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  @gustavorodriguez39532 күн бұрын

  MS-2 here. What made you choose anesthesiology residency over internal medicine residency when it comes to the critical care route? Awesome videos!

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  @AmandaSXiMD2 күн бұрын

  Thanks for watching!! This is such a good question - I think it’s so important when you shadow and go into rotations asking yourself if you see yourself doing what the attendings in that specialty are doing. I personally did not enjoy the clinic setting so internal medicine + pulmonology/critical care would have been a challenging training process for me. I’m more interested in the hospital setting rather than outpatient- I feel more at home in the hospital. So ask yourself which settings you’d like to practice in!

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  @AlanZablocki5 күн бұрын

  The care-team model, especially if it is 4:1, is a self inflicted wound by anesthesiologists, for economic gain. I have been in a practice like that ( I left ), in which the anesthesiologists never did their own cases & were relegated to signing the chart. They, largely, were worthless and added no value most of the time. They functioned, not as a physician, but a PA- the CRNA became the go-to person. In addition, billing in a 4:1 model is often fraudulent, as it is impossible in a busy practice to meet all 7 requirements for billing under medical direction. In a different practice that had both anesthesiologists & CRNAs in equal numbers, I did all the cardiac, thoracic & vascular cases myself. My time was much better spent doing that rather than going from room to room watching a CRNA insert an LMA & sign the chart!

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  @AmandaSXiMD4 күн бұрын

  If I cannot do a vascular case solo at my institution then I would take myself out of clinical anesthesia practice. This is the standard I set for myself.

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  @doctorposting20 күн бұрын

  Could you do an updated vid for 2025? If anything has changed?

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  @AmandaSXiMD19 күн бұрын

  Planning on a new video soon! Most of the information on this blog entry are applicable to Match 2025: blog.amandaxi.com/2023/07/31/advice-for-applying-to-anesthesiology-for-match-2024-and-beyond/

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  @Hadrian_SАй бұрын

  I like to view it as a military structure. Physicians will be the generals. Newer docs will be Brigadier generals and they gain stars with experience. CRNAs are the Lieutenant Colonels and Colonels. AAs will be the Captains and Majors. Nurses and RTs are 2nd and 1st Lieutenants. CNAs are the Corporals and Sargeant’s. EVS, Linen, Dietary are the Privates. We all need each other and while some jobs require less training than others, the hospital would fall apart without each and every employee.

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  @dann_2016Ай бұрын

  Thanks for the video. I'm a respiratory therapist intern this video was helpful. What type of physians usually are in the team in the same time? My team usually have 4 physians and one consultant. But I don't really know their specialities yet as I have just started my intrrn year

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  @litaz4378Ай бұрын

  i like the video would you say theres high financial potential in critical care anesthesiology

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  @rodneyh19472 ай бұрын

  A lot of MDs becoming youtubers nowadays, it is a trend. They all complaining about the same things you complaining about. The burnout is due to greed. Same with nurses, the hospitals intentionally understaff so they can make more money. Doctors are just high paid slaves.

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  @cella62 ай бұрын

  New subscriber. Aspiring CRNA HERE ❤😘

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  @littyyachty94562 ай бұрын

  Hi Dr. Xi, appreciate the informative video. Any recommendations for PAs wanting to go to medical school? About to graduate PA school in a few months, and been having ongoing thoughts about going to medical school. Currently just 25 years old so I do have some time to think about pursuing more school. I know it's uncommon but wanted to hear your thoughts, thanks!

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  @AmandaSXiMD2 ай бұрын

  Hi there! One of my current residents was a ES PA prior to medical school and one of my fellow anesthesiologists was also an ED PA! My colleague worked shifts while she was a medical student to help support her medical school costs. So it’s definitely a real path. And with a couple years of clinical experience as a PA, it’ll help with some of the medical school/residency learning. Feel free to email me and I can ask if my resident would be willing to chat with you about questions you might have! Good luck!!

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  @laisaviana67613 ай бұрын

  It’s great to hear that you were an engineer. I used to be a lawyer and now I’m a third year medical student! ❤

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  @Rs90sR3 ай бұрын

  Hello, are you an anaesthesiologist and do you live in the United States of America?

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  @MaxFeinsteinMD3 ай бұрын

  This is a really insightful video, thanks for making it!

