You obviously know nothing about Miami Childrens. It is an academic institution. They don't need to hire anybody. Attendings get free work from residents, SRNAs and AASs in the main OR. They have CRNAs working in MRI only. No AA will ever be able to work here. If anything changes, only anesthesiologists and CRNAs will be hired, as AAs are definitely viewed as a 3rd class providers here. Spoiler Alert: AA students have sucked at this hospital so even anesthesiologists dont like AAs here. Obviously the group is getting paid to have students, just as for the residents and SRNAs. Miami Childrens is affiliated with the University of Miami, which hosts a prominent CRNA program, and the president of which is a lesbian lover of a CRNA. Good luck with all those hurdles!