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Message: <blockquote data-quote="FFP" data-source="post: 21848041" data-attributes="member: 171991">I only see practices which go from solo to ACT, or from ACT 2:1 to ACT 3-4:1, and never the other way round. All those changes are jobs lost for anesthesiologists. A lot of jobs. Hence some of us now work for various corporations.I also see more anesthesiologists being "encouraged" to leave for not getting along with CRNAs than the opposite. When a CRNA gets into trouble, I usually see things being brushed under the carpet, or a slap on the wrist, because administrators know that going to war with one means going to war with all. Let's not mention "hurting their feelings" by actually telling them what to do, when medically directing.This is all my subjective n=1. In my own geographical area (which is clearly one of the worst markets in the country), things are always getting only worse.And, seriously, you're going to argue that the market is the same because you're still getting locum offers? How many of us want to work as a locum tenens? Even in the middle of the Covid pandemic, New York hospitals were paying out-of-state locums much more than what they were paying the local temps, because they didn't want the income levels to "stick". Many locum tenens docs also say that it's not worth anymore, because the offers are not worth the sacrifices (in non-Covid times); not everybody has kids in college.</blockquote>

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