Anesthesia Deconstructed: Science. Policy. Realities.

Key Points: Summary: Joe shares his views on proposed AANA changes, advocating for longer board terms and virtual meetings while opposing board expansion and automatic leadership succession. He emphasizes the need for efficiency, cost-effectiveness, and flexibility in leadership. Call to Action: Members encouraged to review proposal documentation and participate in the upcoming discussion in early August. Next Episode: Tune in next week for more CRNA insights and industry updates. Send us a Text Message. Follow us at: Instagram Facebook Twitter/X

Summary The conversation discusses three main changes proposed by the Leadership Identification Committee (LIC) for the American Association of Nurse Anesthesiology: increasing the number of directors from seven to nine, increasing the term for directors from two years to three years, and changing the progression of the president to a three-year term. The rationale behind these changes is to decrease turnover, increase the number of eligible people for executive positions, and provide more support to region directors. The conversation also addresses concerns about the time commitment for directors and the potential impact on decision-making, cost, and the role of the professional staff. The conversation explores the proposal to increase the number of directors on the board, extend the terms of the vice president and president-elect, and create continuity in executive leadership roles. The main themes discussed include the benefits of having more directors to support state leaders, the financial feasibility of the proposal, the potential risks of electing the wrong person into an important position, the need for continuity and experience in executive roles, and the importance of informed voting. The conclusion is an editor's note, where our host, Joe Rodriguez, expresses his view after taking time consider the conversation. Keywords AANA, association, Leadership Identification Committee, directors, term, turnover, executive positions, region directors, time commitment, cost, professional staff, board directors, executive leadership, continuity, experience, informed voting Takeaways Chapters 00:00 Introduction and Background of the Proposed Changes 02:51 Increasing the Term for Directors from Two Years to Three Years 10:14 Expanding the Number of Directors from Seven to Nine 18:09 Considerations and Approval of the Proposed Changes 31:16 Enhancing Support for State Leaders 33:56 Assessing Financial Feasibility 37:12 Creating Continuity in Executive Roles 41:31 Decreasing Turnover and Ensuring Continuity 45:37 Mitigating Risks and Addressing Poor Leadership 48:42 Moving Away from Personal Agenda Items 59:40 Encouraging Informed Voting Conclusion: Editor's Note Send us a Text Message. Follow us at: Instagram Facebook Twitter/X

Summary The conversation discusses the topic of rural pass-through and its impact on the anesthesiologist shortage. It explores the idea of including physician anesthesiologists in rural pass-through and whether it would be an effective solution. The conversation also delves into the concept of shortage and how it can be addressed by utilizing anesthesia providers to their maximum potential. The importance of deregulation and allowing local experts to make decisions about anesthesia models is emphasized. The conversation concludes with a discussion on title misappropriation and the need for transparency in using the terms 'physician anesthesiologist' and 'nurse anesthesiologist'. Keywords rural pass-through, anesthesiologist shortage, physician anesthesiologists, CRNAs, shortage solution, utilization of anesthesia providers, deregulation, local decision-making, title misappropriation, transparency Takeaways Key Quotes Chapters 00:00 Introduction and Background on Rural Pass-Through 01:15 Understanding the Purpose of Rural Pass-Through 03:04 The Inaccuracy of the Article's Premise on Mitigating the Anesthesiologist Shortage 08:51 Utilizing Anesthesia Providers to Address the Shortage 19:22 The Importance of Deregulation and Local Decision-Making in Anesthesia Models 25:03 Addressing Title Misappropriation for Transparency in Anesthesia Care Send us a Text Message. Follow us at: Instagram Facebook Twitter/X

Summary The conversation discusses the topic of out-of-hospital cesarean sections and the potential risks and implications. Dr. Matt Mazurek, a physician anesthesiologist and assistant professor of anesthesiology at Yale School of Medicine, provides insights and raises concerns about the definition of low-risk cesarean deliveries, the dangers of complications during and after the procedure, and the lack of resources and training in outpatient settings. The conversation also touches on the financial incentives and potential cherry-picking of patients by private equity-owned medical facilities. The need for increased access to obstetrical care and support for OBs in rural areas is highlighted as a more effective solution to address maternal morbidity and mortality rates. Keywords out-of-hospital cesarean sections, risks, complications, low-risk deliveries, resources, training, financial incentives, private equity, access to care, maternal morbidity, maternal mortality Takeaways Key Quotes Chapters 00:00 Introduction and Background 01:23 The Challenges of Defining Low-Risk Cesarean Deliveries 06:01 The Financial Incentives and Potential Risks of Outpatient C-Sections 08:20 Improving Access to Obstetrical Care in Rural Areas Send us a Text Message. Follow us at: Instagram Facebook Twitter/X

