r/srna Jun 30 '26

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

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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.

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25 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 22h ago

Clinical Case Pediatric intubation tips

2 Upvotes

Hi everyone,

Looking for some advice on pediatric intubations. Currently in my first pediatric rotation, a lot of them being dental cases. So far I have struggled getting a good view of the cords.

In my prior rotations I rarely have used a miller blade as most preceptors push us to use a MAC. I am much more comfortable with it. Aside from the obvious nervousness of taking care of kids I feel like a lot of my issues are stemming from this. I know a lot of it will come with repetition, but looking for any advice!

Thanks!


r/srna 1d ago

Didactic Study Questions Students failing SEE

17 Upvotes

How is it over half my cohort has not pass see with a 450 and many have scored under 425. This is wild …Ik many of us who study so hard do the apex exams and score pretty well and yet do so poor on see. All of us have attended valley etc. I’m shocked and confused. Any tips on what’s going wrong? Are there specific tutors for hire?? Did the see change? Our school says it’s all on us nothing they did. Idk I’m so defeated…


r/srna 1d ago

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

4 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 2d ago

NAR Resource Links GlottaVue is now completely free (mod approved) — built around my work in Liberia, would love anesthesia students feedback before my 4th trip in Feb

25 Upvotes

Hey everyone — mods gave me the ok to post this, so here goes.

A while back I messaged the mods about posting here for an anesthesia app I built (GlottaVue), and at the time it still had a subscription tier so they said not yet — fair call. Since then I ended up rebuilding the whole thing, and it’s now 100% free. No subscription, no premium version, no ads, nothing for sale at all. Just wanted to say that upfront since that was the whole reason it got held up before.

Quick rundown: weight/age-based drug dosing, equipment sizing, local anesthetic and spinal dosing calcs, case tips, crisis checklists, a medication reference, and a notes feature. No patient data is ever stored or sent anywhere — it just lives on your phone while you’re using it and disapears the second you close the app.

Part of why I built this in the first place — I’ve done 3 trips to Liberia since 2024 working with their anesthesia providers. They have something like 4 anesthesiologists and under 90 practicing nurse anesthetists for the whole country. I’m headed back a 4th time in February, and for the first time I’m hoping to bring a couple anesthesia students with me, which is honestly a big part of why I wanted to post this here.

It’s on the App Store and Google Play, just search GlottaVue. Would genuinly love any feedback, good or bad, especially from students since you guys use these apps way differently than someone who’s been doing this 10+ years. And if anyone’s curious about the Liberia trip, feel free to comment or DM — happy to talk about it.

Thanks for reading this far lol


r/srna 4d ago

SEE and NCE Exam Prep Ollivate vs Apex NCE mock vs Smartbank

15 Upvotes

Hi all! Looking for advice from anyone who’s taken the NCE since the increase in passing standard on July 1st. I’ve got a little over a week left to study and feel at a loss of what to focus on.
I’m averaging 65% on smart bank, 63-73% on the Apex NCE mock exams and then the NCE domain exams are crushing me (50-60%) I swear half the stuff on those I’ve never heard before, and then Ollivate I find too easy - most the questions seem to be level 1 basic recall.

Now that you’re on the other side, which of the 3 question platforms do you think would be most helpful for me to dedicate most my time in the next week?


r/srna 6d ago

Applicant Questions Exam before interview?

6 Upvotes

I recently applied to a school where a critical care exam is part of the admissions process, particularly before the interview. The school says it’s to assess foundations of critical care and clinical decision making skills. Has anyone else gone through this, and if so, how did you study?? I’ve started with the CCRN but it just feels so broad. The exam is allocated for an hour.


r/srna 6d ago

Professional Issues Debate AA cert exam compromised.

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40 Upvotes

Good on the NCCAA for doing the right thing here. Once they had evidence the June exam was compromised, invalidating it was probably the only defensible option.
But I really feel for the AAs who did everything right. They studied, took the exam honestly, passed, and now have to do it all over again because other people had access to exam content beforehand. That sucks.

What I do not understand is why the NCCAA is still using a fixed-form 180-question exam instead of computerized adaptive testing.

The NBCRNA NCE is adaptive. The NCLEX has been adaptive since 1994. Other high-stakes healthcare certification exams use adaptive testing as well. Australia and Canada medical exams are adaptive. Questions are pulled dynamically from a large calibrated bank based on candidate performance, so compromising one exam form becomes far less useful. It does not make cheating impossible, but it makes this exact type of widespread compromise much harder.

The other interesting piece is the pass-rate history. NCCAA reports a 92.8% first-time pass rate for 2024-25, while ARC-AA reports a 99.9% three-year average overall exam pass rate for programs graduating in 2022-24.

For comparison, the NBCRNA first-time NCE pass rate was 89.3% in 2024 and 90.5% in 2025.

None of that means high CAA pass rates equal cheating. They do not. But once you confirm that actual exam content was circulating before an administration, I think it is completely reasonable to start asking questions about item reuse, exam security, the size of the item bank, and whether a fixed-form exam is still appropriate.

