Quote from loisane
You said "....does the AANA still see a role for MDA's, and therefor recognizes an upper limit to the scope of CRNA practice? " I would like for you to examine the assumptions in how you framed that question. My personal response is YES, I see a role for MDAs, and NO, I do not see an upper limit to the scope of CRNA practice. Can we not agree that it is possible to have both?
Honestly, I'm having trouble understanding why everybody seems so defensive on this subject. I'm not even a doctor yet. Just how much baggage do you think I could be bringing to these discussions? I don't think the question is in need of any rephrasing. There's no assumption surrounding it. I wanted to know if the AANA (or CRNA's as a group) see any place in the future of medicine for MDA's. You seem to suggest that they do (and then you bring up the ASA - what makes you think I agree with the ASA???).
AND WHAT makes you think that just because I've asked the question, I'm making some normative judgement about the scope of CRNA practice? I;m not. I have NO IDEA whether a CRNA is capable of subsuming the whole of the scope of practice of an MDA, nor do I assume they cannot. Likewise, I HAVE NO IDEA whether an MDA is overtrained (basically 8 years of training) in light of the fact that CRNA's can do all anesthesia with only 4 years of training, thus making the MDA inefficient and overpaid.
From my perspective, in any event, I can't understand your position on this issue. If the CRNA has equal expertise throughout the entire scope of practice as an MDA does, why should there be a place in anesthesia for an overpaid provider below the subspecialty level? Why would the free market for medical care ever "select" MDA's to administer anesthesia when they (1) don't have any extra expertise than CRNA's do, and (2) do not provide better care, and (3) cost about twice as much $$$? This makes no sense to me.
So, ask yourselves these questions and post here: (1) do MDA's do something that I do not do, and (2) is that extra something worth the extra cost of an MDA? If the answers to these questions are "no", I don't see a place for MDA's in healthcare below the subspecialty level, and therefor would probably do something else with my own career.
I'm asking for objective career advice - nothing more.