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Working as an Anesthesiologist

Anesthesiologists medicate patients during surgery to numb the pain or make them unconscious. If you've had major surgery, chances are that you've encountered an anesthesiologist.

An anesthesiologist's responsibilities involve monitoring the patient's vital signs, adjusting the anesthesia levels as needed, and watching for any potentially dangerous emergencies. Anesthesiologists also have responsibilities post-surgery. They may prescribe strong pain medication to help patients suffering from chronic pain conditions like fibromyalgia.

The subspecialties in anesthesiology include cardiothoracic, critical care, and neurosurgery. These professionals focus on the anesthetic management of patients undergoing procedures in their subspecialties.

Like any other medical profession, you need to attend medical school, become state-licensed, and complete a five-year residency to become an anesthesiologist.

What Does an Anesthesiologist Do

Physicians and surgeons diagnose and treat injuries or illnesses. Physicians examine patients; take medical histories; prescribe medications; and order, perform, and interpret diagnostic tests. They often counsel patients on diet, hygiene, and preventive healthcare. Surgeons operate on patients to treat injuries, such as broken bones; diseases, such as cancerous tumors; and deformities, such as cleft palates.

There are two types of physicians, with corresponding degrees: M.D. (Medical Doctor) and D.O. (Doctor of Osteopathic Medicine). Both use the same methods of treatment, including drugs and surgery, but D.O.s place additional emphasis on the body's musculoskeletal system, preventive medicine, and holistic (whole-person) patient care. D.O.s are most likely to be primary care physicians, although they can be found in all specialties.

Duties

Physicians and surgeons typically do the following:

  • Take a patient’s medical history
  • Update charts and patient information to show current findings and treatments
  • Order tests for nurses or other healthcare staff to perform
  • Review test results to identify any abnormal findings
  • Recommend and design a plan of treatment
  • Address concerns or answer questions that patients have about their health and well-being
  • Help patients take care of their health by discussing topics such as proper nutrition and hygiene

Physicians and surgeons work in one or more specialties. The following are examples of types of physicians and surgeons:

Anesthesiologists focus on the care of surgical patients and on pain relief. They administer drugs (anesthetics) that reduce or eliminate the sensation of pain during an operation or another medical procedure. During surgery, they are responsible for adjusting the amount of anesthetic as needed and monitoring the patient's heart rate, body temperature, blood pressure, and breathing. They also work outside of the operating room, providing pain relief in the intensive care unit, during labor and delivery of babies, and for patients who suffer from chronic pain. Anesthesiologists work with other physicians and surgeons to decide on treatments and procedures before, during, and after surgery. 

Family and general physicians assess and treat a range of conditions that occur in everyday life. These conditions include anything from sinus and respiratory infections to broken bones. Family and general physicians typically have regular, long-term patients.

General internists diagnose and provide nonsurgical treatment for a range of problems that affect internal organ systems such as the stomach, kidneys, liver, and digestive tract. Internists use a variety of diagnostic techniques to treat patients through medication or hospitalization. They work mostly with adult patients.

General pediatricians provide care for infants, children, teenagers, and young adults. They specialize in diagnosing and treating problems specific to younger people. Most pediatricians treat common illnesses, minor injuries, and infectious diseases, and administer vaccinations. Some pediatricians specialize in pediatric surgery or serious medical conditions that commonly affect younger patients, such as autoimmune disorders or chronic ailments.

Obstetricians and gynecologists (OB/GYNs) provide care related to pregnancy, childbirth, and the female reproductive system. They treat and counsel women throughout their pregnancy and deliver babies. They also diagnose and treat health issues specific to women, such as breast cancer, cervical cancer, hormonal disorders, and symptoms related to menopause.

Psychiatrists are primary mental health physicians. They diagnose and treat mental illnesses through a combination of personal counseling (psychotherapy), psychoanalysis, hospitalization, and medication. Psychotherapy involves regular discussions with patients about their problems. The psychiatrist helps them find solutions through changes in their behavioral patterns, explorations of their past experiences, or group and family therapy sessions. Psychoanalysis involves long-term psychotherapy and counseling for patients. Psychiatrists may prescribe medications to correct chemical imbalances that cause some mental illnesses.

Surgeons treat injuries, diseases, and deformities through operations. Using a variety of instruments, a surgeon corrects physical deformities, repairs bone and tissue after injuries, or performs preventive or elective surgeries on patients. Although a large number perform general surgery, many surgeons choose to specialize in a specific area. Specialties include orthopedic surgery (the treatment of the musculoskeletal system), neurological surgery (treatment of the brain and nervous system), cardiovascular surgery, and plastic or reconstructive surgery. Like other physicians, surgeons examine patients, perform and interpret diagnostic tests, and counsel patients on preventive healthcare. Some specialist physicians also perform surgery.

