Anyone out there for the creation of the National Anesthesia games?

Specialties CRNA

Published

I've been thinking of ways in which CRNA's might "gain more respect" from the mainstream medical community (MDA's in particular). The parallel which occured to me was of all things home schooled students. You see initially years ago public school educators loudly decried the inadequacy of home school education (they still do but with considerably less credibility). One thing which has helped to change the "perception" of home schooling are the consistently high performance of home schooled students on such things as spelling bees, geography competitions, and SAT/ACT scores. It has now reached the point that many Ivy league institutions actively recruit home schooled students.

So I asked myself how might CRNA's go about demonstrating a similar competency? ONE way could be the creation of "games" which test in a competitive environment the contestents ability with regard to ALL aspects of anesthesia. There would be both "practical" and written components to my dream games measuring competencies from patient accessment to life saving trauma management from an anesthesia perspective. The games would be open to ALL anesthesia professionals both CRNA's and MDA's. There would be very substancial cash prizes (say 100K for first prize) but the main reward would be professional pride. Funding could be facilitated via spocers such as Discovery Health (it would make a decent show on that channel) and fees from contestents (which might be paid by employers seeking positive publicity in many cases).

Firefighters, policemen, mechanics, and even barbecue aficionados have such competition, why not anesthesia professionals? If MDA's want to claim such profoundly superior skills and allege that entrusting CRNA's with anesthesia responsibility places patients lives in danger (as they are in some political races across the nation), let them put their skills where their mouths are. Maybe they will be proven correct, but I predict that CRNA's would more than hold their own in such competition.

OK, I can't believe I'm still posting to you, but I will try one more time. I do see you as an intelligent person, Roland, and would hate to see you shoot yourself in the foot. You are so caught up in "science" and "logic," you are failing to see the forest for the trees. Lets look at your last post, and I'll try to spell out for you what's going to get you into trouble.

"If they do so because I tend to ask questions and offer opinions then it is they who will be acting in a fashion that is contrary to logic."

Whether you think "they" are acting contrary to logic matters not one whit. The issue is not who is more logical, who is more scientific. The issue is who is the instructor and who is the student. If you take the tone and air with your instructors that you are taking with me, you will rapidly find yourself with your head in your hands. More on why you should care about that later. And it won't be just the one day you will have problems. CRNA's talk, and people like you rapidly become well known in a community as a student who thinks himself smarter than instructors. Every day will be an uphill battle for you from that point on.

"As to pride I am an overweight, balding white guy who long ago became largely impervious to insults. Thus, if "dressing down" is the worst that I can expect or getting "my head handed to me on a platter" I would submit that such is irrelevant (to me). I'm in school to offer my family a better future. I will work harder, put in longer hours than anyone in my class, and obey all rules to the best of my ability. Are you suggesting that someone would go outside the rhealm of acceptible teaching methods to harm me because they didn't like me or my attitude? That is something I wouldn't do to my worst enemy who just killed my dog. I presume no less from other educated individuals."

First: Having your head handed to you better stop being irrelevant to you pronto. You say you are trying to get a better future for yourself and your family. The way you are going, I hope you have a backup plan to being a CRNA, because you aren't going to get there with your attitude. Second: Whatever you "presume" from other educated individuals, what ever you would or wouldn't do to your worst enemy who killed your dog is what is irrelevant. Allow me to give you an example of what I am talking about. Suppose you were assigned to do an anesthetic for surgery A today. You are a good student, and you read up on the surgery and ways to perform the anesthetic for that surgery, and are prepared with drug B, which your books recommended as a good way to do this anesthetic. Your assigned CRNA comes in and says, no, I don't want you to use drug B, I want you to use drug X. Being the kind of person you are, you argue, and you might even "win." The CRNA allows you to use drug B. But on your evaluation, the CRNA writes "this student is not open to learning new techniques, and is not flexible in his anesthetic plan. Further, this student made it apparent that he felt he knew more about anesthesia than his instructor. I would prefer not to be assigned this student any further." None of what that instructor has written is unprofessional or inaccurate in the least. A couple of these evaluations, and you are on probation. A few instructors talk among themselves about students, and now all the CRNA's know that you believe yourself to be smarter than the instructors. At that point, your school career, and your future as a CRNA are effectively over, and justifiably so. You are not flexible, you are not willing to learn from the experience of others, and that makes you dangerous to patients.

"I will recall the words of the great Margaret Thatcher after she sent an armada towards the Faulkland Islands to free them from Argentina. A reporter asked her "but what if we fail?" she replied simply that "failure is not an option." Neither is it for me."

Of course, when PM Thatcher said that, her success or failure was in her own hands. Your success or failure is in the hands of others, who will ultimately care not at all what you see as your "options."

If you want to argue the point more, fine. But I am promising you, myself, and others on this board, this will be the last time I try to reason with you in a reasonable manner. No matter what you believe, there comes a time when someone with no experience in a given field must accept that a person with experience in that field might have some greater base of knowledge. If you come back with a response to defend your position, if you try to tell me further why you are right, and I am being obstinate, then I wash my hands of the whole thing. I will put you on ignore, and you will be on your own as far as I am concerned.

Kevin McHugh, CRNA

I have caused angst among those whose opinions I DO value highly. In addition, I understand and believe every word that you say with regard to school. Even so it may be difficult given my personality to avoid the pitfalls which you describe. In any case thanks, I'll try to do better in the future.

Since Maggie Thatchers name came up in this issue, i was still living in England when Maggie Thatcher told Spielberg words to the effect of concentrate on film making and leave the politics to the politicians. I do believe Spielberg was voicing opinions about her politics. Perhaps decisions on what is best for CRNAs or MDAs would be better decided by CRNAs and MDAs!

Amen London88, let's put the games away for good!

Specializes in Nurse Anesthetist.

What if I just don't wanna?

Man!!

This has gotten pretty heated. I just read through most of this post and when I started out, I thought Roland was suggesting this just as a sort of tongue-in-cheek kind of thing, but now I just can't tell. Roland, You were just kidding, right??! I am hoping that now you are just continuing the arguement for the sport of it. If not .....

phoenix :confused:

Man!!

This has gotten pretty heated. I just read through most of this post and when I started out, I thought Roland was suggesting this just as a sort of tongue-in-cheek kind of thing, but now I just can't tell. Roland, You were just kidding, right??! I am hoping that now you are just continuing the arguement for the sport of it. If not .....

phoenix :confused:

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