The before, during, and after the surgery. Before the

The career I am interested in most is an anesthesiologist. I’ve always wanted to be in the medical field since I was a little kid. When I was 11, my cousin Manuel was serving in the marines and was killed by shrapnel in a battle. Soon after that, my uncle passed away from a heart attack.  I believe that he died due to the emotional pain of losing his only son.  After that happened, I decided that I wanted to be in the medical field. I felt like getting into the medical field would allow me to help those in pain and make their lives better. I chose to be an anesthesiologist instead of another career because it seemed like it would be more interesting than other kinds of jobs. In my current job, I have to do the same thing every day and it is extremely boring. As an anesthesiologists, I would get to do new things every day and meet new people. As a nurse or a doctor, I might have to deal with nasty particles like blood and puke.  Anesthesiologist will use gas or shots to put people to sleep while they are having an operation. Anesthesiologists overall are paid very well and the demand for them is high. Job Description         As an anesthesiologist there are multiple tasks that are performed on the job. There is a number of different things that an anesthesiologist does. The main job is knocking someone out for a surgery. For this, you have to be with the patient before, during, and after the surgery. Before the patient goes in for surgery the anesthesiologist will go into the patient’s room and will check their blood pressure and talk to them about what is going to happen in the surgery. They will also make sure that they are mentally stable to go into the surgery. After they do that they will give the patient a local or general anesthetic. A general anesthetic completely renders the patient unconscious, a local anesthetic numbs a certain part of the body (asahq.org). During the surgery a anesthesiologist will watch the patient’s blood pressure, the heart rate, the level of consciousness and the amount of oxygen in the blood to make sure the patient is stable and able to go on with the surgery (sokanu.com). For a general anesthetic the anesthesiologist will monitor the breathing patterns, the blood that the heart is pumping, and the blood pressure in the patient’s lungs (sokanu.com). Also during the surgery, your job is to place the patient in the right position for the surgery and to be sure the patient will not sustain nerve damage. After the surgery, the anesthesiologist helps the patient recover from their time being unconscious. This can be done by helping them relieve acute postoperative pain, management of circulatory and respiratory resuscitation (asahq.org). Another field in anesthesia is an obstetrical anesthesiologist, this involves pain relief throughout the process of childbirth. Their job is to discuss possible relief options with the mother and supply an epidural if she chooses. This requires the anesthesiologist to watch over the mother throughout the birth and administer another epidural if needed. This is not their only job however, they can also provide pain medication to someone post-operation if their pain continues. They can also help in emergency rooms to provide patients with immediate pain reduction or sedation if need be. (sokanu.com) Working ConditionsIn the field of anesthesiology, working conditions can vary from place to place and from patient to patient. In the situation of working in an emergency room, things can get extremely stressful and busy. It’s difficult to find an generalized number of the average emergency room visits per day but based off of the statements from some nurses, the number of visits could range anywhere from 50 to 150 patients per day. In these emergency rooms an anesthesiologist can expect to work up to 65 hours a week and be on call on the weekends (cas.ca). This of course depends on the size, population density, and location of the hospital, however not all of these cases require some form of anesthesia. In the case of a major incident where a patient has to have an immediate surgery, conditions can get stressful and will require extreme concentration. In some extreme situations, you could end up monitoring a patient in surgery for up to six hours (cas.ca) This level of concentration and awareness can vary, in a different situation where someone needs some stitches, the area is anesthetized and you can be on your way to the next patient. In the case that I end up working in a pain treatment center, I would not have to be on call during the weekends due to the fact that many of these centers run during normal business hours and not 24/7. That would also mean that I would get to work a regular schedule instead of a graveyard shift. One of the extremely common and expected conditions of working in the medical field is cleanliness. When performing the tasks of an everyday job, most people don’t need to wash their hands unless they use the bathroom or touch something that leaves a residue. In the medical field on the other hand employees need to be constantly washing their hands, changing their gloves and using hand sanitizer. They also need to ensure that the equipment that they are using is sterile and disposed of properly. After every patient they are with a person in the medical field needs to change gloves and wash their hands. This can get pretty repetitive after a while but it needs to be done to ensure the patients safety and your safety as well. When inducing a general anesthetic, proper needle disposal is extremely important, if not done correctly, you could be exposing your co-workers or janitors to illnesses and STDs. Malaria, herpes, hiv, hepatitis, and syphilis are all things you can contract from an accidental puncture from a used needle (healio.com). Surgery as an anesthesiologist is a very important procedure that requires prepping a patient for his or her sedation. My job would be to explain the process of fasting to the patient, administering the sedative, and monitoring the patient while sedated. During the process of surgery things can go wrong at any point and I need to be able to know how to solve these problems while remaining calm. One problem that can occur is the patient ceases to breathe on their own and may need endotracheal intubation which is inserting a tube into the trachea to allow air to pass. This may need an artificial respirator to continue the respiration process (medscape.com).Potential EarningsAccording to payscale.com, the average yearly salary for an anesthesiologist is right around $270,000. This rate can change drastically depending on what city you work in, how many years of experience you have, and what college you went to. For example in Seattle, the median pay is only around $112,000 per year whereas in Houston you could expect a median salary of around $240,000 per year. Based off of this site alone, the most you could get paid would be in New York which pays around $280,000 per year.This site has a custom salary report where you can choose where you went to medical school, how many years of experience you have, and where you want to work. As a anesthesiologist that graduated harvard university who majored in medical engineering, with 2 years of on the job training, an AANA certification (American Association