Anestezie si Terapie Intensiva (ATI)

Dupa Curriculum de pregatire in specialitatea Anestezie si Terapie Intensiva:

Anestezia şi terapia intensiva este specialitatea medicala care asigura, prin mijloace farmacologice şi tehnice specifice, pe de o parte condiţiile necesare pentru desfăşurarea actului chirurgical, a îngrijirii perioperatorii şi a altor proceduri diagnostice/terapeutice iar, pe de alta parte,   suportul indispensabil pacientului critic pentru evaluarea şi tratamentul   disfuncţiilor/leziunilor de organ.

Durata de pregatire = 5 ani

Dupa Pathway Evaluation Program:

Anesthesiology has not been accorded with the public’s perception as practicing medicine because the care anesthesiologists provide is intense, usually of limited duration, and almost all of it unseen by the patient who benefits from the work. Anesthesiologists are multiskilled physician specialists with strong backgrounds in the principles of physiology, pharmacology, internal medicine, pain management, and surgical procedures. They apply their knowledge of medicine to fulfill their primary role in the operating room. Traditionally, that role has been understood to include providing for comfort of the patient by anesthetizing the pain of surgery. 

Yet it is the anesthesiologist’s foremost purpose and concern to protect the patient’s well-being and safety just prior to, during, and after surgery. 

Anesthesiologists have many responsibilities:  preoperative evaluation of patients to determine conditions that may complicate surgery; management of pain and emotional stress during surgical, obstetrical, and medical procedures; provision of life support under the stress of anesthesia and surgery; immediate postoperative care of the patient; and knowledge of drugs and their interactions with anesthetic agents. Their functions also include pain management; management of problems in cardiac and respiratory resuscitation; application of specific methods of inhalation therapy; and emergency clinical management of various fluid, electrolyte, and 

metabolic disturbances. 

Dupa Association of American Medical Colleges - Careers in Medicine:

Nature of the work:

An anesthesiologist is trained to provide pain relief and maintenance or restoration of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during, and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing, and cancer pain problems; critical illnesses; and severe injuries. They also direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation, as well as supervise post anesthesia recovery.

Anesthesiologists can receive training in the following subspecialties:

- critical care medicine, which involves diagnosing, treating, and supporting critically ill and injured patients, particularly trauma victims and patients with multiple organ dysfunction.

- hospice and palliative medicine, which involves preventing and relieving the suffering experienced by patients with life-limiting illnesses.

- pain medicine, which involves diagnosing and treating of the entire range of painful disorders. These anesthesiologists care for patients experiencing problems with acute, chronic, and cancer pain.

Dupa Critical Care Physician Career Profile (CVTips.com):

Critical care physicians, also known as intensivists, are trained to diagnose, monitor and treat patients who have life-threatening illnesses and injuries. They provide care to infants, children and adults who have severe cardiac and respiratory conditions, complications from surgery, trauma to the brain, renal failure and bacterial infections. Critical care physicians work in the intensive care units (ICU) or the progressive care units (PCU) of hospitals.

Duties

Critical care physicians extensively monitor a patient’s condition by performing a review of systems (ROS). This involves checking their neurological, cardiac, respiratory, digestive and urinary functions to make sure they are all responding appropriately. If not, physicians will order special medical equipment, such as ventilators, catheters and feeding tubes and prescribe certain medications to help stabilize the patient. Critical care physicians order and interpret laboratory and diagnostic tests, such complete blood counts (CBC), metabolic profiles, echocardiograms, electrocardiograms (EKGs), MRIs, CT scans and x-rays. They also record medical histories, review of system findings and progress notes into the patient’s chart, counsel the patient’s family on how their loved one is progressing and instruct the critical care staff, such as nurses or physicians assistants, on any new therapies or medications being prescribed.

Typical Day
Critical care physicians spend the morning and late afternoon performing medical rounds were they visit with patients, perform a review of systems and order any necessary tests or medications. After rounds, physicians record their findings into the patient’s medical record and consult with other specialists, such as infectious disease or cardiology on the patient’s condition. While on call, critical care physicians may need to make an emergency visit to the hospital or handle a less threatening situation over the phone. Occasionally, critical care physicians are required to travel for conferences or continuing education seminars.

Salary

According to the U.S. Bureau of Labor Statistics, physicians saw a median annual salary of $339,738, as of 2008.

Dupa The Ultimate Guide to Choosing a Medical Specialty (!! nu stiu cand va expira acest link de unde puteti downloada cartea gratuit; v-as sugera sa o scoateti, e interesanta):

WHAT MAKES A GOOD 

ANESTHESIOLOGIST?

✓ Can pay attention to detail for

long periods of time.

✓ Likes working with his or her

hands.

✓ Can make fast decisions during stressful, rapidly changing

situations.

✓ Is a congenial, confident, easygoing person.

✓ Likes to see immediate results

of his or her efforts.

If you are considering a career in anesthesiology, the future looks very bright. The current data project a significant shortage of anesthesiologists for the next 10 years.

Video-uri utile:

Documente utile si link-uri de vizitat pentru mai multe informatii cu privire la Anestezie si Terapie Intensiva (ATI):

• Specialty of Anesthesiology (Pennsylvania Society of Anesthesiologists)
• Anesthesiologist (Wikipedia)
• FACTORS INFLUENCING THE CHOICE OF ANESTHESIA AS A CAREER IN A DEVELOPING COUNTRY
• Traseu curricular - stagii in rezidentiat
• Curriculum de pregatire in specialitatea Anestezie si Terapie Intensiva
• Pathway Evaluation Program - Specialty Profile - Anesthesiology

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Cred ca ATI este o optiune super-interesanta, in special pentru rezidentiat 2012, datorita numarului mare de posturi disponibile. Chiar si pe loc, nevoie de anestezisti va fi mereu. De asemenea, ca anestezist intotdeauna vei lucra intr-un oras mare si intr-un spital care ofera servicii complexe.

Mult succes!!

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