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An anesthesiologist ( US English ) or anaesthetist ( British English ) is a physician trained in anesthesia and perioperative medicine, although in some countries, such as the U. S., other providers of anesthesia care are present, such as " nurse anesthetists " or " anesthesiology assistants ".
In the United Kingdom, the term anaesthetist refers exclusively fully registered medical practitioners ( university graduates in medicine ).
In a very few UK hospitals some duties are performed by non-physicians, but only under close physician anaesthetist supervision.
Training of these physicians ' assistants ( anaesthesia ) in the UK has effectively ceased.
In the UK training in anaesthesia for a fully registered physician takes seven years full-time.

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