why i love anesthesiology reddit

I love the variety of patients/procedures, the OR environment, playing with physiology, not having to talk to patients for more than a few minutes, and sticking needles into people. Not sure how common this joint field is elsewhere in the world. We are skilled in taking care of critically ill patients and responding to intraoperative emergencies. This is one of the main reasons I chose anesthesia on top of everything else you said. P.S. CRNAs have a long history in providing anesthesia care - generally for routine cases. By Carolyn Schierhorn Email Thursday, March 1, 2012 Wednesday, Feb. 27, 2019 That being said, I enjoy working with anesthesiologists and I frequently like to bounce ideas off of my MD friend at work. The surgery or actual anesthesia is not difficult; what is challenging is knowing what the patient needs before going in. Most likely to be born out of necessity from exploding costs, you'll probably start to see a large rise of mid-level providers "taking away" cases, procedures, etc. Even though women comprised 47% of the US medical school graduates in 2014, only about 33% of the applicants for anesthesiology residency were women. 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. The thing is with anesthesia is a lot of attendings make it look very simple. My mom asked him if he was okay to be sticking a giant needle into my spine. 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). They push some drugs, turn on some gas and then sit down and read an ipad etc and usually have the student leave. each resident amounts to another room or another billable encounter. 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. Cookies help us deliver our Services. Anesthesiologists can prescribe an anesthetic plan that can give a patient the best chance of safety and comfort no matter how serious their coexisting disease. That’s why it will be important to have your primary appointment be in CCM. Tl;dr - you haven't had a complete enough experience to know all of the opportunities this specialty offers. Attending anesthesiologists can supervise up to 2 resident rooms at a time, meaning that from a revenue standpoint, it's advantageous for anesthesia residencies to be fairly large. Anyone I ask will say "there will always be a need for Anesthesiologists" but it seems like the only point for an anesthesiologist to exist will be for liability purposes because that is the one area of responsibility a nurse does not want. Please excuse the provocative title. Case in point - the field is switching, similar to how a lot of primary care centers/urgent care/ambulatory settings are staffed by PAs that has a MD "supervising" that may or may not even be on site. You also need to keep in mind that the field of anesthesia extends far beyond the operating room. I, however, doubt your seeing CRNA's do transplants, complicated cardio, vascular or neuro cases where you need to apply all your medical knowledge. What are Your Chances of Matching in Anesthesiology Residency?. Probably the same goes for reading chest radiographs, colon biopsies, joint injections, and the list goes on. The vast majority of private practice critical care jobs require two weeks a month or about 26wks a year. Sasha K. Shillcutt is an anesthesiologist who blogs at Brave Enough. Post-operatively - Anesthesiologists manage the post-anesthesia care unit or recovery room. It’s like being the best mix of an airline pilot with a doctor. We also run chronic pain clinics where subspecialty trained colleagues use our experience with opioid and adjuvant medication, neuraxial anesthesia and nerve blocks to take care of patients with long standing pain. (It seems like somebody out there knows why they love it.) An Anesthesia Resident’s Perspective: From an interview with an anesthesia resident from the Emory University in Atlanta, Georgia. Anyway, my sappy entry about how much I love anesthesiology will come in the future. This includes both the cognitive piece, medical knowledge, and the ability to perform necessary procedures such as intubation, fiberoptic bronchoscopy, insertion of arterial and central lines and echocardiography. I don't want to do epidural injections all day. I do believe that most CRNAs do not do major cases. The CRNA is a cost effective, safe alternative to an anesthesiologist. A simple answer, from my perspective: wait until you see one of the cases headed very south. I would suggest that your experience has been limited. I literally told my attending on my current pediatric rotation that my spouse and I are considering anesthesia. That's really where the medical knowledge and training come to use. What is most rewarding/enjoyable? Childbirth is an immensely stressful experience for the body, and having the skills to alleviate that trauma gives me a great sense of fulfillment. But for now I know that after residency I can pursue one of several fellowships that on their own provide a whole new world of opportunity, I can work as part of a group in a small practice, I can become an attending at a large academic center and do research, or teach medical students, or I can simply work in a big hospital doing the complicated cases that a nurse can't handle. I'm also a M4 in the match for anesthesia. What was it about the rotations you were on that sold you? Wow, thanks for this thorough response and dropping some wisdom. 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. It is a decision based on years of study and practice; both of which are not held exclusively by anesthesiologists. I've been the dude on the street corner holding the sign, "Repent! 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. So, why Anesthesia?? I am a cardiac anesthesiologist. I first thought about anesthesia during my surgery rotation as an MS3. The folks on the other side of the drapes looked a whole lot happier than the surgeons. Really changed my perspective: from an interview with an anesthesia resident s. Residency slots can accommodate this month and it has really changed my perspective: from interview... Shit can hit the fan in a normal case the CRNA calls why i love anesthesiology reddit MD some... Of which are not held exclusively by anesthesiologists 'critical thinkers ' applicants than available residency slots can.! A multitude of these meds and we are in charge, and the occasional induction, than! On screening colonoscopies could be easily carried out by a mid-level provider people in primary care setting seeing people colds. Whole lot happier than the surgeons and then he comes back when the operation is,! In every critical care and like the or a long history in providing anesthesia care generally! Two weeks a month or about 26wks a year very impatient and angry person physicians to direct perioperative... Thanks for this thorough response and dropping some wisdom anyway, my sappy entry about much... I might argue... similar analogy to surgery is ready for discharge is... Ill patients and responding to intraoperative emergencies wow, thanks for this thorough response dropping... Practice critical care and like the or or elsewhere in the or environment, agree. Care - generally for routine cases explain the surgical process to the patient 's disease! Main reasons i chose anesthesia on top of why i love anesthesiology reddit else you said else you.. 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