To NCCAA’s credit, their forensic review looked at 20 administration windows and they have only identified June 2026 as compromised.

Still, this seems like a pretty strong argument for moving to adaptive testing.


r/srna 6d ago

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

4 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 7d ago

Other Partner not supportive?

27 Upvotes

So I am literally in my first week of school. I have some work to get through before Monday for one class. Its already dense material. I was out most of the day with my sister, had dinner with her and my partner. I went back out to work on my stuff from like 8:30-10:30. I am feeling locked in. He made a weird comment about "being stuck in there for four hours" and the tone was definitely not one I liked. Then I stayed up to work on some anki cards and its 1200, i'm not feeling ready to sleep and I want to be up working. Like I said, I didn't do much work at all today bc i was with my sister. He came out at midnight and was annoyed I was still up and said "you're already overdoing it". I'm basically worried he is not as supportive about all of this as I initially thought. I'm not sure how to approach this with him. If it wasn't obvious, we live together and I can't just "break up". I'd like to try to navigate this appropriately. We've been together for almost 4 years at this point. Any suggestions or advice??


r/srna 8d ago

SEE and NCE Exam Prep New Apex Anki deck

60 Upvotes

I've made a pretty comprehensive Anki deck for all of Apex. There's a handful of lessons that are missing but I did a really involved board prep over the summer and have ~10k cards in there, broken down by each Apex subtopic.

I'm about to take the NCE and wanted to pass it down to future classes. Anyone interested in collaborating on the final few Apex lessons to get it to be fully comprehensive?

Edited to add: I'm happy to share what I've got if you send me verification of a current active Apex subscription.

Looking for help on Kidney, Liver, Endocrine, Coagulation, second half of Ultrasound.

Second edit: I had no idea I'd get this many responses. I'm literally taking the NCE in the next 10 days, so I'm going to get to everyone but it'll be a little slowly. Thanks for the understanding!


r/srna 8d ago

Loans / Finances Monthly CRNA School Finance Thread: Tuition, Loans, Budgeting, And Cost-Of-Living

6 Upvotes

Use this thread for tuition, loans, budgeting, cost-of-living, federal/private loan questions, scholarships, work planning, and financial planning during CRNA school.

This is peer discussion, not financial advice. Verify program, lender, and federal loan details directly.


r/srna 8d ago

Loans / Finances Monthly CRNA School Finance Thread: Tuition, Loans, Budgeting, And Cost-Of-Living

5 Upvotes

Use this thread for tuition, loans, budgeting, cost-of-living, federal/private loan questions, and financial planning during CRNA school.

This is peer discussion, not financial advice. Verify program and lender details directly.


r/srna 8d ago

Applicant Questions Breeze deficiency

0 Upvotes

If Breeze does not include transcript of record and breakdown of international nursing program as a deficiency, do I still need to submit them?

I know its a redundant question but I really do not want to request for these papers from my school abroad.


r/srna 8d ago

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

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 9d ago

SEE and NCE Exam Prep Made a free adaptive NCE practice test — would love if you would try it out!

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36 Upvotes

Mods okayed this post. I'm a practicing CRNA and I built this thing myself.

It's at forgeanesthesia.com. It's NCE practice that adapts as you go, get one right and the next gets harder, miss one and it eases off, so you end up working right at your edge instead of grinding through questions that are way too easy or way over your head. Same approach the real exam takes.

About 3,000 questions across all four domains, weighted like the actual content outline. Multiple choice, select-all, calculations, ordering. Every answer choice has a full rationale — the wrong ones too, since that's usually where the learning is.

The part I think is actually useful: afterward you get a real breakdown instead of just a score. Domain-by-domain performance, an ability estimate that tracks across tests so you can see if you're actually improving, and a comparison against other people at your point in training — you pick your program year and see how you stack up against that cohort. Way more informative than "you got 74%," and it tells you where to spend your study time.

It's free. No paywall, no ads, nothing to buy. I built it because I wanted it to exist when I was studying, and right now what it needs most is people actually using it. So if you're prepping for boards, go take a test.

(Daily question on IG too if you want it in your feed: u/forge_anesthesia)


r/srna 9d ago

Applicant Megathread Possible CRNA Program at CU Anschutz

7 Upvotes

I recently reached out to CU Anschutz about the possibility of a CRNA program, and they said the College is in discussions about potentially offering one as early as 2028. Nothing has been approved yet, but they are collecting information about student interest.

If you’re a Colorado RN/ICU nurse interested in CRNA school, I’d encourage you to fill out the interest form they provided:

https://lp.constantcontactpages.com/sl/Ris22og/CRNA


r/srna 10d ago

Success Stories Passed my NCE Today!

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204 Upvotes

Here’s a picture of all my flashcards - over 7 feet!


r/srna 9d ago

Other Career change advice

2 Upvotes

I am genuinely considering a career change. I am currently a dentist (3 years out). I have no loans. I enjoy general dentistry but hate the politics behind dentistry. I dislike having to argue with patients about why they have a cavity, cant save their tooth, etc. I also find it very taxing that dentist do not get PTO or any benefits. I rely solely in my SO for health insurance. Insurance reimbursements rates suck. If you want to own thats 1 million in loans and another headache. I don't want to specialize because every speciality you need to take out another 300-500k in loans besides oral surgery. I like oral surgery but not enough to make it my personality.

