Anesthesia : History, Todays Marketplace, and Employment Environment

History of Anesthesia

History of Anesthesia

Anesthesia is an deep-rooted and historic medical specialty. The first anesthetic entity known were opiates in pill form that were dated back as far as 4200 BC. One of the earliest recorded uses of opiates is in a text known as the Ebers Papyrus of one thousand five hundred BC. A mere 4 hundred years soon after, the island nation of Cyprus was argiculturally farming Poppy flowers, and pipes used to smoke the substance were found in shrines. Chinese and Indian opiate utilisation did not come about until a much later year, well into the 1st Millenia A.D.

Not Enough Physicians, Including Anesthesiologists

From 1995 the total of anesthesiologists graduating from residency programs diminished. According to the American Society of Anesthesiologists the total of American anesthesia residency graduates decreased from 1,547 in 1995 to only 392 in 2000. In the course of the same period, the number of active anesthesiologists increased by less than 9 %, according to the American Medical Association. This compares with a 13 percent increase in the number of physicians in all specialties.

The Marketplace and How it is Affecting Healthcare Services

The job deficiency caused by the recession completely affects all physicians income. When millions of people lose their jobs, they also lose their health care insurance and physicians lose patients that can pay. Hopefully the job shortfall is a short term set back, but it does affect demand for services and income for physicians immediately. This in effect destroys the underlying projections of the growth of need made just a few years ago. Until the economy picks up and the unemployment drops from 10% to the 4 to 5% area there is a great possibility that the demand for all health care services based on per crash assumptions is optimistic.

Failing Marketplace and Doctors are Getting Older

The recent stock market breakdown is having a key influence on elder physicians, and their ideas about retirement. Many doctors are postponing retirement for a few years, because of the losses they sustained in their retirement accounts. However, even a few years deferral of retirement won't address the increased demands caused by this lurking loss of experienced physicians. This postponement has already resulted in fewer jobs being offered and graduating residents not finding as many good opportunities as before. Some residents rather than committing themselves to less desirable full time jobs are opting for locum Anesthesia jobs.

CRNAs and How vital They Are

The rising cost of health care can directly affect demand for physicians services. CRNAs, who can perform many of the routine duties of physicians at a fraction of the cost, may be increasingly used. Furthermore, demand for physicians services is highly sensitive to changes in health care reimbursement policies. If changes to health coverage result in higher out-of-pocket costs for consumers, they may demand fewer physician services.

In rural settings, CRNAs are the sole anesthesia providers in nearly two thirds of all clinics. CRNAs are also the foremost provider of obstetrical anesthesia in the United States.

Increase in the Demand for Anesthesia Services

The N C H S shows inpatient surgeries were flat between 1994 and 2000. While the number of anesthesia providers has remained pretty unvarying in recent years, surgical volumes have increased nationwide, placing greater demand on the providers of anesthesia services.

Anesthesia : History, Todays Marketplace, and Employment Environment

By: Cory Ellerd

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