What you need to know
Anesthesiologists are physicians who specialize in the care of surgical patients and pain relief. They administer drugs (anesthetics) that reduce or eliminate the sensation of pain during an operation or another medical procedure.
Anesthesiologists usually work in sterile environments while performing surgery and may stand for long periods. Many work long, irregular, and overnight hours. While on call, a physician may need to address a patient’s concerns over the phone or make an emergency visit to a hospital or nursing home.
Some of the things an anesthesiologist might do:
- Administer drugs (anesthetics) that reduce or eliminate the sensation of pain during an operation or another medical procedure
- During surgery, they adjust the amount of anesthetic as needed, and monitor the patient’s heart rate, body temperature, blood pressure, and breathing
- Outside of the operating room, they provide pain relief for patients in the intensive care unit, for women in labor and delivery of babies, and for patients who suffer from chronic pain
- Work with other physicians and surgeons to decide on treatments and procedures before, during, and after surgery
- Communication skills: Anesthesiologists need to be excellent communicators. They must communicate effectively with their patients and other healthcare support staff.
- Compassion: Patients who are sick or injured may be in extreme pain or distress. Anesthesiologists must treat patients and their families with compassion and understanding.
- Detail oriented: Patients must receive appropriate treatment and medications. Anesthesiologists must accurately monitor and record various pieces of information related to patient care.
- Dexterity: Anesthesiologists may work with very precise and sometimes sharp tools, and mistakes can have serious consequences.
- Leadership skills: Anesthesiologists who work in their own practice must manage a staff of other professionals.
- Organizational skills: Good recordkeeping and other organizational skills are critical in both medical and business settings.
- Patience. Anesthesiologists may work for long periods with patients who need special attention: Persons who fear medical treatment may require more patience.
- Physical stamina: Anesthesiologists should be comfortable lifting or turning disabled patients, or performing other physical tasks.
- Problem-solving skills: Anesthesiologists need to evaluate patients’ symptoms and administer the appropriate treatments. They need to do this quickly if a patient’s life is threatened.
The average pay for anesthesiologists in the United States is $405,000 according to an annual Medscape survey in 2021.
The specific pay depends on factors such as level of experience, education and training, geographic location, and specific industry.
Overall employment of anesthesiologists is projected to decline 1 percent from 2020 to 2030.
Prospects should be especially good for anesthesiologists who are willing to practice in rural and low-income areas because these areas tend to have difficulty attracting physicians.
Anesthesiologists typically need a bachelor’s degree, a degree from a medical school, which takes 4 years to complete, and, 3 to 7 years in internship and residency programs.
Medical schools are highly competitive. Most applicants must submit transcripts, scores from the Medical College Admission Test (MCAT), and letters of recommendation. Schools also consider an applicant’s personality, leadership qualities, and participation in extracurricular activities. Most schools require applicants to interview with members of the admissions committee.
Students spend most of the first 2 years of medical school in laboratories and classrooms, taking courses such as anatomy, biochemistry, pharmacology, psychology, medical ethics, and in the laws governing medicine. They also gain practical skills; learning to take medical histories, examine patients, and diagnose illnesses.
During their last 2 years, medical students work with patients under the supervision of experienced physicians in hospitals and clinics. Through rotations in internal medicine, family practice, obstetrics and gynecology, pediatrics, psychiatry, and surgery, they gain experience in diagnosing and treating illnesses in a variety of areas.