From Anesthesiologist Assistant (AA) to Nurse Anesthesiologist (CRNA)

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"! 

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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.

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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. 

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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. 

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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!

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Take listen as Joe interviews the founders of CORE Anesthesia!

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In an attempt to control the freedom of what other professions call themselves and limit titles in Wisconsin, the medical society introduced SB 143.
 
On May 24,  Wisconsin Association of Nurse Anesthetists President Jenna Palzkill—as well as Dr. Joe Rodriguez, who was representing the AANA—helped inform and educate the Wisconsin Senate Committee on Health on why proposed SB 143 does NOT help Wisconsinites. 

If passed, this bill would preclude the use of the title Nurse Anesthesiologist in the state. An attempt of one competitor trying to control another. This is the audio of that testimony that ended this attempt.

You can learn more about the genesis of Nurse Anesthesiologist here:  https://www.nurseanesthesiologistinfo.com/

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Meet Julie Nycum, CPCU, RPLU, ARM, the current director of AANA Insurance Services, providing medical malpractice to CRNAs across the country through Medical Protective (med pro).  Julie worked for Medical Protective (med pro), a Berkshire Hathaway Company writing 2 billion in policies a year for 24 years as Vice President of Underwriting. In 2006 she met with AANA insurance services on behalf of med pro to develop the medical malpractice services AANA uses today.  

On this podcast we talk about:

• Occurrence vs Claims made and how important it is to know the difference related to YOUR risk and why over time claims made is MORE expensive
• Buying claims made "tail" isn't as simple as it sounds. Or as good.
• Time does not start until discovery starts. Might be past your claims-made policy and then YOU are on the hook.
• Consent to Settle & Hammer Clauses (Scary Stuff)
• You can be named (and need coverage) for NON-Anesthesia issues
• Policies may cover a lot more than you are aware of like lost wages etc.
• What does "1 million per occurrence and 3 million aggregate" coverage mean?
• Why 1/3 mil vs 250/500K  per claim/aggregates are different in different states? Should you get a 1/3 policy anyway?
• What happens if a claim went OVER the max/occurrence (1 million) policy? You pay that is what happens. 
• Why does Admitted vs Non-Admitted matter? The Oceanus Story
• Does AM Best matter to providers or facilities?
• How the size of an insurance company impacts the lawyers you get access to
• If you own an anesthesia company should you have special insurance for your contractors for vicarious liability?
• If you are covered by a groups policy should you also have your own to protect your interest?
• Does a settlement result in you being reported to the national practitioner databank? 
• Is there any increased cost for med mal for an independent CRNA to the CRNA?
• Is there extra cost for the facility or surgeon working with an independent CRNA?
• Is there decreased cost for the CRNA or facility when working in an Anesthesia Care Team with a physician anesthesiologist? "liability shield"
• If you do ketamine clinics, medical aesthetics, IV infusion work does your CRNA medical malpractice cover these things?
• Medical Malpractice rates have not increased for CRNAs at Med Pro for 14 years. Now they are increasing, why and what does that mean?
• When do you have to report to the med mal company? Can you self-trigger coverage by hearing something might happen or when an event occurs? Can claims made do this?
• Whats the process and length of time of a claim?

Addendum: If you are threatened with a claim (lawsuit) you should report that to medpro in writing ASAP.

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Anesthesia Deconstructed host Joe Rodriguez talks to a rare professional: Dr. Rhea Temmerand, CRNA who is a pharmacology PhD and actively involved in bench research while maintaining a clinical practice.  We talk about everything from what it is like to be known as a Scientist and as a CRNA, and why CRNAs often do little bench research. 

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Simon Willman, JD, former in-house counsel for CORE Orthopedics and Current owner of McDowell Mountain Law, speaks about non-competes and their impact on Anesthesiology Professionals, which touches every practicing provider, 1099 or W2.  The bad information out there on this topic is rampant – Simon lends his expertise as a healthcare business and contract lawyer to give us a brief introduction.  Send us your questions so we can discuss them with Simon again in the future!

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