Why no CRNA's in Canada - page 2

by Simonne

42,856 Unique Views | 19 Comments

I keep hearing about the CRNA program in the US, but I don't understand why there aren't any CRNA's in Canada. I live in Canada and with the shortage of Anestheologists, I don't understand why Canada isn't screaming for them. I... Read More


  1. 0
    strongly consider coming to the USA and training. Many rural hospitals will offer you a J1 Visa position to work in the USA for dual citizenship. Here in Washington there are many practices that are within commuting distances over the boarder into Canada. The other post about Ottowa was interesting Nurse Practitioner-Anesthesia? AAs in Canada? Wow, maybe you should look there?


    good luck
  2. 0
    No, an AA is not the same thing as a CRNA in the states...its different

    For the person who posted that it should be 20 months not 20 weeks this is what i found on the Michener website (an AA program offered in Toronto, Canada)

    http://www.michener.ca/ce/postdiploma/anesth_asst.php

    Anesthesia Assistant: At A Glance
    Credential(s) Earned Graduate Certificate Program Length Advanced: 14 weeks + minimum of 6 weeks clinical education
    Basic: 20 weeks Delivery Method Advanced: part-time, one day per week for 13 weeks plus a 5 day residency
    Basic: part-time distributed learning with 5 day residency at end of semester
  3. 0
    "the creation of anesthesia care teams is an innovative approach that helps address the shortage of anesthesiologists in ontario as we maximize the skills and experience of trained professionals to provide greater surgical support."

    anesthesia care teams are a collaboration between anesthesiologists and two innovative new health care roles, anesthesia assistants (aas) and nurse practitioners-anesthesia. these teams are created as part of the government's healthforceontario health human resources strategy. anesthesia care teams will increase access and decrease wait times for surgical procedures by increasing the number of trained anesthesia professionals in the health care system. nine pilot sites are being established across the province....

    anesthesia assistants are trained health professionals who provide
    technical and operational support to the anesthesiologist....

    ...nurse practitioners-anesthesia are registered nurses with advanced
    preparation at a masters level who will take part in the provision of
    anaesthesia care. the government is providing the university of toronto with funding to establish a joint program between the faculties of nursing and medicine to provide a comprehensive curriculum required for nurse practitioners-anesthesia to participate in the anesthesia care teams


    from healthforceontario

    anesthesia assistant
    a health professional who participates in the care of the stable surgical patient during anesthesia, under medical directives and under the supervision of the anesthesiologist. respiratory therapists and registered nurses who successfully complete the program will work in anesthesia departments as part of an anesthesia care team.
    http://www.healthforceontario.ca/wha.../newroles.aspx
  4. 1
    In one of our classes we have to write an advocacy letter to lobby for a health care issue. I was thinking about writing about how nurse anaesthetists could shorten surgery wait times etc, but does anyone know who the letter would be addressed to? would it be CNO or the ministry of health?
    loveanesthesia likes this.
  5. 0
    I was very interested in moving to Canada and working there. Until I found out there are no crna's there. And according to what I could find on the web (I know it may not be too accurate) I make way more than an anesthesiologist there. I would have to pick up another career all together to move there.

    To the person asking about US salaries, there is a wide range, and depends on where you work and what kind of patients you take care of. Salaries can range 100,000 to 200,000. I believe the average would be 130,000 for new grads. Wtih experienced being up to 170000. I personally know alot of CRNA's who clear over 300,000--but they work 60 hour work weeks getting locum tenen rates.

    I personally find that the salary ranges you find online are several years old and about 20,000 to 30,000 behind current salaries.
  6. 0
    I am from Newfoundland and did my undergrad and nursing program there. I now practice as a CRNA in Ohio, USA. In my opinion, there are no CRnAs in Canada due to the socialized medicine system. It does not fit the financial restraints of the govrnment funded health system to enable more access to surgery by using CRNAs!

    In Newfoundland especially, the government does not want to pay money on surgeries, as evidenced by the 6 month or more long surgery wait lists. They use the shortage of providers to their advantage. Flood the system with CRNAs, and they will have to pay for more surgeries, and this does not fit there budget. This sounds syndical I know, but it is true!

    I too would not go back to practice as a CRNA! The cut in pay would not be worth the move!
  7. 0
    Nursx2, very curious as to the difficulty of getting into the US and starting to practice as a canadian graduate. I too have looked at travelling that path, but as a canadian RN, it seems like there are a few roadblocks to overcome. Did you use a company to help you get all the paperwork in order so you could get into the states? Or did you do all the reasearch yourself?

    Sorry, it's just hard to find your breed, a recent canadian RN turned CRNA! I am very curious if you would be willing to share any wisdom you may have.
  8. 0
    Nursx2 hasn't been on AN for over a year so you may not get an answer.
  9. 0
    there is some false information being spread about the delivery of Anesthesia in Canada.

    First, it is rare to find an Anesthesiologist earning less than 300K in Canada. The average yearly income is closer to 400K

    It is quite rare to find surgeries cancelled as a result of no Anesthesiologist being available. We have dealt with the overall shortage of FRCP Anesthesiologists (board certified) by providing an additional year of training in Anesthesia to Family Doctors in rural areas. This is a superior system compared to the US, as it does not draw nurses out of the general pool of nurses available (because there is a shortage of nurses in Canada), and it allows anesthetics to be delivered by physicians...who know and appreciate when a patient is too high risk for them to give them an anesthetic in a rural community, or when they feel their skill set is not at a level to give an anesthetic to a particular patient.

    The only time surgeries are cancelled as a result of no anesthesiologist being available are when a group chooses to limit the number of anesthesiologists because there isn't a need for more on a day to day basis, and one happens to be sick or have an emergency and become unavailable during a day.
  10. 2
    Quote from lgher
    there is some false information being spread about the delivery of Anesthesia in Canada.

    First, it is rare to find an Anesthesiologist earning less than 300K in Canada. The average yearly income is closer to 400K

    It is quite rare to find surgeries cancelled as a result of no Anesthesiologist being available. We have dealt with the overall shortage of FRCP Anesthesiologists (board certified) by providing an additional year of training in Anesthesia to Family Doctors in rural areas. This is a superior system compared to the US, as it does not draw nurses out of the general pool of nurses available (because there is a shortage of nurses in Canada), and it allows anesthetics to be delivered by physicians...who know and appreciate when a patient is too high risk for them to give them an anesthetic in a rural community, or when they feel their skill set is not at a level to give an anesthetic to a particular patient.

    The only time surgeries are cancelled as a result of no anesthesiologist being available are when a group chooses to limit the number of anesthesiologists because there isn't a need for more on a day to day basis, and one happens to be sick or have an emergency and become unavailable during a day.
    Newborn died due to staff shortage, anesthesiologist says - British Columbia - CBC News

    This doesn't seem to be true in British Columbia.

    Where is your research to show that FPs or MDAs are better suited to deliver anesthesia rather than CRNAs in any setting rural or otherwise? An FP with one year of additional training in anesthesia is hardly a substitute for board certified anesthesiologist or a CRNA. CRNAs in the US deliver the majority of anesthesia care, and are the vast majority of rural anesthesia providers in the US.
    ckh23 and NRSKarenRN like this.


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