| Revision as of 21:14, 27 December 2024 edit81.2.123.64 (talk) rv whitewashingTags: Undo Reverted← Previous edit | Latest revision as of 21:16, 17 January 2025 edit undoLR.127 (talk | contribs)Extended confirmed users, Pending changes reviewers, Rollbackers18,226 edits Adding local short description: "Medical association in the US", overriding Wikidata description "organization"Tag: Shortdesc helper | ||
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| {{Short description|Medical association in the US}} | |||
| {{Distinguish|American Board of Anesthesiology}} |
{{Distinguish|American Board of Anesthesiology}} | ||
| {{Infobox organization | |||
| | name = American Society of Anesthesiologists | | name = American Society of Anesthesiologists | ||
| | image = File:American Society of Anesthesiologists.svg | | image = File:American Society of Anesthesiologists.svg | ||
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| ==History== | ==History== | ||
| Anesthesiology's roots date back to the mid-19th century. On March 30, 1842, ], M.D. administered the first ether anesthetic for surgery and operated to remove a tumor from a patient's neck. After the surgery, the patient revealed that he felt nothing and was not aware the surgery was over until he awoke. This was the start of a specialty critical to modern medicine, ].{{ |
Anesthesiology's roots date back to the mid-19th century. On March 30, 1842, ], M.D. administered the first ether anesthetic for surgery and operated to remove a tumor from a patient's neck. After the surgery, the patient revealed that he felt nothing and was not aware the surgery was over until he awoke. This was the start of a specialty critical to modern medicine, ].{{citation needed|date=December 2022}} | ||
| In 1905, nine physicians (from Long Island, N.Y.) organized the first professional anesthesia society. In 1911, the Society expanded to 23 members and became the New York Society of Anesthetists. Over the next 25 years, involvement in anesthesia-related issues grew and attracted other interested physicians nationwide. In 1936, the Society changed its name to the American Society of Anesthetists. In 1945, the organization moved to become the American Society of Anesthesiologists (ASA). In 1960, the ASA established an Executive Office in ] to meet growing membership and patient-care demands. In 2014, the ASA opened new headquarters in ].<ref> | In 1905, nine physicians (from Long Island, N.Y.) organized the first professional anesthesia society. In 1911, the Society expanded to 23 members and became the New York Society of Anesthetists. Over the next 25 years, involvement in anesthesia-related issues grew and attracted other interested physicians nationwide. In 1936, the Society changed its name to the American Society of Anesthetists. In 1945, the organization moved to become the American Society of Anesthesiologists (ASA). In 1960, the ASA established an Executive Office in ] to meet growing membership and patient-care demands. In 2014, the ASA opened new headquarters in ].<ref> | ||
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| }} | }} | ||
| </ref> | </ref> | ||
| ==Lobbying== | |||
| According to a 2004 study, the ASA spent the second-largest sum of money on lobbying of all professional physician associations in the United States.<ref name=":1">{{Cite journal |last=Landers |first=Steven H |last2=Sehgal |first2=Ashwini R |date=2004-04 |title=Health care lobbying in the United States |url=https://www.amjmed.com/article/S0002-9343(03)00803-9/fulltext |journal=The American Journal of Medicine |language=English |volume=116 |issue=7 |pages=474–477 |doi=10.1016/j.amjmed.2003.10.037 |issn=0002-9343 |archive-url=http://web.archive.org/web/20220902002912/https://www.amjmed.com/article/S0002-9343(03)00803-9/fulltext |archive-date=2022-09-02}}</ref> The only professional association that spent more was the ].<ref name=":1" /> | |||
| In the 2000s, the ASA lobbied to force anesthesiologists to be in the hospital room whenever an anesthesia drug was administered to patients during colonoscopies. At the time, others contended that anesthesia drugs, such as propofol, could be safely administered to patients by non-anesthesiologists, leading to vastly lower health care prices.<ref>{{Cite news |date=2013 |title=The $2.7 Trillion Medical Bill |url=https://www.nytimes.com/2013/06/02/health/colonoscopies-explain-why-us-leads-the-world-in-health-expenditures.html |work=New York Times}}</ref> | |||
| The ASA has lobbied to prevent nurse anesthetists from administering anesthesia without doctor supervision.<ref>{{Cite news |date=2012 |title=Debate Over Who Should Be Allowed to Administer Anesthesia Moves to Courts |url=https://www.nytimes.com/2012/05/02/us/debate-over-who-should-be-allowed-to-administer-anesthesia-moves-to-courts.html |work=New York Times}}</ref><ref>{{Cite web |last=Johnson |first=Colby |date=2024-04-26 |title=ASA urges Congress to stop the VA from replacing anesthesiologists with nurse anesthetists |url=https://www.whsv.com/2024/04/26/asa-urges-congress-stop-va-replacing-anesthesiologists-with-nurse-anesthetists/ |website=WHSV |language=en}}</ref><ref>{{Cite news |date=2010 |title=Who Should Provide Anesthesia Care? |url=https://www.nytimes.com/2010/09/07/opinion/07tue3.html |work=New York Times}}</ref><ref>{{Cite web |date=1998 |title=Doctors decry proposed rule change for anesthesia |url=https://www.tampabay.com/archive/1998/01/13/doctors-decry-proposed-rule-change-for-anesthesia/ |website=Tampa Bay Times |language=en}}</ref> The ASA lobbied Congress to pass a bill that would prevent Medicare from letting nurse anesthesiologists provide anesthesia care without supervision by anesthesiology physicians.<ref>{{Cite journal |last=Josefson |first=D. |date=2000-04-08 |title=Unsupervised nurses may soon give anaesthetics in United States |url=https://pubmed.ncbi.nlm.nih.gov/10753137/ |journal=BMJ (Clinical research ed.) |volume=320 |issue=7240 |pages=959 |issn=0959-8138 |pmc=1117902 |pmid=10753137}}</ref> The ASA has lobbied Congress to block individual states from setting their own rules as to whether anesthesiology physicians need to be present during the provision of anesthesia care.<ref>{{Cite web |date=1998-12-28 |title=Medical lobbying: Nurses vs. doctors in operating rooms |url=https://www.deseret.com/1998/12/28/19420535/medical-lobbying-nurses-vs-doctors-in-operating-rooms/ |website=Deseret News |language=en}}</ref> In 2016, amid a shortage of doctors and nurses in provision of health care to veterans, ASA lobbied to prevent the ] from allowing nurse anesthesiologists to provide anesthesia care.<ref>{{Cite news |date=2016 |title=Lobbying battle over giving nurses more authority to treat veterans intensifies |url=https://www.washingtonpost.com/news/powerpost/wp/2016/07/19/more-than-70000-people-weigh-in-on-battle-over-veterans-health-care/ |work=The Washington Post}}</ref> | |||
| Anesthesiologists in the United States self-report the time that they spend providing anesthesia care. Studies have found evidence that anesthesiologists engage in anomalous billing and revenue-maximizing behavior by inflating the time spent providing care.<ref>{{Cite journal |last=Sun |first=Eric C. |last2=Dutton |first2=Richard P. |last3=Jena |first3=Anupam B. |date=2018-11-09 |title=Comparison of Anesthesia Times and Billing Patterns by Anesthesia Practitioners |url=https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2713033 |journal=JAMA Network Open |volume=1 |issue=7 |pages=e184288 |doi=10.1001/jamanetworkopen.2018.4288 |issn=2574-3805|pmc=6324364 }}</ref><ref>{{Cite journal |last=Coustasse |first=Alberto |last2=Frame |first2=Mike |last3=Mukherjee |first3=Avinandan |date=2018-11-09 |title=Is Upcoding Anesthesia Time the Tip of the Iceberg in Insurance Fraud? |url=https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2713030 |journal=JAMA Network Open |volume=1 |issue=7 |pages=e184302 |doi=10.1001/jamanetworkopen.2018.4302 |issn=2574-3805|doi-access=free }}</ref> In 2024, Anthem proposed changes to its insurance reimbursement in several states, implementing a time limit for anesthesia care, refusing to reimburse beyond the time limit.<ref name=":0">{{Cite web |last=Reporter |first=Emma Marsden Freelance News |date=2024-12-05 |title=Doctors rail against insurer's new anesthesia time limits |url=https://www.newsweek.com/doctors-rail-against-insurers-new-anesthesia-time-limits-1995875 |website=Newsweek |language=en}}</ref> The ASA criticized this change and said it would jeopardize patient care.<ref name=":0" /> | |||
| ==Membership== | ==Membership== | ||
| Membership is open to holders of ] (M.D.) or ] (D.O.) ] who are ] practitioners and have successfully completed a training program in anesthesiology approved by the ] (ACGME) or ] (AOA).{{ |
Membership is open to holders of ] (M.D.) or ] (D.O.) ] who are ] practitioners and have successfully completed a training program in anesthesiology approved by the ] (ACGME) or ] (AOA).{{citation needed|date=December 2022}} | ||
| The ASA also maintains an active resident component, medical student component as well as an anesthesiologist assistant component. Non-physician providers of anesthesia care (anesthesiologist assistants, ]s, ], ], ]s) can join as educational members.<ref>{{Cite web|url=https://www.asahq.org/member-center/membership-eligibility|title=American Society of Anesthesiologists - Membership Eligibility|website=www.asahq.org|language=en|access-date=2017-08-05}}</ref> | The ASA also maintains an active resident component, medical student component as well as an anesthesiologist assistant component. Non-physician providers of anesthesia care (anesthesiologist assistants, ]s, ], ], ]s) can join as educational members.<ref>{{Cite web|url=https://www.asahq.org/member-center/membership-eligibility|title=American Society of Anesthesiologists - Membership Eligibility|website=www.asahq.org|language=en|access-date=2017-08-05}}</ref> | ||
| ==Governance== | ==Governance== | ||
| ASA is governed by its House of Delegates. The House of Delegates is composed of ASA delegates and directors (designated by geographic distribution), ASA officers, all past presidents, the Editor-in-Chief of the journal, the chairs of all sections, the chair of the ASA delegation to the ] House of Delegates and each member of the Resident Component Governing Council not to exceed five members and a non-voting member of the Medical Student component. The House of Delegates meets each year during the Society's Annual Meeting.{{ |
ASA is governed by its House of Delegates. The House of Delegates is composed of ASA delegates and directors (designated by geographic distribution), ASA officers, all past presidents, the Editor-in-Chief of the journal, the chairs of all sections, the chair of the ASA delegation to the ] House of Delegates and each member of the Resident Component Governing Council not to exceed five members and a non-voting member of the Medical Student component. The House of Delegates meets each year during the Society's Annual Meeting.{{citation needed|date=December 2022}} | ||
| == Meetings == | == Meetings == | ||
Latest revision as of 21:16, 17 January 2025
Medical association in the US Not to be confused with American Board of Anesthesiology. | |
| Abbreviation | ASA |
|---|---|
| Type | Professional association |
| Purpose | "To raise and maintain the standards of the medical practice of anesthesiology and to improve patient care" |
| Headquarters | Schaumburg, Illinois, U.S. |
| Membership | 57,000 |
| Official language | English |
| President | Donald E. Arnold, MD, FACHE, FASA |
| Website | http://www.asahq.org |
The American Society of Anesthesiologists (ASA) is a professional association of physicians in the field of anesthesiology.
