Palm Beach County Round Table Conference – August 8, 2017

On August 8, 2017, the Florida Society of Anesthesiologists participated in an emergency roundtable conference in Palm Beach County to discuss that county’s response to the opioid addiction epidemic. Local government officials, state senators and representatives, hospital executives, leaders of emergency medical services and other community leaders and activists engaged in a 2+ hour discussion in front of an audience of approximately 100 members of the general public, exploring ideas and potential solutions to this devastating epidemic.

The FSA was the only physician organization represented at the round table by virtue of their public leadership in the State and their proposed initiatives aimed at ameliorating the societal costs of the opioid crisis.

The FSA’s proposed plan of action focuses on education – training and awareness campaigns to all parties affected by this crisis: educating patients having surgery about the need to limit the duration of their opioid use; training on the proper disposal of unused amounts of opioids to decrease risk of addiction, diversion, and accidental ingestion by children; promoting physician education regarding appropriate prescribing practices for opioids in the form of mandatory, ongoing CME requirements for licensure; counseling pregnant women regarding the devastating effects of giving birth to opioid addicted babies, and finally, early middle school formal education regarding the harmful effects of opioids and addiction.

With a proven track record of advocacy for patients and patient safety in the state of Florida, the FSA is well positioned to contribute to the solution for what has become one of our nation’s most significant health problems.

The Anesthesia Company Model – Frequently Asked Questions

In October of 2013, the FSA filed a complaint against several Florida corporations and physicians, citing their alleged participation in company model arrangements. The complaint was unsealed in March of 2016; your FSA leadership has made available an informational document outlining the details and history of the complaint and answering frequently asked questions.

FSA Members Presenting at Anesthesiology 2015©

FSA Members Presenting at Anesthesiology 2015© 

Media Release – Patients Can Make Surgery Even Safer: Physician Anesthesiologists Explain How

Patients Can Make Surgery Even Safer: Physician Anesthesiologists Explain How

Media Release – FSA Survey

Media Release – Floridians Strongly Support Physician-led Care 

FSA Survey – Executive Summary and Survey Questions

FSA Survey Results and Executive Summary


FSA Congratulates Past President Dr. Rafael Miguel on His Appointment to the FDA’s Anesthetic and Analgesic Drug Products Advisory Committee

MiguelRaphael picMiami, FL, November 25, 2013 – Past Florida Society of Anesthesiologists (FSA) President Dr. Rafael Miguel has been appointed to the U.S. Food and Drug Administration’s (FDA) Anesthetic and Analgesic Drug Products Advisory Committee. The 13 member FDA Advisory Committee is charged with reviewing and evaluating data regarding the safety and effectiveness of drugs used in anesthesiology and surgery, and formulating recommendations to the commissioner of the FDA. The Committee’s review process is among the final reviews prior to full FDA approval of any anesthetic and analgesic drug products.

“I am honored to serve on the FDA’s Anesthetic and Analgesic Drug Products Advisory Committee,” said Dr. Miguel. “Developing safer abuse-resistant pain-relieving medications are among the many ways in which the committee will be working to make anesthesia safer for patients and to finding a way out of the present prescription drug crisis.  Physician anesthesiologists and pain medicine physicians have been instrumental in this effort and will continue to be a vital part of these goals and I hope to contribute to the Committee in making the best decisions for our patients and our specialty.”

“We congratulate Dr. Miguel on his appointment to the FDA’s Advisory Committee,” said FSA President Dr. Jay Epstein.  “As one of the foremost experts in pain medicine, Dr. Miguel will bring an incredible wealth of knowledge to his new role helping to further the committee’s mission as well as FSA’s commitment to enhancing drug safety and effectiveness.”

Dr. Miguel specializes in pain medicine and currently has a practice affiliated with the University of South Florida (USF) with clinics in Tampa and Sarasota in Florida. A past president of the FSA, Dr. Miguel presently serves on the Board of Directors and is the Chair of the FSA Committee on Pain Medicine. He is the 2013 recipient of the FSA’s Distinguished Service Award, the highest tribute the Society can pay to an FSA member for outstanding clinical, educational or scientific achievement, contribution to the specialty and exemplary service to the Society.

About Dr. Rafael Miguel

Dr. Miguel has been a lifelong academic Anesthesiologist and Pain Medicine Physician.  He is currently Professor and Medical Director of the Nova Southeastern University Anesthesiologist Assistants Program in Tampa and Medical Director of the Sarasota Memorial Healthcare System Pain Medicine Program in Sarasota with four ambulatory Pain Medicine centers.  He is a Special Government Employee for the FDA and was recently appointed to the FDA’s Analgesic and Anesthetic Drug Products Advisory Committee.


Dr. Miguel is the 2013 recipient of the FSA’s Distinguished Service Award, the highest tribute the Society can pay to an FSA member for outstanding clinical, educational or scientific achievement, contribution to the specialty and exemplary service to the Society.  As an academic physician he attained the rank of tenured Professor and Chairman of the Department of Anesthesiology of the University of South Florida (USF) in Tampa, Florida.  He was the Program Director of the ACGME–accredited Pain Medicine Fellowship at USF for 10 years and Chief of the Anesthesiology Department at the H. Lee Moffitt Cancer Center for 17 years.  Dr. Miguel was appointed by Governor Bush to the Florida Board of Medicine, served a four-year tenure and was elected as its Vice-Chair. He is presently the Chair of the Department of Health’s Board of Medicine Probable Cause Panel for the State of Florida.  He is a Past-President of the Florida Society of Anesthesiologists, presently serving on its Board of Directors and is the Chair of the FSA Committee on Pain Medicine.

Dr. Miguel has been elected by his peers as one of America’s Best Doctors every year since 2004 and has published extensively in multiple peer-reviewed publications including Anesthesiology, Anesthesia and Analgesia, Pain and other specialty related scientific journals.  He is an active member in multiple specialty societies, is a member of the American Society of Anesthesiologists Pain Medicine Committee (ASA), an Alternate Delegate to the American Medical Association from the ASA and serves on the Health Care Advisory Committee of US Rep. Dennis Ross (R-FL).  He has an active clinical and research practice and continues to train tomorrows Pain Medicine Physicians in the ACGME-accredited Pain Medicine Fellowship at USF.


Reminder for ASA Members to Participate in Study Survey Regarding the Rural Pass-Through

The Public Health Program and Institute of Rural Health at Idaho State University are currently conducting a national survey of Active and Resident Members of the ASA regarding the rural pass-through – which currently has pending legislation in Congress.  Some of you may have seen the invitations to participate in this survey in recent editions of ASAP and in the Advocacy section of the ASA’s website (see:  The survey can also be accessed at .  With the permission of the ASA, the investigators cordially ask that you please forward this information on to your constituencies as a reminder that their participation in the survey would be appreciated. Please feel free reply to this email if you have any questions the investigators can can further assist you.  We appreciate your time and consideration.
Michael K. Wucinich
Principal Investigator
Public Health Program
Institute of Rural Health
Idaho State University
921 South 8th Ave, Stop 8174
Pocatello, ID  83209-4074


FSA Call for Abstracts: Submission Deadline March 8, 2013

Dear Colleague,

You are invited to submit abstracts to the FSA 2013 Annual Meeting. To submit your abstracts, please visit the following web page:

Hotel reservations: The FSA has secured a group rate at The Breakers for attendees of the 2013 Annual Meeting. To make your reservation, please call 1-888-BREAKERS and mention the FSA meeting for the group rate.

If you have any questions, please contact the FSA office at 786-300-3183 · FAX: 310-437-0585 or email: