SubSpecialties  |   March 2019
Making A Difference Every Day – Our Future Is Brighter Than Ever
Author Affiliations
  • Mark Zakowski, M.D., FASA
    President, Society for Obstetric Anesthesia and Perinatology
Article Information
Obstetric Anesthesia / Pediatric Anesthesia / SubSpecialties
SubSpecialties   |   March 2019
Making A Difference Every Day – Our Future Is Brighter Than Ever
ASA Monitor 3 2019, Vol.83, 36-37.
ASA Monitor 3 2019, Vol.83, 36-37.
The best job – EVER! Every day on labor & delivery I hear “Thank You” and regularly go home with a smile on my face, having made a difference in someone else’s life. Isn’t that what life’s really about?
Obstetric anesthesiology has evolved far beyond the technical aspects of pain relief, addressing the implications of acute-becoming-chronic pain, pain influences on postpartum depression, significantly improving maternal and neonatal outcomes and addressing areas with potential long-term health implications.1  Ultrasound has become a routine part of my everyday practice – whether peripheral nerve blocks for post-cesarean analgesia (e.g., transversus abdominus plane, quadratus lumborum), “spotting” the epidural space and recently incorporating the basic FATE exam for left ventricular volume as a routine part of clinical care. The Society for Obstetric Anesthesia and Perinatology (SOAP) has not only helped improve maternal and fetal outcomes through research, education and inter-society collaborations, but also helped create ACGME accreditation for our subspecialty fellowships. Obstetric anesthesiology has a very bright future, with demand for ACGME fellowship-trained obstetric anesthesiologists estimated to be very strong (intermediate-high staffing needs of 871-1,216, with currently around 60 graduates/year).2 
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