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The market and the competition: The Numbers

Discussion in 'Anesthesiology' started by opa beleza?, Mar 27, 2007.

  1. opa beleza?

    opa beleza? Junior Member

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    There are some questions whose answers when looked at together should help ballpark market forces in the future assuming there are no major changes in healthcare structure...elections, socialism, etc...
    I think if we look at the numbers we can get a beter sense of the future outlook. Any answers would be appreciated. Any other useful questions would be great too.
    :thumbup:

    CRNAS

    1. How many CRNAs are there in practice now?
    2. How many CRNAs graduate and enter practice each year?
    3. How many CRNAs will retire within 20 years?
    4. How many CRNA schools are there?

    Anesthesiologists
    1. How many anesthesiologists are currently in practice?
    2. How many anesthesiologists enter practice each year?
    3. How many anesthesiologists will retire within 20 years?

    Surgical Volume
    1. What is the current number of anesthetics performed annually currently?
    2. How many anesthetics will be performed anually in 20 years?
     
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  3. eutopia CRNA

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    In Fort Worth TX alone there are 2 CRNA programs, and each produces over 100 CRNA's per year. I believe last year there were about 140 graduates between the 2 of them. However, there are only a couple of other programs in Texas, save for the Army program.
     
  4. opa beleza?

    opa beleza? Junior Member

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    I hate to seem like a lunatic talking to myself but here are a few data points with the references.

    CRNAS

    1. How many CRNAs are there in practice now?
      28,000 (allnursingschools.com/faqs/crna.php)
    2. How many CRNAs graduate and enter practice each year?
    3. How many CRNAs will retire within 20 years?
    4. How many CRNA schools are there?
    5. Length of incubation....training?
      24-36 months (allnursingschools.com/faqs/crna.php)

    Anesthesiologists
    1. How many anesthesiologists are currently in practice?
    2. How many anesthesiologists enter practice each year?
    3. How many anesthesiologists will retire within 20 years?

    Surgical Volume
    1. What is the current number of anesthetics performed annually currently?
      28 Million (allnursingschools.com/faqs/crna.php)
    2. How many anesthetics will be performed anually in 20 years?
    [/QUOTE]
     
  5. eutopia CRNA

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    [/quote]
    I would be very curious to see the final numbers. It really frightens me to think that CRNA's or AA's will outnumber MD's or DO's. We honestly have NO BUSINESS practicing solo. I'm an older CRNA but a FIRM believer in this. I do not now, nor will I ever have, the clinical expertise that the doc's I work with do. I can honestly say that I am really good at what I do, and one of the reasons I am is that I know when I'm in an unsafe position and when I need help. A lot of CRNA's are not this honest. I do not want to work in an environment where there are 10 CRNA's to every doc. That's crazy. WE need more docs!
     
  6. SexPanther

    SexPanther This could be a problem

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    I would be very curious to see the final numbers. It really frightens me to think that CRNA's or AA's will outnumber MD's or DO's. We honestly have NO BUSINESS practicing solo. I'm an older CRNA but a FIRM believer in this. I do not now, nor will I ever have, the clinical expertise that the doc's I work with do. I can honestly say that I am really good at what I do, and one of the reasons I am is that I know when I'm in an unsafe position and when I need help. A lot of CRNA's are not this honest. I do not want to work in an environment where there are 10 CRNA's to every doc. That's crazy. WE need more docs![/QUOTE]

    It is nice to see you type this. Keep spreading this attitude and doing a great job!
     
  7. eutopia CRNA

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    It is nice to see you type this. Keep spreading this attitude and doing a great job![/quote]
    hey, the facts are facts. I became a CRNA to adjunct the doc, not take his/her place. Therefore, I expect to work with a doc. The sad thing is, more & more hospitals are hiring less docs and more CRNA's (cost effective!). Where I work now there is the doc to nurse ratio is 1:3. Even this ratio sometimes makes me really nervous. There are times that I'm in a crani, the 2nd CRNA is in another crani, and the 3rd is in a lap or something like that. To me it's nuts having a doc oversee 3 CRNA's running such a heavy caseload. I've had recruiters call me often about jobs where I'd be working solo > 90% of the time. Visit the CRNAjobs.com website. It shows the percentage of the time that the CRNA would work alone on each job listing. Some of them are downright frightening!
     
  8. foxtrot

    foxtrot Member

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    I wish there were more people like you out there. You obviously have been practicing for a while and know what you are talking about. This is what I do not understand. I would think that CRNA's would want physician supervision not only because it is safer for a patient to have two providers looking out for them but also because it keeps their income high since it is still an MD specialty. If it were to become an all nursing specialty, it seems like the salaries would drop precipitously. I mean you look at nurse practitioners and midwives and the majority don't make nearly what a CRNA does. In the overall grand scheme of healthcare, a physician and a nurse (and others) take care of a patient. It is not just a nurse doing whatver they want--it is a team effort, which equates to better patient care. But I guess that greed and egos seem to be what drives people in today's society which is really sad.
     
  9. Plead the Fifth

    Plead the Fifth ASA Member

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    .........................................
     
  10. BIS

    BIS Member

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    1. Believe me we will flood the market with our own way before AAs can gain ground. We are producing more CRNAs now than ever before.
     
  11. BIS

    BIS Member

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    Dont be fooled by all the negative loosers on this board. In the real world CRNAs and MDs work happily together in the ACT setting. The vast marjority of CRNAs work in the ACT model and have only worked in an ACT model throughout their careers. CRNAs are not taking lucrative MD jobs, especially in lucrative urban markets. These are just not the facts. Bringing up the AA issue just throws fuel in the AANA fire. It turns people that love working in the ACT to lobby with the AANA though they may not totally support the issue on hand. It poses a treat the ACT CRNAs which causes them to support the AANAs cause.
     
  12. EtherMD

    EtherMD Banned
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    The fact a few CRNA's are posting what you want to hear doesn't alter the real story. The AANA is working hard and spending a lot of money to secure Independent Practice rights for 100% of its membership.

    According to my practice poll of about 40 CRNA's (real quality study:laugh: )
    1/3 believe in the ACT model as is, 1/3 want more Independence and think MD's are needed Back-up only and 1/3 are indifferent. Now, if you poll the same question again and imply salaries for CRNA's go up $50,000 per year if the MD is BAck-up only the "Independent" vote rises to 2/3. Money talks and the AANA knows it.

    So, I am glad to read a few CRNA's support the ACT model. But, the AANA is intent on destroying it and they will use every CRNA contribution/membership fee to do it.
     

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