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The benefits and risks of surgery and anaesthesia will be carefully weighed up and explained to you before you have any operation. The curriculum focuses on a modular format, with trainees primarily working in one specialist area during the module, for example: cardiac anaesthesia, neuroanesthesia, EDT, maxillofacial, pain medicine, intensive care, trauma. To become an anaesthetist you need to: complete the Health Sciences First Year programme at Otago University, or the first year of either the Bachelor of Health Sciences or Bachelor of Science in Biomedical Science at Auckland University complete a five-year Bachelor of Medicine and Bachelor of Surgery MBChB degree at Otago or Auckland work for two years as a house officer supervised junior doctor in a hospital complete another five years of specialist training and examinations to become a Fellow of the Australian and New Zealand College of Anaesthetists. Angela is a registrar, so is in the early stages of her training as an anaesthetist. Local anaesthetics and general anaesthetics are two commonly used types of anaesthetics. Foundation Stage doctors work under close supervision in a range of different specialities. “You are taking the patient's life into your care and their safety relies on you being organised and vigilant. Qualified anaesthetists working for a DCB usually earn between $151,000 and $212,000.
Image via Despite these recent numbers, Dr Linda Stephenson* who has been an anaesthetic surgeon for 15 years says substance abuse in the profession has "always been a problem." Anecdotally, she has not noticed any increase in the misuse of propofol in her years as a doctor. Dr Stephenson also believes that tightening restrictions on propofol would have an adverse effect, making it harder for anaesthetists to do their job, and limiting their ability to make a call about giving a patient more of the drug during crucial moments of surgery. "Say you have an anaesthetised patient and they start waking up during an operation. You need to give them more propofol," she says. "If it's locked away in a cupboard, like fentanyl and other Schedule 8 drugs, then you can see how ridiculous that is." Dr Stephenson is not the only doctor sceptical of changing the sleeping agent's classification. Dr Warhaft also agrees that tighter restrictions would be "impractical." "This has been tried around various parts of the world," he says. "But determined addicts would find ways around it anyhow." Nevertheless, Kym Jenkins remains vigilant to the dangers of propofol abuse. Despite the lack of solid data recorded in Australia, Jenkins understands that trends in America may have resounding effects. "[Propofol] is recognised as a problem in the US and now we're on high alert that it could become a problem here," she says. "We have to be very alert to the possibilities." So while cases of Australia doctors abusing propofol aren't widespread, there's enough of an issue to cause concern. These people are practising what is widely recognised as the most trusted profession in the world, yet they are hazardly self-medicating to deal with their stressful jobs .
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