New HCA/NAPA Anesthesia Residency in Austin

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sevo00 said:
Just got a private message from a NAPA anesthesia residnet who wishes to remain anonymous. Their residency primary consists of doing cataracts and preoping for CRNAs. The SRNAs are primarily given all the learning cases. This is absolutely ridiculous and needs to be brought up to the ASA and ACGME. This is piss poor training just for the PE firm to get cheap labor to staff rooms. Anyone have contact for the ACGME? I will email and call them personally. Also would like to complain to NAPA
Click to expand...
Is this a joke? So why haven't the residents reported this to the ACGME?
 
nimbus said:
New CRNA program. Maybe it is just an innocent oversight but there is no mention of anesthesiologists in the description of their role.


“Certified Registered Nurse Anesthetists (CRNAs), registered nurses with specialized training in anesthesia, will be produced by the program. Upon completing the program and successfully passing the nurse anesthesia certification exam, these CRNAs will collaborate with various medical practitioners, including surgeons, dentists, and podiatrists, delivering a range of anesthesia services such as sedation, general and regional anesthesia, and pain management.“



news4sanantonio.com

UT Health San Antonio launches Texas' first nurse anesthesia program amid rising demand

SAN ANTONIO - In response to the increasing demand for anesthesia services, the UT Health San Antonio School of Nursing is introducing the region's first progra
news4sanantonio.com news4sanantonio.com
Click to expand...
They obviously want these CRNAs to have some independence. But I guarantee they will be taught by us. SMH
 
pgg said:
This was exactly the arrangement at a group I did some moonlighting with in California 10-15 years ago. I was in the Navy and looking for extra cash and cases to do because the Navy hospital was an extra-slow glorified surgicenter.

Independent-ish CRNAs did their cases, we did ours. The scheduler put the easy stuff with them and the harder stuff with us. It was a community hospital so "hard" meant the patient were wrecks, but the surgeries were rarely complex. Occasionally we'd get a surgeon who said some particular patient or another was sick and needed "MD anesthesia" and the people running the practice would accommodate it.

On the plus side physicians were always doing their own cases and never responsible for CRNAs. The down side is that every sick or troublesome patient went to the physicians and the nurses were just skipping along, fat dumb and happy, talking themselves up as our equal, but never doing anything difficult.

I don't know if you're right and this is the future, or how far out that future is. But it seems plausible to me.
Click to expand...
Fat, dumb and happy? I am sorry. I can't stop laughing!!
 
sevo00 said:
Just got a private message from a NAPA anesthesia residnet who wishes to remain anonymous. Their residency primary consists of doing cataracts and preoping for CRNAs. The SRNAs are primarily given all the learning cases. This is absolutely ridiculous and needs to be brought up to the ASA and ACGME. This is piss poor training just for the PE firm to get cheap labor to staff rooms. Anyone have contact for the ACGME? I will email and call them personally. Also would like to complain to NAPA
Click to expand...
At a certain point CRNAs will just rightly laugh at our training if they don’t dilute theirs. Because come on. How is this person gonna graduate competent and be in charge of CRNAs?
I virtually attended a conference this weekend called Take Medicine Back, a grassroots movement by docs and I was told that HCA now has the highest amount of residents in the nation. Not sure how true this is but this is scary as hell.
Y’all plan to get old in this country?
 
makemoney2024 said:
At a certain point CRNAs will just rightly laugh at our training if they don’t dilute theirs. Because come on. How is this person gonna graduate competent and be in charge of CRNAs?
I virtually attended a conference this weekend called Take Medicine Back, a grassroots movement by docs and I was told that HCA now has the highest amount of residents in the nation. Not sure how true this is but this is scary as hell.
Y’all plan to get old in this country?
Click to expand...
I attended virtually too! It was a great conference!
 
