+1
we're probably saying different versions of the same thing but I've always thought they very much practice cook book anesthesia.
People say this - and then turn around and want to supervise them - or get upset when a Wisconsin hospital hires all CRNAs. It doesn’t make sense.
Why do Anesthesiologist not push more for CAAs. There not trying to take their job and they want and like working under the Dr. there has been good movement in expanding this specialty but it’s been WAY slower than the CRNA movement. It blows my mind that CRNAs are pushing for such autonomy while they are practicing nursing, but they want to argue that CAAs who went to med school learned and are guided by anesthesiologists are not competent providers? That doesn’t even make sense. Something needs to be and be done quick we need anesthesiologist
There needs to be more AA programs. We need anesthesiologist to push harder for CAAs. And they really need to look at the scope of practice, where CRNAs argue is they say AAs cost more money and require more supervision than a CRNA does, and right now they do due to the way the law is written, and not due to their training. Anesthesiologist need to start investing more knowledge into their AAs and offering specialized trainings etc that help advance the AAs. Also the legislation needs to be changed on the wording and scope of supervision of the AAs. The AA should be supervised like a PA or NP where the anesthesiologist over sees certain cases and doesn’t have to be in the room during induction and the bringing out phase. That discretion should totally be left up to the anesthesiologist once she/he is comfortable with his AAs they can do what their trained to do. They would always be tied to the anesthesiologist but given more authority to practice. This is what needs to happen to start building a wall against the ever approaching nursing lobby. The way they are going they will kick dr.s out of every speacilty I want physicians leading my team and care not nurses!
So...train them better than CRNA's, grant them status above CRNA's and then not expect that what you've done is create just another group of non-physicians that won't at some point down the road decide they don't need you, only this time, they've been endorsed and enabled by you...better the devil you know...
Sounds like a horrible idea.
No Sir you have missed the point. 1. Its not that CRNAs are trained better than AAs CRNAs have the nursing and the critical care that helps but I don’t believe it makes them better the main difference between a CRNA and A AA is legistslation. Their lobbing group has a lot more stroke and backing than then anesthesiologist one that’s apparent by the rampant progress they have made. I always hear “ mostly from CRNAs that their training is far better and that’s why they can practice independantly from an anesthesiologis. In the ACT model they are interchangeable. AAs have a bachelors and go to college of medicine for 2 years and are practicing medicine, they work under the anesthesiologist and get direct guidance from them. I’m tired of people saying that AAs are inferior to CRNAs. What I was saying was if the ASA would get the legislative wording and laws changed around where AAs could be a little more indepedant like other PAs it would help in this battle. For example when A PA sees a Patient in a doctors office the dr doesn’t have to come into the room in the beginning and start the meeting or show up at the end. The PA does it all and then informs the dr what’s going on and he signs off. Where as with AAs the CRNAs use this against AAs because the dr has to be in the room in beginning and end. what would be nice to see is as an AA we get tied to an Anesthesiologist (always working under one) but it’s not so much hand holding and as you work with the drs and they get confident with you and pour more knowledge into you it helps you advance and they don’t have to be in the room holding your hand BUT they are there when you need them. I don’t have an issue working under a Dr. Drs go to all that schooling for a reason I want to learn from that knowledge and have that person to go to for questions and advice. I just hate how the CRNAs are pushing their agenda so hard it’s trying to force anesthesiologist and AAs out of practice. And all these CRNAs that post videos on YouTube talking about AAs are dangerous and don’t have proper training etc, to me it’s a slap in the face to Anesthesiologist who train us and the medical community in whole,
Why does it
There programs are tied to college of medicine they are taking classes in med school side by side with med students so yes
Look I have just started to look into their programs I’m not trying argue with you about it but it was my understanding it’s tied to the college of medicine (anesthesia department) and they take med classes just like a PA does but solely geared to anesthesi. My point in this whole deal is the CRNAs are trying to push anesthesiologist out the door and they have succeeded in many areas. As I explored anesthesia I didn’t want to go for full fledged MD/DO and didn’t want to apply to nursing, so CAA is perfect fit for me. But all these forms about people bashing them and how anesthesiologist (our supervisors) are loosing their jobs to CRNAs etc I’m just trying to figure out what can be done. I would think an anesthesiologist would want to use a CAA if they had the choice.
I know there are only so many states that employ them I live in one and surround states, are you referring to that limitation or the limited in the area of working in anesthesia? I dunno why they are not legal in all 50 states and I would hope in future they would be
What do you do for a living if i may ask
Bro you're on an Anesthesiology specific forum. What do you think he does?
Not everyone on here is a anesthesiologist Sir. Thanks for replying I figured he was
So looks like your an Anesthesiologist do you share same views on CAA field? I’m trying to get some honest feed back
Essentially yes, both CAA's and CRNA's are excellent. Personally, even if we trained CAA's to the level of CRNA's "independence" I don't see them taking over the field in my lifetime, so it's not a big deal to me. CAA's should be allowed to practice in every state and it is idiotic that they are not allowed to do so. But I could digress A HELL OF A LOT more on what I think should be appropriate for the increase in medical care, but I'd end up sounding like Charlie Day from it's always sunny, so I won't.
Thank you for this reply. When you say ”even if we trained CAAs to the level of CRNAs “independence” are you just referring to their independence or can you tell there is a difference in their training and ability putting the CAA less knowledgeable than CRNA?
I have worked with AAs and CRNAs. There is no difference especially after 3 years of work experience. If anything, the AAs are easier to work with and understand the TEAM approach much better.
Except that PAs don't go see the patient then proceed to administer a lethal dose of medications inducing apnea and often hypotension, then subsequently rescue the patient by supporting their breathing by several potential means.
Very well said and much appreciated
Thank your input this does make sense im in a position where I can move into either I actually started out pre nursing really going to give this a lot of thought this is exactly what I needed to hear thank you everyone your input and experience
CAAs are trained by physicians and CAAs, typically in a medical school environment. Every program has a medical school sponsoring institution, and many of the programs have very strong ties to medical school anesthesia departments. Some do in fact take medical school classes, others take some of their programs with PA students, while others have totally separate courses - it's entirely program dependent.
