really dumb question

[nev]

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Hi all,
Sorry for this really dumb question...but I was wondering if ansethesiologists can prescribe medications to patients?
Thanks
Nev

 

[pmichaelmd]

Hi all,
Sorry for this really dumb question...but I was wondering if ansethesiologists can prescribe medications to patients?
Thanks
Nev

and so can any physician with a medical license and DEA #. Likewise, any physician can "practice medicine and surgery" after passing step III and getting a state medical license. I suppose a radiologist could perform neurosurgery if it really got his goose, but I'm certain he wouldn't dare.

R,
PMMD

 

[VolatileAgent]

and so can any physician with a medical license and DEA #. Likewise, any physician can "practice medicine and surgery" after passing step III and getting a state medical license. I suppose a radiologist could perform neurosurgery if it really got his goose, but I'm certain he wouldn't dare.

R,
PMMD

not sure the insurance company would reimburse him for it and he better hope he never gets sued. and, to the op, i'm a resident and i write prescriptions all the time. but i'm not on the anesthesia service this month. usually we don't though (at least ones that patients take to the pharmacy to get filled).

 

[nev]

Like I was thinking about this situation when an anesthesiologist sees a patient who is going to undergo surgery on the next day, and this patient complains of some problem....can the anesthesiologist give him some kind of medicine.

Do anesthesiologists get training in prescribing any sort of medicines (like how an internal medicine or emergency medicine resident is trained) during their residency?
Thanks
Nev

 

[militarymd]

Like I was thinking about this situation when an anesthesiologist sees a patient who is going to undergo surgery on the next day, and this patient complains of some problem....can the anesthesiologist give him some kind of medicine.

Yes

Do anesthesiologists get training in prescribing any sort of medicines (like how an internal medicine or emergency medicine resident is trained) during their residency?
Thanks
Nev

I did

 

[nev]

hmm...really? What kind of training was it, may I ask?

 

[militarymd]

hmm...really? What kind of training was it, may I ask?

What do you mean?

As far as I know, there is no formal training for any residency on "writing prescriptions" ....my wife is IM, so I know.

We all learn what meds patients need....you write a script....that's it....

 

[pmichaelmd]

hmm...really? What kind of training was it, may I ask?

I did the non-traditional route. I started in FP, then served for 4 years in the military as a flight surgeon. Plenty of prescription writing there.

I'm a CA-2 and we follow the acute pain service, among other things, as well as do chronic pain clinic. We write plenty of prescriptions. I will add a caveat, though. Here in Florida there is close monitoring of scrip writing. We can write almost any scrip, but you are supposed to document a patient visit if you do. This comes up when one of our colleagues gets sick and wants a Z-pak. Do we always follow those rules? You decide 😉

As per my other post...it is correct to assume that most insurors will NOT reimburse a radiologist performing a bedside burrhole. Your license gives the ability to "practice medicine and surgery," but you are still supposed to exercise common sense and do what is within the scope of your experience, training, and abilities. Some insurors also won't reimburse you if you are not BE/BC in a specialty...I think the days of the old GP who did an internship and set up shop in the backwoods is going by the wayside.

Cheers,
PMMD

 

[toofache32]

hmm...really? What kind of training was it, may I ask?

If you can write your name, then you can write a prescription. It's not a big deal. It's called med sschool Pharmacology Class.

 

[Mman]

Do anesthesiologists get training in prescribing any sort of medicines (like how an internal medicine or emergency medicine resident is trained) during their residency?
Thanks
Nev

I'm assuming you are asking if they get any training in areas of medicine other than anesthesia, not just do they learn how to fill out a script for somebody. So yes, Anesthesia still requires an internship year. And that means everybody has done plenty of months of medicine and/or surgery.

 

[2ndyear]

Interesting post if you think about it like this, say you have a high risk cardiac patient not on a beta blocker. Obviously studies have shown periop beta blockade is good. Do we, being the perioperative physicians, prescribe the beta blockers? I say probably not. We aren't going to round on the patient daily to assess the side effects, etc, of our therapy. We won't see them in the office in follow up. I say a quick note in the chart or phone call to the primary team suggesting beta blockers is OK. Other thoughts?

 

[militarymd]

Interesting post if you think about it like this, say you have a high risk cardiac patient not on a beta blocker. Obviously studies have shown periop beta blockade is good. Do we, being the perioperative physicians, prescribe the beta blockers? I say probably not. We aren't going to round on the patient daily to assess the side effects, etc, of our therapy. We won't see them in the office in follow up. I say a quick note in the chart or phone call to the primary team suggesting beta blockers is OK. Other thoughts?

I do. If I see something 2 or 3 days before surgery, and beta-blockers are indicated, I'll write a script for the patient to take them for the next 3 days before surgery.

 

[militarymd]

If we're going to call our selves physician, then we should act like physicians.

Treat when indicated.

 

[JJArms22]

If we're going to call our selves physician, then we should act like physicians.

Treat when indicated.

shut up

 

[WholeLottaGame7]

shut up

Lol

Did you wake up this morning and think, "I'm tired of this account and want to get rid of it, but I'm too lazy to delete it, what's the best way to get the moderators to do it for me? I know, maybe I'll necrobump a 12 year old thread to tell an attending to shut up while posting as a pre-med. That'll probably do it."

 

[deleted162650]

shut up

Wow, you really told him . . . 12 years later.

 

[pgg]

12 years might be a record ...

Also interesting to see the 2005 line of thought on beta blockers in the periop period.

 

[Narcotized]

shut up

THAT is.... awwwwwwwwwwesome!!!!!!
"shut up" 12 years later

Had to come back from the dead to say definitely one of the classic posts I've ever read on a message board.

 

[acidbase1]

I think we are getting trolled on this one

 

[Arch Guillotti]

epic