10+ Year Member
- Dec 18, 2008
- Reaction score
If I drank the coolaid, then ther wouldn’t be posts on other threads as recent as two weeks ago where I’ve been a critic of the DNP. I’ve also got a paper trail showing this is one of the few times I’ve had much to say about anesthesia vs NP topics. But nobody has ever tried to suggest that nurses stick to floor nursing vs becoming CRNAs. To take it a step further and suggest that it is a gold rush for nurses, when at least they have background with patients vs AAs touching their first patient in AA clinicals is disingenuous. Nurses have been delivering anesthesia since the earliest days of anesthesia. AAs are a recent invention of folks that are trying to jump several steps in patient care responsibility to find the pot of gold. Kind of puts things in perspective, doesn’t it.
When I was considering AA (before the geographic constraints proved too onerous for me) I took note of the fact that almost half of AA programs were consolidated between two programs (Case Western and Nova... who have several campuses between the two of them). And no AA programs have any requirements for health care experience posted.
My big hesitation about PA and AA careers is the dependent nature, and not the quality of the providers, and there are trends that are hard to ignore regarding what independence will yield for a profession. For instance, in my field of psyche, psyche Nps in independent NP states do much better in terms of salary and benefits than psyche Nps in states that require being dependent on a physician. And by extension, AAs that practice in states where CRNAs are independent reap the reward of better wages than AAs in states where CRNAs are dependent to physicians. So they should probably go hug a CRNA rather than be jealous of what their rising tide has done for AAs boats.
I have to tend to agree. I was looking at AA prior to medical school and it was literally the same as being a PA (which I loved but I always wanted more knowledge and freedom) which to me made it an option that wasn’t worth considering but for a brief moment.
My feelings about midlevel independence are well known on this site but I will say that it’s a battle where CRNA>AA and I don’t foresee that changing anytime soon if ever. Also not having practice rights in all 50 states is a major concern since no one knows where life can/will take them.