History of the Profession

During the mid-1960s, in response to a manpower shortage and concerns over the increasing complexity of anesthesia and surgery, Drs. Gravenstein, Steinhaus, and Volpitto created the concept of anesthesiologist assistant. They designed an educational program whereby matriculants would build on an undergraduate premedical education, then obtain a masters degree in anesthesiology. In their white paper, the authors wrote, "Responsibility and immediate care of the patient must remain within the province of the anesthesiologist; consequently, personnel could not work independently but only under the immediate direction of an anesthesiologist. An advantage in manpower for the anesthesiologist would result, as he could provide attention to several patients with the proper employment of the anesthesia team, described above."

AA at Emory

Since its beginning, the Emory Program sought to produce a new type of anesthetist, the anesthesiologist assistant, whose clinical and technological skills complement the traditional medical role of the anesthesiologist. This new type of anesthetist has advanced the quality and efficiency of care delivered by the anesthesia care team. The basic science education in anatomy, physiology, biochemistry, pharmacology, physics, and medical instrumentation, along with intensive clinical training, prepare graduates to become knowledgeable, skilled practitioners and participate as valuable members of the anesthesia care team.

The current Program graduates approximately 35 anesthesiologist assistants each year. 

References

Gravenstein JS, Steinhaus JE, Volpitto PP. Analysis of manpower in anesthesiology. Anesthesiology 33(3): 350-7, 1970.

Steinhaus JE, Evans JA, Frazier WT. The physician assistant in anesthesiology.  Anesthesia and Analgesia. 52(5): 7949, 1973.