Anesthesia as a Career for Physicians is Over!

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GravelRider said:
Yup, you’re still in a medical specialty that is really just glorified nursing. Now get back to charting, murse.
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Must be terrible for you. We do nothing but sign charts, drink coffee, chat up the pretty nurses. Make more and work lots less than you surgeons. 😆
 
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CubsDynasty said:
Every DNP I know has done it while working full time.
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Full time for them is 40 hours a week...not that difficult I would say 😆

Call? "F you, pay me"

Physicians? It's baked into your salary; you work 30 or 70 hours, who knows, but you get paid your salary, sorry. Who is more expensive? 🤔
 
CubsDynasty said:
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.
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Is it completely “independent” or is there a firefighter around that’s not advertised?

And what happens if docs start wanting to live there? Would a spineless administrator pay a doc X dollars or a CRNA? I assume the CRNA salaries would drop.
 
I believe it is true crna independence. Arizona and Phoenix specifically are a weird market. In general seemed bad for anesthesiologists when I looked into it. Lots of true crna independence and envision heavy market. 👎👎
 
amyl said:
I believe it is true crna independence. Arizona and Phoenix specifically are a weird market. In general seemed bad for anesthesiologists when I looked into it. Lots of true crna independence and envision heavy market. 👎👎
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They haven't changed the state law yet, so they practice under the surgeon/proceduralist and just don't tell them. When I was there, I tried to let the surgeons know, and they didn't care as long as they could get the cases done.
 
Ashers said:
They haven't changed the state law yet, so they practice under the surgeon/proceduralist and just don't tell them. When I was there, I tried to let the surgeons know, and they didn't care as long as they could get the cases done.
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I’ve been told by administrators that they can practice without physician oversight or presence. Some hospitals may just have not updated their language since the law change during COVID. But the whole thing about practicing under a surgeon/proceduralist nowadays is a wives tale.
 
CubsDynasty said:
I’ve been told by administrators that they can practice without physician oversight or presence. Some hospitals may just have not updated their language since the law change during COVID. But the whole thing about practicing under a surgeon/proceduralist nowadays is a wives tale.
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They opted out but never officially changed state law during Covid, so they do still practice under a physician, but the physician is not liable (a surgeon I knew got fired for not taking responsibility for the code of a patient under CRNA care survived when an MD from a separate group intervened). That is why the CRNA lobby keeps trying to change the law. It hasn't been changed yet, and CAAs are trying to get licensed, and one of the things the CRNAs want to add is that they can supervise CAAs. It hasn't passed yet. Any time it came up in the last few years, my parents and I wrote comments online on the comment thing for legislation. I have since moved out of state because I didn't like working in AZ despite loving AZ.


They don't have full prescriptive authority without and MD/DO, but they can work in a dentist's office.
 
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