Is the term MDA inflammatory?

[AK1010]

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Got bit**ed out for using this term on this board....Does it bother you? If so, please explain.

 

[jwk]

Got bit**ed out for using this term on this board....Does it bother you? If so, please explain.

What degree do you hope to receive?

 

[El Dooderino]

Got bit**ed out for using this term on this board....Does it bother you? If so, please explain.

It's a term made up by nurses to put mda right beside crna. Do you know anyone who has ever been granted an MDA? Do you call surgeons MDS?

 

[Gern Blansten]

Got bit**ed out for using this term on this board....Does it bother you? If so, please explain.

Yes, it should be offensive to everyone except the CRNAs that propagate the use of the acronym...and Jerry Lewis.

 

[IDBasco]

Even more offensive is DOA...

 

[DreamLover]

Got bit**ed out for using this term on this board....Does it bother you? If so, please explain.

I hate the term....it perpetuates the inevitable statement by the circulator in the OR, "We can't do the time out yet, the Doctor's not in the room" When I am standing right there and of course they're referring to the surgeon or surgery resident

makes me want to puke in my mouth

I always respond politely, "There is a doctor here, we are waiting on the surgeon"

 

[jetproppilot]

Got bit**ed out for using this term on this board....Does it bother you? If so, please explain.

Yes.

I choose not to explain.

 

[NK1Positive]

Even more offensive is DOA...

👍👍 excellent!

 

[AK1010]

I'm happy I started this thread, have gotten some great responses. But in fact, I've always been more offended that CRNA's get to be called that. What exactly is a CRN? I feel like if anything they should be RNA's or even RNAA's. Are they trying to disguise what they really are?

Otherwise, I do get that the 'A' is quite unnecessary and can sort of be perceived as a yellow star of David.
I, for one don't mind the title MDA, especially in a forum like this. It is an easy way to distinguish myself as the MD in the room (amongst the sea of mid-levels)...But who knows maybe my sentiments will change once I'm actually practicing.

 

[DreamLover]

I'm happy I started this thread, have gotten some great responses. But in fact, I've always been more offended that CRNA's get to be called that. What exactly is a CRN? I feel like if anything they should be RNA's or even RNAA's. Are they trying to disguise what they really are?

Otherwise, I do get that the 'A' is quite unnecessary and can sort of be perceived as a yellow star of David.
I, for one don't mind the title MDA, especially in a forum like this. It is an easy way to distinguish myself as the MD in the room (amongst the sea of mid-levels)...But who knows maybe my sentiments will change once I'm actually practicing.

That's all well and good until the first time you hear an SRNA introducing themselves as the "Nurse Anesthesia Resident"...the patient doesn't understand the difference btwn You and that...(You with 2, 4 year degrees and a medical license plus X yrs of residency training Vs an RN + 1 yr didactics) it starts with each of us being good at what we do, defending who we are and continually proving our necessity...we know the difference between us and them...we each have our roles...but the rest of the world does not know the difference

 

[periopdoc]

The term MDA needs a steroid injection.

- pod

 

[baller71457]

I hate the term....it perpetuates the inevitable statement by the circulator in the OR, "We can't do the time out yet, the Doctor's not in the room" When I am standing right there and of course they're referring to the surgeon or surgery resident

makes me want to puke in my mouth

I always respond politely, "There is a doctor here, we are waiting on the surgeon"

Bit of a stretch there. Big difference between "a" dr isn't here and "the" dr isn't here. Especially when it's clearly understood who "the" you are waiting for is.

 

[jwk]

Bit of a stretch there. Big difference between "a" dr isn't here and "the" dr isn't here. Especially when it's clearly understood who "the" you are waiting for is.

You're not getting the concept.

 

[DreamLover]

Bit of a stretch there. Big difference between "a" dr isn't here and "the" dr isn't here. Especially when it's clearly understood who "the" you are waiting for is.

Trust me-the more you let people make distinctions about what type or kind of doctor you are or level of skill they believe you possess, the more difficult is in the long run for them to think of you on the equal level of the surgeon and it's easier for them to lump you into a different category- in my ORs I want the people who work in there with me to respect what I do and the decisions I make and know that the decisions I make are just as reliable, important, and standing as the surgeons.

I don't know of that makes sense to you yet...but it will. If I cancel a case-the case is cancelled-I did it for good reason and no, we don't have to ask the surgeon if it's "really" cancelled. Of course I have discussed this decision with the surgeon already but it's the perception of the ancillary staff that is the issue.

 

[cfdavid]

This is the one aspect where I feel our program could improve. "MDA" is used very commonly where I'm training. Perhaps our anesthesiologists are just choosing their battles, one step at a time, and indeed I suspect this is the case since the "new" anesthesia record sheets have "anesthesiologist" whereas the old ones actually did/do say "MDA".

I do see some utility in it since people are generally lazy and lets face it, anesthesiologist is a long word.

