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Career Exploration Project

Anesthesiologist
by

Mayte Gomez

on 24 January 2013

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Transcript of Career Exploration Project

By Mayte Gomez-Cruz An Anesthesiologist Anesthesiology The Work of an Anesthesiologist Education and Training Requirements Interaction with other professionals Typical Day Average salary An Anesthesiologist is someone who administers medicine to prevent pain during surgery.
They are highly skilled medical doctors (M.D. or D.O.) who specialize in the field of anesthesiology. Anesthesia means without sensation. Surgeons and anesthesiologists typically work in well-lighted, sterile environments while performing surgery and often stand for long periods. Most work in hospitals or in surgical outpatient centers.
Many physicians and surgeons work long, irregular hours.
Physicians and surgeons must travel frequently between office and hospital to care for their patients.
Those who are on call deal with many patients' concerns over the phone and may make emergency visits to hospitals or nursing homes. " If the surgeries are quick, 15 - 30 minutes, we can go through 15 different patients. If it a long surgery, like a cancer surgery for example, takes 10-12 hours, we'll probably only go through that one operation... I work like 8-12 hours a day."

~Dr. James Bartlett In a group with 45 other anesthesiologists, they give each other breaks for coffee or lunch when they need them during or in between cases. Anesthesiologists interact with many other professionals such as nurses, the x ray technician, the lab technician, the physical therapist, and the physician.

Anesthesiologists work with nurses all the time ; they write the orders for the nurses who help care for the patients. There are different kinds of nurses.
The pre-anesthetic nurses get the patients ready, check their medical records, and get the gown for the patient.
The scrub nurses in the operating room bring the equipment needed for the surgery and provide to all the surgeon's and anesthesiologist's needs.
The recovery room nurses take care of the patients after the surgery. Anesthesiologists contribute to the health of the community by allowing surgical procedures and saving lives.
They provide surgery without pain and charity surgery for those without insurance.
Without anesthesiologists there couldn't be surgery. The average annual salary for Anesthesiologists in Des Moines - West Des Moines, Iowa is about $211,780. An entry level person can expect an annual salary of $152,570 while a more senior level person can expect a salary of $327,928.

The average hourly wages for Anesthesiologists in Des Moines - West Des Moines, Iowa is about $101.82/ hour. An entry level person could plan on making $73.35/ hour and $157.66/ hour in a more senior position. After Residency, you continue with private practice in anesthesia.
As an associate, you receive a reduced salary after working with them for a year and a half.
After you reach your maximum salary, it stays the same for the rest of your career.
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 then decide to pursue a position as the anesthesiology department head within a specific hospital or health care facility.
Individuals wishing to quit their medical practice can often find work as teachers.
Some anesthesiologists step up and go into academic medicine.
They can become an associate, an associate professor, an assistant associate professor, or a full associate professor. Anesthesiologists supervise nurse anesthetists, who are trained as nurses at a nurse anesthesiology school and practice under anesthesiologists.
Anesthesiologists also supervise paramedic students, who breathe for the patient and clears the airway passages.
Anesthesiologists train paramedics and med. students. An anesthesiologists boss is himself/ herself. When working with others who are your equals and partners, there is a president that rotates. But you mainly just ask your partners for advice.
In an academic center, there is a dean, commander, and other equals.
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.
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. An anesthesiologist is responsible for :
Placing the patient in the state of controlled unconsciousness called “general anesthesia”
Providing “regional anesthetics,” in which only a portion of the body is made numb
And administering sedation when indicated for the relief of pain or anxiety. Contribution to community Who anesthesiologists supervise Earnings and Benefits
Anesthesiologists are near the top of the pay scale among all physicians. Anesthesiologists are highly educated medical professionals. They must undergo extensive training in addition to their basic medical education.

