Should Anesthesia Be an only MD Profession

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gotosleep

173 Posts

There do seem to be an inordinate number of MDs posting lately on this CRNA board. Makes one wonder about their motivations.

deepz

I disagree. I welcome their presence here.

randy SRNA

nilepoc

567 Posts

I'm confused. Did you not use this forum to solicit participation into a research study you were conducting for school?

Maybe I'm wrong though.

I did, but only after obtaining specific consent from the owner of the site, Brian. Here is a quote from that post.

Personal request to SRNAs

I would like to thank Brian for giving me permission to post this message in deference to the TOS. This is a NON COMMERCIAL study for my Masters, and as such, I have been given permission to post it this one time.

Thank you for pointing that out. He allowed me to do it as a favor. In the interest of full disclosure, here is the link to the post. Research post link

Oldsalt

47 Posts

Two questions come to mind:

Wouldn't it be more appropriate to compare the definitions of nurse and physician?

and

Why do you not support doctorates for CRNAs?

Thanks for your post.

In my use: Doctors/Physician (A person licensed to practice medicine; a medical doctor) was intended to be used synonymously- but doesn't change or lessen the point.

And I am certainly not against Doctorate programs - in fact I support them - but I meant that it is not necessary (IMHO) at this juncture for CRNAs.

In reading some post - I am surprised to see that some think that I am a MDA - I am not.

Regards.....

:)

Brenna's Dad

394 Posts

Interesting stuff Old Salt.

I'm wondering where you did your CRNA education. Unfortunately, it appears that many current programs are being limited in regards to their scope of practice. Some programs it appears are not teaching fiberotpics or nerve blocks.

The graduate CRNA is therefore limited in their practice.

Roland

784 Posts

NileProc, I was not attempting to be over literal in my reading of the TOS. However. I would contend that the word research is somewhat vague and could benefit from clarification. As we have recently seen in the courts with regard to various issues, even questions of established constitutional law are subject to a plethora of interpretations even by learned judges. It is not ridiculous to believe that well meaning posters might arrive at different conclusions as to the meaning of the term in its context here.

Oldsalt

47 Posts

Interesting stuff Old Salt.

I'm wondering where you did your CRNA education. Unfortunately, it appears that many current programs are being limited in regards to their scope of practice. Some programs it appears are not teaching fiberotpics or nerve blocks.

The graduate CRNA is therefore limited in their practice.

Thanks for your question.

I graduated from Gonzaga University which was excellent in central axis blocks but was completely lacking in Fiber optics and Peripheral Nerve Blocks (didactics only). I have had the fortune of working with some very open minded MDA's that have taught me my other advance skills (With much Patience and lots of humor). Followed with training at a Large Teaching University and Military Centers - which encourage the use of nerve blocks (since its obvious application in battlefield settings). I tell you this in complete humility and do feel very lucky to have received such training.

Unfortunately, many CRNAs are not blessed with such opportunities in meeting this very small minority of MDA's willing to educate (or learning in a military setting) and this is certainly the case for many of my fellow Anesthetists. So, every opportunity I have to share these skills and techniques with other CRNAs - I do.

I have been fortunate .....Completely by happenstance - My point of this post is to encourage those seeking to be educated not to be simply accepting of the status quo but to seek out and demand a complete education

Regards :)

versatile_kat

243 Posts

Kudos to your last response Old Salt. I like to believe that every CRNA/SRNA out there decided on the profession becasue they DON'T just want to sit around learn passively. But from some of your posts, it sounds like they do.

I hope that once I've completed school, I'll have the chance to work with experienced CRNA's/MDA's who enjoy teaching the novice CRNA (like you seem to). Thanks for posting and welcome to the board!

JSB

37 Posts

Specializes in MICU, SICU, NSICU.

For those of us who will be applying in the next couple of years, would some of you share what school you attend and how well rounded your education is? I would hate to be confined to strictly B&B cases because that's what my education was limited to. Thanks!

Jennifer

deepz

612 Posts

Specializes in Anesthesia.
I disagree. I welcome their presence here.

randy SRNA

Don't quite know why you think we might disagree, Randy, as I do not object to the presence of MDs and did not say such; I only stated that from some of their posts, one might wonder as to an MD's motivations for being on this CRNA BB.

Have you never known anyone to do the right thing for the wrong reason?

?

charles-thor

153 Posts

Welcome to the board Oldsalt. I'm sure there is much we can learn from you.

Roland

784 Posts

Why couldn't someone (who is capable) offer a series of training seminars where these procedures (such as peripheral nerve blocks) were presented and then demonstrated. I would think that many CRNA's would be willing to shell out some money and time (or perhaps their employers) in order to improve the scope of their practice. In addition, I wonder if some of these techniques might not be one difference between some of the 24 and 30 plus month programs that are out there. These are the sort of issues that could be dealt with via post graduate certifications.

Brenna's Dad

394 Posts

That's exactly what happens Roland.

However, i'm a wee bit concerned that the physicians who are controlling most team anesthesia practices are limiting the practice of CRNAs in an effort to provide a measure of distance between themselves and CRNAs. For instance, if CRNAs can't learn/do fiberoptics they are essentially unable to meet the standard of anesthesia care.

This may be conspiracy theory on my part however. I have no really evidence to base this premise on.

I do agree with Oldsalt in regards to patient advocacy however. Physicians, especially in the US, are for the most part excellent patient advocates.

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