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    Re: DNAP's vs. Anesthesiologists? Archived Message

    Posted by "Advocate" AA-C Supporter on July 17, 2009, 3:24 pm, in reply to "DNAP's vs. Anesthesiologists?"

    Hi Cambridge, I have tremendous respect for CRNAs and AA-Cs I don't differentiate between "both" mid-level anesthesia providers, both anesthetists are superb in their clinical settings.

    How ever I am against more of the militant CRNAs, why? from their stand point, It's all about autonomy and control (dominance) fact. Especially the CRNAs who works in the military and rural areas (Out of the ACT model) where they have more independence in their practice vs. the ACT model.

    In my opinion every anesthetists AA-C/CRNA have some degree of autonomy in the ACT model vs. out of the ACT model. Just as ICU nurses, they all have some degree of autonomy before calling the doctor for advance care and writing new orders in patients chart.

    As for as the younger CRNAs today (Present) the vast majority are very "Anti" AA-C in the ACT model fact. Why? they (CRNAs) see AA-Cs as political issue and direct competition fact. This is one of the main reasons why they're pushing for all CRNAs to eventually obtain a DNAP degree.

    Not all CRNAs are "Anti" AA-C, a lot of CRNAs work in good harmony with AA-Cs and consider them (AA-Cs) to be their closest friend on and off the clock.

    In my opinion, I feel AA-Cs will not feel threaten by any means when CRNAs start to obtain an "doctorate" degree, Doctor of Nurse Anesthesia Practice (DNAP) clinical specialty in the ACT model.

    In my opinion, I feel AA-Cs will always have an advantage when it comes to anesthesia clinical settings as a medical anesthetist in the ACT model vs. a DNAP in the the ACT model. Why?;

    1. AA-C's will always have to obtain an undergraduate degree (B.S., B.Sc., B.A.).

    2. AA-C's will always have take pre-med core curriculum intense (Prerequisites).

    3. AA-C's will always have take the MCAT.

    4. AA-C's will always have to take the GRE, until the exam is no longer excepted as part of the AA medical anesthetist program (MCAT entry exam only).

    5. AA-C program classroom will always be co-directed and taught by a board-certified anesthesiologist doctor (M.D. or D.O.).

    6. AA-S's (student anesthetist) clinical rotation will always be 1 on 1 with a preceptor, an anesthesiologist doctor, AA-C, senior and/or chief anesthesia resident doctor. Producing the most competent medical anesthetist.

    7. AA-C's can also obtain an "doctorate" degree, Doctor of Health Science Practice (DHSc.) clinical specialty anesthesia in the ACT model.

    8. AA-C's will always be able to continue through medical school and obtain a "medical" degree in becoming a M.D. Anesthesiologist, specializing in Anesthesiology, M.D. Surgeon, M.D. Emergency Medicine, M.D. Internal Medicine, M.D. Family Practice and D.D.S. etc.

    Once again CRNAs and AA-Cs are both superb clinicians as practitioners in the ACT model, we must respect our indifference's as masters degree professionals and focus on what's really important "PATIENT CARE" people.

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