I'm continually amazed at how many know so much about so little. You haven't even entered the profession yet you seek to lecture me on issues you know absolutely nothing about. Please list the institutions you are familiar with where AAs have proved that they are competent to work without an MDA. And by that I mean institutions where this is actually occurring. Also any study data that you are aware of proving AA competence in the delivery of anesthesia without an MDA would be helpful. The name of the study, publication date and journal title would be very helpful. Talk about a moot point!