CRNA Vs. MD

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Hello everyone, just found this site so this is my first post.

Currently I am an undergrad working on acceptance to medical school. I'm not going to lie though, a majority of the motivation is the money. I just discovered CRNA's though and they make a lot of money with little debt doing roughly the same thing I wanted to do in the first place. I have a few questions I hope someone can help me out with here:

1) On a day-to-day basis, what would a CRNA end up doing? This can be broad, I just want to get an idea of if it's just put patients to sleep and wake them up or more.

2) How long would it take me to get a CRNA. Currently I am a sophomore in Psychology (finished all physics, bio, chem, math).

Thanks!

You are right a surgeon does have to make sure a Crna is capable to perform their work. But so do they supervise anesthesiologist too.

*** are you talking about???!!!! the surgeon does not "supervise" an anesthesiologist.

Specializes in Anesthesia.
CRNAs do have to be supervised. That is the main difference between a CRNA and AA. An AA has to be supervised by an anesthesiologist. A CRNA has to be supervised by a physician. Therefore, the surgeon counts as the supervising physician for the CRNA. They are not working indepedently. That physician supervision is required; it just doesn't have to be an anesthesiologist.

If by supervision you mean that surgeon/dentist/podatrist/radiologist etc (the "supervising" person does not have to be a physician)requests anesthesia and then technically becomes the supervising provider then yes you are correct, but since the "supervising" provider rarely incurs any responsibility for anesthesia complications and for the most part has no clue about what the anesthesia provider does, is that truely supervision or not?

AANA - Legal Briefs, June 1997 -- The Nature of Supervision

*** are you talking about???!!!! the surgeon does not "supervise" an anesthesiologist.

Maybe ,I didn't make it clear enough you look up laws were states I work the surgeon has to make sure the provider, MDA or Crna is capable to do their work plain and simple thats all. Didn't mean supervision as in tell ya what to do, so plain english were on the same playing field .

The surgeon has no such responsibility, or authority period, no more then we are responsible to make sure the surgeon is capable. Where do you come up with this?

You have absolutely no idea what CRNAs practice is like as evidenced by your comment. MDs aren't required to oversee CRNA practice in any state, every state has CRNA only practices, and practices where CRNAs and MDAs work together but independently doing their own cases.

I am not a CRNA and you are right I don't have an EXACT idea about CRNA practice. There is a lot of animosity on this forum and many others related to CRNA vs. MDA. I understand that this is a heated political argument- just trying to point out the fact that there are other things to consider (needs of the patient- its not all a ******* match and this is why I want to become a CRNA and not an MD) and that there are some legal differences in practice for CRNAs and MDAs. I am not trying to minimize the importance or competence of either. I believe, with my limited knowledge that CRNAs are more than competent to carry out their duties without supervision of an MDA and I misspoke when I said that all CRNAs need to be supervised by an MDA. Thank you for clarifying the facts:)

You have absolutely no idea what CRNAs practice is like as evidenced by your comment. MDs aren't required to oversee CRNA practice in any state, every state has CRNA only practices, and practices where CRNAs and MDAs work together but independently doing their own cases.

Really?? What state doesn't require a CRNA to be supervised by a physician?

Specializes in Anesthesia.
Really?? What state doesn't require a CRNA to be supervised by a physician?

See my previous post... There are independent CRNA practices in every state.

See my previous post... There are independent CRNA practices in every state.

They are still being supervised. It is just by ANY licensed physician... whether it is a surgeon, family practitioner, psychiatrist, etc... There isn't a CRNA floating around putting people under and no physician there to operate... that physician is supervising the CRNA.

Specializes in Anesthesia.
They are still being supervised. It is just by ANY licensed physician... whether it is a surgeon, family practitioner, psychiatrist, etc... There isn't a CRNA floating around putting people under and no physician there to operate... that physician is supervising the CRNA.

By your definition then MDAs are supervised too. Why don't you define supervision of CRNAs.?

He doesn't get that part, obviously...

Specializes in CRNA.
They are still being supervised. It is just by ANY licensed physician... whether it is a surgeon, family practitioner, psychiatrist, etc... There isn't a CRNA floating around putting people under and no physician there to operate... that physician is supervising the CRNA.

In some states that is true, in order to bill Medicare the CRNA must have a 'supervising' physician. Supervision does not mean directing the anesthetic, the CRNA is entirely liable for the anesthetic. The CRNA is the expert in anesthesia in that case and only if the operating physician begins to direct the anesthetic-which most are informed enough to not do-will the physician begin to assume partial liability. There are close to 20 states where there is no requirement for physician supervision for CRNAs to bill Medicare as the states have 'opted out' of the physician supervision requirement. California is the most recent state to 'opt out'.

Now supervision can mean several things, for CMS purposes it is billing, it all depends on the states laws, some states require "collaberation" in the legal sense this is much different then supervision. They arre worlds apart, this means that no physican can direct the anesthetic given by a CRNA. Now does a surgeon have to give an order for anesthesia or bring in a patient well yes not like anyone MD or CRNA can just drag in random people for an anesthetic.So forever laur and moneyline it is you who do not understand CRNA practice supervision opt out etc. etc.

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