I can't envision, however, any scenario when our attending would be standing in the room, visible to all, and the OR nurse asking "where the doctor is". There would definitely be the disclaimer of where is "Dr. Surgicenter" or "where's the surgeon".

The "we're wating on the doctor" has indeed happened to my knowledge once or twice, but i've always understood they were speaking of the attending (anes or surg) as I believe this has happened when the surgical resident was also there. I didn't think the situation was meant to be malignant so I just let it roll.

 

[Idiopathic]

i dont usually worry too much about words/terms, but this one is unnecessary and intentionally designed to be belittling and inflammatory

 

[foxtrot]

The bottom line is that CRNA's are the one's who invented the whole "MDA" terminology. When I hear anyone say MDA, I make sure that I always tell patients when I preop them that they will be given relaxing medicine by the anesthesia nurse who is working with me before we go back to the OR. Let's be honest folks, they are anesthesia nurses. But many of them (not all) like to confuse people by introducing themselves as anesthetists. Most people have no clue that there is a difference between a CRNA and a physician unless you tell them, like I always do.

 

[Gaseous Clay]

I believe there are many things much more important to worry about than the topic of this thread.

 

[Mman]

Got bit**ed out for using this term on this board....Does it bother you? If so, please explain.

Is it inflammatory? Not to me. It's more stupid than anything else and tells me a lot about the person using the term.

It ranks right up there with everyone under the sun wearing a long white coat so they can feel special.

I'm a physician. And when s*&^ hits the fan, I'm the one you want there to save the day. It's what I do. The only thanks I need are the respect of everyone else in the room (from the guy mopping the floor to the scrub tech to the circulating nurse to the surgeon) that knows how good I am at what I do. If the CRNA wants to chart that the "MDA" was notified of something, I really don't care.

 

[RussianJoo]

I hate the term and totally feel like it's a derogatory term, haven't heard it before moving out to the midwest and this forum. The hospital i am currently rotating in calls us MDAR's... I also hate the fact that circulator nurses call the surgery residents Dr. so and so and call the anesthesia resident by their first name.. Next time I hear that I am going to ask the nurse why she does that.

I had a circulator introduce me by my first name to our next patient one day, I then said "Hi I am Dr. RJ".. she quickly realized what she did and spent the rest of the day apologizing to me, hopefully she won't make the same mistake with the other anesthesia residents.

 

[Idiopathic]

The bottom line is that CRNA's are the one's who invented the whole "MDA" terminology. When I hear anyone say MDA, I make sure that I always tell patients when I preop them that they will be given relaxing medicine by the anesthesia nurse who is working with me before we go back to the OR. Let's be honest folks, they are anesthesia nurses. But many of them (not all) like to confuse people by introducing themselves as anesthetists. Most people have no clue that there is a difference between a CRNA and a physician unless you tell them, like I always do.

oh yeah im always dr. idiopathic and im always working with dr. "senior resident" or Jack/Jill, nurse anesthetist/student nurse. thats clearly delineated

 

[epidural man]

I'm a physician.

👍👍👍👍

I have said this before on here, and I'll keep saying in it - and I really wish you all would start doing the same.

When I introduce myself, I say "Hi, I am Dr Cool, I am the physician doing your anesthesia."

No matter what degrees or ways the nurses come up with to call themselves, they will NEVER be able to introduce themselves that way, AND, every patient understands exactly what physician means (I think....)

 

[epidural man]

also, I say it a little louder than usual so the CRNA's in adjoining curtains hear me talking while they are taking to their patients.

 

[HumNbrd]

👍👍👍👍

I have said this before on here, and I'll keep saying in it - and I really wish you all would start doing the same.

When I introduce myself, I say "Hi, I am Dr Cool, I am the physician doing your anesthesia."

No matter what degrees or ways the nurses come up with to call themselves, they will NEVER be able to introduce themselves that way, AND, every patient understands exactly what physician means (I think....)

I am in total agreement. I always introduce myself as Doctor. Where I did both my internship and residency I, along with all my other co-residents, were called by our first name. Even my anesthesia attendings were addressed by their first name by the OR staff, while to surgeons were addressed as doctor. If you earned an MD you should be called doctor.

 

[epidural man]

I am in total agreement. I always introduce myself as Doctor. Where I did both my internship and residency I, along with all my other co-residents, were called by our first name. Even my anesthesia attendings were addressed by their first name by the OR staff, while to surgeons were addressed as doctor. If you earned an MD you should be called doctor.

Yes, but try using the word "physician." Lots of non-physicians can claim Doctor status. Only physicians can claim that status.

 

[jwk]

Yes, but try using the word "physician." Lots of non-physicians can claim Doctor status. Only physicians can claim that status.

You really want to be introduced as Physician Epidural Man instead of Dr. Epidural man?

I do agree with the sentiment - the only person who should be using "Doctor" in a hospital is a physician, and if your facility uses them, dentists/oral surgeons and podiatrists. No pharmacists, physical therapists, NP's, audiologists, etc.