How do you really feel about AA and would you go that route now if you could do over? - page 4
Just curious, I see all this information about AA's and now wonder how everyone in the field honestly feels about them. Also would this be the route you would have taken had the choice been... Read More
May 9, '07Regarding "so-so education" comment: Can only base this on observance of students in the OR and the associated performance. The program I attended (after 8 years of ICU experience) was extremely difficult: we were required to do 30per semester (organization of anesthesia plan) and also were told what cases we would have so we could prepare prior to arriving in the O.R. (often at 5 A.M. to prepare for open heart/AAA).
The AA students we get pick the cases when they arrive somewhere at 7 A.M. or after.........Many of the students who are 6 months or less from graduating can't answer basic questions such as what is the induction dose of propofol or what is a contraindication of hanging hespan..........I've had students not even check the airway circuit prior to cases who are getting ready to graduate! Our senior year of school was spent doing cases independently..........not answering basic questions or checking airway circuits would get u sent home..........some of the students I've had asked me if I was "having a bad day" if I stressed the importance of checking a circuit or not knowing basic drugs.......yes, bad day indeed. We also worked call, nights, weekends, holidays.........Yes, there is a big difference in the training. To be fair, I have had some very good students as well who I thought would be good practitioners. Yes, you made a good point about the good and bad apples out there but I just don't see the same level of didactic and clinical ability at similar stages.....perhaps some of these students will become good practitioners at some point.
Point regarding ICU experience: Not even close to being correct. Most of the people I attended school with were critical care nurses for at least 3 or more years. Having chemistry and pre-requisites is great but doesn't help you evaluate patients, doesn't provide you with the fundamental skills to interact with a patient and family, etc. etc. ICU experience has nothing to do with anesthesia but provides a great basis of medical experiences to build on. The best AA's I've seen were R.T.s prior to going into anesthesia!