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Ramai Santhirapala

Ramai Santhirapala

Consultant Anaesthetist and Perioperative Care Physician at Guy's and St Thomas' NHS Trust; RCoA Council Member and Trustee; Honorary Associate Professor at UCL.

Jun 18, 2026

25:16
And I think it's one of the jobs of senior leaders within healthcare to advocate for the team and to, to... with managers to say, "You know, I accept things aren't gonna be perfect 'cause we don't live in a perfect world, but if we don't get A, B, and C right, we just can't expect our staff to be performing to a good level, and that's unfortunately gonna impact upon our, our patient outcomes."
25:35
Yeah.
25:35
So I think there's a lot of lessons from the pandemic, and I was very lucky to work with two colleagues from the American Society of Anesthesiologists during the pandemic.
25:44
So just to say the ASA set up a wellbeing board in 2019, so very close to the pandemic actually.
25:52
So really good to learn from their lessons, especially as we evolve through probably one of the toughest times for our specialties.
25:59
It was just really simple interventions.
26:03
So still to this day, I believe that UCSF in San Francisco, they still do semi-regular burnout inventories, so not, not as extensive as the, the burnout inventories that we sometimes use here, but just to get, you know, essentially a touch point as to where everyone is.
30:53
But, um, having that debrief afterwards narrative allowed us to address that and, uh, find extra support from them.

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