Anesthesia as a Career for Physicians is Over!

[NicholasPavona]

Another one falls.....

West Virginia removes physician supervision rule for CRNAs - Becker's Hospital Review | Healthcare News & Analysis

On July 7, certified registered nurse anesthetists in West Virginia will be allowed to administer anesthesia in cooperation with — rather than under the supervision of — a physician. The new CRNA practice agreement defines “cooperation” as a CRNA and a physician, dentist or podiatrist working...

www.beckershospitalreview.com

The following states permit CRNAs to practice independently:

Alabama, Alaska, Arizona, Arkansas, California, Colorado, Delaware, Hawaii, Idaho, Iowa, Kansas, Kentucky, Maryland, Massachusetts, Michigan, Minnesota, Montana, Nebraska, New Hampshire, New Mexico, North Carolina, North Dakota, Oklahoma, Oregon, Rhode Island, South Dakota, Utah, Vermont, Washington D.C., Washington State, West Virginia, Wisconsin, and Wyoming.

Just about 20 more to go.....as predicted.

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[aneftp]

Another one falls.....

West Virginia removes physician supervision rule for CRNAs - Becker's Hospital Review | Healthcare News & Analysis

On July 7, certified registered nurse anesthetists in West Virginia will be allowed to administer anesthesia in cooperation with — rather than under the supervision of — a physician. The new CRNA practice agreement defines “cooperation” as a CRNA and a physician, dentist or podiatrist working...

www.beckershospitalreview.com

The following states permit CRNAs to practice independently:

Alabama, Alaska, Arizona, Arkansas, California, Colorado, Delaware, Hawaii, Idaho, Iowa, Kansas, Kentucky, Maryland, Massachusetts, Michigan, Minnesota, Montana, Nebraska, New Hampshire, New Mexico, North Carolina, North Dakota, Oklahoma, Oregon, Rhode Island, South Dakota, Utah, Vermont, Washington D.C., Washington State, West Virginia, Wisconsin, and Wyoming.

Just about 20 more to go.....as predicted.

Good. Now gotta tell the crna to actually wanna work a full schedule

The dynamics of crnas is that they wanna work when they feel like working.

It’s more than just independence. It’s their lack of coordination of wanting to work a real full time schedule

There simply isn’t enough crnas to do independent practice.

 

[NicholasPavona]

The dynamics of crnas is that they wanna work when they feel like working.

Respect! Anesthesiologists are the dummies putting in an epidural at 0200 while a fat OB nurse antagonizes you the entire time.

 

[Dr. Rude]

State law is a minimum standard. Employers of CRNAs, entities that credential them and give them privileges, companies that insure them them all have input and some measure of control.

In the above states, how much truly independent CRNA practices exists in the above states outside of BFE regions?

 

[Volatile]

I’ve worked in many of those states always either solo or in a medical direction model. Just because the law is in place doesn’t mean it’s implemented. The CRNA’s I was supervising had zero interest in being on their own. With baby boomer generation entering hospitals and the explosions of ASC’s there’s simply too much work to go around, it’ll be just fine.

 

[caligas]

Well they make like $300k for 36 hours so I’ll just be a CRNA if it comes to it

 

[Gator7]

I guess hospitals will have to start closing at 3pm.

 

[NicholasPavona]

I guess hospitals will have to start closing at 3pm.

Sounds good to me.

 

[FatKid]

Sounds good to me.

Me too 😎

 

[Ashers]

Me too 😎

Me, three!

I enjoy my schedule with no call and no really late nights. 5pm is late to me now, and I do that when asked nicely. I get much fewer migraines.

 

[Dr. Anonymouss]

Another one falls.....

West Virginia removes physician supervision rule for CRNAs - Becker's Hospital Review | Healthcare News & Analysis

On July 7, certified registered nurse anesthetists in West Virginia will be allowed to administer anesthesia in cooperation with — rather than under the supervision of — a physician. The new CRNA practice agreement defines “cooperation” as a CRNA and a physician, dentist or podiatrist working...

www.beckershospitalreview.com

The following states permit CRNAs to practice independently:

Alabama, Alaska, Arizona, Arkansas, California, Colorado, Delaware, Hawaii, Idaho, Iowa, Kansas, Kentucky, Maryland, Massachusetts, Michigan, Minnesota, Montana, Nebraska, New Hampshire, New Mexico, North Carolina, North Dakota, Oklahoma, Oregon, Rhode Island, South Dakota, Utah, Vermont, Washington D.C., Washington State, West Virginia, Wisconsin, and Wyoming.

Just about 20 more to go.....as predicted.

I am not worried the slightest about CRNA independence. If hospitals choose to take on the liability of independent CRNAs then that's fine. They can take the big lawsuit when a preventable injury/death occurs and the minimal amount they saved by not employing the ACT will be wiped away with one lawsuit or bad publicity. No matter what happens, an anesthesiologist will ALWAYS be more sought after than a CRNA. That is a cold hard fact. Yes, the scope creep is annoying, but it's certainly not the end of the world. Anesthesiologists will always be the most desired.

 

[CubsDynasty]

You should be worried about CRNA independence. They practice independently in Arizona and in Phoenix there are 10 or so hospitals that are CRNA only and they’ve been doing it for years. Phoenix is a strange job market since it’s a major metro with no real residency, so physician shortage is a serious issue throughout. But there’s been no major lawsuits or bad publicity. It’s almost become the status quo at non tertiary hospital or subspecialties. Surprisingly the only thing helping us is that some surgeons still only accept MDs. All three major systems have these set ups now and the hospital administrators love the cost saving.

 

[Gator7]

I just don’t see it.

A) Knowledge/skill gap is just too extreme even amongst the “good” ones

B) there’s not enough. And definitely not enough with willingness to cover nights/weekends.

C) who steps in when they are impregnated by the ortho surgeon and retire?

D) anesthesia is getting competitive. Meaning smarter and more driven individuals in the field. And less gen surg failures, IMGs, red flag resumes, turds of anesthesiologists, etc. sorry but we all know they exist.