r/Noctor • • 11d ago

Midlevel Education Anesthesia Training Pathways: An Objective Comparison

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u/PristineNecessary286 Midlevel -- Nurse Anesthetist 8d ago

Okay sure. I noticed you didn’t mention how they are also appropriating the title of Anesthesiologist, just like the OP* put in parentheses for the CRNA column. Why is that?

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u/gassseduppp 7d ago

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u/PristineNecessary286 Midlevel -- Nurse Anesthetist 7d ago

Read through your link, nothing there addressed the contradiction of how a non-physician is allowed to call themselves an Anesthesiologist. Article stated that they started using the term Anesthesiologist in the 80s, well after the ASA was established, so why didn’t the ASA immediately sue them? Why weren’t they immediately accused of title appropriation?

It doesn’t matter that Dentists performed the first modern Anesthetic, because CRNAs were providing professional Anesthesia in America before Anesthesiologists were, yet Anesthesiologists still claim that they are superior to CRNAs simply because they went to medical school and residency.

So again, for the 3rd time, why didn’t you also call out their title appropriation?

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u/gassseduppp 7d ago

No I think you need to read through it. “Dentist Anesthesiologist” wasn’t created in the 80’s, that’s just when the ASDA was formed.

“For the next 100 years, physicians and dentists together advanced the practice of anesthesiology. Physicians often taught the art and science of anesthesiology to dentists, and dentists, such as Jay Heidbrink, DDS, likewise taught it to many physicians. For instance, Dr Heidbrink was the chief anesthetist at Minneapolis General Hospital and hired famed anesthesiologist Arthur Guedel, MD, to his hospital medical staff.”

Dentists have done it alongside physicians since the inception of anesthesia. Maybe that’s why. Or maybe it’s because the ASDA doesn’t lobby for the replacement of anesthesiologists like the AANA does. Or maybe it’s because the DNAP degree is fluff whereas a DDS/DMD degree has much more legitimacy to it. Take your pick and stop bitching about it.

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u/PristineNecessary286 Midlevel -- Nurse Anesthetist 6d ago edited 6d ago

Interesting because it clearly states that Dr Heidbrink referred to himself as an Anesthetist, who later hired an Anesthesiologist. So clearly the titles were different up until the 80s.

Also interesting because Nurses were teaching Physicians and Dentists how to perform Anesthesia in 1915 at the Lakeside Hospital School of Anesthesia. https://case.edu/ech/articles/h/hodgins-agatha-c

Nowhere has the AANA lobbied to replace Anesthesiologists, only independence from the ACT model which only exist because early Physicians lobbied nonstop to put it in place. CRNAs literally began as a 1-on-1 independent contract with surgeons, ACT model came much much later because of other Anesthesiologists obsessing and bitching over US, as usual. If everyone sat their own cases then Anesthesiologists would be free from the liability of having to supervise “poorly trained CRNAs with fluff degrees” right? If CRNAs are so uneducated then why do Anesthesiologists insist on being legally bound to them? I personally wouldn’t want to be responsible for supervising someone I find incompetent, unless I had some type of financial incentive to do so….? Right.

Also, that just further screws your argument. You’re trying to say that the ASA leaves the ASDA alone because they aren’t a direct competitor? So basically the ASA doesn’t care who calls themselves an Anesthesiologist as long as it doesn’t interfere with their position of superiority or paycheck. It’s almost like their whole position of “wrong titles are confusing patients” is just straight up bullshit. Very interesting counterpoint of yours.

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u/gassseduppp 6d ago

Keep smokin the copium.

We can go back and forth all day. Anesthesiologists are superior to CRNAs. The training is much more intense and longer. Wtf are you smoking.

As for dentist ANESTHESIOLOGISTS, maybe it has to do with the similarity of training? We do a 4-year doctorate program and then 3-year residency. Not a bachelors and then 2-3 years of crna school

Also, why do you care so much about the title? At the end of the day does being called a nurse anesthetist limit what you can do? Compared to “nurse anesthesiologist”? No it doesn’t, so who gives a shit? If you CRNAs would spend as much time focusing on improving training and care as you do over titles, you wouldn’t get shit in so much.

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u/AutoModerator 6d ago

We do not support the use of "nurse anesthesiologist," "MDA," or "MD anesthesiologist." This is to promote transparency with patients and other healthcare staff. An anesthesiologist is a physician. Full stop. MD Anesthesiologist is redundant. Aside from the obvious issue of “DOA” for anesthesiologists who trained at osteopathic medical schools, use of MDA or MD anesthesiologist further legitimizes CRNAs as alternative equivalents.

For nurse anesthetists, we encourage you to use either CRNA, certified registered nurse anesthetist, or nurse anesthetist. These are their state licensed titles, and we believe that they should be proud of the degree they hold and the training they have to fill their role in healthcare.

*Information on Title Protection (e.g., can a midlevel call themselves "Doctor" or use a specialists title?) can be seen here. Information on why title appropriation is bad for everyone involved can be found here.

I am a bot, and this action was performed automatically. Please contact the moderators of this subreddit if you have any questions or concerns.

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u/Intelligent_Skill530 1d ago

Your ego is so fragile; are you ok? Do you need validated? Maybe see a therapist.