what does this mean? your post has no significance to this discussion. clearly this Disciple guy has no idea whats going on. it's hilarious.
Learning to perform and interpret TEE's is part of the evolution of cardiac ANESTHESIA. by using that tool of TEE, you can alter your treatment of drips, fluids, etc.- while the patient is under GETA. this is has nothing to do with the fact that anesthesia should have never allowed other specialties into pain medicine. was intra-op TEE interpretation part of ALL cardiologists training in the past that we took over? no. cuz pain is a part of ALL anesthesia residencies that shouldn't be given away to other specialites.
btw, since you dont know what's up... "possibly even during residency".. yes anesthesiologists learn to interpret TEE's in residency. you don't have to do a heart fellowship to use TEE and do hearts in private practice.
Maybe you should finish your residency and get some experience before posting so boldly.
You obtain training in performing and interpreting a diagnostic test where the defacto experts are Cardiologists, because it is useful to your practice of Anesthesiology, correct? (Whether the experience during residency at a particular program is sufficient vs. needing some additional time during fellowship to sharpen skills is irrelevant to this discussion).
However, if you read the above post by foxtrot, there is an implication that it is inappropriate for physicians in other specialties to be trained in interventional procedures.
You demonstrate little understanding of what Pain Medicine is. It is not simply some extension of Anesthesiology, or any other specialty for that matter. You don't think that pain management is part of the training of Neurosurgeons, Neurologists and Physiatrists? Physicians from other specialties being trained in pain fellowships
would not be analogous to physicians from other specialties entering, say, a regional anesthesia fellowship and then attempting to perform blocks for surgery.
If you plan on practicing Pain Medicine, and don't think you have anything to learn from any other specialties, then by all means, do ESIs between your OR cases, run up to the floor to titrate all the PCAs and epidurals, add on an intrathecal trial after hours, turf the outpt narcotics management to the PCPs and making the diagnosis to the surgeons. You can do so in BFE where there are no pain specialists and CRNAs practice independently. You will be providing pain management services but you will not be practicing a medical specialty.
Otherwise, move into the 21st century.
Patients deserve better.
