"Doing own cases"

[cfdavid]

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Hey gents,

I'm sure this has been hashed out in the past. However, could someone explain how approximately 50% of the job postings on gaswork.com are "over 50% doing own cases". Some are 100% doing own cases.

Then, there are those that say, "Always supervising CRNAs" etc.

What's up? If it's so much more economical to have a low MD/DO ratio to CRNA ratio (1:4 as I've seen), then how can all MD groups, or groups that only have a few CRNAs compete?

I say this cause I imagine, at least off the bat, that I'd prefer to do most of my own cases. Any input is greatly appreciated, and let's not make this too political. But, are there billing differences? Case complexity differences?

FYI, I'm a med student very interested in anesthesiology.

 

[VolatileAgent]

there are so many different ways to answer this complex query, i don't even know where to start... 🙁

 

[cfdavid]

Thanks Vol. I know there's no easy explaination to simple questions.

However, there have been 136 views on this thus far. I'm sure that it's not just med students or residents like ourselves. What's up guys? What's the deal? Don't worry about PC BS!

 

[InductionAgent]

The city I live in happens to be very physician-anesthesiologist-dominated, with virtually no CRNAs practicing. For better or worse, the scene is dominated by two major MDA groups that are committed to only hiring physician anesthesiologists, so there's a strength in numbers thing going on.

The other important issue is that in this state, a physician must delegate (though not necessarily supervise) the providing of anesthesia. So if CRNAs wanted to start a group, they would have to find an anesthesiologist to lead the group, or surgeons willing to assume responsibility for having delegated the task to them. A surgeon who did this would be sticking his neck out, because the MDAs could and probably would refuse to ever provide anesthesia for him/her again. An anesthesiologist who headed up a "mixed" group would also be placing themselves in a rather unpopular position with their colleagues.

So for the time-being, MDAs here are able to do their own cases.

 

[cfdavid]

Thanks InductionAgent, for the response. Sounds like a good state! lol

 

[VolatileAgent]

I'm sure that it's not just med students or residents like ourselves.

well, as of the end of yesterday, i'm no longer a resident. 🙂

 

[cfdavid]

well, as of the end of yesterday, i'm no longer a resident. 🙂

Great! Congrats man!