If you were to advise people going into your specialty, what advice would you give?

Good to see you posting content again. Keep up the good work!

Good luck from Ukraine!

So happy to see you posted!

Another study with me would be pretty cool

Critical care is already such a broad field. Do you think you're spreading yourself thin trying to do two specialties. I work in a country with general ICUs so perhaps less relevant to you

Nice video. I work in Ireland and relate to many of your points. I would add that patients and their families often expect perfection and dont understand the risks so that perfection pressure is a major negative vs critiical care, wards. We have porters who help with the heavy lifting. Worth considering for your hospital.

Great video. I think the difficulty is integrating this into a family routine. How would you manage an early start with a partner who is up later? What time do you go to bed? How do you still have a social life with such early mornings

Do critical care anesthesiologists work in cardiac ICUs? Thank you!

Thank you for the great content Dr. Amanda!

Thank you

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

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!

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

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.

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

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

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.

New subscriber. Aspiring CRNA HERE ❤😘

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!

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! ❤

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

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

I hope you upload my videos I love your videos

Welcome back

Missed your videos!

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

As an aspiring PA, this podcast was very informative.

Very thoughtfull. Thank you.

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?

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

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

Great video.

Just wondering do you think pharmacy would be screwed first

Super helpful thank you!

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.?

Great video, very informative. Thank you.

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.

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 :-)

AA starting salary is $200,000.

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…

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

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

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

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

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

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

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.

so discouraging😞

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