• Physician executive · Feb 1997

    Reinventing a medical specialty. Using anesthesiology as a model for change.

    • R W Vaughan and M S Vaughan.
    • University of North Carolina School of Medicine, Chapel Hill, USA. vaughan@aims.unc.edu
    • Physician Exec. 1997 Feb 1;23(2):4-12.

    AbstractIn only a decade, anesthesiology has reversed its fortunes from an underrepresented specialty in the 1980 Graduate Medical Education National Advisory Committee report to "a specialty in trouble" featured in The Wall Street Journal. This article focuses on anesthesiology and its work force dilemma as an evolving specialist model for change. What is happening to anesthesiology will not be unique--managed care competition will affect all physicians. Most specialties will have to reshape curricula and redesign education programs and academic delivery systems concentrating on fewer trainees. What are the options for coping with physicians grieving over lost dreams, such as autonomy and solo practice, while redesigning a medical specialty? The authors untangle fact from fear, mission from myth, and offer strategic thinking and solutions.

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