Where Is Our Specialty Going In The Future?. Mark J. Lema, M.D., Ph.D. Professor and Chair of Anesthesiology University at Buffalo, SUNY Roswell Park Cancer Institute President-Elect American Society of Anesthesiologists.
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Mark J. Lema, M.D., Ph.D.
Professor and Chair of Anesthesiology
University at Buffalo, SUNY
Roswell Park Cancer Institute
American Society of Anesthesiologists
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Am Med News 47(1):1-2, 1/5/04
Source: AAMC 2003 Graduation Questionnaire, Am Med News 1/26/04
It’s broken – “What is perhaps most disturbing is the absence of real progress toward restructuring health care systems to address both quality and cost concerns, or
toward applying advances
in information technology
to improve administrative and clinical processes … the last quarter of the
20th century might best be described
as the ‘era of Brownian motion in health care.’’’
*Regarding health care reform, no one is in long run control and health care systems throughout the U.S. operate like silos.
Minimally invasive surgery (VATS)
Radiologic procedures (Gamma Knife)
‘Medicalization’ of surgery (Urology)
Office-based procedures using non-anesthesia professionals
1 - Jeff Bauer PhD, health futurist, personal comm.
1 - Wright J, Bauer J. TEWS – White Paper 12/2002
1 -Wachter, RM NEJM 354 (7):661,2/16/06
Wachter SM, NEJM 534 (7):661,2006
(Good Public Image)
(Bad Public Image)
Anesthesia mortality in 1900 of Medical Outsourcing
Spiraling health care costs are crippling this nation’s ability to complete on a flat global playing field (Friedman).
Any windfall benefits to MDs will abruptly end as technology and payers find innovative ways to eliminate the high cost providers.
It’s better to be part of the solution than part of the problem – MDs are best suited to lead the health care reform.
American Anesthesiology – Advancing Safe Patient Care for 21st Century Medical Practice