Good luck to everyone starting this rewarding journey in anesthesia training! and are needed for the patients who may be on a multitude of these meds. The nurses seem to feel the need to constantly inform me that they can do anything the MD can do, which appears to be true from my limited experience. Meaning that we can provide medical treatment for patients and provide unique value throughout all phases of surgical and procedural care. I love anesthesiology as a specialty, and still believe it's the most interesting field there is, but med students need to keep in mind the practice environment and difficulties inherent in anesthesiology as well. Childbirth is an immensely stressful experience for the body, and having the skills to alleviate that trauma gives me a great sense of fulfillment. If … I firstly think that your opinions are based on a very narrow view of the field and it seems as though it is a result of you being at a smaller hospital. Subreddit for the medical specialty dedicated to perioperative medicine, pain management, and critical care medicine. This is one of the main reasons I chose anesthesia on … Putting together physiological/pharmacological data is not the hardest thing in the world to do. Subreddit for the medical specialty dedicated to perioperative … A simple answer, from my perspective: wait until you see one of the cases headed very south. I am doing a rotation with anesthesiology this month and it has really changed my perspective on the whole field. That is not to say we do not do them though. Under general anesthesia, they need me to be their voice because they can’t speak. Income, practice pattern, employment opportunities and … I, and hundreds of others, do this everyday. I hate writing novellas for patient notes, I hate relying on patient compliance as part of my treatment plan, I love the fast pace and orderliness of the OR, I love doing procedures and being skilled with my hands, I love that when I leave the hospital at the end of the day, I don't take my work home with me. Sasha K. Shillcutt is an anesthesiologist who blogs at Brave Enough. As a CRNA-trainee, in my hospital (not US), the anesthesiologist (if everything goes smoothly) only injects the inductory drugs, sets the ventilation machine, and makes sure the patient is asleep; and gives orders on transfusions/liquids etc. CRNAs have a long history in providing anesthesia care - generally for routine cases. By using our Services or clicking I agree, you agree to our use of cookies. Yes CRNA's can do SOME of what an attending MD can do and honestly like someone else said as an M4 I think I could handle some ASA 1/2 cases. Anesthesiology: Keeping Patients Safe, Asleep, and Comfortable. 1. This is important, since 1 anesthesiologist usually is in charge of 3-5 operations at the same time, so you cant lock yourself into 1 patient. Plus most pre/post-op are done by an attending. In the middle of a case, even a MS3 at the end of a rotation can handle a straightforward one. Anaesthesiologists intubate, control the gas pipes, insert arterial and central venous lines etc in the OR as they do everywhere, but in the intensive care setting stuff like smaller surgical procedures incl. I woke up as the doctor started the procedure. When you need us, we are there. Or if the operationg is really risky and shit can hit the fan at any moment. CRNAs are able to handle cases on their own and an attending is definitely needed for legal reasons but also because a nurse's scope is limited. Its actually the point of CRNA's to take care of the cases while you focus on the big picture as in the whole operating ward, or help when something goes wrong. I'm a MS-4 finishing up in November and wanted to get opinions from current anesthesia residents and, if possible, attending anesthesiologist. Cookies help us deliver our Services. The same is true for medical school. To all the anesthesiologists on Reddit, why did you decide to pursue gas? Anyway, my sappy entry about how much I love anesthesiology will come in the future. An Anesthesia Resident’s Perspective: From an interview with an anesthesia resident from the Emory University in Atlanta, Georgia. That emphasis isn't there in training CRNAs, NPs, PAs. We can explain the surgical process to the patient and allay anxiety. It will likely be a growing trend in all of medicine. There is only so much a CRNA can do but if you're in a facility with a limited patient base and case load, you're not going to see where their ability falls short. Novak is an Adjunct Clinical Professor in the Department of Anesthesiology, Perioperative and Pain Medicine at Stanford University, the Medical Director at Waverley Surgery Center in Palo Alto, California, and a member of the Associated Anesthesiologists Medical Group in Palo Alto, California. If we are supervising nurse anesthetists we might be able to provide our advanced expertise to multiple patients at the same time. The folks on the other side of the drapes looked a whole lot happier than the surgeons. The end is near!" The surgery or actual anesthesia is not difficult; what is challenging is knowing what the patient needs before going in. When I was in labor and about to get my epidural the anesthesiologist came