Practice management—specifically the application of sufficient (but not excess) labor to accomplish the required case load—is a financial cornerstone to successful modern anesthesiology practice. Professional revenues from practice might not cover the cost of provider compensation, so efficiency is required. Excess personnel will erode operating margin; too few will erode provider quality of life through compulsory clinical work; far too few personnel could erode quality of care.

In this issue of Anesthesiology, Piersa et al. make a discrete contribution to our knowledge of anesthesiology staffing and demand across the calendar year. They observe, over multiple years of complete data from a large private practice group practicing in Texas and Florida, that December is busier (more cases; more cases per day) than the other 11 months in the year by roughly 20% (at least when considering...

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