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Secondary Healthcare System

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Secondary healthcare is offered by a specialist, generally in hospitals or clinics for patients referred by primary healthcare providers. It occurs when a person has an illness or injury that requires specific medical care. Secondary care is often referred to as acute care. Secondary care can range from uncomplicated care to repair a minor laceration or treat a strep throat infection to more complicated emergent care, such as treating a head injury sustained in an automobile accident. Whatever...

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Related Experiment Video

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Surgical Porcine Model of Chronic Myocardial Ischemia Treated by Exosome-laden Collagen Patch and Off-pump Coronary Artery Bypass Graft

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Published on: September 15, 2023

Subspecialty accreditation: is being special good?

Georges Desjardins¹, Michael K Cahalan

¹Department of Anesthesiology, University of Utah School of Medicine, Salt Lake City, Utah 84132, USA.

Current Opinion in Anaesthesiology

|November 9, 2007

Summary

Subspecialty certification in anesthesiology offers benefits but lacks conclusive data. Training in all anesthesiology subspecialties is encouraged, but official certification should be limited to areas with comparable non-anesthesiologist specialists.

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Published on: October 3, 2016

Area of Science:

Anesthesiology
Medical Education
Healthcare Policy

Background:

Subspecialization in anesthesiology is evolving.
Current official subspecialties include critical care medicine and pain medicine.
Accredited fellowships exist for pediatric and cardiothoracic anesthesia.

Purpose of the Study:

To evaluate the pros and cons of certifying additional anesthesiology subspecialties.
To consider perspectives of patients, generalists, subspecialists, departments, and society.
To recommend a strategic approach to subspecialty certification.

Main Methods:

Literature review on subspecialization in anesthesiology.
Analysis of advantages and disadvantages from multiple stakeholder viewpoints.
Synthesis of findings to inform recommendations.

Main Results:

Limited conclusive data exists on the benefits and costs of anesthesiology subspecialization.
Pediatric, cardiothoracic, and obstetric anesthesia have developing fellowship programs.
Critical care and pain medicine are the only officially recognized subspecialties.

Conclusions:

Encourage training across all anesthesiology subspecialties.
Reserve official fellowship accreditation and subspecialty certification for areas comparable to non-anesthesiologist subspecialists.
Focus certification on critical care medicine and pain medicine.