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Certified Registered Nurse Anesthetist (CRNA) /

CRNA VS anesthesiologist MD



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Page 2 of 4 < 1 2 34 >

No. 10
Old Jul 05, 2009, 04:21 PM

Default Re: CRNA VS anesthesiologist MD
The future of anesthesia (based entirely on what I've read.. no experience here at all) is pretty unclear. Many hospitals are picking up more CRNAs in order to lower costs, however when a CRNA works independently they are pushing into the area of practicing medicine. There's legislation going around that is either going to open up the CRNA field by allowing independent practice or limit CRNAs to require MD supervision (whether it's an MDA or any other MD is another issue).

In most cases, both MDA and CRNAs can perform anesthesia services in the same quality, however an MDA does have medical school under his or her belt, so in some complicated cases, the MDA may be more able to handle the case.

MDAs make significantly more money, but they also have to carry a tremendous liability insurance. The future salary is also unclear due to Obama's healthcare plan that is in the works. You can expect salaries for both to decrease.

One MDA I have spoke with about careers told me that if I'm absolutely certain that anesthesia is the only thing I want to do then I should save my time and money and become a CRNA, but he also said that if I have the slightest doubt I might want to pursue another healthcare/medical field.. then I should go to med school and figure out my specialty along the way.

Hope that helped somewhat.
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No. 11
from Murse7
Old Jul 05, 2009, 04:49 PM

Default Re: CRNA VS anesthesiologist MD
Anesthesiologists can also be intensivists, or attending physicians in the SICU. CRNA's cannot. ACNP's do most of the things intensivists do. Anesthesiologists can also prescribe medicine. I'm sure there are other differences.
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No. 12
from rubyrn36
Old Jul 06, 2009, 09:55 AM

Default Re: CRNA VS anesthesiologist MD
Originally Posted by AwesomeNurse2Be View Post
The pay is definately a BIG difference. More schooling to become a MD. You can do more than a CRNA. A CRNA work under the MD.
That is absolutely inaccurate....
CRNA's are the only advance practice nurse that have the SAME scope as an MD!
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No. 13
from rubyrn36
Old Jul 06, 2009, 09:58 AM

Default Re: CRNA VS anesthesiologist MD
WOW the level of or lack of info here in regards to this specialty is phenomenal....
there is plenty of info out there....that is not hearsay...
FIRST you need to decide if yu want to be a NURSE or a DR...that is the starting point!
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No. 14
Old Jul 06, 2009, 12:54 PM

Default Re: CRNA VS anesthesiologist MD
Originally Posted by markuskristian View Post
however when a CRNA works independently they are pushing into the area of practicing medicine. There's legislation going around that is either going to open up the CRNA field by allowing independent practice or limit CRNAs to require MD supervision (whether it's an MDA or any other MD is another issue).
CRNAs do not practice medicine, the courts have decided the question multiple times, beginning in the 1930's. When a CRNA administers anesthesia, it is the practice of nursing. I'm not sure what legislation you are referring too, but several state governor's have requested to "opt out" of the Medicare billing requirement for physician superivision.
Many states do not require CRNAs to be physician supervised, and no state requires that a MDA supervise a CRNA. A CRNA may work with a surgeon in every state without an MDA. Thirty-nine states do not have a physician "supervision" requirement for CRNAs in nursing or medical laws or regulations. If clinical "direction" requirements are considered in addition to "supervision," 31 states do not have a physician supervision or direction requirement for CRNAs in nursing or medical laws or regulations. Taking into account state hospital licensing laws or regulations as well, 33 states still do not require physician supervision. Taking into account state hospital licensing laws or regulations, 24 states still do not require physician supervision or direction. 14 states have "opted out" of the federal supervision requirement.
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No. 15
Old Jul 07, 2009, 09:58 AM

Default Re: CRNA VS anesthesiologist MD
Originally Posted by loveanesthesia View Post
CRNAs do not practice medicine, the courts have decided the question multiple times, beginning in the 1930's. When a CRNA administers anesthesia, it is the practice of nursing. I'm not sure what legislation you are referring too, but several state governor's have requested to "opt out" of the Medicare billing requirement for physician superivision.
Many states do not require CRNAs to be physician supervised, and no state requires that a MDA supervise a CRNA. A CRNA may work with a surgeon in every state without an MDA. Thirty-nine states do not have a physician "supervision" requirement for CRNAs in nursing or medical laws or regulations. If clinical "direction" requirements are considered in addition to "supervision," 31 states do not have a physician supervision or direction requirement for CRNAs in nursing or medical laws or regulations. Taking into account state hospital licensing laws or regulations as well, 33 states still do not require physician supervision. Taking into account state hospital licensing laws or regulations, 24 states still do not require physician supervision or direction. 14 states have "opted out" of the federal supervision requirement.
Sorry, I forgot to specify interventional pain management. It just happened a couple months ago.
http://www.ama-assn.org/amednews/200...1/prsa0511.htm
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No. 16
from sewnew
Old Jul 07, 2009, 11:47 AM

Default Re: CRNA VS anesthesiologist MD
Originally Posted by markuskristian View Post
Sorry, I forgot to specify interventional pain management. It just happened a couple months ago.
http://www.ama-assn.org/amednews/200...1/prsa0511.htm
This may be a little ignorant, but what is the difference between placing an epidural in a chronic pain patient and placing an epidural in an OB patient???
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No. 17
from droopy1592
Old Jul 08, 2009, 01:18 AM

Default Re: CRNA VS anesthesiologist MD
The diagnosing of the cause of pain...
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No. 18
Old Jul 08, 2009, 11:26 AM

Default Re: CRNA VS anesthesiologist MD
Originally Posted by markuskristian View Post
Sorry, I forgot to specify interventional pain management. It just happened a couple months ago.
http://www.ama-assn.org/amednews/200...1/prsa0511.htm
Oh, interventional pain managment is a contentious issue, as the article you reference states, some State's regulatory bodies are of the opinion it is the practice of medicine, and some State's are of the opinion that it is not. In the previous post it appeared that you were stating that "independent" CRNAs were practicing medicine, and that is not true (that would be illegal).
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No. 19
from tfleuter
Old Jul 08, 2009, 03:18 PM

Default Re: CRNA VS anesthesiologist MD
I've only heard this second hand but....

My uncle is an anesthesiologist and one of the reasons he choose that speciality 30 some years ago was b/c it wasn't as popular and residency was easier to get into competiton wise. Today its the exact opposite. Its one of the most highly sought after residencies since the pay is excellent and the hours are tough to beat. So, not only will you need to attend quite a bit more schooling, but the competition for anesthesiology is intense as well.
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