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  @AmandaSXiMD3 ай бұрын

  At some point I hope I’ll get around to recording one about the downsides of academic practices, too. Not all are equivalent, just like private practice jobs!

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  @blackshadow-xr1me3 ай бұрын

  I hope you upload my videos I love your videos

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  @blackshadow-xr1me3 ай бұрын

  Welcome back

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  @Sgtcrispytoast3 ай бұрын

  Missed your videos!

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  @gourabsarker95523 ай бұрын

  Mam do you earn 600k dollars a year as an anesthesiologist? Plz reply. Thanks a lot.

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  @michaelwalls32364 ай бұрын

  As an aspiring PA, this podcast was very informative.

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  @AmandaSXiMD3 ай бұрын

  Thanks for watching!

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  @Mohi7-5 ай бұрын

  Very thoughtfull. Thank you.

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  @AmandaSXiMD3 ай бұрын

  Glad it was helpful!

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  @MEKMSC5 ай бұрын

  I am an internal medicine specialist. and I love performing procedures in intensive care. After all these explanations, I started to question my fellowship choice. Should we leave this job to anesthesiologists?

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  @WangAngela905 ай бұрын

  But you guys get paid shit loads of $$?!?! Of course there will be risks.

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  @Teoriaofeverything6 ай бұрын

  Every CRNA spends at least a couple years in the ICU managing those “sickest” patients for 12 hours a day before going to school and passing boards with the same exact USME style questions as the MDs.. same books too 🤷‍♂️ who knew.. fun fact, nurses pioneered the anesthesia profession and a lot of early methodologies.. CRNAs are not new.. been there since day 1

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  @papideltropico87786 ай бұрын

  Great video.

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  @AmandaSXiMD3 ай бұрын

  Thanks!

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  @MrLuffy91316 ай бұрын

  Just wondering do you think pharmacy would be screwed first

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  @yarelyayala24037 ай бұрын

  Super helpful thank you!

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  @AmandaSXiMD3 ай бұрын

  Glad it was helpful!

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  @nonnydeking79507 ай бұрын

  pls talk about the salaries and the work schedules, any difference between you and someone who went through an emergency medicine fellowship to become CCA.?

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  @GameOver3217 ай бұрын

  Great video, very informative. Thank you.

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  @huzaifahabdulwahab14997 ай бұрын

  a solid no. the future is geriatrics, obesity, failed kidneys, regional anesthesia, pain, suicide and litigations. ive rarely seen any asa 1 or 2 patients in my practice. and people shouldnt be doctors if they only think about money. where most parts of the world where money is scarce, most of us anaesthesiologists are also critical care specialists. a reducing number of us is an ominous sign that healthcare is failing, not improving. The surgeons should be worried if that day actually comes.

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  @Asia-rs6wc7 ай бұрын

  It's funny you say that you would love to get to know the patient on a deeper level, but on the other side, we envy OR staff because you guys don't have to deal with patients only for a brief time. I guess the grass is not always greener. LOL :-)

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  @dzikijohnny7 ай бұрын

  AA starting salary is $200,000.

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  @emullen937 ай бұрын

  I really want to know what the repercussions are 10-20 years down the road when anesthesiologists are working in an anesthesia care model. I would 100% rather have some CRNA who has been at the head of the bed for thousands of hours over those 20 years than the MD circulating around pushing propofol for induction. Who is ACTUALLY providing the anesthesia care under this model lol. I’ve only shadowed in the OR’s but from the outsiders view that seems to be the case…

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  @Essays4College7 ай бұрын

  One thing you have to remember that is priceless is that practicing as a doctor is probably the most respected career out there.

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  @jennifervarela24238 ай бұрын

  Are you able to list out the names of those 12 accredited programs.

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  @jennifervarela24238 ай бұрын

  Thank you so much for this video Dr. This was so informative

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  @anthonyrowland90728 ай бұрын

  Honestly, mid level health care is a bunch of shit but nobody wants to say it. Ask Lindsay Clancy about her psych NP...

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  @johnolive94778 ай бұрын

  Excellent video! Will be taking my exam in a few months! Thanks for the advice!

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  @johnolive94778 ай бұрын

  Will take my ABA applied exam in a few months. Your video was super helpful. Congrats on all your accomplishments. Wish you the best.

