TEE Course: Anesthesiologists and CRNAs

[Mman]

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Yeah, but you do pedi only, right? I could understand not letting 'em do that invasive stuff on babies, but adults? Probably not possible to prevent that at the average private practice gig.

It definitely is possible.

I do all the lines. The fiberoptics. The spinals, epidurals, blocks, etc. It isn't optional. If they don't like it, they can look for employment elsewhere. But we pay pretty well, so most don't have a problem with it.

 

[Mman]

If sitting in a room with an ASA 1 or 2 patient for a lap chole and turning the vaporizer up or down is the optimal use of your 12 years of training, then by all means go for it.

I happen to believe that we are trained to take care of far more problems than that at once and the ACT model works wonderfully. Good MDs and good anesthetists (AA or CRNA) means the patients get great (and efficient) care.

 

[leaverus]

It definitely is possible.

I do all the lines. The fiberoptics. The spinals, epidurals, blocks, etc. It isn't optional. If they don't like it, they can look for employment elsewhere. But we pay pretty well, so most don't have a problem with it.

You are lucky. If it was up to me, they wouldn't do that stuff either. Unfortunately, none of the other docs in my group are on board with that idea. Logistically it really wouldn't be possible anyway - not enough docs to go around to do EVERY procedure; how do you guys manage that?

 

[leaverus]

the ACT model works wonderfully. Good MDs and good anesthetists (AA or CRNA) means the patients get great (and efficient) care.

Only until the CRNA decides they don't need you and starts telling the government and public that they are just as good as any doc and cheaper too. You're right, i probably don't need to be babysitting ASA 1 & 2s, but i don't remember a single day that i supervised a CRNA during my residency - maybe that should be added to the curriculum.

 

[GasEmDee]

You are lucky. If it was up to me, they wouldn't do that stuff either. Unfortunately, none of the other docs in my group are on board with that idea. Logistically it really wouldn't be possible anyway - not enough docs to go around to do EVERY procedure; how do you guys manage that?

Why does everyone love to accuse academic guys of being the sellouts, when this is the real reason for CRNA demand?

 

[IlDestriero]

Why does everyone love to accuse academic guys of being the sellouts, when this is the real reason for CRNA demand?

You have to blame someone, while you supervise 4 CRNA rooms and stockpile $$$.
(not directed at anyone in particular BTW)