Resident Review  |   April 2018
Perioperative Medicine: A New Subspecialty, or the Future of Anesthesia?
Article Information
Ambulatory Anesthesia / Education / CPD / Endocrine and Metabolic Systems / Geriatric Anesthesia / Pain Medicine / Practice Management / Regional Anesthesia / Quality Improvement / Resident Review
Resident Review   |   April 2018
Perioperative Medicine: A New Subspecialty, or the Future of Anesthesia?
ASA Monitor 4 2018, Vol.82, 68-69.
ASA Monitor 4 2018, Vol.82, 68-69.
Editor’s Note: We continue our Spotlight On Fellowship series to focus on a Fellowship in Perioperative Medicine.
There are currently seven active perioperative medicine fellowships in the United States. Of the 149 academic anesthesiology residency programs, 24 programs list their departments with “Perioperative Medicine” in the title. This identity evolution is a logical development –as anesthesiologists do much more than give anesthetics. We evaluate and treat patients preoperatively; face crisis situations inside and outside the operating room; perform regional blocks and interventional pain procedures; and treat patients in the vulnerable post-anesthesia or critical care state.
Perioperative medicine, however, is a foreign concept to many graduating residents and fellows. In the words of the editors of Perioperative Medicine, “Perioperative medicine is defined as the practice of patient-centered, multidisciplinary, and integrated medical care of patients from the moment of contemplation of surgery until full recovery.1 ” Perioperative medicine goes beyond high-risk postsurgical care – and encompasses high-risk preoperative patients from well before their surgery date; including long-term multidisciplinary follow-up beyond the traditional care timeframe of a surgical episode. The advantage of early involvement before surgery is the ability to improve patients’ short and long-term outcomes by optimizing patients’ chronic conditions before their procedures.
1 Comment
April 6, 2018
Peter McDermott
You might consider the editorial I wrote for the ASA journal in 1993--Tomorrow--in which I suggested the role of peri-operative physician was one that anesthesiologists should consider. Peter L. McDermott, M.D., Ph.D.
ASA Past President
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