In my understanding, I think everyone knows that CRNA will not be equivalent to MD/DO Anesthesiologist by any measure. Again, it is clear that there will be no way CRNA will provide equal and safe medical care as physicians. I know many CRNAs who are very intelligent and provide outstanding care, but the problem is even if they are doing outstanding job at OR, what if something serious happen? Do they really have the skill and the knowledge to examine, diagnose, and treat the patient? People may think that todays anesthesia is safe and serious problems are rare, but we cant just risk patient life. Off course there is a shortage of Anesthesiologist and supervision will not be practical everywhere, but by any means there should be an Anesthesiologist back up for the unexpected. Even if this is the reality, unsupervised CRNA cares are expanding everywhere. I am not Anesthesiologist and not sure for the job market, but when I search job openings on the internet there are only few and most of them are for pain and cardiac. In my observation, if these changes continue, it will be tough for Anesthesiologists in the near future as CRNAs will take all the jobs. This may not be scary for current Anesthesiologist on practice or for residents, but it is scarier for medical students who are considering Anesthesiology and I am one of them. Anesthesiology is the only specialty that I will love to do in the future, but what scares me is that what if I didnt get a job after finishing my Training? Do you think it is wise to consider another specialty early on? I will appreciate any advice for this matter. I know this issue is in every specialty, but the one in Anesthesiology is different and scary. Thank you