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. Education and Training: High school, college, medical school, and specialized medical training Anesthesiologists work in hospitals or outpatient medical facilities where surgery is performed.
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.
Anesthesiologists often work directly with a nurse anesthetist who helps administer medications to the patient during surgery. 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, the anesthesiologist applies the anesthesia. During surgery, an anesthesiologist uses sophisticated electronic equipment to carefully monitors the patient's vital signs—including heart rate and rhythm, blood pressure, breathing, and kidney function—and adjusts anesthetics as needed.
When surgery is finished, the recovery phase begins. 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. 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. 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.
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. 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. During the procedure, the anesthesiologist carefully monitors the patient's vital signs and comfort and makes the appropriate adjustments in anesthesia.
Following the procedure, the anesthesiologist continues to monitor the patient's vitals and may be involved in management of pain. All students interested in pursuing anesthesiology need a strong background in physics, chemistry, biology, and mathematics.

Also, 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. Many anesthesiologists report an extreme sense of satisfaction with the profession. They are able to become intimately involved in the care of patients and are instrumental in relieving pain and restoring health. Anesthesiologists can experience a high level of social interaction with patients and their families, and enjoy a great degree of comradeship with their partners on the medical team. Anesthesiologist Assistants
All AAs possess a pre-med background, a baccalaureate degree, and also complete a comprehensive didactic and clinical program at the graduate school level. AAs are trained extensively in the delivery and maintenance of quality anesthesia care as well as advanced patient monitoring techniques. Medical School
After completing a four year bachelor's degree, students then take four years of graduate education leading to a degree in medicine (M.D.) or osteopathy (D.O.). After receiving a medical degree, students must complete four more years in an anesthesiology residency. Some residents take one more year of study or fellowship, in a specific area of anesthesiology such as critical care medicine, pain medicine, research or education. Undergraduate Studies
College students interested in a medical career should complete liberal arts requirements but plan a pre-med course of study. Nearly all accredited colleges offer standard pre-med curricula, which include calculus, general chemistry, organic chemistry, biology and physics. Academic majors are unrelated to admission to medical school. Students must successfully complete a four year undergraduate college program before entering medical school. Residency Program
After medical school, a physician choosing anesthesiology as his or her specialty completes a year of internship and then three years of residency. Physician training programs in the United States require four years of residency training for board certification eligibility in anesthesiology (usually one year of general medical, pediatric, or surgical training followed by three years of clinical anesthesiology training under the tutelage of experienced anesthesiologists, usually faculty at medical school hospitals.) High school students can prepare for a medical career by concentrating on advanced science classes such as biology and chemistry. Today, anesthesiologists have many options available to them, including work in dental offices, outpatient surgical centers, labor and delivery units (administering epidural), pain management clinics, critical and intensive care units (stabilizing a patient's condition), teaching and research. " I'll arrive at the hospital at around a quarter to 7 a.m. and change into my scrub clothes. Then I go to the pre surgery evaluation area and complete the operative evaluation on patient. We discuss the plan for the anesthesia and surgery, get the patients consent, and I'll answer any question they have... Like "Will I wake up during the surgery?" or "Will I experience any pain?" ...Then I'll go into the operating room to make sure everything is ready to go. I have to check the anesthesia machine and go through a checklists that's there, and withdraw the medicine... The first case starts around 7:30 a.m. The patient will come in, we'll turn the monitors on, and connect them to the breathing tube. Then we get the oxygen mask started and set the ventilator. After that we'll hook them up to the IV with the medicine and then they fall asleep..."

~Dr. James Bartlett
An anesthesiologist at Mercy Medical Center downtown Like all physicians, anesthesiologists must be driven, self-motivated individuals willing to work long hours under intense pressure.
Doctors in general are conscientious, dependable, obsessive compulsive, precise, and careful.
The job of the anesthesiologist requires intelligence, perseverance, and years of sophisticated training. 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. Anesthesiologists must keep themselves calm during high-stress situations, and they need to be able to maintain peak levels of concentration during long surgical procedures.
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. 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. Anesthesia An Anesthesiologist's Characteristics
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