So as to avoid the cliche'd "don't feed the troll" response, I'll try to be as open as possible. I'm starting med school in the fall and have (had?) considered MDA as a possible choice. But not a day goes by on the med forums where one does not see threads regarding the dwindling prospects of MDA's due to an increasing scope of practice for CRNA's.
Assuming the CRNA M&M rates are about the same as those for MDA's, in your view (or that of the AANA) is there ANY place at all for MDA's in the future of medical care? That is, is the ultimate goal (er, the ultimate position) of the AANA to expand the scope of practice of CRNA's to subsume the WHOLE of the scope of practice of MDA's - OR, does the AANA still see a role for MDA's, and therefor recognizes an upper limit to the scope of CRNA practice?
Mar 16, '04
Quote from yoga crna
I think you are a little confused about scope of practice and the AANA. Nurse anesthetists have always have a full scope of practice related to the needs of surgical patients and the legal recognition of our practice. The AANA is the professional organization representing the profession. AANA is also very concerned about patient safety and education in anesthesia, but as such does not accredit schools or even certify nurse anesthetists. Those functions are performed by separate autonomous councils. CRNA practice is legal, recognized by legislatures, courts and insurance companies. Above all, CRNA practice is SAFE. If it wasn't we would not have the 100+ year history that we do.
As an aside, I recently had a conversation with a friend whose brother was going into MD anesthesiology. When he was in medical school, he realized that he didn't like taking care of patients, so decided to go into anesthesiology. I doubt if you can find many CRNAs that don't like patient care.
Please feel free to take me on regarding CRNA Scope of Practice, but leave
the AANA out of the discussion. Or else, I will be forced to present an in-depth and accurate assessment about the ASA and the economic forces that dominate their actions.
One thing is clear though. Outside certain fellowship areas (pain, acute care, etc.) the scope of CRNA practice is concurrent with the whole scope of anesthesia practice as a whole. Therefore, the MDA (as far as I can gather) brings no special expertise to the practice of gas (below the sub-specialty level, anyway) and is, therefore, just another provider.
That being the case, I can't see ANY future for MDA's below the subspecialty level. Even in those situations where two providers are better than one, why would anybody pay the higher MDA salary when the CRNA is cheaper and provides not only the same quality of care, but also provides care throughout the entire scope of MDA practice.
What does the MDA bring to anesthesia (below the subspecialty level) other than an extra set of hands (for which, as you say, there are plenty of stools to go around)? If it's just an extra set of hands - I don't see a future in MDA.
I think it's clear from these posts that it is just an extra set of hands.
Last edit by plimpington on Mar 16, '04