Anesthesiologist

Hey all, I'm a fetus at 22w3d gestation and I'm really interested in becoming an anesthesiologist for super noble reasons and definitely not for the money. How can I do this?

Please share your salary for 2023, whether you’re a new attending or seasoned. A vague job description and general location would also be appreciated. Trying to get an idea of what to expect after residency. **Stole this from the FM subreddit**

A an anesthesiology resident from a hospital in the Bronx NY committed suicide on May 26th. Please everyone if you or someone you know if going through something please reach out. You are not alone. Our roads for training are long and rough but there is always help available. Stay safe everyone and please remember to check in on your colleagues

...seriously?

Said the CRNA to me an anesthesia resident. Prior to this the nerve block demo was taught to the CRNA. I Was told to " look it up on YouTube." Yesterday the same CRNA asked me if I took pharmacology yet. Last straw for me was before the case he told the patient: "is it ok if the med student is in the room? He won't be doing anything just watching."

*Update 9/2/21: I want to thank everyone for their input and support. I had to step away from reddit for awhile because I was just burnt out at that point. I want to happily say that CRNA has been suspended for their actions and will be taking a back seat to residents in the future. For those who were attacking me for not going back at him don't seem to understand it's simply not something that can be done in the Pre-op area with multiple patients and nurses within ear distance. It's not professional and was explicitly told by the PD to never do such a thing. I am more than capable of defending myself. I took the proper steps and change happened. Thanks again.

So is spreading around claiming an anesthesiologist (who is actually a DDS) gave 400 GRAMS of fentanyl to this woman. Apparently he must have had like 8 liters just hanging around and also amazing vascular access.

Edit: The article has been updated to micrograms. Other outlets seem to still be reporting grams.

I’ve been too scared to ask this question but I’m not doing anything so why not. It’s been stuck on my mind since first year residency.

When us non anesthesiologists perform RSI, intubate, and run the vent do you all look at us like we are children doing Mickey Mouse medicine? Even if everything seems to go smoothly?

My entire premise of this question stems from me believing that anesthesiology behind the curtain is a lot more involved and we are just attempting to “dumb it down” as quickly and safely as possible for the rest of us non anesthesiology folks.

I’m currently an anesthesiology resident. I’m burned out and honestly even thinking of quitting medicine. The idea of living a cushy life (for less pay) excites me.

I see CRNA and CAA working 3 days a week and no call making like $250k. They never take call and barely work more than 3 days a week.

My questions are:

1. How much could a MD make working the same hours and no call as the CRNA or CAA?

2. How difficult is it to get jobs like this? Are there many employers who would be open to taking a MD anesthesiologist willing to only work 2-3 days a week?

3. Why don’t more anesthesiologists work these hours?

For the love of god, can we all stop saying anesthesia residents? I introduced myself to a patient as an anesthesia resident and she said that her daughter in law was also an anesthesia resident at Harvard. She’s a fucking CRNA student. Then I told her I’m actually a resident anesthesiologist, and then she understood I was a physician-in-training.

Because our hospital now recognizes “nurse anesthesia resident,” our department forces us to us “resident anesthesiologist.” All the attendings now say “Anesthesia Doctor” or “Anesthesia Physician” because Nurse Anesthesiologist has become SUCH a parasite of confusion. It is so sad.

Use “Resident Anesthesiologist” please. Dump the term anesthesia resident now.

Apart from getting to go home. What specific little or big things through out your day bring you joy and help get you through the day .

What are you academic anesthesiologist w-2’s lately?

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Just did a post about favorite part of being an anesthesiologist and loved the answers!

Now my question is the reverse, what are the specific things that bother you the most about being an anesthesiologist? Could be anything, what do you not enjoy?

Bonus question: Would you do it all over again? All the school and training to do this job?

Hello ! I hope this kind of post is allowed, if not I can find that sticky the rules mentioned.

I’m a pharmacy tech at a small hospital. We use Omnicell for our cabinets. I wanted to get your perspective on an issue that I think most hospitals deal with, but is becoming a much larger issue because of how small our hospital is. We are having issues keeping the cabinets stocked and anesthesia is forced to call pharmacy because xyz med is out.

For some context, we only fill the machines once a day (at the end of the day) due to the man power and resources we have. We don’t even have an overnight technician. We have a small cart so I can’t bring the full amount of very single drug and fluid that’s stocked. We also do not have the room in the pharmacy to remove the drawers and replace them with pre packed full stock like some hospitals can do.

Omnicell reports detail what drugs and fluid need filled in each machine. So we really only bring the amount it thinks it needs. But after I’m garbed up and in the room I discover that the counts on ALL the drugs are never correct. It will think there are 5 Zofran or Propofol when in actuality it’s 0. With all of our other Omnicell restocks and IVs that need made, I don’t have the time to run back upstairs for it and come back to regarb. We also don’t have the budget to keep buying too much garb.

It’s been a big issue as of lately and I’m sure our anesthesia team is tired of calling us for stuff missing. There have been a few occasions where I have to urgently run a drug down bc they’re in mid surgery. Oxytocin being the drug.

I’m hoping to hear more about your guys process and any possible solutions to improve this issue. I don’t want to assume how you do your job or pretend to understand and think it’s just laziness. Surgery is complicated and that’s not what my specialty is. I’d appreciate any feedback

Edit: thank you all for your replies! I learned a few things and have a rough plan for some changes such as stocking some of the drugs in a near by Omnicell and leaving reminder labels to scan items on the screen of the Omnicell. I appreciate the collaboration!

Was it their airway skills? Attention to detail? Creative solutions to problems?

I know the market is hot right now, but I don't truly believe this must exist. If indeed it exists please tell us about it. Call schedule, weekly hours, case load, case variety, supervision or not, location, private group or contractors, etc.

At my centre, it is not standard practice for certain obstetricians to request the presence of a paediatrician for standby during caesarean section operations. Consequently, in the event that a newborn is delivered flat and requires immediate resuscitation, the responsibility will inadvertently fall upon me to initiate the necessary resuscitative measures to ensure the well-being of the newborn, despite it not being within my designated responsibilities.

While I am committed to upholding the principles of patient care and acting in the best interest of both the mother and the newborn, I am also mindful of the potential medico-legal implications associated with assuming responsibility for neonatal resuscitation in such circumstances.

Therefore, I am curious in your opinions regarding the following aspects of my medico-legal liabilities in this context:

Standard of Care: What is the expected standard of care for an anesthesiologist in a situation where immediate neonatal resuscitation is required during a caesarean section, particularly when there is no paediatrician on standby?

Legal Obligations: To what extent am I legally obligated to intervene and initiate neonatal resuscitation in the absence of a paediatrician, considering that it falls outside the scope of my primary responsibilities?

Liability Protection: What measures can I undertake to mitigate potential medico-legal liabilities associated with providing neonatal resuscitation in situations where it is not explicitly within my purview?

Documentation Practices: What documentation practices should I adhere to in order to accurately reflect the circumstances surrounding neonatal resuscitation interventions and safeguard myself against potential legal challenges?

I had a procedure today with an anesthesiologist who was fantastic.

I was super anxious and I am a nightmare stick. He was just so calm and unflappable and truly organized. Really courteous to colleagues in the OR when the IV blew out as he was starting stuff, and got new line in w/o ultrasound in about 30 seconds. Explained everything super clearly, no post-anesthesia nausea, no headache, no grumpiness.

I know I’ll get a survey of some sort but also - he was truly great and is a newish attending and if there’s some process - like who do I tell in the hospital hierarchy that he’s just really good both as an anesthesiologist and has excellent bedside manner?