re: Wisconsin Hospital Replaces All Anesthesiologists with CRNAs

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Coondaddy you keep bringing up Vanderbilt like it holds some weight. There is no Vanderbilt CRNA program. Sure Middle Tennessee School of Anesthesia SRNAs rotate through Vanderbilt on some clinical rotations, but to compare Vanderbilt Anesthesiology residency to MTSA training is laughable. No SRNAs are in the CV rooms, no SRNAs are in the ICUs in charge of the entire ICU, no SRNAs are doing regional anesthesia there, etc. The list could go on and on. Why do you keep name dropping that institution in an attempt to elevate your level of training?

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MTSA has a fellowship regional program for advanced training. SRNA’s do rotate and do CV cases. I no longer practice in TN but that’s how it was when I was there. I am not sure if they currently rotate into CV cases but if they don’t, I am sure they do at other facilities. There are certain accreditation requirements they must achieve before they can graduate and yes, regional anesthesia is a big part of it.

Man idk, I’m not arguing any of that. I’m just saying I like physician led teams and it seems like physicians do to. Idk all the ends and outs but a lot seems political and monetary. The anesthesiology assistant thing does seem weird to me though.

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Man idk, I’m not arguing any of that. I’m just saying I like physician led teams and it seems like physicians do to. Idk all the ends and outs but a lot seems political and monetary. The anesthesiology assistant thing does seem weird to me though.

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If you can't see the logical conclusion of these implicit and explicit arguments, don't be surprised when physicians strike back.

Middle Tennessee State Anesthesia SRNAs do not do CV cases, regional anesthesia, oversee ICUs, work in pain clinics, preop assessment clinic, etc at Vanderbilt. They don’t even put in central lines. They also do not attend any of the resident didactic lessons. They do go to grand rounds on Friday morning.

Yeah, you're probably right about DO's. My experience with them is limited. Primarily because I have an acquaintance that, while finishing up school, casually commented about cheating on his cardiology exam. Seemed like a hell of a thing to cheat on. I went to him for non life threatening things and usually had to go see someone else to get it accurately diagnosed. Eventually I said " he just sucks" and quit going to him. Some years later I found myself in a clinic with a different DO looking at a rash on my back. He seemed perplexed and called in his MD associate who said "its shingles" with an "are you an idiot" inflexion to his voice. I probably shouldn't paint them all with the same brush.

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Your jobs exist because of physicians delegating roles. If you keep making arguments that amount to equating yourselves with physicians despite much less training, than why wouldn't physicians, who have expertise, training, history and lobbying power, not use that to protect their own profession? You exist only because of physicians, not in spite of them. If you make arguments like the ones made here, forgetting the fact that your role is one of a delegated technician who might possess some expertise, you are asking for a coordinated response.

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First off, we are not regulated by any board of medicine. We are regulated by the nursing boards. Laws would have to be changed in states that direct how medical care is to be delivered in order to change any practice modalities. AA’s have to be supervised by an anesthesiologist, we don’t. That exist in 49 of the 50 states. What you’re implying will never happen, at least not in my lifetime. If anything, the trend is heading in the other direction. My argument is there is a place for both providers and using scare tactics, where one isn’t present, isn’t a winning argument.

Top of the CRNA license is practicing under a physician-led team. CRNA training is not adequate for independent practice; if you personally would like to practice independently, you should go to medical school and complete 4 years of anesthesia residency.

How far are we from socialized medicine? It now takes months to see a specialist if you aren't laying on the hospital floor.

Idk but as someone looking in I like that they have actually had practice putting in an IV before lol

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First off, we are not regulated by any board of medicine. We are regulated by the nursing boards. Laws would have to be changed in states that direct how medical care is to be delivered.

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Yes, physicians have been famously unable to lobby for a change in laws. Again, you don't understand the implications of your arguments for independence.