How do CRNAs/SRNAs benefit anesthesiology residents? - Page 3

athlein - you are absolutely right, i spend way too much time on this board (usually when i am on call between cases)... sometimes I see myself as the lone voice to correct a lot of misperceptions that are brandied about by CRNAs thus influencing SRNAs.

how is my comment incendiary? or personal? whatever....

this will be my last post

See message # 14 on this thread as to opinions.

deepz

Sometimes it's better to leave things unsaid...

This board has become a nightmare.

Over half of the posts/threads have deteriorated into juvenile bickering. It is sad really, considering how good it was a year ago. This board has been taken over by knee-jerk zealots. The self-serving pontificating by first year SRNAs combined with radicalization of some the veteran CRNAs has become nauseating.

Tenesma has consistently been one the better posters here (regardless of the fact that he is a MDA). I am sad to see him go.

This board has become nothing but a source of negativity. I am embarrassed to be a member of it.

This will be my last post as well.

before you go, can you expand on this comment?
d

I would much rather wake up to a CRNA than an MD (mostly) because waking up to a nurse is much better than waking up to a doctor1

All internet groups evolve and change. And individuals wax and wane in their interest and desire to participate. I hope you both take a break, and return when you feel the desire and/or need. That is perfectly fine, and done all the time on these type of forums.

For myself, I was getting a little tired of the same old "how do I get into school" threads, and have enjoyed something with a little substance. Yes, there is always some negativity. The ability to stay anonymous, and not really have to take responsiblity for one's comments breeds some of that. And some people are confrontational as a device to stimulate reactions. And I believe anytime you have people with varied backgrounds, all interacting together, there is more potential for volatility. But I have found it best to focus on the nuggets that are of interest, and just ignore whatever is offensive or of little interest.

Just like I have learned to ignore the "how to get into school" topics (not that they are offensive). No need for me to fuss about them. They are important to somebody, and filling their needs. And I know how to skip over the posts that I'd rather not read. A good skill for all of us to practice.

loisane crna

As for the site clearly stating that there is an editorial section, yes, that's true, as long as you get past the first page, which has no disclaimer about the information written there. Anyway, I think the site is full of misinformation, and even if I'm wrong, like I said before, I can't check any references. Example, training costs, "(Average $635,000 for a doc, $59,000 for a CRNA)" - where did this come from?

And information that is just flat out wrong? "CRNAs and anesthesiologists are functional equivalents" - This isn't true, and you know it. I'm not saying ANYTHING about one being better than the other, just saying, they're not functional equivalents. We can duke this out, but I don't think it's worth either of our time.

"In anesthesia training however, there exists little difference: both groups receive education that is essentially equivalent, often attending class and clinical side by side" Again, not really true. Sounds like it MIGHT be true, but isn't true. You'll probably want to debate this, let's see.

"Today some 31,000 CRNAs provide two-thirds of the anesthetics in America." Yeah, I'm guessing this is probably true, but I can't tell where this statistic came from, but anyway, it's just misleading, it makes it seem like physicians are not involved at all in those anesthetics.

"Anesthesia is unique, the only medical modality that does not aim to diagnose and cure; rather, our unique role is supportive care." Not true. Palliative care physicians and palliative medicine provide supportive care. In the rest of medicine, there are tons of examples of not being able to cure disease. Do internists always cure hypertension? What about ID docs and HIV? What about the cardiologist who treats A.fib? Are you going to tell me they're not practicing medicine because they couldn't cure the disease? Anesthesiologist/CRNAs diagnose and treat tons of perioperative conditions, whether that be postop nausea, or intraop arrythmia, preop anxiety, post op hypotension, and on, and on, and on. To say I don't diagnose and attempt to cure, even though I may only treat a condition, belittles what I do, and that's offensive.

On another note, Loisane, you're definitely right, I think there are many ways for an anesthesia care team to function, and I'm sure they are incredibly varied depending on the members and their chosen dynamic. Most of us only know how our small chunk of the pie works. Thanks for engaging me on this topic without getting ugly.

Athlein, I think it's important to have different view points in any discussion group. Attacking Tenesma for being an active member here just makes it seem as though you don't want a differing opinion. The topics discussed by CRNAs affect anesthesiologists and vice versa, we should be writing in each others discussion groups.

It's late, I'm tired, and I'm interested to see what people say.

TD

Tejasdoc,
can you elaborate a little more on why you feel that CRNA's need to be supervised?

"I understand that you feel CRNAs do not need supervision, I disagree, but I think the definition of an anesthesia care team is pretty clear".

Tejas,
Please edit your post to remove the portion that attempts to reveal personal information and the identity of one of our members. It should be left to each of us individually to decide whether we want to remain anonymous. It shouldn't be a punitive action on the part of another poster.

As far as attacking goes, did you read my post to Tenesma, or are you assuming some of its content because of his reply? I did not reply with an attack due to a difference of an opinion, I merely called him on what I perceived to be a personal, derogatory remark about another poster.

I, like gotosleep, am sad to so many threads deteriorate due to inflammatory remarks from all sides of the group. If we aren't more tactful, we won't have any members left!