I saw a similar post on this a few months ago, but the question that I had wasn't really addressed. Specialites like Ob/Gyn and orthopaedics are known to be full of practitioners whose medical knowledge is exceedingly focused on and isolated to their respective fields. For example, a patient on the orthopaedics unit has hypertension and the nurse calls the orthopaedist for course of action...and they're kind of clueless. The specialist just doesn't seem to be adequately equipped to be dealing with medical issues that have arisen. Maybe this is isolated in its incidence, but it certainly seems common in my experience. It is for this reason, that I feel I will likely avoid these and such fields in the future. Anyway, my question--as it pertains to anesthesiology--is that of wondering how a practicing anesthesiologist is equipped to treat medical complications. I know that subspecialty in critical care is an option but what of those anesthesiologists that do not subspecialize? Do general anesthesiologists serve a role in the ICU's or is that the pulmonologist's realm? Finally, what is their capability in regards to treating problems in patients that have general, internal medicine needs? I guess this isn't really of practical relevance to the anesthesiologist's practice (or is it?) but may be in answering the questions of friends/family etc. Thanks for your input.