Education  
Institut für Medizinische Lehre, Assessment und Evaluation, Forschung / Evaluation  
Journal
British Journal of Anaesthesia
Publisher
Elsevier
ISSN
1471-6771
0007-0912
Access(Rights)
restricted
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