Cristian Esanu

Anaesthetist

[Cristian Esanu @ConstantCristi]

#wsmlondon18
Colville: the same regulator for all health professionals.

[Cristian Esanu @ConstantCristi]

#wsmlondon18
RM: A multitude of models for the "replacement" of Anaesthetic and ICU physicians.
Regulation is vital.

[Cristian Esanu @ConstantCristi]

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Physician Assistants numbers will reflect the shortage of Physician Anaesthetists.

[Cristian Esanu @ConstantCristi]

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Physician assistants:
Regulation for PhAs: Will happen within 12 (?) months and will lead to an expansion of roles.

[Cristian Esanu @ConstantCristi]

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How can GMC be supportive of doctors:
Colville Shift from "When things go wrong" to anticipating and intervening earlier.
GMC is shifting towards promoting excellence

[Cristian Esanu @ConstantCristi]

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Clyburn LNC and BMA should be involved in defining roles in times of crisis, at a local level.

[Cristian Esanu @ConstantCristi]

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Ageing anaesthetist asked to do extra shifts/on calls acting down!
Clyburn competence and patient safety
Docs are not superhumans

[Cristian Esanu @ConstantCristi]

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Workforce: the aging anaesthetist: people retire earlier than they may want
Ireland: no SAS doc label; increase in number of trainees graduating as Consultants

[Cristian Esanu @ConstantCristi]

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Workforce planning
RM 14% of Anaesthetic workforce with European qualifications
40% want to leave after Brexit
Welfare: 20% of workforce are SAS doctors retention and wellbeing

[Cristian Esanu @ConstantCristi]

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Workforce planning in the long-term
Colville: GMC workforce group
RM Anaesthetic workforce prediction: 25% reduction in workforce (overall and recruitment).

[Cristian Esanu @ConstantCristi]

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Winter pressures document (AAGBI & RCoA) will mostly cover the circumstances of a Consultant or SAS acting outside their area of expertise.

[Cristian Esanu @ConstantCristi]

#wsmlondon18
Panel discussion:
Questions:
What is the risk for anaesthetists asked to undertake tasks outside their area of expertise?
RM: prior experience and appropriate supervision apre prerequisites to helping in A/E.

[Cristian Esanu @ConstantCristi]

#wsmlondon18

[Cristian Esanu @ConstantCristi]

#wsmlondon18
Future training needs should be based on populational demographics assessment (prepare for multimorbidity and the split between rural and urban).

[Cristian Esanu @ConstantCristi]

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Colin Melville
The future of Medical Education and Training
Somnos or Morpheus?

[Cristian Esanu @ConstantCristi]

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Feedback and Advice resources:
London Handbook for Debriefing
RCOG online learning Improving Workplace behavior videos

[Cristian Esanu @ConstantCristi]

#wsmlondon18
The purpose of questioning can only be to build conscious competence.

[Cristian Esanu @ConstantCristi]

#wsmlondon18
Giving constructive feedback:
to promote self-regulation
questioning is effective
relationship-building is crucial

[Cristian Esanu @ConstantCristi]

BBC News - Winter storm: The animals enjoying snow more than humans https://t.co/KiGiBvCj97

[Cristian Esanu @ConstantCristi]

Next year`s SIVA on 29th and 30th of November in Manchester, at the Pendulum (Manchester Conference Centre) #RCoAWS #SIVA17