Episode Summary: In this episode, Joe Rodriguez talks with Ali Baghai about his journey and impact as a CRNA in Arizona. Ali shares his experiences in CRNA advocacy, the evolution of anesthesia practice in Arizona, and his role in significant legislative changes. They also discuss the nuances of owning an anesthesia business and life in Arizona. Highlights: Introduction Ali's Background Initial Involvement in CRNA Advocacy Key Meeting in 2012 Legislative Success Stories Opt-Out Success Dental Anesthesia Regulation Business Ownership in Anesthesia Arizona Living Closing Remarks Key Takeaways: Guest Information: Ali BaghaiJoe RodriguezCall to Action: Note to Listeners: Don't forget to leave us a review and share this episode with your colleagues and friends in the healthcare community! Your support helps us bring more valuable content to you. Send us a Text Message. Follow us at: Instagram Facebook Twitter/X

In this special July 4th episode, we explore the significance of American independence and its impact on the CRNA profession. We discuss the foundations of American governance and how these ideals have shaped our national identity. The episode presents two key messages: addressing current societal tensions and highlighting CRNAs as a unique American innovation in healthcare. The podcast emphasizes the exceptional position of CRNAs in the United States, noting their level of autonomy and economic freedom unparalleled in other Western societies. It traces the profession's success to decades of advocacy work and stresses the importance of continued effort in maintaining and advancing the field. The episode concludes by encouraging CRNAs and aspiring CRNAs to reflect on the benefits they've gained from both the American system of government and the tireless work of their predecessors, while enjoying the Independence Day celebrations. Send us a Text Message. Follow us at: Instagram Facebook Twitter/X

Episode Summary: In this episode, Joe Rodriguez welcomes back Simon Willman, Esq., former in-house counsel for one of the largest orthopedic groups in the country. They discuss the Federal Trade Commission's recent vote to ban non-compete agreements and its implications for healthcare professionals and practice owners. Key Topics Covered: Pre-Session: State-Level Updates from Louisiana, Maryland, and Pennsylvania Introduction:FTC's Vote to Ban Non-Competes:Implications for Healthcare Professionals:Details of the FTC's Final Rule:Non-Competes vs. Non-Solicitation:Legal Considerations and Advice:Federal vs. State Jurisdiction:Sale of Business Exception:Final Thoughts and Advice:Outro:Key Quotes: Resources Mentioned: Connect with Us: Disclaimer: The content of this podcast is for informational purposes only and does not constitute legal advice. Listeners should consult their own legal advisors for specific guidance related to their circumstances. Send us a Text Message. Follow us at: Instagram Facebook Twitter/X

Summary The podcast, Anesthesia Deconstructed, has become the number one anesthesia podcast in the United States (Apple Podcasts - subsection: Medicine) due to its focus on deconstructing issues and having thoughtful and respectful conversations. The host, Joe Rodriguez, discusses his involvement in the The Nurse Anesthesiologist Facebook Group (TNAG) and the importance of creating a space for sharing ideas and discussing issues. He addresses a screenshot from another Facebook group that accuses him and others of monopolizing information platforms. Rodriguez clarifies his involvement and highlights the diversity of perspectives in the group. He also previews upcoming episodes on topics such as FTC banning non-competes, CRNA advocacy, interprofessional collaboration, and the CRNA-friendly environment in Arizona. Keywords anesthesia podcast, deconstructing issues, respectful conversations, Facebook groups, sharing ideas, diversity of perspectives, upcoming episodes, FTC banning non-competes, CRNA advocacy, interprofessional collaboration, CRNA-friendly environment, Arizona Takeaways Titles Sound Bites Chapters 00:00 Introduction and Podcast Success 01:26 The Importance of Thoughtful and Respectful Conversations 07:59 CRNA Advocacy: Empowering Anesthesia Professionals 08:29 Interprofessional Collaboration: Enhancing Patient Care 11:43 Arizona: A Model for CRNA-Friendly Regulatory Environment yJQW7fxVgyEr3PINhg7s Send us a Text Message. Follow us at: Instagram Facebook Twitter/X

Summary In this conversation, Joe Rodriguez interviews Michael McKinnon, podcast founder, CRNA, and assistant program director at National University. They discuss two topics: the supervision clarification advisory opinion from the Arizona Board of Nursing and the opt-out of Medicare Part A physician supervision requirements in Massachusetts. McKinnon shares his perspective on these issues and emphasizes the importance of removing barriers to competition and promoting a level playing field in healthcare. Keywords CRNA, supervision clarification, advisory opinion, Arizona Board of Nursing, AA, opt-out, Medicare Part A, physician supervision, Massachusetts Takeaways Chapters 00:00 Introduction and Background of Michael McKinnon 01:04 Supervision Clarification Advisor Opinion in Arizona 05:21 Opposition to Anti-Competitive Legislation 09:31 Opting Out of Medicare Part A Supervision Requirements in Massachusetts 12:20 Impact of Opting Out on CRNAs and Service Line Management 16:29 Future Plans and Conclusion Send us a Text Message. Follow us at: Instagram Facebook Twitter/X

