you make it sound like you can order 25 docs and they will come.Won't collapse if the docs take a pay cut. ;(
For my practice at 40 rooms we have 10 docs and 40 CRNAs. 10 X 500k (total MD package) + 40 x 250k (total CRNA package) = 15 million
Budget of 15 million could hire 40 docs at $375. Or 30 full time call taking docs with higher salaries and 10 mommy track docs with lower salaries.
Or 25 docs and 22 CRNAS and create a hybrid system with the docs doing all the intense cases, and the supervised CRNAs doing the bread and butter.
The CRNAs should never outnumber the Physicians. Numbers equal power.
Come on man don’t act stupid. Of course you don’t switch models overnight. A CRNA retires or moves - they get replaced by a doc. A CRNA is a problem child - they get replaced by a doc. The model changes over 5-10-15 years.you make it sound like you can order 25 docs and they will come.
the ACT practices largely exist because of recruitment and retention issues. They just cant find docs.
And if your docs are making 375. you will be recruiting year round. guranteed
Preach on brother!!!Let's clear something up: the entire world has enough anesthesiologists, even critical care-trained, just we don't. Why? Greed.
We have to provide anesthesia for every idiotic procedure (e.g. cataracts); let's not mention all the epidurals, while other countries are just fine with nitrous. The opiate hysteria coupled with regional blocks even for the fly on the wall. We would provide anesthesia even for anesthesia, if anybody paid for it.
The system is designed like that, on purpose, so that the big corporations can siphon billions out of the healthcare system, while whining "we don't have enough doctors, so we should be allowed to let nurses play doctor". How many Americans need to be hurt before somebody realizes that a house with a bad foundation will sink, sooner or later?
It looks like some of the VA jobs (except for the number of sites). I bet the pay is similar, too.
Nope. We would need to stop wasting money (as a nation) on cases that either don't need to happen (e.g. elective ortho) or don't need anesthesia (e.g. cataracts, GI), like most other DEVELOPED countries do.we would need to train 5000-7000 residents per year that is 1/4 of all medical graduates gojng into anesthesia for all md. nationwide
Umm. Profits go to us as well. Demand for anesthesia drives salaries....Nope. We would need to stop wasting money (as a nation) on cases that either don't need to happen (e.g. elective ortho) or don't need anesthesia (e.g. cataracts, GI), like most other DEVELOPED countries do.
Why do you think healthcare is such a big percentage of our GDP? A lot of that comes from surgical cases, the number one moneymaker. There is simply no interest to give up all those juicy healthcare profits that go to hospital executives and owners.
CRNA autonomy is better than ACT. At least you don't need to be responsible for their mistakes or incompetence.
My question always is/will be. What if they ask for a stat “consult” from us? Do you say yes or do you say no?CRNA autonomy is better than ACT. At least you don't need to be responsible for their mistakes or incompetence.
Well, CRNA proponents will argue about patient safety.....