Attrition in the Specialist Training Programme: A Strong Retention Record
Attrition in the Specialist Training Programme: A Strong Retention Record
The Specialist Training Programme in Anaesthesiology continues to demonstrate exceptional retention rates, highlighting the programme’s effectiveness and the sustained commitment of its trainees. Since 2017, the attrition rate has remained at just 2%, underscoring the strength of our training programme structure and support systems.
While some level of attrition is inevitable in any specialist training pathway, our figures compare favourably with international trends. The reasons for leaving the Specialist Anaesthesiologist Training programme have been carefully analysed and include:
- Acceptance of employment abroad
- Personal circumstances
- Transfer to another training programme
- A decision not to work within the HSE
- A decision not to work outside Dublin
- Failure at summative assessments
- Health issues or illness
- The death of three trainees
The CAI’s success in retaining trainees can be attributed to several key factors:
- Structured and Transparent Training Pathway: A clearly defined curriculum with well-supported progression ensures that trainees remain engaged and confident in their development.
- Mentorship and Professional Support: Strong tutor supervision and peer networks play a vital role in helping trainees navigate challenges.
- Wellbeing Initiatives: Recognising the demands of training, the CAI prioritises wellbeing initiatives that provide psychological and practical support.
- Career Prospects and Specialisation Opportunities: The specialty of anaesthesiology remains an attractive career choice with strong job security and advancement potential.
Despite the low attrition rate, continuous improvement remains a priority. The College is committed to addressing systemic challenges, ensuring training remains responsive to evolving workforce needs, and supporting every trainee in achieving their full potential.
Trainees have expressed concern about the limited number of new consultant anaesthesiologist posts available upon completion of training, particularly when compared to international benchmarks. The CAI recognises the work of the HSE NDTP over the past three years in beginning to address this issue. The relatively low expansion of consultant roles in Ireland raises challenges for workforce planning and career progression, with many trainees considering opportunities abroad where consultant positions are more readily available. By maintaining a focus on training quality, professional support, and wellbeing, and working with the HSE to create new posts in line with national workforce projections , we can continue to foster a sustainable and thriving anaesthesiology workforce for the future.