This chapter explores the current state of anesthesiology graduate medical education (GME), highlighting recent program changes and innovations in education. We address the ongoing efforts to mitigate trainee burnout, promote diversity, equity and inclusion within anesthesiology training programs, and adapt to the changing educational landscape in the wake of the COVID-19 pandemic. The virtual and hybrid education strategies adopted during the pandemic continue to provide flexible education opportunities for graduate medical learners, while emerging immersive technologies hold promise as ways to increase access to simulation training in critical procedural and communication skills. By examining these trends, this chapter aims to inform and support anesthesiologists and GME program leaders as they navigate evolving educational paradigms and work to improve trainee experiences and outcomes.