American Society of Anesthesiologists

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American Society of Anesthesiologists
AbbreviationASA
Type Professional association
Purpose"To raise and maintain the standards of the medical practice of anesthesiology and to improve patient care"
Headquarters Schaumburg, Illinois, U.S.
Membership57,000
Official language
English
President
Ronald Harter, M.D., FASA [1] [2]
Website http://www.asahq.org

The American Society of Anesthesiologists (ASA) is a professional association of physicians in the field of anesthesiology.

Contents

As of 2023, the organization included more than 57,000 national and international members and has more than 100 full-time employees.

Anesthesiologists are among the most well-paid physicians in the United States, earning an average salary of $472,000 in 2023. [3]

History

Anesthesiology's roots date back to the mid-19th century. On March 30, 1842, Crawford Long, M.D. administered the first ether anesthetic for surgery and operated to remove a tumor from a patient's neck. After the surgery, the patient revealed that he felt nothing and was not aware the surgery was over until he awoke. This was the start of a specialty critical to modern medicine, anesthesiology.[ citation needed ]

In 1905, nine physicians (from Long Island, N.Y.) organized the first professional anesthesia society. In 1911, the Society expanded to 23 members and became the New York Society of Anesthetists. Over the next 25 years, involvement in anesthesia-related issues grew and attracted other interested physicians nationwide. In 1936, the Society changed its name to the American Society of Anesthetists. In 1945, the organization moved to become the American Society of Anesthesiologists (ASA). In 1960, the ASA established an Executive Office in Park Ridge, Illinois to meet growing membership and patient-care demands. In 2014, the ASA opened new headquarters in Schaumburg, Illinois. [4]

Lobbying

In the 2000s, the ASA lobbied to force anesthesiologists to be in the hospital room whenever an anesthesia drug was administered to patients during colonoscopies. At the time, others contended that anesthesia drugs, such as propofol, could be safely administered to patients by non-anesthesiologists, leading to vastly lower health care prices. [5]

The ASA has lobbied to prevent nurse anesthetists from administering anesthesia without doctor supervision. [6] [7] [8]

Anesthesiologists in the United States self-report the time that they spend providing anesthesia care. Studies have found evidence that anesthesiologists engage in anomalous billing and revenue-maximizing behavior by inflating the time spent providing care. [9] [10] In 2024, Anthem proposed changes to its insurance reimbursement in several states, implementing a time limit for anesthesia care, refusing to reimburse beyond the time limit. [11] The ASA criticized this change and said it would jeopardize patient care. [11]

Membership

Membership is open to holders of Doctor of Medicine (M.D.) or Doctor of Osteopathic Medicine (D.O.) degrees who are licensed practitioners and have successfully completed a training program in anesthesiology approved by the Accreditation Council for Graduate Medical Education (ACGME) or American Osteopathic Association (AOA).[ citation needed ]

The ASA also maintains an active resident component, medical student component as well as an anesthesiologist assistant component. Non-physician providers of anesthesia care (anesthesiologist assistants, nurse anesthetists, dentist, veterinarians, APRNs) can join as educational members. [12]

Governance

ASA is governed by its House of Delegates. The House of Delegates is composed of ASA delegates and directors (designated by geographic distribution), ASA officers, all past presidents, the Editor-in-Chief of the journal, the chairs of all sections, the chair of the ASA delegation to the American Medical Association House of Delegates and each member of the Resident Component Governing Council not to exceed five members and a non-voting member of the Medical Student component. The House of Delegates meets each year during the Society's Annual Meeting.[ citation needed ]

Meetings

Meetings are held annually and are based on scientific progress in the anesthesiology fields.| [13]

Publications

The Society publishes multiple academic resources in the following categories: [14]

Anesthesia subspecialties

While all anesthesiologists complete a minimum of eight years of medical training after college, some anesthesiologists have additional training (called a fellowship) in a specific area of anesthesiology. The ABA offers specific certifications in some of these areas. Anesthesiologists are not required to subspecialize, but many do focus on one area of care to further hone their expertise. These specialty areas include, but are not limited to:[ citation needed ]

Related Research Articles

<span class="mw-page-title-main">Anesthesia</span> State of medically-controlled temporary loss of sensation or awareness

Anesthesia or anaesthesia is a state of controlled, temporary loss of sensation or awareness that is induced for medical or veterinary purposes. It may include some or all of analgesia, paralysis, amnesia, and unconsciousness. An individual under the effects of anesthetic drugs is referred to as being anesthetized.

