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The ESAIC is dedicated to supporting professionals in anaesthesiology and intensive care by serving as the hub for development and dissemination of valuable educational, scientific, research, and networking resources.



The ESAIC hosts the Euroanaesthesia and Focus Meeting congresses that serve as platforms for cutting-edge science and innovation in the field. These events bring together experts, foster networking, and facilitate knowledge exchange in anaesthesiology, intensive care, pain management, and perioperative medicine. Euroanaesthesia is one of the world’s largest and most influential scientific congresses for anaesthesia professionals. Held annually throughout Europe, our congress is a contemporary event geared towards education, knowledge exchange and innovation in anaesthesia, intensive care, pain and perioperative medicine, as well as a platform for immense international visibility for scientific research.


Professional Growth

The ESAIC's mission is to foster and provide exceptional training and educational opportunities. The ESAIC ensures the provision of robust and standardised examination and certification systems to support the professional development of anaesthesiologists and to ensure outstanding future doctors in the field of anaesthesiology and intensive care.



The ESAIC aims to advance patient outcomes and contribute to the progress of anaesthesiology and intensive care evidence-based practice through research. The ESAIC Clinical Trial Network (CTN), the Academic Contract Research Organisation (A-CRO), the Research Groups and Grants all contribute to the knowledge and clinical advances in the peri-operative setting.

Learn more about the ESAIC Clinical Trial Network (CTN) and the associated studies.


EU Projects

The ESAIC is actively involved as a consortium member in numerous EU funded projects. Together with healthcare leaders and practitioners, the ESAIC's involvement as an EU project partner is another way that it is improving patient outcomes and ensuring the best care for every patient.


Patient Safety

The ESAIC aims to promote the professional role of anaesthesiologists and intensive care physicians and enhance perioperative patient outcomes by focusing on quality of care and patient safety strategies. The Society is committed to implementing the Helsinki Declaration and leading patient safety projects.



To ESAIC is committed to implementing the Glasgow Declaration and drive initiatives towards greater environmental sustainability across anaesthesiology and intensive care in Europe.



The ESAIC works in collaboration with industry, national societies, and specialist societies to promote advancements in anaesthesia and intensive care. The Industry Partnership offers visibility and engagement opportunities for industry participants with ESAIC members, facilitating understanding of specific needs in anaesthesiology and in intensive care. This partnership provides resources for education and avenues for collaborative projects enhancing science, education, and patient safety. The Specialist Societies contribute to high-quality educational opportunities for European anaesthesiologists and intensivists, fostering discussion and sharing, while the National Societies, through NASC, maintain standards, promote events and courses, and facilitate connections. All partnerships collectively drive dialogue, learning, and growth in the anaesthesiology and intensive care sector.



Guidelines play a crucial role in delivering evidence-based recommendations to healthcare professionals. Within the fields of anaesthesia and intensive care, guidelines are instrumental in standardizing clinical practices and enhancing patient outcomes. For many years, the ESAIC has served as a pivotal platform for facilitating continuous advancements, improving care standards and harmonising clinical management practices across Europe.



With over 40 years of publication history, the EJA (European Journal of Anaesthesiology) has established itself as a highly respected and influential journal in its field. It covers a wide range of topics related to anaesthesiology and intensive care medicine, including perioperative medicine, pain management, critical care, resuscitation, and patient safety.



Becoming a member of ESAIC implies becoming a part of a vibrant community of nearly 8,000 professionals who exchange best practices and stay updated on the latest developments in anaesthesiology, intensive care and perioperative medicine. ESAIC membership equips you with the tools and resources necessary to enhance your daily professional routine, nurture your career growth, and play an active role in advancing anaesthesiology, intensive care and perioperative medicine.

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Newsletter 2020

A brief guide for trainees interested in undertaking a fellowship or working in the USA

Kyle Robinson
President-Elect, Resident Component, American Society of Anesthesiologists

We hope to provide a brief overview of the requirements to train or work as an anesthesiologist in the United States as a Foreign Medical Graduate (FMG). This is intended to be nothing more than friendly advice and a starting point for someone considering anesthesia options within the United States. This document was put together using public licensing and board certification websites with additional insights from FMG colleagues that have participated in residency, fellowship or employment opportunities in the United States. It is important to note that each institution and state has slightly different requirements, so please take this as a general guide. The ASA Resident Component has no influence over such opportunities and any further considerations to pursue a future in anesthesiology in the United States require further research into the topics discussed.

