The business of anesthesiology

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James Cain

Gesundheit & Medizin Business Wirtschaft & Finanzen

James G. Cain, MD, MBA, FAAP
Director, Perioperative Medical Services
Director, Trauma Anesthesiology
Children’s Hospital of Pittsburgh of UPMC
Visiting Associate Professor, University of Pittsburgh
Past President, International Trauma Anesthesia and Critical Care Society
Past President, West Virginia Society of Anesthesiology

 Salary
 Schedule
 Benefits
 Med Mal
 Non-compete
 Leaving
 Staying
 Partnership

 1099
 W2
 Pay increases
 Performance bonuses

 Health insurance
 Disability insurance
 Retirement
 Work related expenses

 Call
 Vacation
 Non-clinical
 Compensation

 With cause
 Loss of medical license
 Inability to secure
malpractice insurance
 Loss of hospital staff
privileges
 Convicted of a felony
 “Failure to act in best
interest of group”
 Cure
 Without cause
 Notice

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In this lecture on circulatory shock, Dr. Faiza, an Assistant Professor of Physiology, delves into the profound implications of inadequate blood flow throughout the body, leading to tissue damage. The session begins by defining circulatory shock and elucidating its physiological causes, including decreased cardiac output, diminished blood volume, decreased vascular tone, obstruction to blood flow, excess metabolic rate, and abnormal perfusion patterns. Dr. Faiza categorizes shock into various types, such as cardiogenic shock, hypovolemic shock, neurogenic shock, obstructive shock, anaphylactic shock, and septic shock, and explores the pathophysiological basis of each. Furthermore, the lecture examines the stages of shock, from the non-progressive phase where compensatory mechanisms aim for full recovery to the progressive phase where shock worsens steadily without intervention, potentially leading to irreversible damage. Dr. Faiza discusses therapeutic interventions for shock, including replacement therapy, blood and plasma transfusion, sympathomimetic drugs, and other adjunctive treatments like head-down positioning, oxygen therapy, and glucocorticoids.

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