We are medical doctors, just like surgeons and internists and every other kind of doctor, but we specialize in keeping people alive during surgery.
In addition to putting people to sleep (general anesthesia), we also perform spinals, epidurals, nerve blocks and sedation. Some anesthesiologists sub-specialize in chronic pain management, and some in intensive care medicine.
We do the 4 years of college and 4 years of medical school like all other doctors, and we have a 4 year residency.
I find it very interesting, most of the time! (Yesterday was VERY interesting for me, when my patient came to the OR with no pulse. I resuscitated him, and we did the operation, but he was full of cancer, so it's not exactly a happy ending. But he DID make it to the ICU to be with his wife before he dies.) Working in an OR is usually interesting. I prefer it to any other medical setting. We got to see all kinds of patients and all kinds of procedures.
Does it involve taking risks? You better believe it! One of the first things we do is take away a patient's ability to breathe. Almost all anesthetics depress the heart. Then we have surgeons who try to make the patient bleed to death. Like I mentioned above, we keep the patient ALIVE.
What else might you like to know? Hmmm... it's not much to look at, but there are many aspects of patient care that we have to be aware of and in control of throughout the procedure, including fluid status, ventilation, and cardiac function. we get to see pharmacology and physiology in action daily. It's pretty cool, if you're into that sort of thing.
We also get to play with some really big needles, and you can't beat THAT for entertainment!
2007-06-20 06:13:30
·
answer #3
·
answered by Pangolin 7
·
6⤊
0⤋
An anesthesiologist (American English), or anaesthetist (British English) (also, "anaesthesiologist"), is a medical doctor trained to administer anesthesia and manage the medical care of patients before, during, and after surgery.
Training
In the United States, anesthesiologists are physicians (MD or DO) who have have chosen to specialize in anesthesiology. The majority of anesthesiologists in the United States have completed a four-year undergraduate college degree, including pre-medical requirements. Like other physicians, anesthesiologists complete four years of medical school. However, several medical schools offer a six year program following high school. The first two years fulfill the pre-medical requirements, and the following four years are the traditional medical education. After medical school, a physician choosing anesthesiology as his or her specialty has historically completed a year of internship and then three years of residency. Prior to circa 1985, the residency was two years following internship. Physician training programs in the United States are in the process of transitioning to categorical four-year residency training programs, similar to OB/GYN and other specialties. Today, after graduating high school, physicians specializing in anesthesiology complete at least ten to twelve years of education and training prior to becoming elgible for board-certification.
Anesthesiology residency training encompasses a full scope of perioperative medicine, including pre-operative medical evaluation, management of pre-existing disease in the surgical patient, intraoperative life support, intraoperative pain control, post-operative recovery, intensive care medicine, and chronic and acute pain management. After residency, many anesthesiologists complete an additional fellowship year of subspecialty training in areas such as pain management, cardiac anesthesiology, pediatric anesthesiology, neuro anesthesiology, obstetric anesthesiology or critical care medicine.
Physician training in anesthesiology in other devoloped countries is similar to that in the United States. In the United Kingdom, anesthesiologists in are called "anesthetists" or "anaesthesiologists." In England, training is overseen by the Royal College of Anaesthetists. Anaesthesiologists in the United Kingdom are doctors who have completed a five-year undergraduate training program. They usually enter anaesthesiology from other specialties, such as medicine or accident and emergency. Specialist training then takes at least seven years. It is overseen by the Royal College of Anaesthetists. In Australaia and New Zealand, training is overseen by the Australian and New Zealand College of Anaesthetists.
It is important to note that the term "anesthetist" in the United States usually refers to nurses who have specialized training in the provision of anesthesia care. Registered nurses who complete a training program in nurse anesthesia are called "nurse anesthetists" or "certified registered nurse anesthetists" (CRNAs). The term "anesthetist" in the United States can also refer to anesthesiology assistants (AAs), who have completed a training degree program in anesthesia care. CRNAs and AAs usually provide anesthesia care under the direction or supervision of an anesthesiologist.
The vast majority of anesthesiologists in the United States are board-certified by a specialty medical board, the American Board of Anesthesiology (ABA). The ABA is a member of the American Board of Medical Specialties. Anesthesiology board certification requires both written and oral board examinations. Additionally, most States in the US require specific numbers of continuing medical education (CME)credits for all physicians to maintain licensure.
Salaries for Anesthesiologists in the US are amongst the highest for physician specialists. The mean annual salary for an anesthesiologist in the United States in 2006 was $184,340.
Role in Healthcare Delivery
According to the American Society of Anesthesiologists, anesthesiologists provide or participate in more than 90 percent of the 40 million anesthetics delivered in the USA annually.
Anesthesiologists are highly specialized physicians certified by the American Board of Anesthesiology only after completion of many years of extensive and specialized training. The goal of this training is to provide every patient with a physician capable of managing the most complicated and difficult of medical and surgical situations with life saving skills and decision-making capacities.
Anesthesiologists are perioperative physicians ("peri-" meaning "all-around") who provide medical care to patients before, during, and after their surgical experience. This includes a preoperative medical evaluation of each patient before surgery, consultation and planning of the surgery with the surgical team, creating a plan for the anesthesia tailored to each individual patient, airway management, intraoperative life support and provision of pain control, intraoperative diagnostic evaluations as needed, and critical postoperative life support. This also includes medical management of preexisting medical conditions, care and management of medical or surgical complications, provision of pain management, and intensive care management as the situation warrants. Management, direction of, and performance of cardiac and pulmonary resuscitation, advanced life support, pain control, and stabilizing and preparing patients for emergency surgery are mandatory, essential, and critical skills which anesthesiologists have been trained to employ.
Historically in the United States there has been a shortage of anesthesiologists. In order to better serve the population, residency positions in anesthesiology for physicians have been steadily increasing the past several years. In many of these underserved areas, physicians supervise ACTs, or Anesthesia Care Teams, which are composed of a supervising physician with several certified registered nurse anesthestists (CRNA's) or anesthesiology assistants (AA's), working together to provide healthcare to the population. In many other areas of the country, Anesthesiologists work in what is deemed a "solo" or "MD/DO only" practice, during which they provide anesthesia in a "one on one" relationship with the patient.
As perioperative physicians, anesthesiologists also work in ICU's, PACU's, pain clinics, infusion centers, and ambulatory surgical centers.
2007-06-20 06:31:03
·
answer #8
·
answered by Djinn 2
·
1⤊
1⤋