Is the AA profession gaining ground?

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Another thread peaked my interest on this issue. How fast is the AA profession gaining ground? I thought they were able to practice in only 2 or 3 states last year, but now it sounds like they are able to practice in 16? Will they be able to practice in even more states soon? Comments appreciated

Specializes in Anesthesia.
Your reaching for something to hang on to, but facts are facts-

Some folks are still holding on to their Confederate money, too!

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Well, that auta tell ya something right there!!!

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Just a outsiders view of the whole thing. Why in the world would any midlevel provider want to have all of this autonomy and basically be acting like a doctor. That is just extremely risky and I can promise you if and when the public is really and I mean really informed who do you think they will prefer as there provider? If you as a patient were given the opportunity to decide between a surgeon and an advanced practice nurse or any midlevel group and a doctor which one do you think would win out! I mean come on everyone why are you all pretending. Yes, you may have had a yrs. experience in the ICU but let me tell you from experience that don't mean jack compared to the rigors of a doctor, even the worst doctor has more education. 1 year experience in the ICU won't help one bit with a difficult airway which may have to be surgically obtained. Yes, you can maintain BP's in crashing patients but usually within a doctor ordered or hospital approved guideline, so the ICU experience although good and helpful does not make a midlevel any better than any other midlevel. I don't know why doctors have allowed this to go as far as it has because all they really need to do is to expose the public to how anesthesia is provided and that there are some instances where the is no doctor in anesthesia any where to be found for their surgery and I believe that would make a huge impact on this whole debate. It is a little silly to see some of the posts from nurses that think they can provide the same care as a doctor but even with studies do you think, I mean really, think that you are comparable to a physician! I have a lot of respect for nurses, especially those that have commited themselves to caring for sick patients and especially with the nursing shortages out there. But no midlevel provider should be doing anything to another human being without being supervised by a board certified doctor. Sorry for long post but lets all not forget how this all works or at least should work.

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[WIKI]"Just a outsiders view of the whole thing."[/WIKI]

After reading your innane post...

...one can see why.

Regards,

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Maybe there has been only 4 AA schools because there was no imperative to open up more. If CRNA's keep pounding on the MD's doors, I think you'll see more AA schools open up in the future.

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Maybe there has been only 4 AA schools because there was no imperative to open up more. If CRNA's keep pounding on the MD's doors, I think you'll see more AA schools open up in the future.
A fifth is opening shortly, several others in the planning stage. Sorry to spoil your party.
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Frankly, I would choose a midlevel provider for my care, and my families care. When I broke my leg I had a CRNA, and felt safer. I've worked PACU for too many years to know a few things. Oh! a midlevel provider set my leg the day befor the surgery.

Facts: MDA are not required to have any ongoing education. CRNA's must keep up with their education to practice.

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Facts: MDA are not required to have any ongoing education. CRNA's must keep up with their education to practice.

Nice misleading statement - check your facts first.

Many states require MD's to have continuing education as a condition of re-licensure. In addition, board certification for anesthesiologists that are initially certified in 2000 or later is now time-limited - they must recertify every 10 years if they received board certification, and the process includes a formal recertification examination.

AA's have a 6-year recertification track. There is a minimum 40-hr CME requirement that must be met every 2 years. In addition, AA's must pass a recertification exam every 6th year after their initial certification.

So - the FACT is that CRNA's are the only anesthesia providers that have ONLY a CME requirement to maintain their certification, and does NOT require any kind of actual recertification examination as a condition of ongoing certification in their field.

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Nice misleading statement - check your facts first.

Many states require MD's to have continuing education as a condition of re-licensure. In addition, board certification for anesthesiologists that are initially certified in 2000 or later is now time-limited - they must recertify every 10 years if they received board certification, and the process includes a formal recertification examination.

AA's have a 6-year recertification track. There is a minimum 40-hr CME requirement that must be met every 2 years. In addition, AA's must pass a recertification exam every 6th year after their initial certification.

So - the FACT is that CRNA's are the only anesthesia providers that have ONLY a CME requirement to maintain their certification, and does NOT require any kind of actual recertification examination as a condition of ongoing certification in their field.

Cite your references, please-

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Cite your references, please-

For CRNA:

http://www.aana.com/uploadedFiles/Credentialing/Recertification/Recertification_Requirements/060626_recertbk.pdf

its on Page 5

For AA:

http://www.aa-nccaa.org/cgi-bin/cert.pl

For anesthesiologist:

A. Initiatives at federal, state and local levels convinced the ABA that some of its diplomates would need or desire a mechanism to demonstrate their continuing qualifications. In May 1989, the ABA announced its intent to develop a program for continued demonstration of qualifications ("CDQ"), which would afford its diplomates the opportunity to voluntarily demonstrate current knowledge and quality of practice. The ABA approved a policy of time-limited certification in 1995. All certificates issued by the ABA on or after January 1, 2000 will expire ten (10) years after the

year the candidate passes the certification examination. The ABA took this step to reassure the public that the diplomate continues to demonstrate the attributes of a Board certified anesthesiologist. The ABMS approved the ABA recertification proposal in March 1996. Subsequently, the ABA changed the name of the CDQ program to recertification.

The full recert information can be found here:

http://www.theaba.org/materials/BOI-2007.pdf

David Carpenter, PA-C

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Cite your references, please-

AA ongoing certification:

http://aa-nccaa.org/certification.htm#Certification

Anesthesiologists ongoing certification:

http://www.abpsga.org/certification/anesthesiology/recertification.html

Now please cite YOUR references to back up your incredibly innaccurate and misleading statement. As JWK stated, CRNAs are the ONLY anesthesia providers not required to take a periodic recertification exam - FACT!

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