Background and Aims With the advent of the 2021 RCoA curriculum, there has been a move to produce consultants with broader skill sets. The curriculum now places greater emphasis on experience and competence in RA.

Methods To gain insight into the trainee experience a nationwide survey was sent using Google Forms to all welsh anaesthetic trainees. The results were compared to a previous survey carried out by Fox et al in 2016, focusing on changes in the last seven years in relation to availability of training. The results in teaching, experience and confidence were assessed and thematic analysis was also carried out on free text comments.

Results Results represented as tables Tables 1-3.

Conclusions The new curriculum has been a step change in expectations placed on trainees to reach significantly increased levels of competence. From our work, only 10% of trainees feel confident performing all plan A techniques at supervision levels appropriate for their stage. Ideally, opportunities should be provided to develop skills in line with requirements. Through our results we intend to work alongside the deanery to implement certain key improvements; engagement with surgical colleagues, blocks of time on regional lists to cement skills, use of virtual trainers, and encouragement of under represented trainee groups to undertake regional advanced modules. This work will act as the basis for feedback and engagement with the deanery.