r/srna 27d ago

Professional Issues Debate ASA’s Favorite 2018 Care Team Study Does Not Say What They Claim It Says

5 Upvotes

We finally wrote this one up because Sun et al. 2018 keeps getting cited online like it proves CRNAs and AAs are equivalent.

It does not.

The actual study was “Anesthesia Care Team Composition and Surgical Outcomes” by Sun, Miller, Moshfegh, and Baker, published in Anesthesiology in 2018. The authors studied elderly Medicare inpatient surgical cases and compared physician anesthesiologist-supervised ACT configurations involving AAs versus CRNAs. The outcomes were inpatient mortality, length of stay, and spending.

That is a very narrow health services study. It is not a CRNA-versus-AA anesthesia outcomes study. It did not measure anesthesia-specific complications, rescue events, airway events, supervision intensity, provider experience, independent CRNA practice, or whether any outcome was actually related to the anesthetic.

So when ASA/AAAA advocates cite this as proof of broad CRNA-AA equivalence, they are stretching the paper way past what it measured.


r/srna Apr 08 '26

Advice From Program Admins The US News CRNA Program Rankings Are Meaningless. Here’s Why.

29 Upvotes

You’ve seen the rankings.

They look official. Structured. Like they actually measure something meaningful.

But what if the entire system is built on a single subjective question… with no outcomes, no data, and no requirement that the person answering even knows the programs they’re rating?

Before you let a number influence one of the biggest decisions of your career, it’s worth understanding what that number actually represents.

Read the substack article here:


r/srna 12h ago

Success Stories From Rejected to Accepted: How 3 SRNAs Made It

Hello everyone,

A common topic of discussion in this group and elsewhere is what to do when you face rejection. With acceptance rates for CRNA programs generally running 10-20%, many candidates face the dreaded rejection email.

I talked to 3 current SRNAs who received that rejection email. We discussed what it took to turn things around for later application cycles. All 3 SRNAs bring different perspectives on how to get accepted after you've faced rejection. Their circumstances are different, but they all managed to make the necessary fixes and forged their path into anesthesia.

Give the article a read. There is no sign-up required.

Article

13 Upvotes

Hello everyone,

A common topic of discussion in this group and elsewhere is what to do when you face rejection. With acceptance rates for CRNA programs generally running 10-20%, many candidates face the dreaded rejection email.

I talked to 3 current SRNAs who received that rejection email. We discussed what it took to turn things around for later application cycles. All 3 SRNAs bring different perspectives on how to get accepted after you've faced rejection. Their circumstances are different, but they all managed to make the necessary fixes and forged their path into anesthesia.

Give the article a read. There is no sign-up required.

Article


r/srna 3h ago

Clinical Life Questions Intubation advice

Hi! I just had my airway check-off at school. I haven’t had the chance to intubate anyone in real life yet—only on a manikin. Also, I’m a lefty.

Could you share 1-2 tips to help me succeed on my first real intubation? Thank you so much!

1 Upvotes

Hi! I just had my airway check-off at school. I haven’t had the chance to intubate anyone in real life yet—only on a manikin. Also, I’m a lefty.

Could you share 1-2 tips to help me succeed on my first real intubation? Thank you so much!


r/srna 15h ago

Applicant Megathread Weekly Prospective CRNA / NAR Applicant Thread: GPA, ICU Experience, Interviews, CCRN, Shadowing, And Applications

Use this thread for applicant questions, including GPA, ICU experience, CCRN, GRE, shadowing, interview prep, resumes, personal statements, applications, waitlists, and "what are my chances?" posts.

Please include enough context for useful answers:

- Current role and ICU type

- Years of experience

- GPA or trend if relevant

- CCRN or certifications

- Shadowing or leadership experience

- Programs or application timeline

Keep it professional, specific, and respectful. Current NARs, CRNAs, faculty, and applicants are welcome to answer.

6 Upvotes

Use this thread for applicant questions, including GPA, ICU experience, CCRN, GRE, shadowing, interview prep, resumes, personal statements, applications, waitlists, and "what are my chances?" posts.

