- Joined
- Sep 17, 2016
- Messages
- 778
- Reaction score
- 1,251
I have residency classmates who do 100% supervision who would definitely not feel comfortable if thrown into a room alone, and I'm only 7 years out of training. .
This is one of my fears, that after graduating, I can only find supervision jobs and never get comfortable on my own and develop my own style. Maybe it's just me, but how can I expect to tell a CRNA what or how to do things (aside from the really important stuff) if they've got >5-10 years experience on me, and maybe they are much more slick at their inductions and wake ups and dosing drugs because I've never really done it by myself. And before you say you should learn it all in residency, there are plenty of attendings who do the induction and walk out, patting themselves on the back for a "slick induction", while as a resident you are left with the post induction hypotension. If you're not in the room, you just don't see the consequences of your actions. It's just one example, but if you are really only involved in a small part of the start and end of cases supervising, don't deal with all those little "mini-emergencies" that arise during a case (random desats, rises in peak pressures, etc) can you really argue your anesthetic delivery will be as elegant as the person who sits in the room day in and day out, CRNAs included? Maybe it's just me, but when I work with attendings who have done their own cases on their own before, they usually are more calm, less frazzled and much less particular vs attendings who have only ever supervised (big generalization, not always true).