The authors respond to “Nurse anesthesiologists”
Open accessAbstract
We appreciate the interest in our article advocating for a national strategy for anesthesia services in rural and remote regions of Canada.[1][1] Bland[2][2] and other commenters on the CMAJ website have proposed that the shortage of anesthesia care providers in rural Canada could be remedied
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
0 of 2 cited sources checked · 0 supported · 0 flagged
- Premisecitation
The Government of British Columbia recently expanded its training program for certified anesthesia assistants to address the shortage of anesthesia providers in that province.
“The Government of British Columbia recently expanded its training program for certified anesthesia assistants to address the shortage of anesthesia providers in that province.4”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [4] 4. B.C. announces $4.4M for health-care education, training. CTV Vancouver Island News [Vancouver] Available: vancouverisland.ctvnews.ca/b-c -announces -4-4m-for-health-care-education -training -1.5036674 (accessed 2020 Aug. 14).
Not checked in the free run.
- Premisecitation
In the United States, there are similar regional shortages of anesthesia and pain medicine providers despite the availability of certified nurse anesthetists, owing to inadequate workforce planning.
“Indeed, in the US, there are similar regional shortages of anesthesia and pain medicine providers, despite the availability of certified nurse anesthetists, owing to inadequate workforce planning.3”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [3] 3. Daugherty L, Benito RF, Kumar KB, et al. Is there a shortage of anesthesia providers in the United States? Santa Monica (CA): RAND Corporation; 2010. Available: www.rand.org/pubs/research_ briefs/RB9541.html (accessed 2020 Aug. 14).
Not checked in the free run.
- Interpretationreasoning
In Canada, the availability of a new class of allied health professional with limited or single skill sets would not address the overall perioperative medical needs of rural communities.
“We do not believe that, in Canada, the availability of a new class of allied health professional with limited or single skill sets would address the overall perioperative medical needs of rural communities.”
Quote in the paperSubstantial claim- Rests on an assumption: Rural generalist family physicians bring additional skills related to emergency medicine, surgery, obstetrics, pain medicine and family practice in a cost-effective manner.
The paper relies on this without support.
Rural generalist family physicians bring additional skills related to emergency medicine, surgery, obstetrics, pain medicine and family practice in a cost-effective manner.
“Rural generalist family physicians bring additional skills related to emergency medicine, surgery, obstetrics, pain medicine and family practice in a cost-effective manner.”
The paper relies on this without support.
Canada has already invested in the high-quality educational infrastructure needed to train family physician anesthetists.
“Canada has already invested in the high-quality educational infrastructure needed to train family phys ician anesthestists”
The paper relies on this without support.
The demand from keen physicians for provincially funded training positions far exceeds current training capacity in Canada.
“the demand from keen physicians for provincially funded training positions far exceeds our current training capacity.”
The paper relies on this without support.
In Canada, certified anesthesia assistants support and work under the supervision of anesthesiologists.
“In Canada, certified anesthesia assistants support and work under the supervision of anesthesiologists.”
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
The proposed CRNA program is envisioned to resemble the Certified Nurse Anesthetist model in the USA.
“This program is envisioned to be like the Certified Nurse Anesthetist model that exists in the USA.”
From No community left behind: advancing rural anesthesia, surgery, and obstetric care in Canada. (2022) · cites this paper as [18]
The main text (p. E1215) says commenters proposed using certified registered nurse anesthetists in rural Canada and describes their role in the United States. It does not describe a proposed Canadian CRNA program or say that such a program is envisioned to follow the US model; the authors argue against introducing that class of provider. (LLM, conf=0.79)
Experimental — accuracy not yet measuredThe provincial government of British Columbia recently proposed developing a new Certified Registered Nurse Anesthetist model.
“To address the shortage of anesthesia providers, the provincial government in British Columbia recently proposed to develop a new Certified Registered Nurse Anesthetist (CRNA) model.18,19”
From No community left behind: advancing rural anesthesia, surgery, and obstetric care in Canada. (2022) · cites this paper as [18]
The body passage discusses proposals by commenters to use nurse anesthetists in rural Canada, not a proposal by the British Columbia government. The References section lists a news item about B.C. health-care training, but does not say it concerned a CRNA model. Our copy’s body text ends mid-sentence after “In Canada, certified,” so the potentially decisive passage may be missing. (LLM, conf=0.72)
Experimental — accuracy not yet measured
Cites
Canada needs a national strategy for anesthesia services in rural and remote regions
Orser, B. A., & Wilson, C. R. (2020) · Canadian Medical Association Journal · doi:10.1503/cmaj.200215 · Cited by 35 · see citing works
Self-citationIs There a Shortage of Anesthesia Providers in the United States?
Daugherty, L., Benito, R. F., Kumar, K. B., & Michaud, P. (2010) · RAND Corporation eBooks · doi:10.7249/rb9541 · Cited by 6 · see citing works
Bland, R. (2020) · Canadian Medical Association Journal · doi:10.1503/cmaj.76505 · Cited by 2 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Dexter, F., Epstein, R. H., & Titler, S. S. (2024) · Journal of Clinical Anesthesia · doi:10.1016/j.jclinane.2024.111498 · Cited by 14 · see citing works
No community left behind: advancing rural anesthesia, surgery, and obstetric care in Canada.
McVicar, J. A., Orser, B. A., & Wilson, C. R. (2022) · Canadian Journal of Anesthesia/Journal canadien d'anesthésie · doi:10.1007/s12630-022-02340-y · Cited by 8 · see citing works
“Pour remédier à la pénurie de fournisseurs d’anesthésie, le gouvernement provincial de la Colombie-Britannique a récemment proposé de mettre au point un nouveau modèle d’infirmière anesthésiste autorisée certifiée (CRNA).(18,19) Ce programme est conçu sur la base du modèle d’infirmière anesthésiste certifiée existant…”
BackgroundSelf-citationAnesthesia assistants — a failed solution since 2005
Booth, J. (2020) · Canadian Medical Association Journal · doi:10.1503/cmaj.76785 · Cited by 1 · see citing works
- Authors
- Orser, B. A., & Wilson, C. R.
- Affiliations
- University of Toronto (CA)
- Queen's University (CA)
- Venue
- Canadian Medical Association Journal
- Publisher
- CMA Impact Inc.
- Published
- 2020-10-12
- Volume
- 192
- Issue
- 41
- Pages
- E1215-E1215
- ISSN
- 0820-3946 (ISSN-L)
- 1488-2329
- PMC
- PMC7588241
- OpenAlex
- W3092646903
- Cited by
- 3
- References
- 3
- Citations by year
- 2024: 1 · 2022: 1 · 2020: 1
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- Canadian Medical Association Journal (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Health Professions › Emergency Medical Services › Global Health Workforce Issues
- Health Sciences › Health Professions › General Health Professions › Nursing Roles and Practices
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Global Health and Surgery
- Keywords
- national strategy, rural health care
- MeSH terms
- Anesthesiologists, Anesthesia, Anesthesiology, Canada, Humans, Nurse Anesthetists
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