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Anesthesiologist

Anesthesiology

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Anesthesiologist Job Description, Career as an Anesthesiologist, Salary, Employment - Definition and Nature of the Work, Education and Training Requirements, Getting the Job

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interview income medical surgery patient anesthesiologists

Education and Training: College, medical school, and specialized medical training

Salary: Median—$321,686 per year

Employment Outlook: Very good

Definition and Nature of the Work

Anesthesiologists are physicians who focus on surgical patients and pain relief.

They administer anesthetics, which are medicines to prevent patients from feeling pain and sensations; closely monitor patients' vital signs during surgery and adjust anesthetics accordingly; monitor patients through the first recovery stages after an operation; and administer appropriate medications during recovery.
Anesthesiologists are physicians who administer and determine what type of anesthetic treatment is to be used for the patient prior to surgery, as well as positioning the patient on the operating table in a manner that will be beneficial to the surgery. Following strict medical guidelines, the anesthesiologist takes into account the patient’s current health, any medications they are taking, and the type of surgery that is being performed. While the surgery is taking place, the anesthesiologist monitors the patient’s critical life functions to make sure no complications arise. After the surgery is over, the patient’s well being has to be monitored as the anesthetic wears off. Anesthesiologists must also assist in chronic and cancer related pain treatment, cardiac and respiratory resuscitation, blood transfusions, and preside over nurse anesthesiologists. Records must also be kept of the type and amount of drugs administered, and the condition of the patient before, during, and after sedation.

In addition to helping patients through surgery, anesthesiologists may also help treat patients with conditions causing chronic pain. Many specialize in specific types of problems, such as respiratory or neurological illness.
With the demanding working conditions comes a great salary. The anesthesiologist has one of the top most paid occupations with a residency salary ranging from $34,100 to about $42,100 and after residency the salary increases to $126,000 to about $220,000. Along with the high salary comes great benefits such as paid holidays and vacations, health insurance, and pension plans.

More than ninety percent of the anesthetics used in health care are administered by or under the direct supervision of an anesthesiologist.

An anesthesiologist's first contact with a surgical patient is usually during a "preoperative interview." At that time the anesthesiologist reviews the patient's medical history and medications, discusses the upcoming surgery, and reviews the options for anesthesia and pain-killing drugs. The anesthesiologist also becomes familiar with the patient's preexisting medical conditions, such as diabetes or heart disease, and plans how to manage those conditions during surgery.

The anesthesiologist is a doctor who specializes in the care of their patients before, during, and after surgery with preparation and evaluation. They plan the anesthetic for the patient and monitor their blood pressure, heart rate, breathing, and level of consciousness. To achieve a safe, painless surgery, the anesthesiologist adjusts the anesthetic plan, medications, fluids, and other parameters. They care for critically ill patients and are specialists in both acute and chronic pain.

The anesthesiologist is responsible for a patient's life functions as the surgeon and other members of the medical team operate. In the first phase of surgery, During surgery, an anesthesiologist carefully monitors the patient's vital signs—including heart rate and rhythm, blood pressure, breathing, and kidney function—and adjusts anesthetics as needed.

Most importantly the working conditions keep them vigilant and cognizant of everything. Anesthesiologists are on call at all hours of the day and night. The job is ruthlessly stressful and demands long hours. Sometimes the job demands hours that are interfering with their personal lives and vacation hours. Some characteristics they need to contain is “be knowledgeable, good team players, work long hours, rising early to prepare for morning surgeries, and be on call regularly, maintain long periods of concentration required during surgeries” (Davis).They need to be negotiable and able to fluctuate with their schedule.

the anesthesiologist applies the anesthesia. During the middle phase, as the surgery actually takes place, the anesthesiologist uses sophisticated electronic equipment to carefully monitor the patient's vital signs, including heart rate and rhythm, blood pressure, breathing, and brain and kidney functions.
One anesthesiologist remarked that “I know I have personally saved over 700 patients who otherwise would have died. To me, this is very rewarding!” There will always be a need for more workers in this field. Right now, almost 50% of the hospitals across the nation are reporting a need for more anesthesiologists. This often slows down the process of patients desiring elective surgeries, and in extreme cases closing down entire surgical facilities. Arkansas hospitals hire around 200 anesthesiologists a year. This is due mostly to the small numbers of workers available, not to the actual demand. Over 40 million surgeries are performed each year, all of which require anesthesia in one form or another, making the demand for anesthesiologists continually rise. This career is not for everyone, however.

As the surgical procedure progresses, the anesthesiologist may have to adjust the patient's anesthesia to compensate for changes in the patient's physical state.

When surgery is finished, the recovery phase begins.

