Re: Can CRNA work independently?????????????????????? Archived Message
Posted by liu on January 1, 2008, 11:42 pm, in reply to "Re: Can CRNA work independently??????????????????????"
I live in the state where ether was first used as anesthetic by a surgeon in 1842, with several medical schools and all kinds of anesthesiology programs.I will agree with you if any such state becomes Opt out. I wish you know what a rural state means even if you never live there. You can check your list to see if it covers all the rural states. I know it is irony that CRNAs are required to be supervised by a surgeon,radiologist or dentist. I also know these rural states you mentioned chose to Opt-out due to many physicians in these states are BACHELOR level(all foreign medical graduates hold only undergraduate degree)and not qualified to supervise CRNAs. After 911, these states even had difficult to recruit enough physicians of bachelor level. Unsafe health care is better than none. It is not surprising a state accepts Bachelor level physicians will also accept master level independent twilight anesthetists. But it is surprising that you used this as evidence that CRNAs can perform safe independent practice. No negative patient outcome data exist in these states maybe means NO DATA or/and NO health care quality control in these states. The facilities can make difference even if you are well trained and experienced enough. Please read the following information if you lack basic background. http://www.raconline.org/info_guides/hc_providers/j1visafaq.php#program Having quality physicians is essential to providing healthcare in rural communities. In many cases, the ability of healthcare facilities to remain open depends on having an adequate staff of physicians. Unfortunately, rural areas often experience difficulties in the recruitment and retention of physicians. Due to these difficulties, many communities turn to the recruitment of foreign medical graduates with J-1 Visa Waivers to fill their physician vacancies. Question: Why is the J-1 Visa program so important to rural health? Answer: The J-1 Visa Waiver program has been instrumental in maintaining access to healthcare in many rural communities when other recruitment efforts have failed. Since the J-1 Visa Waiver is contingent on the physician working in a HPSA or MUA, the program produces a win-win situation for the doctor and the community. The physician is able to stay in the United States to practice and an underserved community gets a much-needed doctor.
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