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The evolving status of anesthesiology has been the subject of much thought and plenty of talk. Initially developed because of the dire need to prevent intolerable surgical pain, anesthesiology has evolved into a scientifically based and clinically skilled multifaceted specialty. Outside of the opinion pages of many anesthesia journals, however, it is far from clear that the profession is well regarded. Instead, anesthesiology, perhaps because it follows but does not drive the surgical caseload and frequently does not interact at any level with nonsurgical departments, is perceived as one of the institutional "also rans" in many health care
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