<span class="mw-page-title-main">Anesthesiology</span> Medical specialty concerned with anesthesia and perioperative care

Anesthesiology, anaesthesiology or anaesthesia is the medical specialty concerned with the total perioperative care of patients before, during and after surgery. It encompasses anesthesia, intensive care medicine, critical emergency medicine, and pain medicine. A physician specialized in anesthesiology is called an anesthesiologist, anaesthesiologist, or anaesthetist, depending on the country. In some countries, the terms are synonymous, while in other countries, they refer to different positions and anesthetist is only used for non-physicians, such as nurse anesthetists.

<span class="mw-page-title-main">Nurse anesthetist</span> Advanced Practice Registered Nurse with expertise in anesthesia

A nurse anesthetist is an advanced practice nurse who administers anesthesia for surgery or other medical procedures. They are involved in the administration of anesthesia in a majority of countries, with varying levels of autonomy. Nurse anesthetists provide all services of anesthesia for patients before, during, and after surgery. Certified Registered Nurse Anesthetists, (CRNA) are dedicated to the safe administration of anesthesia delivery and work within a diverse team. They are dedicated to patient advocacy, safety and professional development. In some localities, nurse anesthetists provide anesthesia to patients independently; in others they do so under the supervision of physicians. In the United States, the physician may be an anesthesiologist, surgeon, or podiatrist. The International Federation of Nurse Anesthetists was established in 1989 as a forum for developing standards of education, practice, and a code of ethics.

<span class="mw-page-title-main">Certified registered nurse anesthetist</span> Professional title for nurse anesthetists in the United States

A Certified Registered Nurse Anesthetist (CRNA) is a type of advanced practice nurse who administers anesthesia in the United States. CRNAs account for approximately half of the anesthesia providers in the United States and are the main providers (80%) of anesthesia in rural America. Historically, nurses have been providing anesthesia care to patients for over 160 years, dating back to the American Civil War (1861–1865). The CRNA credential was formally established in 1956. CRNA schools issue a Doctorate of nursing anesthesia degree to nurses who have completed a program in anesthesia, which is 3 years in length.

Aryeh Shander, MD, FCCM, FCCP is an anesthesiologist known for his work with bloodless procedures.

In the United States, anesthesia can be administered by physician anesthesiologists, an anesthesiologist assistant, or nurse anesthetist.

Dental anesthesiology is the specialty of dentistry that deals with the advanced use of general anesthesia, sedation and pain management to facilitate dental procedures.

Cardiothoracic anesthesiology is a subspeciality of the medical practice of anesthesiology, devoted to the preoperative, intraoperative, and postoperative care of adult and pediatric patients undergoing cardiothoracic surgery and related invasive procedures.

Geriatric anesthesia is the branch of medicine that studies anesthesia approach in elderly.

The International Anesthesia Research Society (IARS) is an international, professional medical society dedicated to improving clinical care, education and research in anesthesia, pain management, and perioperative medicine. It was founded in 1922 by Francis Hoeffer McMechan.

The American Association of Nurse Anesthesiology (AANA), previously named the American Association of Nurse Anesthetists, is a professional association for nurse anesthetists in the United States. The organization states that it has a membership of more than 62,000 and represents approximately 90% of CRNAs in the United States. The AANA headquarters is currently located in Rosemont, Illinois, a suburb of Chicago.

Certified anesthesiologist assistants (CAAs) are master’s degree level non-physician anesthesia care providers. CAAs are members of the anesthesia care team as described by the American Society of Anesthesiologists (ASA). This designation must be disambiguated from the Certified Clinical Anesthesia Assistant (CCAA) designation conferred by the Canadian Society of Respiratory Therapists. All CAAs possess a baccalaureate degree, and complete an intensive didactic and clinical program at a postgraduate level. CAAs are trained in the delivery and maintenance of most types of anesthesia care as well as advanced patient monitoring techniques. The goal of CAA education is to guide the transformation of student applicants into competent clinicians.

The following outline is provided as an overview of and topical guide to anesthesia:

<span class="mw-page-title-main">American Osteopathic Board of Anesthesiology</span>

The American Osteopathic Board of Anesthesiology (AOBA) is an organization that provides board certification to qualified Doctors of Osteopathic Medicine (D.O.) and non-osteopathic physicians who specialize in the administration of anesthetic agents and perioperative medicine (anesthesiologists). The board is one of 16 medical specialty certifying boards of the American Osteopathic Association Bureau of Osteopathic Specialists approved by the American Osteopathic Association (AOA), and was established in 1956.

