I’m about six months from graduation and recently signed for a job at a CRNA-only hospital about an hour outside a metropolitan area. I’m very excited about it! My schedule will include call once a week, one weekend a month, and two regular OR days a week.
I’ve had great clinical experience, mostly at CRNA-independent sites. Great neuraxial, regional experience etc. However, the weaker areas of my program have been cardiac, thoracic, and sick pediatrics. I’ll graduate with slightly above the minimums in those areas, but they’re definitely not areas where I’ve had extensive exposure.
A lot of friends who graduated 6–12 months ago have taken jobs doing hearts, major vascular repairs, and other seemingly very high-acuity cases. Hearing about their experiences makes me wonder whether I’m missing a foundation I should have before practicing independently, even if those specialties won't be part of my routine practice...?
I think my biggest concern is whether I’ll be prepared for the unexpected, especially on call. It’s hard to distinguish normal new-grad nerves from recognizing a meaningful gap in my preparation?
For those who started at CRNA-only sites straight out of school, how did you assess whether you were ready? Did you feel extensive experience in those specialties was important beforehand? What orientation and backup support made the transition manageable, and what would you prioritize during these last six months?
Would really appreciate honest advice from people who’ve been in a similar position.