title: The impact of managed care on anesthesia residency training and clinical practice.
abstract: In this review, we attempt to summarize some of the complex issues surrounding managed care and discuss the resultant changes in anesthesiology practice and residency training in the USA. These changes have affected physician autonomy, job availability for graduates of residency training, and interest by medical students in the specialty. Anesthesiologists are focusing on increasing the value of the anesthesia service to patients, surgeons, hospitals, and managed care organizations, thereby securing the future growth of the specialty.
authors.affiliation: Department of Anesthesia, Stanford University School of Medicine, Stanford, California 94305, USA. cscib@leland.stanford.edu
authors.forename: W C
authors.initials: WC
authors.lastname: Scibetta
authors.forename: A
authors.initials: A
authors.lastname: Macario