re: Wisconsin Hospital Replaces All Anesthesiologists with CRNAs

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What the hell is the point of going through 10 years of school and training when it could be done in 3.

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And save an incredible amount of money. Not sure why everyone doest just become a nurse or PA now? Screw that boring medical school/residency/fellowship BS

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And save an incredible amount of money. Not sure why everyone doest just become a nurse or PA now? Screw that boring medical school/residency/fellowship BS

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Well since yall are just inventing arguments now, I'm just gonna bow out.

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And many states are sure they can without supervision of a doctor.

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Yes but they also leave the local hospital’s in charge of deciding who can practice unsupervised in their facility. The CRNAs are doing the easy stuff independently in those states. They aren’t doing the high acuity complex stuff solo.

Check the big name institutions in the opt out states. They aren’t using independent CRNAs.

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Now we’re getting somewhere. If you were educated and trained as well as I was I’d gladly call you my colleague and admitt equivalence.

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Doing a TEE is a skill, as is placing an epidural, spinal, nerve block, central line, A-line, or an intubation. Skills can be taught, learned, and one can either become proficient or not. I have worked with some who placed many epidurals but where never proficient at them. You just think your title automatically makes you able to do something someone cant. My point is if it’s within the scope of practice and the training is obtained and proficiency is demonstrated, we can do them. That is no different in my practice as it is in yours.

Nah I read the reviews first.

Still haven’t seen the anesthesiologist responsible for me today. Thinks he’s documenting the 7 cms requirements?

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I’m just not trained to do them.

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Didn't you say earlier "CRNA’s and physician anesthesiologist go through the same clinical training"? Anesthesia residents are trained in TEE.

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But not the same training or level of expertise. They do “adjustments” FFS, like chiropractors. They are not trained in medical schools and they don’t have equivalent intelligences.

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lmao I believe you are referring to DO's if so you are hilariously uninformed (or trolling).

same material is covered in both medical schools, but also DO's waste time learning garbage adjustments. Many DOs take the USMLE which is the test MDs take during school. They train in the exact same residencies, at the exact same level, to gain the exact same expertise, to do the exact same job.

I haven’t read this thread but you want the most trained people in charge......not because of the routine mundane day to day stuff.....you want that person there for when the shite hits the fan

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But not the same training or level of expertise. They do “adjustments” FFS, like chiropractors. They are not trained in medical schools and they don’t have equivalent intelligences.

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Yeah, no one gives a shite about the distinction anymore, as evidenced the fact that the ACGME and AOA started a merger in 2014 so that there is a single accreditation system for graduate medical education, as already referenced in this thread. Which means they do have the same exact training, sit for the same exams, compete for the same residencies, etc. I think another unique quirk might be that MDs can apply for old AOA residencies, but I'm not at that portion of my education yet, so I can't say for sure.

The existence of DOs is due to peculiar quirks of American history and its relationship with the traditional mode of medicine at the time, called Heroic Medicine. I highly suggest you read The Social Transformation of American Medicine by Paul Starr to get an inkling at how crazy the practice of medicine was before the Civil War, because it was a direct response to the practice of heroic medicine that alternative therapies began, which includes virtually every tradition of medicine, including allopathic, osteopathic, chiropractic, and naturopathic, among others.

In another weird quirk, one of the largest private medical schools in the country was teaching homeopathy until the late 20s, though the naming history of that school is convoluted. It is now Drexel, but at one time was associated with Samuel Hahnemann, the founder of homeopathy. The history of American medicine, especially in the antebellum period, is tremendously interesting.