Why Consider a Career in Anesthesiology?
Anesthesia is an important branch of medicine. Most medical schools
do not offer a required anesthesiology rotation. Thus, it is conceivable
that one can graduate from medical school never having been exposed
to the field. The practice of anesthesiology includes enormous
variety, ranging from perioperative and postoperative care of
newborn infants to elderly patients, from minor procedures to
complex liver transplants and cardiac surgery. Specifically, anesthesiology
encompasses perioperative care in its entirety, from deciding
if a patient is fit and ready for surgery to treating postoperative
pain and determining fitness for discharge. It also often involves
providing pain relief for women in labor, being involved in resuscitation,
being first responders to traumas, and treating patients with
chronic pain. Anesthesiologists work not only in the operating
room suite, but also in the delivery room, the emergency department,
the intensive care unit, and sometimes they provide sedation for
procedures in the x-ray department, the endoscopy suite, and elsewhere
in the hospital. Intensivists (a.k.a. Critical Care Medicine Specialists)
on the other hand are involved in the day by day care of some
of the sickest patients in the hospital, from hemodynamically
unstable trauma and burn patients, to septic pediatric patients
barely clinging on to life. The practice of Anesthesiology also
parallels critical care medicine in terms of job responsibility,
since both rely heavily upon modern hemodynamic and invasive monitoring
techniques, artificial ventilation, pharmacology, and procedure
based medicine. For this reason, it is not uncommon for anesthesiologist
to function in both the operating room and the intensive care
unit. In light of this, it should be clear to everyone that Anesthesiology
requires a high level of technological savvy and expertise, and
requires the physician to remain cool and confident under enormous
amounts of stress; as the potential for great harm from judgment
errors can easily occur.
Anesthesiology is considered to be an acute care specialty. Things
change quickly, and treatments work quickly and clearly. Anesthesiologists
can change a hurting, anxious, and upset patient into a comfortable
semi-relaxed and cooperative patient in only a few minutes. While
a family doctor might take weeks to diagnose chronic high blood
pressure and months to establish a beneficial treatment regime,
anesthesiologists can often diagnose an acute rise in blood pressure
within a few heartbeats, and start treatment within minutes.
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