Hello, long time follower, first post, need some advice
I am an acgme pain fellowship trained PM&R doc, recently joined spine group with 4 pain and 3 spine surgeons. We are in a large midwest metropolitan area and all physicians do some outreach within 1 to 1 1/2 hours away one day a week.
I am taking over an outreach site for a physician who is overstretched at a small hospital in a town of about 5,0000 people.
His practice is fairly busy. He informed me that anyone he saw needing a procedure was brought back to the metropolitan office because the hospital administration in this town was using/allowing two CRNA's to do procedures and he obviously wasn't on board with this. The procedures are limited to ILES's and possibly some facets and SI's.
Long story short I had a brief meeting with the hospital CEO and he would like me to start doing procedures in house, they have a small fluoro suite and he would obviously like some business kept in house.
He asked me to give him some reasons why he shouldn't allow the CRNA's to do procedures.
I explained the obvious reasons, i.e., out of their scope of training, handling complications, technical aspects aside more important to know with experience and training who is a candidate for what procedure etc.
So with this in mind he asked me to provide some "specific research or evidence" that CRNA's should not be doing interventional pain procedures.
That is why I am reaching out to you guys, do you have any fire-power for me.
Thanks, sorry for long post
I am an acgme pain fellowship trained PM&R doc, recently joined spine group with 4 pain and 3 spine surgeons. We are in a large midwest metropolitan area and all physicians do some outreach within 1 to 1 1/2 hours away one day a week.
I am taking over an outreach site for a physician who is overstretched at a small hospital in a town of about 5,0000 people.
His practice is fairly busy. He informed me that anyone he saw needing a procedure was brought back to the metropolitan office because the hospital administration in this town was using/allowing two CRNA's to do procedures and he obviously wasn't on board with this. The procedures are limited to ILES's and possibly some facets and SI's.
Long story short I had a brief meeting with the hospital CEO and he would like me to start doing procedures in house, they have a small fluoro suite and he would obviously like some business kept in house.
He asked me to give him some reasons why he shouldn't allow the CRNA's to do procedures.
I explained the obvious reasons, i.e., out of their scope of training, handling complications, technical aspects aside more important to know with experience and training who is a candidate for what procedure etc.
So with this in mind he asked me to provide some "specific research or evidence" that CRNA's should not be doing interventional pain procedures.
That is why I am reaching out to you guys, do you have any fire-power for me.
Thanks, sorry for long post