Research Paper on Anesthesiology

The Discover Test indicated that Arts and Science/Technology might be career areas of interest to me. The career I chose to learn about is anesthesiology, which falls into the Science/Technology category. There are many types of jobs available with a study in anesthesiology, including group and private practice, teaching in medical school, working on research, and becoming an administrator. Anesthesia is one of the most important aspects of medical care, as surgery would be extremely painful and often impossible without it.

The anesthesiologist administers medications to reverse the effects of the anesthetic, returning the patient to consciousness if a general anesthetic has been used. After surgery, patients are moved to a recovery room, where the anesthesiologist is still responsible for the patient's vital functions.
Anesthesiologists must also pass a certification test given by the American Board of Medical Specialist, to become licensed. A good understanding of biology, chemistry, and mathematics are important studies prior to entering medical school. Anesthesiologists must also be motivated, have a desire to help patients, pleasant manners, decision making skills, and continued studies in the field to keep up to date on new developments. The University of Arkansas’s College of Medicine at Little Rock offers a degree and training in becoming an anesthesiologist. The College of Medicine also actively pursues helping students find an internship position after medical school has been completed.

In the recovery room, nurses and other specially trained staff closely monitor the patient under the supervision of the anesthesiologist. Eventually, the anesthesiologist determines when the patient has recovered sufficiently to leave the recovery room.
Anesthesiologists start the day early and set up necessary equipment for that day’s medical procedures and surgeries. Furthermore they “bring the patient back, line them, gas them, intubate them, and pray that everything goes smoothly” (Davis). They meet with mass amounts of diverse people from various countries, ethnicities, and religions. The job of anesthesiologist is very much repetitive and routine work. It is a regular five-day workweek with additional hours here and there with some over time. They work about thirty hours in a week or even up to ninety hours depending on the situation in the hospital.

There are three main types of anesthesia administered during surgery: general, regional, and local. General anesthesia renders the patient unconscious and unable to feel pain or any other sensation. Many general anesthetics are gases or vapors administered through a mask or breathing tube, whereas others are liquid medicines introduced through a vein.

Educational requirements in this field are very demanding. This career requires four years of undergraduate studies, 4 years of medical school, and 6 to 8 years of internship. The internship involves substantial supervised experience with general patient care to begin with. As the intern gains more experience, specific anesthetic practices and independent experience are stressed.

Regional anesthesia numbs an entire area of the body requiring surgery. Local anesthesia is used to numb a specific part of the body (such as the foot or hand). Both regional and local anesthetics are administered via injections.
College Admission Test”. Furthermore “after the undergraduate program is completed “students go on to”four years of medical school”(“Anesthesiologist”, ECVG 8)

In addition to anesthetics, patients requiring regional and local anesthetics often are given sedatives to help them relax during surgery and put them to sleep.

Anesthesiologists work in hospitals or outpatient medical facilities where surgery is performed.

The health care field in currently experiencing a shortage in qualified anesthesiologists. The need for anesthesiologists continues to be steady as the number of surgeries performed in hospitals remains steady.

Some work in emergency rooms, where they handle victims of heart attacks, shock, drug overdoses, traumatic injuries, and other serious health problems requiring immediate care.

Anesthesiologists work as part of a team. In surgery, the team includes the surgeons performing the operation and the nurses supporting them.

The working conditions of anesthesiologists may take a while to adjust to. On the average, they put up with very irregular hours and they can work 60 or more hours a week. The job is very pressuring and the anesthesiologist must posses a strong emotional stability. They must be able to handle high amounts of stress and react quickly and accurately under pressure. They can work in many different departments of the hospital, including the emergency room, labor and delivery, intensive care, and surgery.

Anesthesiologists often work directly with a nurse anesthetist who helps administer medications to the patient during surgery.

The job of the anesthesiologist requires intelligence, perseverance, and years of sophisticated training.

Anesthesiologists are often responsible for life and death situations, subject to high malpractice insurance costs, and heavy emotional stress involved with caring for patients. Very irregular hours are usually required as well. Sometimes an anesthesiologist is required to work a 24 hour shift, and on average work a 10 to 12 hour day. Extreme amounts of concentration are highly required, as anesthetic drugs can be very dangerous if administered improperly or the wrong amount is used.

Besides great technical skills, an anesthesiologist needs a good bedside manner, especially during the preoperative interview when the anesthesiologist must be able to calm the patient while eliciting important information.
Clinical considerations of intrapulpal anesthesia in pediatric dentistry During endodontic treatment, effective anesthesia of any vital pulp tissue present in the pulp chamber or root canals is important for patient\'s cooperation and to maintain the comfort level. This...

Anesthesiologists must themselves keep calm during high-stress situations, and they need to be able to maintain peak levels of concentration during long surgical procedures.

Education and Training Requirements

Anesthesiologists are highly educated medical professionals. They must undergo extensive training in addition to their basic medical education.

