Should I Worry About Future of CRNAs? - page 3
So I've been reading about a few things that worry me: 1. Oversaturation of CRNAs. 2. MDAs pushing back against them. 3. Insurance reimbursement going down for anesthesia. 4. The push for AAs... Read More
May 7, '11I wouldnt be concerned about the CRNA market. We offer a valuable service, and are cheap in comparison to MDA's. AA's are a nice idea in theory: but the oversight is so high (1 MDA to 2 AAs) which makes them not so helpful when playing the #'s game.
So if you want to be a CRNA, that shouldnt stop you. However, I am mostly concerned by your genetic link to MH. The majority of anesthetics given are through gases that can trigger MH. If you knowingly have it: id be concerned for you. These gases leak out of our circuits, and consistently leak while doing mask inductions. I'd hate for you to have a fatal reaction. This is something to discuss with a doctor, and you can get muscle testing to see if you have the suseptibility. However I would strongly caution you: i breathe these gases all the time... I personally wouldn't risk it.
May 9, '11The supervision requirement for AAs to MDAs varies by state with some being 2:1, 4:1, and at least one state that doesn't specify a certain ratio at all. http://www.gana.org/documents/AA_fact_sheet_508.pdf. To meet the billing requirements for Medicare and the requirements of the ASA for an ACT practice an anesthesia practice has to stay at 4:1 ratio or less.
May 10, '11You realize in the last year, there have been several more staffing agencies come on board and the overall economy of the US has declined. I would take the job posting of one website and run with a conclusion. Fact is...CRNA's cost less than MDA's. Fact is...CRNA's are highly skilled and you can't have an RN substitute for what is essentially the practice of medicine, not nursing. Last of all, AA's were created by MDA's. They own them. They want them on a leash. Simply put, there are so many jobs for CRNA's out there now and always have been in small rural areas that pay amazing amounts of money. There are on average, 2 Anesthesiology Residency Programs closed each year in the last 5 years because of CRNA's. Simply put, CRNA's are independent in more and more states everyday. Whenever CRNA's get to the point of Medicare Reimbursement which is the case in many states and growing, there is no turning back. Simply put, there is no bubble for them, or if it is, the same applies to MDA's.
May 11, '11I have two family members, one an MDA one a CRNA, who are currently practicing.
The MDA is very cautionary/pessimistic about the future of MDAs as clinicians. They think that they're turning more and more into a supervisory/administrative position (this is their view of where MDs as-a-whole are headed. With the rise of NPs, PAs, AAs, CRNAs as the practicing clinicians, with no data showing a discrepancy in care, MDs are having more difficultly justifying their expense/debt).
The CRNA is doing more and more every year -- and they think they work at a hospital that's on the more conservative end of the CRNA-autonomy-perspective -- and has seen their Anesthesia Dept swing from mostly MDAs to mostly CRNAs over the last couple of decades.