Features  |   April 2015
Perioperative Medicine and the Future of Anesthesiology Training
Author Affiliations
  • Zeev N. Kain, M.D., M.B.A.
    Committee on Future Models of Anesthesia Practice
Article Information
Education / CPD / Infectious Disease / Pain Medicine / Patient Safety / Practice Management / Quality Improvement / Features
Features   |   April 2015
Perioperative Medicine and the Future of Anesthesiology Training
ASA Monitor 04 2015, Vol.79, 32-34.
ASA Monitor 04 2015, Vol.79, 32-34.
It is impressive to see a graduating anesthesiology resident culminate years of education and training in the O.R. Paralleling a highly trained magician, a physician anesthesiologist can innately and concurrently manage the many medical and interventional nuances of providing anesthesia for a major surgical case with confidence and precision. In stark contrast to that intraoperative prowess, when faced with a preoperative blood sugar of 300 in a brittle diabetic, that same anesthesia physician is instinctively wired to cancel an elective case and allocate that patient to another medical specialty for “optimization.” Likewise, how much of an emphasis do we place on training a physician anesthesiologist to readily diagnose a thromboembolic event on postoperative day two? Does our current training model place importance on a patient’s length of stay and educate on the intricacies of managing longitudinal care transitions after a surgical episode? A paradigm shift in training and ideology will position future physician anesthesiologists to take ownership for patients outside of the O.R. and act as consultants throughout the perioperative continuum.1 
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