Re: taken boards max. times and failed
I wouldn't say the CRNAs are held to a higher standard, but you must pass the Certification exam before you can be licensed. A physician license is not based on Board Certification, in fact they can't become Board Certified until they have been in practice a prescribed period of time. Board Certification is becoming more of a 'requirement' for physician's, ie reimbursement tied to either being Board Eligible, or Board Certified, or by institutional policy. For CRNAs it is an absolute, have to pass boards to practice. There are some temporary exceptions for new graduates in some states, usualy in the 1-2 month range while you wait for board results.
The CRNA Certification Exam began in the 1940's, so the long history is a factor in retesting. A national exam was cutting edge at that time, and retesting was not included. It has/is being discussed. What are the reason's retesting hasn't been mandated? My take: cost-setting up the infrastructure to retest 35,000+, lack of effectiveness-it is debatable that patient care would be improved. I think we can all agree that someone may be able to pass any test but not be able to perform in the clinical area. Passing boards when you first graduate from a nurse anesthesia program is not the best indicator of competence, it is
the fact that you graduated from a nurse anesthesia program where experts have observed your practice and judged it to be safe. I do think we will see retesting in nurse anesthesia.
For the current requirements to take the Certification Exam,
http://www.aana.com/Credentialing.as...enuID=6&id=143
You must pass boards within 2 calendar years of official completion of a program, you can test a max of 4 times in 1 calendar year. "Candidates who do not take and pass the Certification Examination within two calendar years of completion of the nurse anesthesia educational program will not be eligible to apply to take the Certification Examination unless they enter and complete another unabridged accredited nurse anesthesia program."
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