militarymd said:
Well my point exactly. If the leadership of the ASA were on the pulse and were proactive instead of reactive then we would not have 14 states opting out of the supervision requirement and prob half the nation will follow along in the next 10 years.. You know where im getting at mr. im running the board?
Im getting at less jobs for us, less positions for us. This is a serious issue. Now is the time to be vocal about it since many many more americans are going into anesthesia vs general surgery, obstetrics and radiology. We are recruiting from the top of the classes now, not from the middle or bottom like years before. If you dont see my point your head is in the sand my friend. in the sand.
with all due respect mil med i think you have been a great asset to this forum w/o a doubt.
nevertheless, I do believe davvid has a pt here in so much as NOW, more US grads that are from the top of their classes are pursuing anesthesiology, something that has not occurred for quite some time until recently---if ever. Yes, many of us here maybe perceived as the 'surgeon' types but that's a good thing, we're here to secure the future (jobs,etc) for anesthesiologists from the rape and pillage from CRNAs. Look at the surgeons. You will never see a surgical assitant or tech talk to the surgeons the way CRNAs talk to us! How many times as a med student did I see/hear CRNAs and scrub nurses, etc treat Anesthesiologists like $hit. Guys, this is our profession, its a NOBLE profession...let's friggin make these mid-levels respect us. Yes, respect is earned, but some of these mid-levels have no cognition of what it is. Believe me, those CRNAs that seem to be getting along w/you are just 'playing the role'. Most, will snicker or tell the nurse next to them that they can do just as much. These CRNAs have their eye on bigger and better portions of the pie....dont believe me, just look at what their lobbying groups are doing.
Again...I'm all for them doing MAC cases. I really do not have a clue where these CRNAs get this idea that they are just as good or have just as good clinical expertise as us (I think it was this thread that that was addressed). Yes, we were med students and residents when u were a CRNA. But you know what, we dont just treat NUMBERS, we TREAT THE PATIENT. We have a better grasp of the physio and pharm of the patient. We know what questions to ask preop and we know what are considered 'red flags' in a pt's hx, etc. These valued points are not ascertained by doing a few years in nursing school. Medical school is the time where we indulge ourselves in these things, mk mistakes, learn from them, and move on to become doctors. IF you all (CRNAs) think you are just as good...then go back to med school! remember, the anesthesiologist is a clinical physiologist. Just because you read a few of the same books, we know how to CLINICALLY utilize the knowledge, which comes from med school/residency. Why else would med school/residency be 8+ years
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Mil Med (not to call you out) but you of all people having been in the military should realize the importance of rank. I believe this rank needs to be better delineated in this fast growing field of anesthesia. In my opinion AAs are more benign and take up a more 'assisting mentality'.
my two cents