Episode Date: Monday, June 3rd Welcome to Anesthesia Deconstructed! In this episode, we cover: Segment 1: Pre-CRNA Market Update Segment 2: Key Legal Updates Segment 3: Arizona Board of Nursing Update Stay informed on the latest developments in anesthesia with us! Send us a Text Message. Follow us at: Instagram Facebook Twitter/X

In this episode: The CRNA Intro Market:How You Can Contribute:Send Your Contributions: Reach out via email at Joe@GuideAnesthesia.com and write us or send us a voice memo (2 mins or shorter please). Join the conversation and help shape the future of our show! Subscribe and Stay Connected: Don't miss an episode—subscribe to our podcast on your favorite platform! Also, where the **** is Mike MacKinnon? Your Host(s) Joe Rodriguez, CRNA -, bringing years of experience and a passion for anesthesia, and CRNAs - right to your ears. Send us a Text Message. Follow us at: Instagram Facebook Twitter/X

In this concise episode, Dr. Joseph Rodriguez, CRNA, shares a glimpse into his voting process during the recent elections. He reveals two of his four votes, choosing to keep the remainder confidential to maintain a positive election environment. Dr. Rodriguez emphasizes the importance of voting for candidates rather than against them, reflecting his commitment to promoting a constructive and supportive community. Tune in to hear which candidates earned his vote and why he believes in a selective sharing approach during elections. Send us a Text Message. Follow us at: Instagram Facebook Twitter/X

Introduction: Guest Insights: Randall MooreJim RobertsNorthStar's Journey: Key Topics: Addressing Staffing Shortages:Private Equity and Corporate Investment:Thriving Post-No Surprises Act:Blueprint for Success:Why It Matters: Send us a Text Message. Follow us at: Instagram Facebook Twitter/X

Introduction: Guest Spotlight: What's New: Why It Matters: Elevating Job Searches:Quality Over Quantity:Impact on Anesthesia Careers:A Step Towards Innovation:Send us a Text Message. Follow us at: Instagram Facebook Twitter/X

Meet Annemarie Wiley CRNA! When you think about reality tv and especially the Real Housewives franchise, you probably do not think about adopted small town Canadian girls of Nigerian/Dutch descent raised by a single mom. Well, not only is that Annemarie, but she is also an athlete, became an RN, worked in Canada and then the U.S. and eventually became a Nurse Anesthesiologist (CRNA)! She is eloquent, intelligent, gregarious and very proud of her chosen profession, Nurse Anesthesiology! In this episode we talk about her background, her experience as an RN and CRNA, the housewives show and her families amazing charity https://projecttransition.org/ with its mission: "To inspire, equip, and support individuals in their journey of transformation, ensuring they not only navigate transitions successfully but also emerge stronger, more resilient, and ready to lead." Enjoy this great conversation with Annemarie and do not make the mistake I made! It is pronounced Annamarie not "Anne-Marie"! Send us a Text Message. Follow us at: Instagram Facebook Twitter/X

In this session, we talk with Josh Condado, CRNA, from his initial foray into a highly controlled anesthesia ACT lead to his exploration of real estate investing. It makes us wonder how fully utilizing CRNA roles can significantly enhance staff retention – but that’s for another episode. Josh is only 31 years old, but it was an enlightening conversation about diversification with real estate investing, something anesthesia providers of all types can potentially diversify their assets with. This show has been produced by Adkins Media Co. Send us a Text Message. Follow us at: Instagram Facebook Twitter/X

As part of our series “5 Questions” - we’re happy to have Dr. Matt Mazurek, MD, Physician Anesthesiologist, and perennial learner. Matt has done it all: private practice, Chief of Staff, working for a “big box” shop, and now academics at Yale. Although he became known to the show from his article supporting full practice for CRNAs, we brought him back to talk about burnout and how he avoids it, work-life Integration, what he believes is the “dirty little secret” of healthcare. Send us a Text Message. Follow us at: Instagram Facebook Twitter/X

Few CRNAs are as well-known as our co-host, Mike MacKinnon, and at times, he’s not been an uncontroversial leader – he’s been on the cutting edge. Leading off our “5 Questions” Series – we hear from Mike on being criticized as “anti-physician”, on what he’s learned as a leader of the past 10 years, and how he keeps a sustainable edge to remain a high-performance professional for so long. Send us a Text Message. Follow us at: Instagram Facebook Twitter/X

In this series, we will dive deep with some of the most intriguing professionals in the specialty of Anesthesia! Through these five questions, we will be foster important conversations, gain insight into where the specialty is going, and learn how we can influence that future. Tune in next Monday for our first episode of this special series and enjoy the ride! Send us a Text Message. Follow us at: Instagram Facebook Twitter/X

Take listen as Joe interviews the founders of CORE Anesthesia! Send us a Text Message. Follow us at: Instagram Facebook Twitter/X