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THE FUTURE OF ANESTHESIOLOGY

Vision Research. THE FUTURE OF ANESTHESIOLOGY. “A discipline not continually engaged in an active and imaginative program of research is dead, and will not advance, and will probably deteriorate in general standards and efficiency.”

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THE FUTURE OF ANESTHESIOLOGY

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  1. Vision Research THE FUTURE OF ANESTHESIOLOGY

  2. “A discipline not continually engaged in an active and imaginative program of research is dead, and will not advance, and will probably deteriorate in general standards and efficiency.” “We get new ideas only by having a strong research community, aware of the problems.” Thirty Years Ago Kitz & Biebuyck Stated:

  3. * WT Salter (1950), in Anesthesia, Chapter 1 by Vandam. “Without Vision And Research, The Professions Die” *

  4. “By 2030 all surgical anesthesia will be administered and monitored by computers, with no need for professional medical supervision beyond the surgeon.” MAYBE OUR FUTURE IS PREDETERMINED?

  5. Hospitalists Research Influence on American Medicine THE FUTURE OF ANESTHESIOLOGY (IOM)

  6. Basic Clinical HOW ABOUT RESEARCH?

  7. In both Anesthesiology and Anesthesia & Analgesia, only about 20% of innovation comes from the U.S.A. Why? Priorities? CLINICAL RESEARCH

  8. Not publishing in Anesthesia journals Several Departments successful Several leaders in basic science area ASA was successful in 2003 BASIC RESEARCH

  9. SpecialtyTotal AwardNumber of Grants Anesthesia 89M 269 Radiology 227M 583 Neurology 313M 739 Surgery 230M 682 Pediatrics 463M 1,245 Pathology 458M 1,323 Medicine 2,289M 5,309 Per capita?? Anesthesia last! NIH 2002

  10. 3 of the top 12 anesthesia programs have training programs that have NIH training grants 11 of the top 12 surgery programs have NIH training programs NIH SUMMARY (1)

  11. 55 of 133 (41%) ACGME programs have NIH grants 33 have 2 or more NIH grants NIH SUMMARY (2)

  12. Foundation of the ASA Created to manage and distribute funds for research in anesthesiology Funded $10 million in awards Awarded grants to 426 investigators Sponsored 500 residents at the ASA Annual Meetings Endowment of $13 million Current value of $15 million BACKGROUND OF FAER

  13. Raise financial support to fund research grants Build endowment Partner across the entire anesthesiology community Mentor new investigators FUNCTIONS

  14. New Education Grants New non-clinical time grants New mentor grants Academy of Mentors NEW GRANTS

  15. Increase in funding from 1.4 M to 1.8M 2.5M in 2004 41% funding rate GRANT SUMMARY (2003)

  16. Increase number of anesthesia Departments involved in research Especially when institutional commitment is present Mentoring program for new Chairs with onsite consultation, especially for research, could be cooperative with SAAC & AUA Identify program centers of research for training grants AAPD/SAAC must examine the future of our specialty and initiate new paradigms for anesthesia AUGUST 2003 RETREAT(Personal Funding)

  17. We need long range planning We need to update or even redefine the intellectual foundation of anesthesia CONCLUSION

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