Abstract
THE UNITED STATES, in general, and many areas, in particular, face shortages of professionals in the field of health care delivery. Specifically, there exists a shortage of people qualified to administer anesthesia during surgery and obstetrics. Many hospitals do not have a qualified anesthesiologist available. Board certified anesthesiologistst are in short supply nationwide. The problem is further compounded by a geographical maldistribution of these critical skills. About 50 per cent of the anesthetics given in this country are administered by nurses. Nurse anesthetists also are in short supply [43. In order to train additional members of this latter profession, it is necessary to deplete the pool of available trained nurses. A committee of nine anesthesiologists representing major hospitals in the greater Cleveland area have been concerned with the ways and means of responding to the above problems. This group, in cooperation with members of the Department of Operations Research, Case Western Reserve University, addressed the following questions:
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