Question on MDA

[jawicobike]

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I've read a lot in the FAQ and other thread about CRNA, and AA and while many of my questions have been answered I have a question concerning the following scenario.

My hometown has a small hospital. There is currently no MDA practicing there but the hospital has contracted with a 4 person CRNA group. I guess technically they work under the supervising surgeon. My question is if I decide I want to go back home as an MDA what is the benefit for the hospital to contract with me? As I see it the hospital is getting the anesthesia it needs from the CRNA group, the compensation for a CRNA is less than that for an MDA (right?) so why would the hospital ever want an MDA? I would think the CRNA group would also be opposed to an MDA coming in because it would affect them financially, not to mention the fact that the new supervising MDA is a young buck straight out of residency?

Somebody please correct my logic here?

 

[24858]

Please lock.

 

[jawicobike]

Please lock.

I'm not looking to start a war here. If that's what it sounds like then I appologize and it should be locked.

If that is the case could some of you who are knowledgeable in this area pm me with an answer?

 

[MedicinePowder]

I'm not looking to start a war here. If that's what it sounds like then I appologize and it should be locked.

If that is the case could some of you who are knowledgeable in this area pm me with an answer?

Fair question. anyone?

 

[jwk]

I've read a lot in the FAQ and other thread about CRNA, and AA and while many of my questions have been answered I have a question concerning the following scenario.

My hometown has a small hospital. There is currently no MDA practicing there but the hospital has contracted with a 4 person CRNA group. I guess technically they work under the supervising surgeon. My question is if I decide I want to go back home as an MDA what is the benefit for the hospital to contract with me? As I see it the hospital is getting the anesthesia it needs from the CRNA group, the compensation for a CRNA is less than that for an MDA (right?) so why would the hospital ever want an MDA? I would think the CRNA group would also be opposed to an MDA coming in because it would affect them financially, not to mention the fact that the new supervising MDA is a young buck straight out of residency?

Somebody please correct my logic here?

The CRNA group contracts with the hospital - that doesn't mean they are hospital employees. They may be billing for their own services.

 

[jawicobike]

The CRNA group contracts with the hospital - that doesn't mean they are hospital employees. They may be billing for their own services.

So how does that work? Is the contract with the hospital a type of thing that guarantees 24/7 services in exchange for a location to perform those services only or is there a financial spectrum in the contract (generally speaking)?

On a side note as far as billing; in this case where the anesthesist is working under the license of the surgeon present (MD or DO) does the surgeon receive any financial compensation in the way an anesthesiologist would.

Once again I want to stress that I am not trying to be malicious in any way and I really am this naive (that's why I'm coming here to ask these questions).

 

[militarymd]

Sometimes, as hospital grow, the hospital administration will decide they want an anesthesiologist on staff....if that is the case, the hospital will employ you as a consultant in anesthesia.

The CRNA group may or may not want that....but, like I said before, everything is supply and demand. It's just business.

If there is a demand for the higher level of care (perceived or real) that is associated with having an anesthesiologist on staff, then the hospital will make a way to make it happen.