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The only way a resident is going to affect srnas would be to complain to your department (on rotation evals) or to the RRC (if your program isn't responsive) that they are interfering with your training if they get good cases. If they don't get good cases then awesome. Better yet they can go get all their training in the boonies.
It doesn't seem like pp attendings have much to do about them short of setting up AA training programs which most of you are not in a position to do. You can refuse to train them by taking a different job, but someone else will take the job training noctors.
If you are an academic attending, then maybe you can vote to limit or eliminate srna rotations at your institution. It'd be hard to claim equivalence (not that they care about logic or truth) when you train doing minor cases at small community hospitals while real doctors train doing crazy cases on sick patients at referal centers.
Any other ideas?
I mean. At he end of the day, there are a bunch of sell out department heads allowing ever increasing numbers of srnas to train. Lobbying and information are good, but what you have more potential to control is your own hospital's noctor training programs.
It doesn't seem like pp attendings have much to do about them short of setting up AA training programs which most of you are not in a position to do. You can refuse to train them by taking a different job, but someone else will take the job training noctors.
If you are an academic attending, then maybe you can vote to limit or eliminate srna rotations at your institution. It'd be hard to claim equivalence (not that they care about logic or truth) when you train doing minor cases at small community hospitals while real doctors train doing crazy cases on sick patients at referal centers.
Any other ideas?
I mean. At he end of the day, there are a bunch of sell out department heads allowing ever increasing numbers of srnas to train. Lobbying and information are good, but what you have more potential to control is your own hospital's noctor training programs.
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are you kidding me?
We now have CRNAs, AAs, and now Anesthesia PAs ?!?!?!
Are anesthesiologists that willing to just give their job away? Doesnt what happened to anesthesiologists teaching CRNAs creating this mess speak volumes enough? Why must we wait for history to repeat itself?
In my opinion, CRNAs,etc should get paid half of wht they get now. This will dissuade nurses and others to be CRNAs.
You need surgery? Well we need to wait for the next anesthesiologist to be available (maintains demand). Emergencies are a different story. Welcome to ObamaCare....
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I'll play devils advocate for just 1.5 seconds:
If you have 30 catheters in house that need to be rounded on, Anesthesia PA's can be very valuable. Their practice should be intimately related to catheter issues/regional anesthesia. I've worked with them before and they can indeed unload the work so you can focus on the block room.
It's like any anesthetic drug... It's all in HOW YOU USE IT. Never should they be allowed to touch a needle... unless they are handing it to you.
If you have 30 catheters in house that need to be rounded on, Anesthesia PA's can be very valuable. Their practice should be intimately related to catheter issues/regional anesthesia. I've worked with them before and they can indeed unload the work so you can focus on the block room.
It's like any anesthetic drug... It's all in HOW YOU USE IT. Never should they be allowed to touch a needle... unless they are handing it to you.
Sevo: I would not mind having a hot anesthesia PA stroking my ego (and other things) while rounding .... Oh, and she can hand me stuff during procedures too...
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These are public forums are open to everyone, physicians and nurses alike, but keep in mind that it is the Student Doctor Network. From your blog entry, you don't appear particularly militant. Quite the contrary, actually.
That said, there's a limit to how much snottiness we're willing to put up with from visiting midlevels, and you've been pushing it of late. Tone it down or begone. Thank you.