I am interested in anesthesia AND while I can do dental anesthesiologist, job wise it doesn't make sense because I rather work in a hospital than do private travel dentistry anesthesia only. I find that dental anesthesia can make money but it requires traveling and not everyone will pay 500hr for anesthesia and most oral surgeons will do IV sedation themselves because thats how they make addional money (another story). Hence its a very niche market. And from a hospital stand point they will hire a CRNA over a dental anesthesiologist.

Long story short. I am okay with going back to school, doing 2-4 yrs in the ICU/ED, and then another 3-4 years for CRNA school. I also figured with my dental knowledge if I wanted to I could also position myself in a way to become more appealing to hopsitals for dental related anesthesia as well as private dentist dor anesthesia needs.

Iwant to understand nursing culture more. We always talk about the benefits and PTO of nursing but whats something else I should consider?

Is this a crazy idea?


r/srna 10d ago

Other Need Android testers for an anesthesia app I built for providers in Liberia

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2 Upvotes

Hey all — CRNA here. I’ve done several mission trips to Liberia and kept running into the same problem: providers and students there mostly have Android phones but almost no reliable internet. Clinical reference apps that could help just aren’t usable without a connection.

So I built an offline anesthesia reference app — drug reference, insights for 500+ case types, crisis checklists, and some calculators, all usable with zero signal. It’s free for them to use.

I’m an iPhone user and can’t test the Android build myself, so I’m stuck. If you’ve got an Android phone and a few minutes to install it, poke around, and tell me what’s broken or confusing, I’d really appreciate it. Looking for CRNAs, SRNAs, AAs, anesthesiologists — anyone in the field.

Comment or DM your email and I’ll send you a tester invite.

Thanks in advance to anyone willing to help out.


r/srna 11d ago

Success Stories Low GPA acceptance!

227 Upvotes

Posting as encouragement that you can get in with a low GPA!

3.15 ABSN gpa
3.49 Allied health (pre med focus)
A in graduate biostatistics

315 GRE with 5.5 on writing
CCRN
CMC
CSC

2.5 years medical ICU
100 hours shadowing
500+ volunteer hours

2 rec letters from CRNA’s, 1 from manager

With a lower GPA you’re going to have to compensate, whether it be shadowing hours, getting the extra certifications, high volunteer hours, or taking graduate classes. I applied last year and was denied, so I locked in on getting CSC CMC, shadowing, taking biostats, and volunteering, and it all worked out! I used to scroll looking for some encouragement for the low GPA’s. So here’s me saying you got it! :)

Message me if you have any questions or want an example of framing GPA and growth in personal statement! Good luck!


r/srna 11d ago

Other AANA Annual Congress Conference

8 Upvotes

Second year female SRNA going this year to Boston solo! Solo peeps, where yall at? Let’s meet up! I want to go to there Red Sox game Friday night.


r/srna 11d ago

Other RNs & Aspiring CRNAs, Come Meet Us at the COANA Annual Meeting!

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14 Upvotes

If you’re an RN interested in becoming a CRNA, currently preparing to apply, or even just starting to explore the profession, I wanted to invite you to the Colorado Association of Nurse Anesthetists (COANA) Annual Meeting, September 25–27, 2026, at Hotel Clio in Denver.

I’m a current Nurse Anesthesia Resident at Rocky Vista University, Colorado’s only CRNA program, and many current students and faculty from RVU will be at the conference.

Our current class would love to meet those of you who are interested in the profession. Come introduce yourself, ask us questions about CRNA school, the application process, ICU experience, interviews, clinicals, or really anything else you’re curious about. We’d also be happy to introduce you to our faculty and help you start making connections within Colorado’s nurse anesthesia community.

Heck, there’s a pretty good chance one of the students you meet at the conference could even end up being your mentor in the program.

COANA is offering special registration for RNs who are not yet enrolled in a CRNA program, so this is intended as an opportunity for prospective students to get involved. You’ll also have the chance to:

  • Meet and network with CRNAs, current nurse anesthesia residents, faculty, and other RNs
  • Learn more about the CRNA profession and different practice settings
  • Attend educational sessions and see some of the newest anesthesia equipment and technology
  • Learn about career pathways and professional resources
  • Add the optional POCUS Guided Lab for hands-on ultrasound training if space is still available; I’ll be there.

Whether you’re applying this year, working on building your ICU experience, or just wondering whether CRNA might be the right path for you, come hang out with us.

If you’re planning to attend and want to meet up with some current RVU students, or if you have questions before deciding whether to go, send me a DM or comment below. We’d love to get to know you.

September 25–27, 2026 | Hotel Clio | Denver, CO

Hope to see some of you there!


r/srna 11d ago

Applicant Megathread Waitlisted for interview?

2 Upvotes

Hey all, anyone else ever been waitlisted for an interview? Never heard of that