At my University hospital, there is always an anesthesia faculty as well as an anesthesia resident or CRNA during induction and intubation. Sometimes, it takes several minutes to bag the patient down for intubation. Also, some faculty wants continuous bagging while placing of peripheral lines. With the drive for operating room efficiency, having a circulator popping instrument pans, opening supplies, draping robots, counting, and assisting the scrub tech is time better spent. However, the circulator should never be absent from the room and be available for immediate assistance to the anesthesia provider during induction and intubation. Also, there may be some patients (and anesthesia residence) that may require the circulator to be present at bedside. The difference between a CRNA and an Anesthesiologist is during the surgical case a CNRA throws their trash in the garbage can.