May 1988

An Internist's View on 'Medical Clearance'

Arch Intern Med. 1988;148(5):1230. doi:10.1001/archinte.1988.00380050234036

To the Editor.  —I read with interest the editorial by Dr Choi on an anesthesiologist's philosophy on medical clearance for surgical patients.1 It is nice to know that the anesthesiologists are just as disturbed by the term "medical clearance" as I am as an internist. I have always felt that the anesthesiologist should be the one that is best trained and the most competent to evaluate whether a patient can medically undergo the surgery indicated, and what is the best anesthetic and the best way of carrying the patient through the operation. I agree with him and am glad that he put it in the context that he did, namely, that as an internist, we can serve a real function in this process by advising the anesthesiologist as to the patient's current medical status. I would agree with him wholeheartedly that the term "medical evaluation" is a much better

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