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New Vision Described for Future of Anesthesiology

Model includes incorporation of specialty training, expanding residency to train ‘super-specialists’

WEDNESDAY, April 22, 2015 (HealthDay News) — A new vision for the future of anesthesiology has been developed, according to an article published online April 11 in Anesthesia & Analgesia.

Richard C. Prielipp, M.D., M.B.A., from the University of Minnesota School of Medicine in Minneapolis, and colleagues discuss the need for change in anesthesiology and options for the future of anesthesiology.

Noting that the traditional practice of anesthesiology has evolved over the years, the authors describe the expansion of anesthesiology outside of the operating room environment to include perioperative care. In response to changes in health care, the perioperative surgical home (PSH) model of care has been proposed, which focuses on improving health, enhanced patient care experience, and reduction in the cost of care. Although PSH pilot programs could be beneficial in some situations, an alternative model may help transform anesthesiology. The model requires identification and implementation of new ways to deliver anesthesia and monitor patients during hospital stay; incorporation of broader and deeper focus specialty training into the core curriculum, including expansion of residency programs as necessary; and alterations to the residency programs to assist the transition to ‘super-specialists.’

“What we propose is a much more complex undertaking than the current efforts to develop the PSH as a major approach to securing the future of our specialty,” the authors write. “If implemented, our proposed paradigm for anesthesiology training represents a seismic shift in traditional education and practice.”

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