Physicians and surgeons may work in a number of other medical and surgical specialties and subspecialties. The following specialists are some of the most common examples:

  • Allergists (specialists in diagnosing and treating hay fever or other allergies)
  • Cardiologists (heart specialists)
  • Dermatologists (skin specialists)
  • Gastroenterologists (digestive system specialists)
  • Ophthalmologists (eye specialists)
  • Pathologists (specialists who study body tissue to see if it is normal or abnormal)
  • Radiologists (specialists who review and interpret x rays and other images and deliver radiation treatments for cancer and other illnesses)

Physicians work daily with other healthcare staff, such as registered nurses, other physicians, medical assistants, and medical records and health information technicians.

How To Become an Anesthesiologist

Physicians and surgeons have demanding education and training requirements. Almost all physicians complete at least 4 years of undergraduate school, 4 years of medical school, and, depending on their specialty, 3 to 7 years in internship and residency programs.

Education

Most applicants to medical school have at least a bachelor's degree, and many have advanced degrees. Although no specific major is required, all students must complete undergraduate work in biology, chemistry, physics, math, and English. Students also take courses in the humanities and social sciences. In addition, some students volunteer at local hospitals or clinics to gain experience in a healthcare setting.

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.

A few medical schools offer combined undergraduate and medical school programs that last 6 or 7 years.

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 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.

Important Qualities

Communication skills. Physicians and surgeons need to be excellent communicators. They must be able to communicate effectively with their patients and other healthcare support staff.

Compassion. Physicians and surgeons deal with patients who are sick or injured and may be in extreme pain or distress. Physicians and surgeons must be able to treat patients and their families with compassion and understanding.

Detail oriented. Physicians and surgeons must ensure that patients are receiving appropriate treatment and medications. They must also monitor and record various pieces of information related to patient care.

Dexterity. Physicians and surgeons must be good at working with their hands. They may work with very precise and sometimes sharp tools, and mistakes can have serious consequences.

Leadership skills. Physicians who work in their own practice need to be effective leaders. They must be able to manage a staff of other professionals to run their practice.

Organizational skills. Some physicians own their own practice. Strong organizational skills, including good recordkeeping, are critical in both medical and business settings.

Patience. Physicians and surgeons may work for long periods with patients who need special attention. Persons who fear medical treatment may require more patience.

Physical stamina. Physicians and surgeons should be comfortable performing physical tasks, such as lifting or turning disabled patients. Surgeons may spend a great deal of time bending over patients during surgery.

Problem-solving skills. Physicians and surgeons need to evaluate patients’ symptoms and administer the appropriate treatments. They need to do this quickly if a patient’s life is threatened.

Training

After medical school, almost all graduates enter a residency program in their specialty of interest. A residency usually takes place in a hospital and varies in duration, generally lasting from 3 to 7 years, depending on the specialty.

Licenses, Certifications, and Registrations

All states require physicians and surgeons to be licensed; requirements vary by state. To qualify for a license, candidates must graduate from an accredited medical school and complete residency training in their specialty.

All physicians and surgeons also must pass a standardized national licensure exam. M.D.s take the U.S. Medical Licensing Examination (USMLE). D.O.s take the Comprehensive Osteopathic Medical Licensing Examination (COMLEX-USA). For specific state information about licensing, contact your state’s medical board. 

Certification is not required for physicians and surgeons; however, it may increase their employment opportunities. M.D.s and D.O.s seeking board certification in a specialty may spend up to 7 years in residency training; the length of time varies with the specialty. To become board certified, candidates must complete a residency program and pass a specialty certification exam from the American Board of Medical Specialties (ABMS), the American Osteopathic Association (AOA), or the American Board of Physician Specialties (ABPS).

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Average Salary$310,671
Job Growth Rate7%

Anesthesiologist Career Paths

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Average Salary for an Anesthesiologist

Anesthesiologists in America make an average salary of $310,671 per year or $149 per hour. The top 10 percent makes over $559,000 per year, while the bottom 10 percent under $172,000 per year.
Average Salary
$310,671

Best Paying Cities

City
Average Salary
Rochester, MN
Salary Range238k - 433k$321k$321,202
Minot, ND
Salary Range233k - 421k$314k$313,848
Bangor, ME
Salary Range213k - 397k$291k$291,183
Muskegon, MI
Salary Range207k - 394k$286k$286,204
Madison, WI
Salary Range209k - 388k$285k$285,114
Manchester, NH
Salary Range197k - 381k$275k$274,583
$160k
$433k

Recently Added Salaries

Job TitleCompanyCompanyStart DateSalary
Anesthesiologist
Anesthesiologist
Doctor Staffers LLC
Doctor Staffers LLC
12/30/2020
12/30/2020
$375,00012/30/2020
$375,000
Anesthesiologist and Retention Bonus
Anesthesiologist and Retention Bonus
Teedco. Healthcare Recruiting
Teedco. Healthcare Recruiting
11/23/2020
11/23/2020
$350,00011/23/2020
$350,000
Nassau University Medical Center Anesthesiologists Needed for Overnight Shifts
Nassau University Medical Center Anesthesiologists Needed for Overnight Shifts
Somnia Inc.
Somnia Inc.
11/19/2020
11/19/2020
$450,00011/19/2020
$450,000
Outpatient Anesthesiologist Position-Rochester, New York Area.
Outpatient Anesthesiologist Position-Rochester, New York Area.
KTE Services
KTE Services
11/17/2020
11/17/2020
$325,00011/17/2020
$325,000
Anesthesiologist
Anesthesiologist
Doctor Staffers LLC
Doctor Staffers LLC
10/30/2020
10/30/2020
$325,00010/30/2020
$325,000
See More Recent Salaries

