Ok, I was probably unclear and each training program varies.
I preop every patient I deliver anesthesia to, every time, plain and simple. I also make my best effort to not just data collect but document what I feel good assessment and plan. This provides me with a great learning opportunity, gets me ready for the case, lets me know what I need to read about the evening prior, and I can have thoughtful discussion with attending on how my A/P may need some adjustments, and I have no problems with it. In fact I enjoy that process. I am very early in my training and appreciate good learning opportunities.
What I am talking about is all the other pre-ops I do on patients that I will not be a part anesthesia team. There are way more CRNAs at my program than residents and we do all their pre-ops. Ultimately an attending MD will make a medical assessment on every single case done, but they need the preop form completed to do so. Filling out the form with pmh, meds, allergies, labs, diagnostics, ect
is something a midlevel can do. Then I have no idea how the case went, what the attending ultimately decided on for a medical assessment, if my plan was altered or what. This is extremely low yield in terms of learning anything.
Make no mistake ,I do think every patient needs an MD assessment and this happens by an attending MD where I am at.