CRNA week aka Propaganda week!

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GaseousClay said:
posters popping up everywhere around the hospitals. "WE ARE THERE!" Gotta love it.
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Accept when they leave a patient unattended and they have an anoxic brain injury. You should stick that article on their posters!
 
Here ya go. I can’t believe we are playing this game. It’s sad and undignified. I’m sure neurosurgeons and cardiologists will be next.


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In residency the CRNAs put up signs, EVERYWHERE, and distributing stickers and pins. They had an info table in the cafeteria with CRNAs wearing white coats too. It was disgusting. One of our attendings reportedly got in trouble for throwing away one of their signs because he actually had some balls, when I guess he was caught on security cam in the ORs. Our attendings didn't seem to mind the CRNAs actually advertising their superiority, it was sad....
 
Sometimes I worry if there's something inherent to residency training nowadays that produces spineless physicians. I've seen a number of residencies firsthand this year through aways and interviews and over and over again I see residents who are encouraged to keep their head down, do everything the surgeon says, take crap from midlevels and just about everyone else, never argue, never make waves, and be good little worker bees. Is it any wonder then that that's the kind of physicians they turn into? I'm not saying be belligerent and rude, just stand up for yourselves when attacked. They throw around words like "provider" and suck up to nurses like they have no self-respect. It's as if they've just accepted this new paradigm in healthcare where the physician is just a cog in the machine and has no power over anything. I guess that's all my generation will ever know.
 
zero0 said:
Sometimes I worry if there's something inherent to residency training nowadays that produces spineless physicians. I've seen a number of residencies firsthand this year through aways and interviews and over and over again I see residents who are encouraged to keep their head down, do everything the surgeon says, take crap from midlevels and just about everyone else, never argue, never make waves, and be good little worker bees. Is it any wonder then that that's the kind of physicians they turn into? I'm not saying be belligerent and rude, just stand up for yourselves when attacked. They throw around words like "provider" and suck up to nurses like they have no self-respect. It's as if they've just accepted this new paradigm in healthcare where the physician is just a cog in the machine and has no power over anything. I guess that's all my generation will ever know.
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pgg wrote a great response on this re: how physicians, throughout training are treated like little children and not empowered to lead all the while being spoonfed the bull**** that we are, somehow, supposed to be the leaders in medicine

If I have a penny every time my seniors and attendings tell me 'dont piss off the nurses' I would be a few steps closer to FIRE
 
zero0 said:
Sometimes I worry if there's something inherent to residency training nowadays that produces spineless physicians. I've seen a number of residencies firsthand this year through aways and interviews and over and over again I see residents who are encouraged to keep their head down, do everything the surgeon says, take crap from midlevels and just about everyone else, never argue, never make waves, and be good little worker bees. Is it any wonder then that that's the kind of physicians they turn into? I'm not saying be belligerent and rude, just stand up for yourselves when attacked. They throw around words like "provider" and suck up to nurses like they have no self-respect. It's as if they've just accepted this new paradigm in healthcare where the physician is just a cog in the machine and has no power over anything. I guess that's all my generation will ever know.
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Get in. Get yours. Get out. It's not a battle that can be won on my level so what else is there to do. I don't want to fight on a daily basis and I don't want to make waves. I want to come to work, supervise and or do my cases solo, have decent outcomes, and go home to my family. I'll support my PAC and post anonymously on these boards, but there isn't much else that can be done on an individual anesthesiologist basis. Just the hard facts.
 
Zekchar said:
Get in. Get yours. Get out. It's not a battle that can be won on my level so what else is there to do. I don't want to fight on a daily basis and I don't want to make waves. I want to come to work, supervise and or do my cases solo, have decent outcomes, and go home to my family. I'll support my PAC and post anonymously on these boards, but there isn't much else that can be done on an individual anesthesiologist basis. Just the hard facts.
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I accept that. Just bums me out sometimes
 
Zekchar said:
Get in. Get yours. Get out. It's not a battle that can be won on my level so what else is there to do. I don't want to fight on a daily basis and I don't want to make waves. I want to come to work, supervise and or do my cases solo, have decent outcomes, and go home to my family. I'll support my PAC and post anonymously on these boards, but there isn't much else that can be done on an individual anesthesiologist basis. Just the hard facts.
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This is what you have to do as a resident. You can forward your non emergent concerns up the chain of command and get on with your job.
Residents are not there to disrupt the system or make waves. Attending leadership needs to address these concerns.
You’d be wise to keep your head down, grind on, and survive to live the dream somewhere you will be happy.
 
KungPOWChicken said:
Except when they leave a patient unattended and they have an anoxic brain injury. You should stick that article on their posters!
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Is this what you're referring to? It's a reminder that, while skilled anesthesiologists make it look easy, administering anesthesia is deadly serious work. This case might also remind outpatient surgeons that without anesthesiologists involved, they will be held responsible should anything go wrong with anesthesia. State suspends local doctor’s medical license after 18-year-old ends up in coma
 
gtb said:
Is this what you're referring to? It's a reminder that, while skilled anesthesiologists make it look easy, administering anesthesia is deadly serious work. This case might also remind outpatient surgeons that without anesthesiologists involved, they will be held responsible should anything go wrong with anesthesia. State suspends local doctor’s medical license after 18-year-old ends up in coma
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"As there is potential litigation related to this case we will only comment to say that Mr. Meeker’s care was reasonable and within the standard of care and we are confident that the facts will bear this out."