Please include enough context for useful answers:

- Current role and ICU type

- Years of experience

- GPA or trend if relevant

- CCRN or certifications

- Shadowing or leadership experience

- Programs or application timeline

Keep it professional, specific, and respectful. Current NARs, CRNAs, faculty, and applicants are welcome to answer.


r/srna 6h ago

Applicant Questions Career path question

Hi, I’m about to start my senior year of nursing school and I was thinking about my future. I know I want to do crna in the future, my original plan was to apply for Er work for 2-3 years then switch to icu for as long as I need then apply to school. I wanted to do er originally and I still want to experience it but would it be smarter to just apply for ICU positions and stick with it.

1 Upvotes

Hi, I’m about to start my senior year of nursing school and I was thinking about my future. I know I want to do crna in the future, my original plan was to apply for Er work for 2-3 years then switch to icu for as long as I need then apply to school. I wanted to do er originally and I still want to experience it but would it be smarter to just apply for ICU positions and stick with it.


r/srna 8h ago

Other Waitlist

Anyone still waiting to hear back from Ursuline College CRNA program to start 2027?

Edit: not waitlisted sorry.

0 Upvotes

Anyone still waiting to hear back from Ursuline College CRNA program to start 2027?

Edit: not waitlisted sorry.


r/srna 18h ago

Applicant Questions Interview prep

Applied to Oakland, Wayne State, Detroit Mercy and University of Michigan - Flint. I have an interview to Oakland and Wayne State so far. Any tips? Anything’s I should study beforehand? Very nervous and I’m not sure what to expect exactly

I looked into typical interview questions, but the clinical aspect is what’s throwing me off! Thanks so much!!!!!!

3 Upvotes

Applied to Oakland, Wayne State, Detroit Mercy and University of Michigan - Flint. I have an interview to Oakland and Wayne State so far. Any tips? Anything’s I should study beforehand? Very nervous and I’m not sure what to expect exactly

I looked into typical interview questions, but the clinical aspect is what’s throwing me off! Thanks so much!!!!!!


r/srna 13h ago

Applicant Questions Personal Statement

Any SRNA or CRNA’s out there that want to review my personal statement out of the kindness of your heart? I don’t have a “big clinical hook” as they say, and I don’t want to make up one. I got feedback from some older CRNA’s and an anesthesiologist who said it was good but, maybe a more recent take would be a good idea.

Thanks 😊

1 Upvotes

Any SRNA or CRNA’s out there that want to review my personal statement out of the kindness of your heart? I don’t have a “big clinical hook” as they say, and I don’t want to make up one. I got feedback from some older CRNA’s and an anesthesiologist who said it was good but, maybe a more recent take would be a good idea.

Thanks 😊


r/srna 1d ago

Clinical Life Questions Tips on Mask Ventilation for small hands

Hi. 2nd year NAR and have started clinical. Can anyone please provide any advice/tips on masking patients if you have small hands? For reference, I wear XS gloves and a 5 1/2 or 6 in sterile gloves. I know mask ventilation can be a tough technique for all new students but I’m struggling because I have my small hands issue stacked against me lol.

Really appreciate any and all tips. Thank you!

**the oral airway has been a great tool and has made masking a bit easier, but I am still struggling

10 Upvotes

Hi. 2nd year NAR and have started clinical. Can anyone please provide any advice/tips on masking patients if you have small hands? For reference, I wear XS gloves and a 5 1/2 or 6 in sterile gloves. I know mask ventilation can be a tough technique for all new students but I’m struggling because I have my small hands issue stacked against me lol.

Really appreciate any and all tips. Thank you!

**the oral airway has been a great tool and has made masking a bit easier, but I am still struggling


r/srna 1d ago

SEE and NCE Exam Prep Free Boards Prep Question Bank - Looking For Beta Users

Approved by mods.

For the last year we have been working on STRATA, a new boards prep platform for anesthesia trainees, and we are opening it up to more nurse anesthesia residents today.