John Adriani was an American anesthesiologist and director of anesthesiology at Charity Hospital in New Orleans. He was president of the American Board of Anesthesiology (ABA) and he received a Distinguished Service Award from the American Society of Anesthesiologists (ASA). He was an early supporter of physician involvement in nurse anesthetist training.

Obstetric anesthesia or obstetric anesthesiology, also known as ob-gyn anesthesia or ob-gyn anesthesiology, is a sub-specialty of anesthesiology that provides peripartum pain relief (analgesia) for labor and anesthesia for cesarean deliveries ('C-sections').

<span class="mw-page-title-main">Frank Moya</span> American physician

Frank Moya was an American anesthesiologist, businessman, and educator. He was widely recognized for his research in obstetric anesthesia and newborn physiology, and joined the University of Miami School of Medicine's Department of Anesthesiology as the youngest department chairman in the country, at the age of 33. Moya also held several prestigious national and state Anesthesiology positions and founded the Frank Moya Continuing Education Programs.

<span class="mw-page-title-main">James Tayloe Gwathmey</span>

James Tayloe Gwathmey, M.D. was an American physician and the first president of the American Association of Anesthetics. A pioneer of early anesthetic devices for medical use, he co-authored the first comprehensive textbook on the subject of medical anesthetics, titled Anesthesia, which was published in 1914. For this and other contributions to anesthesiology, which included innovations in administering anesthetics to war wounded and in obstetrics, Gwathmey was hailed at the time of his death as the "Father of Modern Anesthesia."

Isabella Herb was an American medical pioneer in the fields of pathology and anesthesiology. Her career spanned more than half a century, ending with her retirement in 1941. She was the first woman physician to specialize in anesthesiology, and the first Mayo Clinic specialist in her areas of expertise. In 1933, Herb designed the Herb–Mueller apparatus for administering ether to patients. She was the head of the Department of Anesthesia at Presbyterian Hospital, and the first woman president of the American Association of Anesthetists.

Alex Macario is an American anesthesiologist, academic and author. He is a vice-chair for education, a professor in the Department of Anesthesiology, Perioperative and Pain Medicine, and program director for the anesthesiology residency at Stanford University School of Medicine.

References

  1. "Officers".
  2. "Past Presidents". www.asahq.org.
  3. Levitz, Eric (2024-12-06). "A big insurer backed off its plan to pay less for anesthesia. That's bad". Vox.
  4. "Commemorating The Grand Opening Of The New American Society Of Anesthesiologists Building In Schaumburg, Illinois". Capitol Words. Archived from the original on 2014-10-15. Retrieved 2014-10-08.
  5. "The $2.7 Trillion Medical Bill". New York Times. 2013.
  6. "Debate Over Who Should Be Allowed to Administer Anesthesia Moves to Courts". New York Times. 2012.
  7. Johnson, Colby (2024-04-26). "ASA urges Congress to stop the VA from replacing anesthesiologists with nurse anesthetists". WHSV.
  8. "Who Should Provide Anesthesia Care?". New York Times. 2010.
  9. Sun, Eric C.; Dutton, Richard P.; Jena, Anupam B. (2018-11-09). "Comparison of Anesthesia Times and Billing Patterns by Anesthesia Practitioners". JAMA Network Open. 1 (7): e184288. doi:10.1001/jamanetworkopen.2018.4288. ISSN   2574-3805. PMC   6324364 .
  10. Coustasse, Alberto; Frame, Mike; Mukherjee, Avinandan (2018-11-09). "Is Upcoding Anesthesia Time the Tip of the Iceberg in Insurance Fraud?". JAMA Network Open. 1 (7): e184302. doi: 10.1001/jamanetworkopen.2018.4302 . ISSN   2574-3805.
  11. 1 2 Reporter, Emma Marsden Freelance News (2024-12-05). "Doctors rail against insurer's new anesthesia time limits". Newsweek.
  12. "American Society of Anesthesiologists - Membership Eligibility". www.asahq.org. Retrieved 2017-08-05.
  13. "ANESTHESIOLOGY Annual Meeting".
  14. "ASA Standards and Guidelines".
  15. "ASA Monitor".