Wow.
 
Matthew9Thirtyfive said:
"As there is potential litigation related to this case we will only comment to say that Mr. Meeker’s care was reasonable and within the standard of care and we are confident that the facts will bear this out."

Wow.
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Attorneys are supposed to say that on behalf of their clients. I would want mine to say the same thing.

This meeker guy will probably just retire. He looks old enough.
 
Matthew9Thirtyfive said:
"As there is potential litigation related to this case we will only comment to say that Mr. Meeker’s care was reasonable and within the standard of care and we are confident that the facts will bear this out."

Wow.
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the lawyer is supposed to defend their client
but writing this type of bs makes me want to slap his/her face through my computer monitor
 
PieOHmy said:
SPoken like a true Beta!!
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What are you suggesting? That, as a resident, you should get into a pissing contest with every SICU RT, PACU RN, break CRNA, surgical attending, and whoever else damages your fragile ego? Because news flash, it's going to happen a lot. If nobody told you that about anesthesia before you signed up, the joke's on you for not doing your due diligence. As @pgg has said, we're the offensive linemen of the OR. So unless you get your jollies off by getting into confrontations and making your own life more difficult, residency is all about doing what it takes to take care of your patients safely with the minimal amount of resistance.

As an aside, people who use terms like "Betas" and "Snowflakes" to try to put people down tend to be incredibly insecure. Maybe that's why you're sensitive about people not respecting you?

If you're A) good at your job, B) chill, and C) respect other people, the people who know what's up* will give you their respect, you won't have to scream and shout and demand it.

*Refers only to colleagues, surgeons, CRNAs, nurses, etc. May not apply to people in leadership positions who don't remember what an OR looks like.
 
PieOHmy said:
SPoken like a true Beta!!
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If you want to flex your Alpha self as a resident and/or fellow to challenge a defined hierarchical system that’s been in place for decades before you were born, I’m not sure you’ll inspire the change you seek. In fact you’ll likely get dinged repeatedly for professionalism concerns.
Professionalism concerns used to be a fact of life in medicine with giant egos and “Alphas” flexing and fishing for compliments at every opportunity, but now as movements like Me Too and institutional wellness initiatives, etc. become ubiquitous, professionalism concerns are a career ender. If not an ender, certainly a derailer.
After you’ve joined a practice, passed your boards, etc. then and only then should you consider tilting at windmills.
 
IlDestriero said:
After you’ve joined a practice, passed your boards, etc. then and only then should you consider tilting at windmills.
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Even as junior faculty/new attending you'll be quick to get dismissed/passed up for partnership promotion if you're known as the one to stir up drama with CRNAs, nursing staff, etc. Times have changed for better or for worse (I think worse) and it's just the world we live in. Keep your head down, make money, and gtfo of medicine. Use your medical knowledge to speak up when a family member inevitably ends up ill and is being treated by a mid level provider and you see them doing dumb stuff. Gone are the glory days of medicine. We're all a bunch of cogs in a wheel inside a massively overinflated bubble.
 
Echo33 said:
Not impressed. Could teach my dog to do that.

Call me when you post a picture of a CRNA who just worked a 250 hour month without overtime or complaining.
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Why do you hate on CRNAs for wanting a work/life balance and demanding that their time be compensated? We should do the same...
 
dannyboy1 said:
Why do you hate on CRNAs for wanting a work/life balance and demanding that their time be compensated? We should do the same...
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All of us want a nice, cushy 40 hour a week job. But those of us they are Hospital-based often have to work more, including overnight and weekend call. Because of that extra time we allow ourselves more vacation to help balance it out.

My point is, hating on an office-based job with no call and 4 weeks of vacation is ridiculous. That’s the standard, if you allow/give yourself more then you’re eating into your or your group’s bottom line IMO.
 
dr doze said:
It is the “I am an independent professional and a full physician equal—-8 hours a day five days a week” mentality that we begrudge.


Sent from my iPhone using SDN mobile
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There is nothing inherent about being a physician that states that you have to work like a dog, also plenty of CRNA’s work far more than 40 hours a week (for overtime). The whole being “equivalent” to a physician is completely separate from how hard one wants to work....
 
dannyboy1 said:
Why do you hate on CRNAs for wanting a work/life balance and demanding that their time be compensated? We should do the same...
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It doesn’t work like this when you are the business owner. Ask any business owner. When you are working 80 hours a week in your business, you don’t pay yourself overtime.
Not everyone punches a clock and is an employee. Plenty of partner business owners.
CRNAs should demand OT. Employees as well.
 
sidefx said:
Within the standard of care to leave the patient completely unattended for 15 minutes right after induction? Lol.
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Heh, what else is his lawyer going to say?

"Yep, it was terrifyingly negligent and even as a lawyer with a large desk between me and my client, I feel slightly endangered by his presence. We're hoping to keep the settlement out of the MY CLIENT IS NOW HOMELESS AND CAN'T PAY ME zone, and ... oh, my god, why did I take this case, I need to stop accepting post-dated checks to cover my fees, I really need a drink."
 
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