Challenges in professional development of anaesthesiology trainees: A cross-sectional survey by the European Society of Anaesthesiology and Intensive Care Trainee Committee.

Background
The coronavirus disease (COVID-19) pandemic disrupted training in anaesthesiology. The global shortage of healthcare workers has also negatively affected training opportunities.Objective
To evaluate the current experiences, challenges and professional development of anaesthesiology trainees across Europe.Design
An online cross-sectional survey of anaesthesiology trainees.Participants
Anaesthesiology trainees from the 42 European Society of Anaesthesiology and Intensive Care (ESAIC)-affiliated countries.Main Outcome Measures
Quality of training supervision and program structure; the impact of COVID-19 on training and practical learning, trainee support systems, financial challenges and professional development, involvement in the ESAIC Exchange Program and career mobility insights.Results
Seven hundred and seventy-one participants from 35 ESAIC-affiliated European countries highlighted several aspects of anaesthesiology training. Approximately 30.5% of trainees reported being able to independently anaesthetise patients with ASA class 1 and 2 within 3 months, whereas independence for ASA 3 and 4 patients under indirect supervision was achieved by 24.3% between 6 and 9 months. Half of the respondents attained an independent working capacity in the ICU after 1.5 years. Although 51.3% reported receiving adequate training and supervision, only 30.1% received employer financial support for educational activities. The COVID-19 pandemic led to 40.2% being redeployed, primarily to ICUs, with 45.2% experiencing negative training effects. Career-wise, 12.5% engaged in international exchange programs, and 49.1% considered relocating for better career opportunities and work-life balance.Conclusion
The findings provide valuable insights into the current state of anaesthesiology training in Europe, highlighting the need for adaptive strategies in medical education and training to meet evolving challenges and ensure continual professional growth.