Rodman

The depth of the degrees are not the same. The pre-requisites for an MD and DDS are much more difficult and the actual programs for both are 4 years including summers with class work 8am to 5 pm. I agree that the PhDs are in a different class and deserve serious recognition. I do not beleive any of them are putting themselves out as clinicians (except psychologists) that would confuse the patients. This is not the case with DNPs or DPTs etc...

Keep in mind that "conscious sedation" is considered an archaic term by todays standard. The acceptable terms are minimal, moderate, deep sedation and general anesthesia. I do not believe that there is a physiologic correlation with your age delineation of under 30...

I miss the days when Dr was reserved for physicians and dentists.... Now the door has been left wide open and anyone can claim the title which leads to confusion....

Not true.. .Oral and Maxillofacial surgeons administer deep sedation on a routine basis. This is with an open airway and most states require two additional trained individuals (assistants)

Are you sure she had Versed? Propofol is very often used and lacks the significant amnestic effects of barbiturates and benzodiazepines

Please tell me how the dentist infected you? Have you read the latest AHA guidelines?

The take home here is that dental offices and dentists are regulated by dental boards. Each jurisdiction has regulations that are very specific for who is permitted to perform sedation/anesthesia in a dental office. Even though dental anesthesiology is a recognized dental specialty most state board anesthesia committees are led by oral surgeons. Oral surgeons historically side with their physician colleagues in the area of mid level providers such as CRNAs. CRNAs should not practice in a dental office unless they review the current regulations for the given jurisdiction. All jurisdictions will only allow for moderate sedation in a general dentist's office. The only exception is a dental or medical anesthesiologist who is able to perform a deeper level. In this case most states require the dentist to also have a minimal amount of anesthesia CE credit each license cycle. A CRNA who practices under the supervision of a general dentist with a moderate sedation permit must not allow the patient to go beyond the level of moderate sedation in this case.

hehehehehe

Did you teach them or share a room?

Sorry to trigger you

16.5.15.8 REQUIREMENT TO BE REGISTERED OR CERTIFIED: Dentists who administer nitrous oxide inhalation analgesia in New Mexico are required to be registered with the board. Dentists who administer minimal sedation, moderate sedation, deep sedation, or general anesthesia in New Mexico are required to obtain an anesthesia permit from the board. Any dentist who fails to comply with these rules may be subject to disciplinary action by the board. Anesthesia permits valid on the effective date of this rule continue to be valid until the expiration date indicated on the permit. A. Permit requirements: (In order of increasing complexity higher level permit includes all lower level permits within the scope of that permit). (1) Anxiolysis only: No permit necessary (single drug/single dose, within the normal therapeutic dose for anxiolysis). (2) Nitrous oxide alone: Permit required, no practitioner or facility exam required. (3) Minimal sedation: Permit required, no exam of practitioner or facility, affidavit of compliance required (single enteral drug, with or without nitrous oxide, below the maximum recommended dose). (4) Moderate sedation: Permit required, affidavit of compliance, oral, written, and facility exam required at the discretion of the board or its anesthesia committee (single enteral drugs above the maximum recommended dose, multiple enteral drugs, enteral drug plus nitrous oxide, any parenteral drugs). (5) Deep sedation/general anesthesia: Permit required, affidavit of compliance, practitioner and facility exam required at the discretion of the board or its anesthesia committee. Time for the Anesthetist group to update their info?

How about the info from the Dental boards of both of those states? Umm the actual regulations?? See my previous post with the links?? Did you see this? The actual regs that contradict your organization? Arizona requires a permit: https://dentalboard.az.gov/statutes-rules/rules So does NM: http://164.64.110.134/parts/title16/16.005.0015.html

Arizona requires a permit: https://dentalboard.az.gov/statutes-rules/rules So does NM: http://164.64.110.134/parts/title16/16.005.0015.html

Name the states?

PharmD, DDS, Residency, PhD Pharmacology (Was a paramedic while in college also) Published research while in DDS program and fellowship at NIH

Yes, Thank you for noticing...

Well for that matter so can a chiropractor or a minister... so go figure

Please give me and example of 5 states that don't require a dentist to have a permit. I taught in this area for 25 years and am well versed. The dental boards change regulations and their interpretation of the regulations more often than you might think... The anesthesia committees are controlled usually by OMFS who are generally friendly ot MDAs and not CRNAs. THey tend to over regulate

Well it is the NIH, the premier research organization in the USA. I think they are very capable of deciding who should chair a department. You are though, free to disagree from your given place.

Short answer is that to get a Master level degree (CRNA) you must first have a BS

A PhD nurse would be appropriate depending on what the PhD is in. The key here is that the director has to be well versed in the research process. The people at the NIH design clinical trials and then porifice the data The PhD would most likely have to be in one of the basi sciences-- Biochem, Pharmacology, Physical Chemistry, Analytical Chem etc etc Not many nurses have those PhDs as their undegrad education does not have the core sciences to qualify them for those grad programs. Physician with a PhD in the sciences who could sign off on clinical trials in this case

BTW. The dentist is on the hook for bringing in the CRNA in independent practice states if it is written in to the dental regs that he/she must have a permit to allow a CRNA to practice in his/her office.

The nurse is not a doctor This is a research position that is how

Incomplete and incorrect? Umm no.... your data is old... All states require sedation permits for dentists. Medicare does not cover dental procedures in a dental office btw

Please keep in mind that this is research oriented and not as over the top as you might think. The dentist has a terminal clinical doctorate with a PhD. That makes him/her qualified for this position.