Integrated Clinicals?

  1. Hi,
    I was wondering if some of the CRNAs or SRNAs could share your opinions about the benefits or drawbacks of having clinicals integrated throughout the program? What are the pros and cons of having the didactic portion front-loaded and then all clinical, or having the clinical starting early in the program and increasing in time near the end?
    I know the number of clinical hours is probably similar, but I would like to know how the program and learning curve is affected by the timing of clinicals. Thanks.
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  2. 8 Comments

  3. by   Brenna's Dad
    I think the benefit of the integrated program versus the front-load, is rather obvious. You get to put what you learn into practice within a relatively short period of time.

    I am presently attending a school with an integrated program and it's rather nice so far. Only one day a week of clinical so far, but it's nice to see all we've learned so far put into practice.
  4. by   WntrMute2
    I'm also in an integrated program. I'm glad I choose it as I would be pretty bored sitting all day every day. Also you get to actually use the Blue/purple/Yellow gas, not just study them. Also the CRNAs you work with get to know you before you are expected to know everything so I think they take a more active part in your early education. On the other hand, having just 1 clinical day at the beginning when you are overloaded with book work seems too much. It does work out though. I would consider the differences as I was making my decision but it would be just 1 (although big) factor.
  5. by   alansmith52
    I can see this becoming a rather controversial topic in a hurry. I have herd the other side from educators in the profession so the opinions expressed here are not those of the poster.
    The picture was painted to me by one Educator PHd, AandP professor and backbone of Wesleyan. imagine being in a intergrated program you get to the hospital about 0500 watch and participte in cases until lunch and then after lunch you all go to a class room where the "educator" would try to keep everyone awake for the next three hours. all along the didactic days become more and more a drag becuase you would rather be in the OR. you might see how less and less attention is payed to the finer points of providing anesthesia and turn more to the intresing skillzy type stuff. " you have to wonder if those students ever really get the finer points of the craft".
    this person had been the major educator in programs that practiced both models.
    as for me I am yet to form an opinon. true I would love to get right into the OR today, oh the other hand this is really my only chance in life to completely imerse myself in the cellular leval an so called "finer points" without distraction. nough said both obviously produce very competent CRNA's
    matt
  6. by   yoga crna
    One of the major advantages of an integrated program is that the student and the faculty can determine whether or not anesthesia is the best choice for this individual. A student may ace all of the classes, but not be able to apply that knowledge in the operating room. Better to know that early rather than later. Remember anesthesia is a clinical field and those skills are critical to a sucessful career.

    Yoga
  7. by   Brenna's Dad
    A very interesting point Yoga. Indeed, I had my first clinical day 2 weeks ago and was happy to confirm just how interesting I find anesthesia. I remember thinking at the time what a bummer it would have been, if after four months, I found out that it truly wasn't my thing.

    Missed my intubation btw.
  8. by   yoga crna
    Brenna's Dad,
    Keep practicing intubation on the mannequin. You are in an excellent program and will learn those important clinical skills.
    Yoga
  9. by   CRNA, DNSc
    Integrated programs vary on how and how much clinical integrated. Clinicals and classes are held on separate days in our structure which allows the student to focus on that activity. .
  10. by   TraumaNurse
    Thank you all for your input. I find it interesting to hear the points of view coming from both sides. I have my own mixed feeings about which format I would prefer if given the choice, but I guess I won't really be able to form an opinion until I am knee deep in it!

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