Future of anesthesiologists running their own cases

[Joepro]

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In your opinion, will it be possible for an anesthesiologist that want to exclusively do their own cases without supervising midlevels be possible in the future? It looks like the role of the physician is changing to a more supervisory role in the ACT model, while I personally find that the most interesting aspect of anesthesia is to actually formulate the plan and administer anesthesia to the patients, and am wondering about the feasibility of doing that as a career.
Will it be possible to practice like that in the long run, will it require a fellowship? Do you think that there will be a large pay cut involved?

 

[UscGhost]

Surgeons I work with have no interest in working with crnas.

I dont see much changing

 

[Mman]

In your opinion, will it be possible for an anesthesiologist that want to exclusively do their own cases without supervising midlevels be possible in the future? It looks like the role of the physician is changing to a more supervisory role in the ACT model, while I personally find that the most interesting aspect of anesthesia is to actually formulate the plan and administer anesthesia to the patients, and am wondering about the feasibility of doing that as a career.
Will it be possible to practice like that in the long run, will it require a fellowship? Do you think that there will be a large pay cut involved?

nobody here can tell you what the job market will look like 15+ years from now

 

[ethilo]

I work in an MD only practice and there are annual reviews that address if a ACT transition is the right thing to do with the hospital. Our cases are complex enough and our roots are deep enough in the system that we are setup is fairly well protected. Eventually "somewhere in between" is probably what will happen.

 

[SandP]

is there less supervision in any of the subspecialties of anesthesia?

 

[Nivens]

Tbh, I don’t love sittin in rooms...

 

[psychbender]

is there less supervision in any of the subspecialties of anesthesia?

Pain? There are CRNAs in Peds rooms being overseen by Peds Anesthesiologists, CRNAs in the heart room being directed by CT Anesthesiologists. The CCM guys are directing ICU nurses +/- NPs/PAs. Who knows what OB guys are doing, and Regional folk are printing money, doing blocks while covering 4 CRNAs at the ortho-heavy surgicenter with well-insured patients (I kid).

 

[psychbender]

Tbh, I don’t love sittin in rooms...

TBH, I do. To each their own