Been quite for a while on here. I think it's obvious from all this CRNA vs MDA bantering that we MDAs (or now future MDAs) really need to strap a pair on. Truly, I believe most of the reason why MDAs have been so passive is because most of them have been FMGs in the past. Not trying to offend anyone, but look at the stats, most MDAs now are either FMG or DO. I think this new 'shockwave' of MDAs is great. With strength in numbers and more bold personalities we can finally get our profession back. I think those of us that 'sell out' and use CRNAs are empowering them because we are too lazy to do our own work. Yes that three hour lap chole may be a 'easy' case, but heck pay an agency anesthesiologist rather than a CRNA! Finally, with more MDAs the need for CRNAs can be reduced. I write this because I have worked as a student in the past with many CRNAs who have been extremely 'sneaky'. They try to latch on to the MDAs and will act motivated, humble, whatever in order to learn the profession. In fact, MANY of time the CRNAs have stated derogatory things about attendings, and then vocalized to me, "I'm only kissing his a$$ for a little while to learn, once I know my stuff I'm going to go somewhere else where I can make more money". I assure you, by hiding themselves in front of this 'curtain' of "oh I love to learn, teach, and further my skills", CRNAs are simply doing it for the money! The point of this is to create awareness for the future residents. Having gone on many interviews where PDs have come out and stated their disgust with CRNAs, I think it's finally time that we MDs and MDAs band together like the CRNAs/CRNA students and really become more assertive. The profession has done well in terms of advances, research, and financial gain. Let us not ruin these benefits for future MDAs who have gone the extra mile to educate themselves by means of undergraduate studies, medical school, and residency. Protect the turf which many of our 'forefathers' have created by separating ourselves from surgery.