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  @JayyThao8 ай бұрын

  There are not nearly enough MD anesthesiologists to provide Anesthesia for everyone who needs it. There will ALWAYS be a need for MD anesthesiologists. Mid level providers such as CRNAs and AAs simply bridge the gap for care. In summary, no one’s jobs are getting taken away. If anything, there is MORE work than there are providers. If CRNAs and AAs didn’t exist, half of the people who needed anesthesia care would be delayed care or not recieve it at all. In the same token, NPs and PAs are the bridge to care gaps in outpatient and inpatient care settings. Thanks for providing a thorough explanation and non biased opinion.

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  @mjdahlberg57408 ай бұрын

  so discouraging😞

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  @emilyh36448 ай бұрын

  very interesting commentary, I appreciate you sharing your perspective and experiences! im applying currently to med school and have two interviews coming up!

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  @madeasimmons97469 ай бұрын

  Women have it exponentially easier than men. Women don't choose inept men for marriage, while men will mate for love

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  @franciscoaraujo66249 ай бұрын

  This is virtually only an issue in the USA where private hospitals employ nurses to do the job of physician anesthesiologists because of 💰💰💰... no such thing as a CRNA in most countries

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  @thehierophant13149 ай бұрын

  When computers came people thought it would replace a lot of engineers, it only made engineers better. In fact where would radiology and anasthesiology be without it. Every nurse needs to know how to use a digital record. It’s pretty asinine that people think technology will replace already established perfect human interventions. Last I checked, we are the only species that can operate on our fellow species. No supercomputer, no matter how smart will ever replace the human-human interaction and care. Technology is just a tool to make human life more advanced and better. AI will not get rid of programmers just as it will not get rid of medical specialists, medicine is archetyped by the rod of Asclepius. Without Asclepius, it’s just a rod. And without doctors and nurses, technology is useless.

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  @MHSMagicLuver9 ай бұрын

  Im a PA and I’m glad you don’t seem derogatory to PAs as some physicians do. The only thing is.. PA profession is not a back up plan. Schools do try to filter out these people that use PA as a backup. Although not as hard as medical school, it is very difficult. We also have very minimal breaks (including no summer breaks). I love the PA profession and being a PA. I started in family medicine and I’m now looking into a general surgery and/or hospital medicine position. Something in the hospital rather than a small outpatient practices. My biggest thing I’m so happy about is the lateral mobility that we have. And I don’t mind being open with my salary if it helps anyone. My first job in family med in Florida I made 105k. This is on the lower side and while I do not believe we should be paid as much as physicians, I do wish we were paid a little more. I believe the average for PAs is about 120k. If anyone has any questions I love talking about this. Comment here or message me on instagram @lisafellispac

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  @diamondgarcia9 ай бұрын

  I’m a PA student about to graduate in about a month and I think the video is very well said!

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  @PrincePalmUwU9 ай бұрын

  I will say this... it won't die but if they continue to throw "more money, more courses" than yes it will be a lot more challenging down the road if they keep changing what's required. 😔 In general!

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  @apeman93910 ай бұрын

  Awesome. Can you talk more about which factors mattered the most for your match?

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  @listenluo233310 ай бұрын

  I don't worry about CRnas replacing anesthesiologists. To put it bluntly, CRnas learn from anesthesiologists, who not only provide medical services, but also have a large number of scientific tasks. A crna is more of a technician and operator, while an anesthesiologist is closer to a medical scientist.

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  @marshellewilson437711 ай бұрын

  What was the undergraduate major or degree for anesthesiologist Md or DO?

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  @samuelcoffman808811 ай бұрын

  It seems the place for general anesthesiologists may be phasing out due to cost factors more than anything else. If they want to be worth their cost to the hospital systems they will need to fill the role of a super specialist with the completion of fellowships in OB, Peds, Cardiac, Neuro, etc. anesthesia subspecialities, or complete additional residencies in critical care to manage ICUs as this physician has done. Technology and training has advanced for mid-levels that allows them to safely take the regular cases, and physicians will lose their skills if all they do is supervise mid-levels and do pre/post op assessments. The fellowship specialties seem important to maintain both skills and relevance for physician anesthesiologists of the future.

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  @julianalacerda422011 ай бұрын

  As a future anesthesiology (I hope), I really appreciate your honesty about this! Your videos are really helping me out on deciding my specialty. Thanks a lot!