I think there is an aspect of this discussion that has been over looked, the "big picture" factor. If we, as a profession, do not contribute to our knowledge base through research then we are allowing physicians to dictate our practice. Doctoral education is a prerequisite to be taken seriously at the national level, to get funding and grant money. Most program directors do not even have a PhD. Is this acceptable in other professions? Not generally. More professors in nurse practitioner programs have PhDs and other doctorates that anesthesia programs. A CRNA DNP will not add that much time to the program length, and will lend parity with other professionals, such as PTs and ParmDs. Also, to say that one may have chosen to go to med school instead of CRNA school implies that they are seen as being equal in time and training, but this is not true. After a bachelor degree, a DNP will take 3-31/2 years, while med school + residency is 7+ years. From a strictly monetary standpoint, CRNA offers enormous "bang for your buck". Many physicians graduate with >150k in debt and if you are not a specialist will start out around 90k a year. CRNA have much less debt and start out making more money, in general. Doctoral education enhances the standing of the profession in a time when the struggle to legitimize ourselves has intensified.