Howard888 said:
Ahhh average doc….what about new docs? Feel like there is more going on here. How many years to make that much? If it’s more than 2 years or starting is less than 450 for those two years…not worth it. 2 years at 450 then 600+ after-ok not bad for Austin. I will say that is one of the higher Napa salaries I have heard and not the number that is usually told in Austin but if you say so
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When I joined 12 years ago, it was the old school bull**** 2-4 years to partner.
We start full salary day one now with 2 years to full profit sharing which is small relative to base + call salary.
Open market for call trading which is compensated well. Several new docs made more than me last year, but I didn't take any weekends.
 
Howard888 said:
starting salaries of over 500k is new for private equity groups if it’s happening. At least in the south. Perhaps they are finally dealing with supply/demand issues.

Other than northeast I’ve never seen Napa pay over 500 without substantial overtime and I know in Austin that was not the case pre Covid. USAP in Austin I know pays substantially under 500 for first 3 years.

But again as you mention if they do pay that much then yes it is better than some private practices…although I still have my doubts about Napa in Austin unless folks are now working 60 hour weeks.
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I average ~45 hours per week. Didn't work weekends last year and made 600
 
PeterGriffin said:
I average ~45 hours per week. Didn't work weekends last year and made 600
Click to expand...

Did you work nights ? Home call?
And is that 1099 number ? Or you made 600 plus benefits ?
Just trying to keep things apples to apples
 
Interesting. Yes that’s obviously changed then from past as you alluded to. Good Has USAP changed in Austin too or do they still abuse you the first 3-4 years?
 
Same hospital where new residency was approved.

napaanesthesia.wd1.myworkdayjobs.com

Anesthesiologist - St. David's Medical Center - Full Time

Austin,TX - USA Position Requirements Anesthesiologist opening at well-established practice in lively Austin, TX; wide-variety of complex cases Description As part of St. David’s HealthCare, the full-service St. David’s Medical Center provides comprehensive medical care and is home to the...
napaanesthesia.wd1.myworkdayjobs.com
 
PeterGriffin said:
I average ~45 hours per week. Didn't work weekends last year and made 600
Click to expand...
You may have overlooked this or ignored it because you didnt feel comfortable answering, but Ill ask again:

So what is the starting salary?
How about hours per week and call for that salary?
And what is your supervision ratio?
 
medicine2wallstreet said:
He literally said the hours per week he works.
Click to expand...
Hours per week he works now. Not when he started.
Also does that hours/week include call?

Here is a thread where I asked him similar questions along with others that he ignored too. Definitely red flags.
forums.studentdoctor.net

Anesthesiologist position in Austin, Texas?

Anyone know of any positions available in that area? And/or groups to reach out to/or stay away from? Planning a move there next summer. Any information would be greatly appreciated. Thank you!
forums.studentdoctor.net forums.studentdoctor.net
 
“Just got a private message from a NAPA anesthesia residnet who wishes to remain anonymous. Their residency primary consists of doing cataracts and preoping for CRNAs. The SRNAs are primarily given all the learning cases. This is absolutely ridiculous and needs to be brought up to the ASA and ACGME. This is piss poor training just for the PE firm to get cheap labor to staff rooms. Anyone have contact for the ACGME? I will email and call them personally. Also would like to complain to NAPA”

How is this possible? I thought there was a minimum number of cases of each kind they had to do? Like hearts and liver transplants? Blocks, etc?
 
amyl said:
“Just got a private message from a NAPA anesthesia residnet who wishes to remain anonymous. Their residency primary consists of doing cataracts and preoping for CRNAs. The SRNAs are primarily given all the learning cases. This is absolutely ridiculous and needs to be brought up to the ASA and ACGME. This is piss poor training just for the PE firm to get cheap labor to staff rooms. Anyone have contact for the ACGME? I will email and call them personally. Also would like to complain to NAPA”

How is this possible? I thought there was a minimum number of cases of each kind they had to do? Like hearts and liver transplants? Blocks, etc?
Click to expand...
There are and I am wondering too. But to be fair, no one needs a liver transplant to graduate. Many of us have never done any.
 
amyl said:
“Just got a private message from a NAPA anesthesia residnet who wishes to remain anonymous. Their residency primary consists of doing cataracts and preoping for CRNAs. The SRNAs are primarily given all the learning cases. This is absolutely ridiculous and needs to be brought up to the ASA and ACGME. This is piss poor training just for the PE firm to get cheap labor to staff rooms. Anyone have contact for the ACGME? I will email and call them personally. Also would like to complain to NAPA”

