THE FUTURE OF ANESTHESIOLOGY

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THE FUTURE OF ANESTHESIOLOGY

• Vision
• Research

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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.

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Without Vision And Research, The Professions
Die

• WT Salter (1950), in Anesthesia, Chapter 1
• by Vandam.

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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.

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THE FUTURE OF ANESTHESIOLOGY (IOM)

• Hospitalists
• Research
• Influence on American Medicine

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HOW ABOUT RESEARCH?

• Basic
• Clinical

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CLINICAL RESEARCH

• In both Anesthesiology and Anesthesia
  Analgesia, only about 20 of innovation comes
  from the U.S.A. Why? Priorities?

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BASIC RESEARCH

• Not publishing in Anesthesia journals
• Several Departments successful
• Several leaders in basic science area
• ASA was successful in 2003

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NIH 2002

• Specialty Total Award Number 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!

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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

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NIH SUMMARY (2)

• 55 of 133 (41) ACGME programs have NIH grants
• 33 have 2 or more NIH grants

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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

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FUNCTIONS

• Raise financial support to fund research grants
• Build endowment
• Partner across the entire anesthesiology
  community
• Mentor new investigators

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NEW GRANTS

• New Education Grants
• New non-clinical time grants
• New mentor grants
• Academy of Mentors

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GRANT SUMMARY (2003)

• Increase in funding from 1.4 M to 1.8M
• 2.5M in 2004
• 41 funding rate

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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

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CONCLUSION

• We need long range planning
• We need to update or even redefine the
  intellectual foundation of anesthesia

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