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Although the absolute number of academic anaesthetic consultants and trainees remains very low, UK academic anaesthesia has undergone an important structural transformation since the Pandit report described a " I severe crisis in academic anaesthesia" i in 2005 [21]. Keywords: career choice; education; research; universities EN career choice education research universities 455 459 5 03/04/21 20210401 NES 210401 I "Your future is whatever you make it, so make it a good one!" Supporting UK academic anaesthesia Anaesthesia remains under-represented in clinical academia, with just under 0.5% of anaesthetists' time spent in senior university posts, compared with around 3% for doctors overall [15, 16]. [Extracted from the article]

Workplace distractions in the digital era - are smartphones a threat to safety or an essential tool? Keywords: communication; safety; technology EN communication safety technology 305 308 4 02/08/21 20210301 NES 210301 Anaesthesia is a technology-dependant specialty. While the impact of total intravenous anaesthesia, video laryngoscopes and ultrasound-guidance - to name but a few influential recent technologies - have been extensively studied [e.g. 1-4], the professional use of smartphones in anaesthesia remains relatively under-investigated. For example, the Association of Anaesthetists' I Recommendations for standards of monitoring during anaesthesia and recovery i states that "the anaesthetist must be present and care for the patient" - that the anaesthetist should remain vigilant and maintain situation awareness is left unsaid [14]. [Extracted from the article]

The NHS Sustainable Development Unit has estimated that anaesthetic gases (including nitrous oxide) contribute ~5% of the carbon footprint of UK hospitals (~0.56/10.4 million tons CO SB 2 sb e; ~0.08 mt (~0.8%) inhalational anaesthetic agents only) [10]. 19 Al-Rifai Z, Mulvey D. Principles of total intravenous anaesthesia: practical aspects of using total intravenous anaesthesia. Anesthesia, inhalation, adverse effects, anesthesia, toxicity, air pollutants, environmental. [Extracted from the article]

It is essential that academic publishing complies with the highest standards in terms of ethics, research conduct and manuscript preparation. This protects the rights and welfare of research participants, ensures the integrity of study results and aids the communication and dissemination of novel findings into clinical practice. This position statement outlines the current policies and practices of the Editors of Anaesthesia and Anaesthesia Reports in relation to academic medical publishing., (© 2023 The Authors. Anaesthesia published by John Wiley & Sons Ltd on behalf of Association of Anaesthetists.)

The Earth's mean surface temperature is already approximately 1.1°C higher than pre-industrial levels. Exceeding a mean 1.5°C rise by 2050 will make global adaptation to the consequences of climate change less possible. To protect public health, anaesthesia providers need to reduce the contribution their practice makes to global warming. We convened a Working Group of 45 anaesthesia providers with a recognised interest in sustainability, and used a three-stage modified Delphi consensus process to agree on principles of environmentally sustainable anaesthesia that are achievable worldwide. The Working Group agreed on the following three important underlying statements: patient safety should not be compromised by sustainable anaesthetic practices; high-, middle- and low-income countries should support each other appropriately in delivering sustainable healthcare (including anaesthesia); and healthcare systems should be mandated to reduce their contribution to global warming. We set out seven fundamental principles to guide anaesthesia providers in the move to environmentally sustainable practice, including: choice of medications and equipment; minimising waste and overuse of resources; and addressing environmental sustainability in anaesthetists' education, research, quality improvement and local healthcare leadership activities. These changes are achievable with minimal material resource and financial investment, and should undergo re-evaluation and updates as better evidence is published. This paper discusses each principle individually, and directs readers towards further important references., (© 2021 The Authors. Anaesthesia published by John Wiley & Sons Ltd on behalf of Association of Anaesthetists.)

Research has shown that healthcare workers' clothes can become contaminated with pathogens. This study aimed to determine whether hospital doctors can change their attire to reduce the possibility of cross-infection without jeopardising the doctor-patient relationship. In this experimental repeated-measures study, 55 male and 45 female inpatients (mean age: 52.89 years) were randomly selected. Participants were shown photographs of medical dresscodes and asked to rate their appropriateness on a 5-point Likert scale. They were then read a standardised statement regarding the significance of attire to cross-infection and the exercise was repeated. Pre statement, there was no significant difference between the majority of dress options, though casual dress (male and female) and short-sleeved top (female) were considered significantly less appropriate. Post statement, surgical 'scrubs' and short-sleeved top/shirt were deemed most appropriate (P<0.0001). There was no significant difference between short-sleeved shirt and scrubs for males. For females, scrubs were preferred (P=0.0005). Participants expressed no significant preference for medical attire, with the exception of a dislike of casual dress. However, once informed of the significance of attire to cross-infection, preference changes to favour dresscodes which may minimise infection risk., (Copyright 2009 The Hospital Infection Society. Published by Elsevier Ltd. All rights reserved.)