problems with pa, etcs.

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doc05

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with the abundance of pa's, nps, crnas, etc out there, does anyone find a problem w/regard to clinical rotations? impaired educational opportunities? less to do on the wards?
 
As I teach and guide the medical students at our institutions, I find that the PA's/NP's don't want the same acuity of patient that the medical student may want. I do see problems with CRNA's as they simply DO NOT wish to teach medical students how to intubate during the anesthesiology rotations they typically say "this is not a good learning case" "this may be too difficult" etc...almost like they read from a script.
No medical student should EVER have trouble finding WORK if they look in the right places...ask any medical student that rotates with me...there is ALWAYS a foley to do or perhaps some chest compressions maybe even an ABG!
 
When I was on anesthesia, CRNAs ran the show...and there were CRNA students there as well. Basically, the CRNA students supposedly had priority over medical students with regard to procedures, intubations, etc.

I got to do very little intubations as a result. I can't even count how many times I was pushed aside: "We have to let the CRNA student do this one."

It sucked.
 
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