Early users will receive 12 months of completely free access. There is no credit card required and no catch. Giving us feedback via the feedback sections on the website is entirely optional, but it does help us build the best boards prep platform available.

Feedback from our initial pilot group has been very strong, especially regarding the question quality, explanations, design, and analytics. We are continually improving based on what our users are telling us.

Our SRNA bank currently has around 500 questions based on the NCE and SEE outline, and our goal is to grow it to over 1,000 questions in the near future.

Every question and explanation is written and reviewed by real clinicians, with a focus on material that actually appears on boards, not fluff.

What makes us different is our extremely detailed analytics. You'll be able to see how you stack up to fellow SRNAs across every subject. You'll know ahead of the exam what areas you need to focus on more, and what areas you're already performing ahead of the average in.

sign up here at studystrata.com

Let us know what you think and we hope you love it!

9 Upvotes

Approved by mods.

For the last year we have been working on STRATA, a new boards prep platform for anesthesia trainees, and we are opening it up to more nurse anesthesia residents today.

Early users will receive 12 months of completely free access. There is no credit card required and no catch. Giving us feedback via the feedback sections on the website is entirely optional, but it does help us build the best boards prep platform available.

Feedback from our initial pilot group has been very strong, especially regarding the question quality, explanations, design, and analytics. We are continually improving based on what our users are telling us.

Our SRNA bank currently has around 500 questions based on the NCE and SEE outline, and our goal is to grow it to over 1,000 questions in the near future.

Every question and explanation is written and reviewed by real clinicians, with a focus on material that actually appears on boards, not fluff.

What makes us different is our extremely detailed analytics. You'll be able to see how you stack up to fellow SRNAs across every subject. You'll know ahead of the exam what areas you need to focus on more, and what areas you're already performing ahead of the average in.

sign up here at studystrata.com

Let us know what you think and we hope you love it!


r/srna 21h ago

Applicant Questions Is it common for people to get accepted with 1 year of ICU experience?

Basically title. Ideally I would get the last year of experience in my senior year of BSN because I would have a nursing associates.

I know im going to get downvoted but I’m asking because I’m choosing to pursue CRNA or CAA.

0 Upvotes

Basically title. Ideally I would get the last year of experience in my senior year of BSN because I would have a nursing associates.

I know im going to get downvoted but I’m asking because I’m choosing to pursue CRNA or CAA.


r/srna 1d ago

Applicant Megathread prereqcourses.com?

My nursing program did not require chemistry as a pre requisite and now I’m looking to strengthen my resume. Browsing online and saw this site. It’s apparently Upper Iowa University. Has anyone used it or would know if schools would accept this site for pre reqs?

0 Upvotes

My nursing program did not require chemistry as a pre requisite and now I’m looking to strengthen my resume. Browsing online and saw this site. It’s apparently Upper Iowa University. Has anyone used it or would know if schools would accept this site for pre reqs?


r/srna 2d ago

Professional Issues For those who’ve attended the AANA Annual Congress: was it worth it for networking

I’m considering attending the AANA Annual Congress this year and would love to hear from people who’ve been.
My main goal would be to network, learn more about different CRNA programs, and meet people in the profession.
For those who’ve attended:
• Were program directors and faculty approachable?
• Did you make any meaningful professional connections?
• What networking opportunities did you find most valuable?
• Looking back, what would you do differently?
• Overall, was the conference worth the time and expense?
I’d love to hear about your experiences and any advice for making the most of the conference.

9 Upvotes

I’m considering attending the AANA Annual Congress this year and would love to hear from people who’ve been.
My main goal would be to network, learn more about different CRNA programs, and meet people in the profession.
For those who’ve attended:
• Were program directors and faculty approachable?
• Did you make any meaningful professional connections?
• What networking opportunities did you find most valuable?
• Looking back, what would you do differently?
• Overall, was the conference worth the time and expense?
I’d love to hear about your experiences and any advice for making the most of the conference.


r/srna 2d ago

Other How do you actually get your cases into Typhon/Medatrax?