How is this possible? I thought there was a minimum number of cases of each kind they had to do? Like hearts and liver transplants? Blocks, etc?
Click to expand...
I agree this is absolutely ridiculous if true. Napa is toxic in both the academic and private practice world.
 
nimbus said:
Same hospital where new residency was approved.

napaanesthesia.wd1.myworkdayjobs.com

Anesthesiologist - St. David's Medical Center - Full Time

Austin,TX - USA Position Requirements Anesthesiologist opening at well-established practice in lively Austin, TX; wide-variety of complex cases Description As part of St. David’s HealthCare, the full-service St. David’s Medical Center provides comprehensive medical care and is home to the...
napaanesthesia.wd1.myworkdayjobs.com
Click to expand...
370k lmao
 
GandalfTheWhite said:
Hours per week he works now. Not when he started.
Also does that hours/week include call?

Here is a thread where I asked him similar questions along with others that he ignored too. Definitely red flags.
forums.studentdoctor.net

Anesthesiologist position in Austin, Texas?

Anyone know of any positions available in that area? And/or groups to reach out to/or stay away from? Planning a move there next summer. Any information would be greatly appreciated. Thank you!
forums.studentdoctor.net forums.studentdoctor.net
Click to expand...
Sorry bro, not ignoring you, I just don't get on here that often.
I'm happy to answer, but given that we aren't in the private forum, I'm not writing it out here. Feel free to DM me
 
PeterGriffin said:
That's "base salary", does not include any call, overtime pay, profit sharing. True salary is significantly higher.
Unfortunately given NAPAs ineptitude, we haven't been able to get them to give a more accurate salary on their job posting.
Click to expand...
$370k still seems insanely low
 
PeterGriffin said:
That's "base salary", does not include any call, overtime pay, profit sharing. True salary is significantly higher.
Unfortunately given NAPAs ineptitude, we haven't been able to get them to give a more accurate salary on their job posting.
Click to expand...


That ad has been up since at least February. It’s July now. If they want to fill the position, they should give a more accurate estimate of income. Odd too because NAPA actually advertises much higher income estimates at their sites in NY and IL.
 
Last edited:
nimbus said:
That ad has been up since at least February. It’s July now. If they want to fill the position, they should give a more accurate estimate of income. Odd too because NAPA actually advertises much higher income estimates at their sites in NY and IL.
Click to expand...
A lot of NAPA ads are up for a long time. I'm not saying you're incorrect. I definitely think it just says something.
 
makemoney2024 said:
Explains what? My sources tell me they are under probation now. Serves them right.
Click to expand...
I have sources at this location as well. I'm just saying what's said in this thread, what I know, and what you've just said, starts to paint a clearer picture about why there's always vacancies in some of these locations, given some of them are in somewhat desirable low cost living areas . (Hudson valley, not Austin)

If you're offering 500k for a job in the Hudson Valley and can't get it filled or keep people then the company has to ask what it's doing wrong.
 
Is anyone in the ASA or ACGME keeping track of these pop up HCA residency programs?
 
Fpg1245 said:
Is anyone in the ASA or ACGME keeping track of these pop up HCA residency programs?
Click to expand...
I am sure they are. But all options are bad. Not enough docs, Not enough resources, everyone is trying to make the least bad choice -from their perspective and based on what they care about.
 
As stated, I believe the ACGME is the only entity that can formally do anything of consequence, because they are the accrediting body. The ASA may have an opinion and formalize it with a statement (I’ve not seen them weigh in on matters such as this), but they don’t accredit programs, so it would just be an opinion from organized medicine. The ABA accredits individuals through board certification. I believe there exists quite a bit of overlap between the ACGME and the ABA. There is the RRC which reviews the programs. I believe it is representative of both the ACGME and the ABA. Not completely sure where the line between these bodies exists, but I think it is somewhat of a Venn diagram with significant overlap.
 
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