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Anesthesiologist Demographics

Gender

male

53.1 %

female

36.4 %

unknown

10.5 %

Ethnicity

White

64.5 %

Asian

18.1 %

Hispanic or Latino

9.3 %

Foreign Languages Spoken

Spanish

41.0 %

French

7.7 %

Arabic

7.7 %
See More Demographics

Anesthesiologist Education

Majors

Medicine
31.6 %
Nursing
7.7 %

Degrees

Doctorate

33.9 %

Bachelors

29.1 %

Masters

15.9 %

Top Colleges for Anesthesiologists

1. Duke University

Durham, NC • Private

In-State Tuition
$55,695
Enrollment
6,596

2. University of Pennsylvania

Philadelphia, PA • Private

In-State Tuition
$55,584
Enrollment
10,764

3. Yale University

New Haven, CT • Private

In-State Tuition
$53,430
Enrollment
5,963

4. University of Michigan - Ann Arbor

Ann Arbor, MI • Public

In-State Tuition
$15,262
Enrollment
30,079

5. Georgetown University

Washington, DC • Private

In-State Tuition
$54,104
Enrollment
7,089

6. University of California - Los Angeles

Los Angeles, CA • Public

In-State Tuition
$13,226
Enrollment
31,568

7. University of North Carolina at Chapel Hill

Chapel Hill, NC • Public

In-State Tuition
$8,987
Enrollment
18,946

8. University of Virginia

Charlottesville, VA • Public

In-State Tuition
$17,653
Enrollment
16,405

9. Columbia University in the City of New York

New York, NY • Private

In-State Tuition
$59,430
Enrollment
8,216

10. Johns Hopkins University

Baltimore, MD • Private

In-State Tuition
$53,740
Enrollment
5,567
See More Education Info
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Full Time
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Internship
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Top Skills For an Anesthesiologist

The skills section on your resume can be almost as important as the experience section, so you want it to be an accurate portrayal of what you can do. Luckily, we've found all of the skills you'll need so even if you don't have these skills yet, you know what you need to work on. Out of all the resumes we looked through, 15.2% of anesthesiologists listed ob on their resume, but soft skills such as detail oriented and physical stamina are important as well.

Best States For an Anesthesiologist

Some places are better than others when it comes to starting a career as an anesthesiologist. The best states for people in this position are Minnesota, North Dakota, South Dakota, and Wyoming. Anesthesiologists make the most in Minnesota with an average salary of $217,948. Whereas in North Dakota and South Dakota, they would average $216,204 and $209,541, respectively. While anesthesiologists would only make an average of $208,748 in Wyoming, you would still make more there than in the rest of the country. We determined these as the best states based on job availability and pay. By finding the median salary, cost of living, and using the Bureau of Labor Statistics' Location Quotient, we narrowed down our list of states to these four.

1. North Dakota

Total Anesthesiologist Jobs:
2
Highest 10% Earn:
$288,000
Location Quotient:
1.16
Location Quotient is a measure used by the Bureau of Labor Statistics (BLS) to determine how concentrated a certain industry is in a single state compared to the nation as a whole. You can read more about how BLS calculates location quotients here

2. Wisconsin

Total Anesthesiologist Jobs:
15
Highest 10% Earn:
$283,000
Location Quotient:
1.33
Location Quotient is a measure used by the Bureau of Labor Statistics (BLS) to determine how concentrated a certain industry is in a single state compared to the nation as a whole. You can read more about how BLS calculates location quotients here

3. Vermont

Total Anesthesiologist Jobs:
5
Highest 10% Earn:
$284,000
Location Quotient:
3.55
Location Quotient is a measure used by the Bureau of Labor Statistics (BLS) to determine how concentrated a certain industry is in a single state compared to the nation as a whole. You can read more about how BLS calculates location quotients here
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Top Anesthesiologist Employers

1. Henry Ford Health System
4.8
Avg. Salary: 
$266,636
Anesthesiologists Hired: 
47+
2. Cleveland Clinic
4.7
Avg. Salary: 
$273,758
Anesthesiologists Hired: 
44+
3. Questcare Partners
4.3
Avg. Salary: 
$315,114
Anesthesiologists Hired: 
40+
4. Eastern Maine Medical Center
4.6
Avg. Salary: 
$363,144
Anesthesiologists Hired: 
39+
5. Morris Group
3.9
Avg. Salary: 
$302,938
Anesthesiologists Hired: 
26+
6. Mayo Clinic
4.7
Avg. Salary: 
$314,957
Anesthesiologists Hired: 
19+