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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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thirty years ago kitz biebuyck stated
“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:
maybe our future is predetermined
“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?
the future of anesthesiology iom
Hospitalists

Research

Influence on American Medicine

THE FUTURE OF ANESTHESIOLOGY (IOM)
clinical research
In both Anesthesiology and Anesthesia & Analgesia, only about 20% of innovation comes from the U.S.A. Why? Priorities?CLINICAL RESEARCH
basic research
Not publishing in Anesthesia journals

Several Departments successful

Several leaders in basic science area

ASA was successful in 2003

BASIC RESEARCH
nih 2002
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
nih summary 1
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)
background of faer
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
functions
Raise financial support to fund research grants

Build endowment

Partner across the entire anesthesiology community

Mentor new investigators

FUNCTIONS
new grants
New Education Grants

New non-clinical time grants

New mentor grants

Academy of Mentors

NEW GRANTS
august 2003 retreat personal funding
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)
conclusion
We need long range planning

We need to update or even redefine the intellectual foundation of anesthesia

CONCLUSION