Desjardins Georges, Cahalan Michael K
Department of Anesthesiology, University of Utah School of Medicine, Salt Lake City, Utah 84132, USA.
Curr Opin Anaesthesiol. 2007 Dec;20(6):572-5. doi: 10.1097/ACO.0b013e3282f18bd8.
We examined the advantages and disadvantages of certifying additional subspecialties in anesthesiology from five vantage points - patients, generalist anesthesiologists, subspecialist anesthesiologists, departments of anesthesiology, and society as a whole - in order to recommend a course of action.
The published literature does not provide conclusive data on the relative benefits or costs of subspecialization in anesthesiology. Currently, only critical care medicine and pain medicine are recognized officially as subspecialties of anesthesiology. Pediatric anesthesia and cardiothoracic anesthesia have accredited fellowships, and a fellowship accreditation application is under review for obstetric anesthesia.
Based on our examination, from the five perspectives given above, we recommend that training in all subspecialties of anesthesiology be encouraged. Official fellowship accreditation and subspecialty certification, however, should be reserved for subspecialties in which anesthesiologists provide services comparable to those provided by nonanesthesiologist subspecialists, such as critical care medicine and pain medicine.
我们从五个视角——患者、普通麻醉医生、麻醉亚专科医生、麻醉科以及整个社会——审视了麻醉学新增亚专科认证的利弊，以便推荐行动方针。
已发表的文献未提供关于麻醉学亚专科化相对益处或成本的确凿数据。目前，只有重症医学和疼痛医学被官方认可为麻醉学的亚专科。儿科麻醉和心胸麻醉有经认可的 fellowship 项目，产科麻醉的 fellowship 认可申请正在审核中。
基于上述五个视角的审视，我们建议鼓励开展麻醉学所有亚专科的培训。然而，官方的 fellowship 认可和亚专科认证应仅限于麻醉医生提供的服务与非麻醉科亚专科医生相当的亚专科，如重症医学和疼痛医学。