of Nurse Anesthetists), and is trying to find a job in New York at a hospital with 50 beds, your average salary would be around $183k at its lowest and $424k at its highest. There are a few things that could possibly increase your salary, and those would be obtaining your M.D. (Doctor of Medicine Degree), B.A. (Bachelor of Arts Degree), or B.S. (Bachelor of Science Degree). An M.D. could increase your salary by roughly $13k a year, a B.S. would earn you $4k a year more, and a B.A. could earn you up $8k more than you would already. These stats are all hypothetical, I could end up at a completely different college or I could end up wanting to work closer to home that New York.Career PathIn order to be an anesthesiologist, I must complete around four years of college to obtain my, then I would need to take another four years of graduate education that leads to a degree in medicine such as an M.D. After eight years of that, I would then need to complete another four years in anesthesiology residency (asahq.org). A total of twelve years plus years of schooling, I also have the option of taking a year of study or fellowship if I choose. When taking my first four years of college, it is recommended that I take pre-med curriculum; this includes calculus, physics, biology, general chemistry, and organic chemistry (asahq.org). This is one of the easiest parts of the process for school, all of these subjects are generally offered at any school even BMCC. Next comes med school, but you cannot enter med school without four years of college as an undergrad, meaning I would not have to get a degree as long as I have taken these core classes and attended college for four years.To get into almost any med school, you have to take the MCAT, which is the Medical College Admission Test. The MCAT is a standardized multiple choice test designed to help med school admission offices to examine your problem solving, critical thinking, and knowledge of natural, behavioural, and social sciences (aamc.org). The subjects on the MCAT include biological and biochemical foundations of living systems, chemical and physical foundations of living systems, and psychological, social, and biological foundations of behavior. In med school many people can end up changing their minds for what career in medicine they want. This happens because in med school, you get rotated through all areas of medicine. The first two year of your training involves class time and lab time while they take classes like anatomy, biology, and microbiology. The third and fourth years of med school involve more hands on training than anything. Most of the time they are working in a hospital associated with the school and are assisting and watching over doctors and physicians in their everyday jobs. The students usually have rotations in all of the speciality fields in the hospital like surgery, pediatrics, and internal medicine. After those four years you are done, and you have been awarded your M.D., but there still needs to be residency that is completed. (princetonreview.com)To begin residency you must first take the NRMP (National Residency Matching Program), this test is used to match you with a school that you want, and one that also wants you. Residency is basically like being an intern so you get to perform the daily tasks of a anesthesiologist physician but you are being carefully watched and helped. A total of three years is required in residency to complete the program. After this you are almost done, now all there is left to do is get board certified. To do that, you must pass the ABA (American Board of Anesthesiology verbal and written test, and only around 75% of people who take this exam pass it. That is where the end is of the whole training process to become an anesthesiologist (asahq.org).Related Jobs/CareersIn the event that the position that I want is not available at the time, I will have plenty of options in the field of anesthesia. There is an anesthesiologist’s assistant which as you might guess, assist with the anesthesia. These assistants are in just as much demand if not more due to fact that surgeries can sometimes require up to 8 anesthesia workers at once. As an assistant you of course don’t need as much school but if I already have all the school to become an anesthesiologist, then I could eventually be hired at the same place later on for the job that I really want (asahq.org).Another option that I have if I do not end up with the job I want is a pharmacist, I would have all of the requirements for it that I would need. Therefore I wouldn’t have to spend any extra time in school(vcareerview.org). There are a few downfalls to this considering the average salary for a pharmacist is over $100,000 less than an anesthesiologist’s.Other Resources:Helpful sites that include information and advice can be AAMC.org and ASAHQ.org. The first site is the Association of American Medical Colleges and the second is the American Society of Anesthesiologists.On the site AAMC.org, they identify as “a not-for-profit association dedicated to transforming health care through innovative medical education, cutting-edge patient care, and groundbreaking medical research”. Their members include 149 accredited U.S. medical schools and around 400 major teaching hospitals. The AAMC has nearly 167,000 full time faculty members, around 88,000 medical students, and 124,000 resident physicians. This means that they can greatly help me in my journey to my career. The ASA is also a nonprofit that helps people reach their career goals in any field they choose by helping eliminate financial troubles for these students. They have a college planning service which can help you plan out how long your education will take and how much it will cost. They also have a program called SALT, it is there to help inform students on how to avoid financial crisis and student debt. They teach you how to apply for scholarships, get an internship, and general money saving techniques. Although this site does not relate to anesthesiology itself, it does help students from falling into massive student loan debt, and obtaining scholarships is a very important part in accomplishing my dreams. (asa.org)ConclusionThroughout the writing of this paper, I have learned many new things about the career that I am interested in. From what I have found, the process for this is quite straightforward, it is extensive, but straightforward. I was definitely surprised in the substantial difference of salary in between multiple cities and states. All of your pay really just depends on the size of the hospital and what the average number of visits is. This does worry me a little bit though, since I am a very family oriented person, I would not want to live across the country from them, especially since the hours are never really predictable so I wouldn’t get to plan anything with them. The only thing that makes up for the distance is the salary, I would be able to easily fay for the flights back home. I still would like to pursue this career, no matter the length of time it takes, I will have to apply for numerous scholarships to be able to pay for my schooling, I may still wind up needing some student loans anyways. My final take on this career is that it is a hard road ahead, but will be well worth it in the end

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