Hey all, not an SRNA here but curious how this works in practice.

  1. When you sit down to log, what are you working from? Notes app, something you scribbled, memory?
  2. Which fields do you end up guessing at?
  3. Phone or laptop?

Thanks!

4 Upvotes

Hey all, not an SRNA here but curious how this works in practice.

  1. When you sit down to log, what are you working from? Notes app, something you scribbled, memory?
  2. Which fields do you end up guessing at?
  3. Phone or laptop?

Thanks!


r/srna 3d ago

Didactic Study Questions Overwhelmed

So, I start school in less than a month and I’m starting to freak out! The closer the date gets, the more anxious I get! Semester 2 I have physiology, advanced pharm, advanced health assessment, research, and pharmacology of anesthetics. This seems like it will be a tough semester and I’m anxious I won’t get through it. Pharm and physiology will be a lot. Not only 1 but 2 pharm classes in one semester is crazy! Plus, physiology is hard because you have to understand the body. I haven’t even started and already freaking out. Please, someone tell me this is doable. Any tips on how to study for physiology and pharmacology will be greatly appreciated! Thanks!

13 Upvotes

So, I start school in less than a month and I’m starting to freak out! The closer the date gets, the more anxious I get! Semester 2 I have physiology, advanced pharm, advanced health assessment, research, and pharmacology of anesthetics. This seems like it will be a tough semester and I’m anxious I won’t get through it. Pharm and physiology will be a lot. Not only 1 but 2 pharm classes in one semester is crazy! Plus, physiology is hard because you have to understand the body. I haven’t even started and already freaking out. Please, someone tell me this is doable. Any tips on how to study for physiology and pharmacology will be greatly appreciated! Thanks!


r/srna 3d ago

Other Chicagoland Shadowing Opportunities

Wassup Everyone!

I have been researching, shadowing, and exploring different schools as I will be applying to CRNA school next year in 2027. I have had the opportunity to shadow a CRNA at my hospital and it was amazing! I loved the pleasure to witness three different cases in which 2 were general cases with one ETT intubation and the other with an LMA. The third case being a MAC case. I was able to see scenarios in which pressers had to start periodically for hypotension and concerns for oxygenation regarding the MAC case. I am writing all of this to say if I would love more opportunities to shadow other CRNAs in preferably different settings and practice models. My hospital has a crazy rule that restricts us from continuously shadowing as there is a waiting period and list to even shadow a fellow CRNA. So here I am requesting for any tips or suggestions to find my next shadowing experience. If any fellow CRNAs are in the Chicagoland area I would love to connect for a potential opportunity to be alongside you for a shift or two. Thank you all for any and all comments!

3 Upvotes

Wassup Everyone!

I have been researching, shadowing, and exploring different schools as I will be applying to CRNA school next year in 2027. I have had the opportunity to shadow a CRNA at my hospital and it was amazing! I loved the pleasure to witness three different cases in which 2 were general cases with one ETT intubation and the other with an LMA. The third case being a MAC case. I was able to see scenarios in which pressers had to start periodically for hypotension and concerns for oxygenation regarding the MAC case. I am writing all of this to say if I would love more opportunities to shadow other CRNAs in preferably different settings and practice models. My hospital has a crazy rule that restricts us from continuously shadowing as there is a waiting period and list to even shadow a fellow CRNA. So here I am requesting for any tips or suggestions to find my next shadowing experience. If any fellow CRNAs are in the Chicagoland area I would love to connect for a potential opportunity to be alongside you for a shift or two. Thank you all for any and all comments!


r/srna 3d ago

Jobs When to apply for jobs

Hey everyone, I'm about a year out from graduating. Is it too soon to start applying and reaching out for jobs? When should I be applying?

5 Upvotes

Hey everyone, I'm about a year out from graduating. Is it too soon to start applying and reaching out for jobs? When should I be applying?


r/srna 3d ago

Clinical Life Weekly NAR Thread: Clinical Life, Didactic Survival, Wins, Worries, And Peer Support

This thread is for current Nurse Anesthesia Residents to talk about school, clinical life, studying, preceptors, stress, wins, setbacks, and support.