The amount of training put into this career definitely pays off, both personally and financially. The average starting pay for an anesthesiologist is $215,000 a year.

Like any other physician, an anesthesiologist must successfully complete a four-year undergraduate degree and a four-year medical school program. After medical school, an anesthesiologist takes an additional four years of specialized training.

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During the first year of specialized training, an anesthesiologist serves a general internship and is trained in diagnosis or treatment in other areas of medicine. This is followed by an intensive three-year residency program on the technology and medical aspects of anesthesiology.

Anesthesiology did not emerge as a profession until the mid-1930s. The next few decades saw a major increase in the development of new pain-reducing drugs. Before this the methods of reducing pain were often did more harm than good.

Besides anesthesiology, an anesthesiologist must also study cardiology, critical care medicine, internal medicine, pharmacology, and surgery. An anesthesiologist may choose to specialize in a particular field, such as neurosurgical anesthesiology, and undergo additional training in that field.
With the overwhelming responsibilities of anesthesiologists, some people choose to become nurse anesthesiologists. They work about 36 hours a week and require less skills than anesthesiologists. They receive the same benefits yet only earn about $22,000 to $42,000 a year.

Once an anesthesiologist has completed college, medical school, and residency and specialized training, his or her education is by no means finished. New developments in the field of anesthesiology require anesthesiologists to continually update their knowledge and skills through professional seminars and continuing education courses.

The shortage of worker’s in this field is causing hospitals to face delays in surgery. I think the positives far outweigh the negatives, especially knowing that a life was improved or saved because of one’s help. Anesthesiologist save many lives each year, and in my opinion make a lasting contribution to society.

All students interested in pursuing anesthesiology need a strong background in physics, chemistry, biology, and mathematics.

Getting the Job

Like all physicians, anesthesiologists must be driven, self-motivated individuals willing to work long hours under intense pressure. In addition, a medical education is extremely costly and requires a huge financial commitment. An estimated 80 percent of all medical students borrow money to cover their education expenses.

To become an anesthesiologist, one needs 4 years of college to earn an undergraduate degree, 4 years of medical school to earn a Doctor of Medicine degree, 4 years in an accredited Anesthesia Residency Program, and 1-2 years in a subspecialty of anesthesia such as Obstetrical Anesthesia, Cardiac Anesthesia, Pediatric Anesthesia, or Pain Management. Premedical students must complete undergraduate work in biology, physics, English, mathematics, and inorganic/organic chemistry. The skills anesthesiologists must acquire are active listening skills, good judgment, critical thinking skills, monitoring skills, and good communication.

Anyone interested in pursuing a career in medicine should consider volunteer work at a local hospital or health clinic. That is a good way to gain firsthand experience in working with patients, doctors, nurses, and health care managers.

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Advancement Possibilities and Employment Outlook

Anyone who has made it through medical school and residency training to become a fully licensed and practicing anesthesiologist has already made it to the top of his or her chosen field. He or she may decide to pursue a position as the anesthesiology department head within a specific hospital or health care facility.

Everyone geared toward this field must go through all of high school and graduate. It is recommended that through high school, individuals take math and science classes especially for this field. “Throughout high school most individuals should take a lot of pre-AP and AP classes encompassing anatomy and sociology as well as English and mathematic classes”(“Anesthesiologist”,EHC 33).

Individuals wishing to quit their medical practice can often find work as teachers.

In 2003 anesthesiologists accounted for approximately 5.4 percent of the 567,000 physicians in the United States. The growing and aging population will increase demand for physicians' services in the coming years.

Becoming an anesthesiologist involves rigorous academic and internship studies, as well as being very stressful at times. There will always be a demand for more anesthesiologists, in all areas of practice and in development of new treatments.

Employment of physicians and surgeons will grow faster than average for all occupations through the year 2014. Opportunities for individuals interested in becoming physicians and surgeons are expected to be very good.

Working Conditions

Anesthesiologists work in hospitals and medical facilities offering inpatient and outpatient surgery. They divide their time between patients' rooms, operating theaters, and post-operation recovery rooms.

Their job relies on them being alert and conscious. They are devoted and need a lot of patience through schooling and understanding methods and researches. They are patient and deserve a lot of respect for their role in our society. Without them we would be lost and in pain. It is them who help us through tough procedures and operations.

The job can be extremely stressful and may demand long hours. Anesthesiologists are often "on call," during which time they must be prepared to show up for emergency procedures at all hours of the day and night.

Where to Go for More Information

American Society of Anesthesiologists
520 N. Northwest Hwy.
Park Ridge, IL 60068-2573
(847) 825-5586
http://www.

asahq.org

American Board of Medical Specialties
1007 Church St., Ste. 404
Evanston, IL 60201-5913
(847) 491-9091
http://www.abms.org

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