...Granted this is a single & anecdotal incident. However, it served to profoundly underscore the difference in how the CRNA saw things vs the anesthesiologist. The CRNA was reacting to numbers and thinking from a purely reactive & procedural perspective...just as I would have expected a CRT that I was in charge of to have done. But, the physician was not only abreast of what was currently ongoing, he was aggressively trying to anticipate potential negative outcomes, evaluate them in context with the patient's comorbidities and to make proactive decisions in an effort to prevent those negative potentials.
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What's so exciting about nursing anesthesia is the opprtunity for growth without the extended absence from the work force required of an MDA school and residency. Post baccalaureate, it's a ~2 year apprenticeship graduating to full employment. Then the real learning begins, working with MDA mentors, self-study and critical analysis, graduate human biology, research, all while pulling decent money! Only downside is the glass ceiling seperating us from them and some of them's very cool cases. Certainly, I do wish I had pursued the MD yet, now I enjoy this awesome opportunity to step up everyday; to be a little smarter. Skills don't define me, they just afford me more time to think on my game, to be proactive, or be an efficient problem solver. Other than what the political landscape dictates, the MDA vs CRNA distinction is only in name, for me. It's all about excellence and... integrity. I know the difference between what my patients are recieving and what they think they're recieving for care. Yet, I can still respect they're choice guided by no other distinction than the ascribed educational nomenclature... Geesh, I think I've got a serious rationalization occuring... pardon me.