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TRIP
TRIP
Training Review in Paediatric Anaesthesia
Training Review in Paediatric Anaesthesia
Study organiser: Association of Paediatric Anaesthetists of Great Britain and Ireland
Study organiser: Association of Paediatric Anaesthetists of Great Britain and Ireland
TRIP was a two-part study examining all regions of the United Kingdom and Northern Ireland. First, it surveyed college tutors to obtain data on estimated annual cases, the effects of the COVID-19 pandemic, and the spread of non-consultant anaesthetists (NCAs) in the department. Second, it surveyed NCAs to examine the types of paediatric patients encountered over a 2-week period and the corresponding levels of supervision. Part 1 opened on June 22, 2022, and Part 2 collected a log of paediatric patients encountered by NCAs from July 7 to 20, 2022.
Primary objective
To quantify paediatric cases encountered by non-‐consultant grade anaesthetists based on age, ASA, specialty and level of supervision.
Secondary objective
To identify any regional/deanery differences in parameters stated in the primary objective between tertiary paediatric hospitals.
Summary of results
Summary of results
112/168 eligible trusts (66.7%) participated in the departmental survey, and 101/168 (60.1%) participated in the trainee/non-consultant anaesthetist case-log component.
58/112 sites (51.8%) had not returned to pre-COVID-19 levels of paediatric anaesthesia provision, with the greatest reported impact in Scotland, Northern Ireland, East Midlands, Wales and Peninsula.
There were 2922 non-consultant anaesthetists, of whom 1282 (43.9%) were expected to achieve paediatric anaesthesia competencies, while only 159 (5.4%) had declared a career interest in paediatric anaesthesia.
Departments reported 8035 paediatric cases, but only 3113 cases (38.7%) were logged by non-consultant anaesthetists, suggesting many potential training opportunities were not captured by trainees.
Most logged lists were consultant supervised: 87.8% had consultant supervision, while 16.0% were solo or distantly supervised.
Infants aged ≤1 year accounted for 309/3113 logged cases (9.9%), with 128/309 (41.4%) of these cases logged by non-consultant anaesthetists in London and Scotland.
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