As of 2024, the organization included more than 57,000 national and international members and has more than 100 full-time employees.
History
Anesthesiology's roots date back to the mid-19th century. On March 30, 1842, Crawford Long, M.D. administered the first ether anesthetic for surgery and operated to remove a tumor from a patient's neck. After the surgery, the patient revealed that he felt nothing and was not aware the surgery was over until he awoke. This was the start of a specialty critical to modern medicine, anesthesiology.
In 1905, nine physicians (from Long Island, N.Y.) organized the first professional anesthesia society. In 1911, the Society expanded to 23 members and became the New York Society of Anesthetists. Over the next 25 years, involvement in anesthesia-related issues grew and attracted other interested physicians nationwide. In 1936, the Society changed its name to the American Society of Anesthetists. In 1945, the organization moved to become the American Society of Anesthesiologists (ASA). In 1960, the ASA established an Executive Office in Park Ridge, Illinois to meet growing membership and patient-care demands. In 2014, the ASA opened new headquarters in Schaumburg, Illinois.
Membership
Membership is open to holders of Doctor of Medicine (M.D.) or Doctor of Osteopathic Medicine (D.O.) degrees who are licensed practitioners and have successfully completed a training program in anesthesiology approved by the Accreditation Council for Graduate Medical Education (ACGME) or American Osteopathic Association (AOA).
The ASA also maintains an active resident component, medical student component as well as an anesthesiologist assistant component. Non-physician providers of anesthesia care (anesthesiologist assistants, nurse anesthetists, dentist, veterinarians, APRNs) can join as educational members.
Governance
ASA is governed by its House of Delegates. The House of Delegates is composed of ASA delegates and directors (designated by geographic distribution), ASA officers, all past presidents, the Editor-in-Chief of the journal, the chairs of all sections, the chair of the ASA delegation to the American Medical Association House of Delegates and each member of the Resident Component Governing Council not to exceed five members and a non-voting member of the Medical Student component. The House of Delegates meets each year during the Society's Annual Meeting.
Meetings
Meetings are held annually and are based on scientific progress in the anesthesiology fields.|
Publications
The Society publishes multiple academic resources in the following categories:
- Practice Management
- Practice Parameters
- Continuing Education
- Patient Education
- Patient Safety/Risk Management and Quality Improvement
- Periodicals
- ASA Monitor (newsletter)|
- Anesthesiology
- Physician Booklets
Anesthesia subspecialties
While all anesthesiologists complete a minimum of eight years of medical training after college, some anesthesiologists have additional training (called a fellowship) in a specific area of anesthesiology. The ABA offers specific certifications in some of these areas. Anesthesiologists are not required to subspecialize, but many do focus on one area of care to further hone their expertise. These specialty areas include, but are not limited to:
- Ambulatory Anesthesia
- Cardiac Anesthesia
- Critical Care Anesthesia
- Geriatric Anesthesia
- Neuroanesthesia
- Obstetric Anesthesia
- Pain Medicine
- Pediatric Anesthesia
- Perioperative Anesthesia
- Professional Issues
- Regional and Acute Anesthesia
References
- "Officers".
- "Past Presidents". www.asahq.org.
- "Commemorating The Grand Opening Of The New American Society Of Anesthesiologists Building In Schaumburg, Illinois". Capitol Words. Archived from the original on 2014-10-15. Retrieved 2014-10-08.
- "American Society of Anesthesiologists - Membership Eligibility". www.asahq.org. Retrieved 2017-08-05.
- "ANESTHESIOLOGY Annual Meeting".
- "ASA Standards and Guidelines".
- "ASA Monitor".
