We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Article |

An Anesthesiologist's Philosophy on Medical Clearance for Surgical Patients

Simon Gelman, MD, PhD; John Ebert, DO
Arch Intern Med. 1988;148(6):1468. doi:10.1001/archinte.1988.00380060232043.
Text Size: A A A
Published online


To the Editor:  —From our viewpoint, Dr Choi's editorial1 concerning the role of the internist in the preoperative evaluation of the surgical patient was not only timely, but insightful as well. We are sure that most anesthesiologists wholeheartedly agree with his thoughts.Certain points deserve emphasis, others may be modified. First, the motivation for requesting a medical consultation is all too often confused, thereby precipitating misunderstanding. For instance, if the consultation request is initiated in order to provide a buffer against legal liability or to derive suggestions for intraoperative anesthetic management, then both the patient and medical consultant have been done a disservice. The end result would not be even potentially therapeutic, which should be the primary goal of the requestor. Moreover, in the circumstance where the medical consultant recommends an anesthetic technique and this course is not followed by the anesthesiologist for appropriate and defined reasons, but complications


Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

First Page Preview

View Large
First page PDF preview





Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

0 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.