in and just sat in the chair and took a nap while the nurse got things prepared. director... finished the last two (I know crazy) ... and started anesthesia ... fellowship in cardiac ... now just impatient & happy ... great field .... you are the guardian of life during utmost assault to the body , New comments cannot be posted and votes cannot be cast, More posts from the anesthesiology community. I'm also a M4 in the match for anesthesia. Why is administering Anesthesia appealing to you? Anesthesia on a good day may look easy, but there is often more to a smoothly run day in the OR than meets the eye of the casual observer. This is how it should be, I believe, in most practices. That being said, there is a push towards CRNAs. We may run an Acute Pain Service managing epidural and continuous nerve block catheters, patient controlled analgesia devices, or consulting on patients with difficult to manage post-op pain. I love anesthesiologists! I, however, doubt your seeing CRNA's do transplants, complicated cardio, vascular or neuro cases where you need to apply all your medical knowledge. One commenter relayed how a patient stroked his arm and said, "You'd make such a … My mom asked him if he was okay to be sticking a giant needle into my spine. Anesthesia is truly a great specialty. In the meantime, please feel free to reach out to me via the comments below or by email with questions or any suggestions on how I can improve this entry! In any case, when we supervise nurse anesthetists, we are always immediately available to render personal assistance. It's interesting because i hear in the states most intensive care docs tend to come from respiratory medicine, but over here in the UK it's similar to your situation where most ITU docs are anaesthetists. Welcome to /r/MedicalSchool: An international community for medical students. For example: Preoperatively - Anesthesiologists can run efficient pre-op clinics, diagnose and evaluate patient's medical conditions, and refer them as needed for further care and optimization. We are anesthesiologists. I understand that it is a very responsible, autonomous position, but there are lots of jobs that have those characteristics as well. Image credit: Shutterstock.com If the payors can get similar quality (which they likely do in the low-risk, very healthy populations) for a lower cost, it's hard to make an argument for paying a physician to do the work. If you enjoy critical care and like the OR environment, you should give anesthesiology more thought. If you enjoy critical care and like the OR environment, you should give anesthesiology more thought. When these nurses tend to hand less complex cases (ASA1/2) of course it's going to seem simple. What was it about the rotations you were on that sold you? They often compare pilots to anaesthetists. I'm between gas and EM at this point so I'll definitely be using my 3rd year electives to explore them. It costs more than six times as much to train an anesthesiologist as a nurse anesthetist, and anesthesiologists earn twice as much a year, on average, as the nurses do ($150,000 for nurse anesthetists and $337,000 for anesthesiologists, according to a Rand Corporation analysis). Anesthesiology is a unique field within medicine. A significant portion of anaesthesiologists work in both the operating theatre and the ITU in central hospitals; in smaller clinics it is always the case. I first thought about anesthesia during my surgery rotation as an MS3. It is at the same time incredibly cerebral and extremely physical. The reason I'm going into the field is the sheer breadth of possibilities that it offers. So anesthesiology quickly dropped out of consideration, more out of default than anything else. For context, I'm an Anesthesiology resident. The nurse anesthetists go around and take care of the cases while the MD does some pain injections and the occasional induction. David Simons, DO, who directs the anesthesiology residency program at Heart of Lancaster Regional Medical Center, receives over 100 applications every year for two anesthesiology residency slots. I guess they all believe they are in demand, there job still exists, etc... Stacular, I agree with most of your post. I have friends who run their own anesthesia practices who do hearts, livers, transplants, neuro.....etc. Anesthesiologists are medical doctors who specialize in the care of patients before, during and after surgery. tracheostomy can be entirely up to the anaesthesiologists to perform. So someone, please, broaden my horizons. Not from a legal standpoint anyhow. I guess I like the idea of doing anesthesiology more than PM&R, because I like that anesthesiology has a well defined and very important role for the patient. But yeah...Lifestyle in the field will always be great, but the pay will drop in the future no doubt about it. This is one of the main reasons I chose anesthesia on top of everything else you said. I do believe that most CRNAs do not do major cases. It's when you probe a little more and you get someone that explains all the pathophys their thinking of and preventing problems specific to that patient before something bad happens it starts to make sense. 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