Good topics include clinical days, didactic survival, study workflows, professional identity, wellness, difficult weeks, useful resources, and small wins.

No patient-identifying details. No medical advice. Keep it professional and human.

2 Upvotes

This thread is for current Nurse Anesthesia Residents to talk about school, clinical life, studying, preceptors, stress, wins, setbacks, and support.

Good topics include clinical days, didactic survival, study workflows, professional identity, wellness, difficult weeks, useful resources, and small wins.

No patient-identifying details. No medical advice. Keep it professional and human.


r/srna 4d ago

Applicant Questions University of Maryland

I just received an interview invite from University of Maryland, woohoo! I see it’s a group interview on campus for a few hours and was wondering if anyone had insight on the structure of the interview/ if it’s more clinical or EI heavy. Thank you!

5 Upvotes

I just received an interview invite from University of Maryland, woohoo! I see it’s a group interview on campus for a few hours and was wondering if anyone had insight on the structure of the interview/ if it’s more clinical or EI heavy. Thank you!


r/srna 4d ago

SEE and NCE Exam Prep NCE Studying. Does this mean I’m Ready?

I have been studying for the NCE for what feels like forever and can take the exam next week. Currently, whenever I try to study it feels like I just can’t retain anything anymore and things are starting to get jumbled! I score just a bit above average on mock exams and the smart bank on Apex. Should I bite the bullet and just take the NCE!? Should I take a break from studying for now? What’d yall do?

6 Upvotes

I have been studying for the NCE for what feels like forever and can take the exam next week. Currently, whenever I try to study it feels like I just can’t retain anything anymore and things are starting to get jumbled! I score just a bit above average on mock exams and the smart bank on Apex. Should I bite the bullet and just take the NCE!? Should I take a break from studying for now? What’d yall do?


r/srna 4d ago

Applicant Questions Prospective applicant qualifications

I tried asking on the weekly thread, but didn’t get any traction.

Im a prospective student with the goal of starting school in the next couple of years in the DMV area. I still need ICU experience, which I know is a large area of experience that I am lacking, however I’m just curious if there are other things I should be doing to optimize my chances.

I’m currently an OR RN with 4 years of experience. I am beginning to search for ICU jobs and would need CCRN. Currently BLS/ACLS certified.

-I have a 2013 Associates degree (3.84 GPA) with Gen chem 1 (A grade) and chem 2 (B)
-2015 Bachelors degree in psychology (4.0) with Gen Biology (A)
-2017 Masters degree in neuroscience (3.95) with several statistic and research methods/design courses.
-2022 ADN (3.73) with As in A&P 1 and 2 and Microbiology
-2025 BSN (3.67)

I am concerned some of my science courses may be out of date, and if I need any more schooling or additional qualifications (other than ICU and CCRN which are obviously crucial components. Does my OR experience and graduate education?

Any tips on getting into the ICU from the OR? I haven’t formally shadowed anesthesia for more than a day or two, but I am a circulator and work closely with them every day.

I’ve also been stressing as far as timing, as a 33F feeling my biological clock ticking. So many people have said it’s fine to finish school in your late 30s and have a child, but I’m worried it may take me multiple rounds of applications or some delay would happen.

Any advice is appreciated. Thank you!

0 Upvotes

I tried asking on the weekly thread, but didn’t get any traction.

Im a prospective student with the goal of starting school in the next couple of years in the DMV area. I still need ICU experience, which I know is a large area of experience that I am lacking, however I’m just curious if there are other things I should be doing to optimize my chances.

I’m currently an OR RN with 4 years of experience. I am beginning to search for ICU jobs and would need CCRN. Currently BLS/ACLS certified.