To provide context for the requirements, here is a reminder of the minimum educational and training requirements for a US citizen to become an anesthesiologist:

  • Undergraduate College Education (4 years)
    • Medical College Admission Test (MCAT)
  • Medical School (4 years)
    • United States Medical Licensing Examination (USMLE) Step 1, Step 2CK & CS
  • Internship (1 year)
    • USMLE Step 3
  • Anesthesiology Residency (3 years)
    • American Board of Anesthesiology (ABA) BASIC, ADVANCED & Oral Boards
  • Subspecialty Fellowship (1 year)
    • +/- Subspecialty Board Examination

The first hurdle to overcome prior to applying for a training position or coming to the United States is obtaining an Educational Commission for Foreign Medical Graduates (ECFMG) Certification. In addition to having graduated from medical school, the individual is required to take the United States Medical Licensing Examination (USMLE) Step 1, Step 2CK and Step 2CS. These exams are administered to all US medical students during the second, third, and fourth year of medical school respectively and the scores are extremely important for getting into desired residency programs. For FMGs, scoring well on these exams is even more important to be seriously considered for a residency or fellowship position.

Before starting anesthesia training, most residency programs will also require USMLE Step 3. This fourth exam in the USMLE series is also a prerequisite to be considered for an anesthesia subspecialty fellowship position. Taking this series of exams is a prerequisite to ECFMG Certification because they are also required to obtain the necessary state medical licensing needed to provide clinical care to patients. Whether considering a non-ACGME or ACGME approved fellowship program, this state medical license is needed.

Completing fellowship in the United States is not enough to practice in any clinical setting. Despite previous anesthesia training and subsequent advanced subspecialty training in the US, Board Certification through the American Board of Anesthesiology (ABA) is required. I have provided a link below to the ABA website which describes the process. This is not trivial and requires years of working at an academic institution and further residency-level anesthesiology examinations. Given these restrictions, most fellowship-trained FMGs are not able to obtain an Unlimited State Medical License required to practice in the community and are limited to employment at the institution where they completed their fellowship training.

All of these requirements are further complicated by an individual’s visa status. The ECFMG will sponsor a J-1 visa, but these usually require that the FMG return to their home country and not return for a minimum of two years after they have completed their training. There are other visa options such as an H-1 visa that would facilitate a long-term stay, but these are very difficult to obtain. Although the visa process is very relevant for non-US citizens, it is a complex topic and outside our scope of understanding.

Outside of continuing on from fellowship to staff anesthesiologist at the institution where residency or fellowship was completed, the only other common avenue to practicing in the United States as a foreign-educated and trained anesthesiologist would be getting a Faculty Appointment. These positions are generally reserved for those who have made significant research or clinical contributions to the specialty making them a highly desirable addition to a US institution. Even under these circumstances, the ECFMG requirements outlined above are still necessary in order to practice in any State in the US.

The process to become eligible to train or work in the United States as a Foreign Medical Graduate is difficult, but it is possible. Most of us have trained with and been taught by foreign-educated or trained anesthesiologists at some point in our training. Their dedication to the specialty and hard work navigating the appropriate requirements has contributed to our development and growth as anesthesiologists. Although daunting, we hope that this can help provide you as trainees with some of the tools necessary to consider a future in anesthesiology in the United States.

  • Anesthesiology Subspecialty Fellowship
    • ECFMG Certification
    • Complete USMLE Examinations Step 1, Step 2 (CK & CS)
    • Complete USMLE Step 3 prior to starting clinical training
    • Trainee (Limited) State Medical License – Can only practice in academic institution of training
      • Non-ACGME & ACGME approved fellowship both require a Trainee (Limited) State Medical License
    • J-1 Visa sponsorship provided by ECFMG once requirements met
  • Employment
    • US fellowship-trained anesthesiologists
      • The Trainee (Limited) Medical License required for fellowship training can often be used to continue employment at the institution where one is fellowship-trained.
    • Faculty Appointment – Foreign medical education and training
      • Academic position reserved for accomplished anesthesiologists that have made significant clinical or research contributions to the specialty.
    • American Board of Anesthesiologists Certification
      • To be board eligible, one must have their Full (Unlimited) State Medical License
      • Varies by state but often requires multiple years of clinical practice in the US.
      • Most institutions (academic and private practice) and states require ABA board certification to be considered for employment.
      • This is a very involved, multi-year process outlined on the ABA website