Medical Direction of CRNAs

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Arch Guillotti said:
You are getting scammed because of greedy partners. Unfortunate that practices like this are allowed to exist.
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They won't credential me at ASC under the pretext that centers only allow a certain amount of docs, but there are openings... And the centers are where the group gets most of their profits
 
Well, if you think that your anesthetic plan is better than what the CRNA has offered, back it up with clinical situation and whatever scientific evidence is available and communicate with them in a non condescending manner. Be professional and leave the ego out of it. This goes both ways.
Similarly, you could be wrong or misread a situation as well and your support staff may know something important about the patient and their care and you don’t, and end up making a wrong decision based on unavailable knowledge or data. This can happen when you’re supervising 4 rooms in a tertiary care hospital and managing offsite cases also in between.
That’s why it’s best to maintain a collegial and professional environment at all times. It helps with communication and sharing concerns. The same applies to surgeons, pre op nurses and colleagues.
 
The CRNA you chew out over a case will definitely show contempt and stop
Communicating with you in the future. That will put you at even more of a risk.

be smart.
 
chocomorsel said:
That really really sucks. I would honestly never accept that and I don’t make much money nor ever been a partner. I guess I technically was for about six months and my pay barely went up.

Talk about a worse deal than even an AMC. Why must you be stuck there? Family? They will never offer partnership. People are greedy.
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Family..... Unfortunately. It's a great business model as a scummy way, especially since partners can write off as 1099 I believe and we are W2, so zero tax benefits, and no profit sharing or really anything. There are are better paying 7-3 gigs with AMC, but those involve lot of traveling
 
neutro said:
Well, if you think that your anesthetic plan is better than what the CRNA has offered, back it up with clinical situation and whatever scientific evidence is available and communicate with them in a non condescending manner. Be professional and leave the ego out of it. This goes both ways.
Similarly, you could be wrong or misread a situation as well and your support staff may know something important about the patient and their care and you don’t, and end up making a wrong decision based on unavailable knowledge or data. This can happen when you’re supervising 4 rooms in a tertiary care hospital and managing offsite cases also in between.
That’s why it’s best to maintain a collegial and professional environment at all times. It helps with communication and sharing concerns. The same applies to surgeons, pre op nurses and colleagues.
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One can be collegial and professional and still be the boss.
 
jwk said:
One can be collegial and professional and still be the boss.
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Sure. I’m sure you have a boss as well. So does your boss.
No one appreciates being ranked...
 
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ItBurnsInMyHand said:
Does an ideal job even exist anymore for new grads? :'(
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Under at least one of the following circumstances:

1. You lower your standards.
2. You are a rockstar resident/fellow And well liked and are geographically flexible.
3. You have a connection...e.g. daddy is a big shot in the anesthesia group or health care system.


Sent from my iPhone using SDN mobile
 
dr doze said:
Under at least one of the following circumstances:

1. You lower your standards.
2. You are a rockstar resident/fellow And well liked and are geographically flexible.
3. You have a connection...e.g. daddy is a big shot in the anesthesia group or health care system.


Sent from my iPhone using SDN mobile
Click to expand...

Geographical flexibility :arghh:
 
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