Certainly, not all anesthesiologists are qualified to practice critical care medicine. Without doubt, most general internists are poorly prepared to deal with the titrated patient care so essential to the critically ill. My own education, including a straight medical internship, two years of medical service with the Air Force, two years of anesthesiology residency, and a year as a fellow in critical care medicine-anesthesiology, did prepare me well, I think, to deal with the problems Dr Laurens lists. Many other anesthesiologists have similar or more extensive education and certainly have the "ability and willingness" to work with medical subspecialists. A recent article of mine might help elucidate this point.1J. Willis Hurst, MD, the eminent cardiologist and chairman of Dr Laurens' department at Emory University, has made some of the same points I tried to make in my article. "The anesthesiologist is a highly skilled clinical pharmacologist,
MacCaughelty TC. An Anesthesiologist's Plea-Reply. JAMA. 1982;248(6):649. doi:10.1001/jama.1982.03330060016021
Customize your JAMA Network experience by selecting one or more topics from the list below.