Today on the "Student Doctor Network" in THIS thread you can read about a soon to be CA3 (that is the final year of the 3 year anesthesia residency) talking about his inadequate training. What is especially interesting is that other Physician Anesthesiologists on the same thread are mostly telling this resident it is "ok" and you can get the skills later.
While it is admirable that this resident is concerned and looking for help it is hypocritical of the Physician Anesthesiologists to support this individual stating "you can get that after graduation" and yet at the same time disparage Certified Registered Nurse Anesthetists (CRNAs) if they were to do the same thing. In fact on that forum it has been done MANY times.
The ASA and the Physician Anesthesiologists on this website are notoriously negative about Certified Registered Nurse Anesthesia (CRNA) training though they have been shown to have equivalent outcomes as physicians. Many of their critiques center on their inaccurate perception of hours and how they count them in comparison to CRNAs education (see that explanation HERE ). Their contention is that they get more hours of training based on their fuzzy math and that they get higher quality training which is their basis for suggesting that all CRNAs should be supervised by one of them.
Most recently they have attacked CRNA training in an attempt to stop Veterans Affairs from utilizing all advanced practice nurses (including CRNAs) to their full scope of practice (you can comment in favor of this change and increasing high quality access to care for our veteran's here
However as can be seen in this Physician Anesthesia Resident's post there is clearly a quality issue in their own training programs to the degree that he/she is not sure he will be able to practice without someone supervising hm/her.
CVC (non IJ)
A-lines (non radial)
Regional Blocks (had a rotation, but did very few blocks)
Massive Transfusion (no transplant, rare trauma)
Probably lacking in some other stuff I cant think of off the top of my head...
I dont see it being likely that Im all of a sudden going to be able to accomplish these things during my CA-3 year. I dont really feel like the training I am getting will prepare me to practice independently. Is possible to transfer to another residency at this point, or am I destined to be a hack?
The saying "you should not throw stones when you live in a glass house" comes to mind.
However, i am sure that the aggressively political individuals on that website will not acknowledge the hypocrisy in this. After all, it is hard to convince someone of something when their salary depends on them NOT being convinced of it.
Since this story was published there have been further attacks on CRNA training with silly statements by Physician Anesthesiologists on that forum such as:
"A lion doesn't concern itself with the opinion of sheep"
Making the clear suggestion of superiority in spite of every study, lower liability insurance costs and independent CRNAs all over the country doing it as good or better than this individual who likely does not even perform anesthesia.
"$1000 says this guys "inadequate" partial training is better than any of theirs already."
"The Navy SRNAs used to double up on their cases for numbers. I always thought that was shady. Sims as cases is ridiculous."
A bold face lie. It is a violation of the accrediting agency for CRNA education (COA) for Student CRNAs to 'share' cases or to count 'simulations'.
"They don't know what they don't know. The OP does. Just with that, he should run circles around most of them, as fresh grad."
Of course the corollary is absolutely true. THEY do not know what THEY do not know, the difference is only this resident is smart enough to admit it. As evidenced by the further insult to CRNA training (which they know nothing about), this individual assumes a weakly trained CA2 could 'run circles' around a CRNA. Laughable at best.
"The main issue is that they equate procedural competency with medical knowledge and decision making A nurse may be able to technically perform an ISB after a weekend workshop, but I would wager he is also more likely to order a CT and activate a stroke code because he's unaware of the incidence of Horner's (or for that matter what Horner's even is)."
Except yet again, this comes from an individual who is clueless (does not know what he does not know) about CRNA training. A 1st year STUDENT CRNA would know what horner's is. Sad again that their ego's get in the way of reality.