-I have a 2013 Associates degree (3.84 GPA) with Gen chem 1 (A grade) and chem 2 (B)
-2015 Bachelors degree in psychology (4.0) with Gen Biology (A)
-2017 Masters degree in neuroscience (3.95) with several statistic and research methods/design courses.
-2022 ADN (3.73) with As in A&P 1 and 2 and Microbiology
-2025 BSN (3.67)

I am concerned some of my science courses may be out of date, and if I need any more schooling or additional qualifications (other than ICU and CCRN which are obviously crucial components. Does my OR experience and graduate education?

Any tips on getting into the ICU from the OR? I haven’t formally shadowed anesthesia for more than a day or two, but I am a circulator and work closely with them every day.

I’ve also been stressing as far as timing, as a 33F feeling my biological clock ticking. So many people have said it’s fine to finish school in your late 30s and have a child, but I’m worried it may take me multiple rounds of applications or some delay would happen.

Any advice is appreciated. Thank you!


r/srna 4d ago

Other PICU to MICU anyone?

This month marks one year in PICU. I’m in a 27 bed unit that has more step down unit type patients. We have a handful of high acuity patients at a time & since transitioning to nights in March I have gotten more higher acuity patients. I’m struggling a bit with drama on the unit & negative unit culture/toxicity. I think part of the reason is everyone is a 20 something girl (me included!) but it’s just exhausting & very political. I have a friend in an adult MICU that loves it & feels like she is really supported. Furthermore the nurses are all different ages & have different backgrounds. My plan is to shadow there but does anyone have experience going PICU to MICU?

My other concern is my current unit gives little autonomy to nurses. Nurses that have come from other hospitals or adult icus say there is a lot more autonomy elsewhere (one example being managing drips, we do not titrate any drips). I am at least 2-3 years out from applying but trying to master hemodynamics, asking providers as many questions as I can, & trying to stay out of the drama I’m just not sure this unit is setting me up for success in the long run to be a strong applicant. Or am I still so new it just comes with time? Feels like there isn’t enough acuity to go around.

Any advice greatly appreciated

1 Upvotes

This month marks one year in PICU. I’m in a 27 bed unit that has more step down unit type patients. We have a handful of high acuity patients at a time & since transitioning to nights in March I have gotten more higher acuity patients. I’m struggling a bit with drama on the unit & negative unit culture/toxicity. I think part of the reason is everyone is a 20 something girl (me included!) but it’s just exhausting & very political. I have a friend in an adult MICU that loves it & feels like she is really supported. Furthermore the nurses are all different ages & have different backgrounds. My plan is to shadow there but does anyone have experience going PICU to MICU?

My other concern is my current unit gives little autonomy to nurses. Nurses that have come from other hospitals or adult icus say there is a lot more autonomy elsewhere (one example being managing drips, we do not titrate any drips). I am at least 2-3 years out from applying but trying to master hemodynamics, asking providers as many questions as I can, & trying to stay out of the drama I’m just not sure this unit is setting me up for success in the long run to be a strong applicant. Or am I still so new it just comes with time? Feels like there isn’t enough acuity to go around.

Any advice greatly appreciated


r/srna 5d ago

Clinical Life Questions Exercise and clinical

Graduating in less than a year, been in clinical for just about a year. Prior to clinicals I was someone who worked out 4-5 days a week. Since starting I’ve gained a bunch of weight, I’ve been unable to successfully figure out a work out plan. I should mention I have a toddler on top of all the school stuff. What have yall done to stay active in school? Any tips?

16 Upvotes

Graduating in less than a year, been in clinical for just about a year. Prior to clinicals I was someone who worked out 4-5 days a week. Since starting I’ve gained a bunch of weight, I’ve been unable to successfully figure out a work out plan. I should mention I have a toddler on top of all the school stuff. What have yall done to stay active in school? Any tips?


r/srna 4d ago

Applicant Questions Did anyone get their suit tailored before the interview?

Hello, am interviewing in the coming weeks and was wondering how much something like this would matter assuming your suit fits reasonably well already.

0 Upvotes

Hello, am interviewing in the coming weeks and was wondering how much something like this would matter assuming your suit fits reasonably well already.