81 episodes

Anesthesia Guidebook is the go-to guide for providers who want to master their craft. We help anesthesia providers thrive in challenging, high-stakes careers through our relevant, compelling guides. You’re on a path to becoming a master anesthesia provider. We’re your go-to guide for deepening your anesthesia practice.

Anesthesia Guidebook Jon Lowrance

    • Health & Fitness
    • 4.8 • 123 Ratings

Anesthesia Guidebook is the go-to guide for providers who want to master their craft. We help anesthesia providers thrive in challenging, high-stakes careers through our relevant, compelling guides. You’re on a path to becoming a master anesthesia provider. We’re your go-to guide for deepening your anesthesia practice.

    #81 – How to Navigate the Business of Anesthesia with Tracy Young, MSNA, CRNA, MBA

    #81 – How to Navigate the Business of Anesthesia with Tracy Young, MSNA, CRNA, MBA

    I caught up with Tracy Young, CRNA, MBA & CEO of YPS Anesthesia Services in Houston back in November 2019 to talk about the business of anesthesia.







    Tracy is one of the most sought-after experts on the business of anesthesia not just at CRNA conferences but throughout the healthcare management & business industry.







    In this episode we discuss a broad range of topics including anesthesia billing & staffing models, trends in reimbursement, differences between W2 & 1099 work, advice for establishing your first anesthesia staffing contract, how to succeed both in your career as an anesthesia clinician and how to transition into the business of anesthesia, how to maintain balance & wellbeing over the course of your career and other key insights.







    Tracy covers the origin and mission of his business, YPS Anesthesia Services, which at the time of this interview (8 December 2019) supports over 450 anesthesia providers to staff over 60 endoscopy & ambulatory surgery centers and hospitals across seven states in the United States.







    Tracy Young, CRNA, MBA, CEO of YPS Anesthesia Services







    Tracy Young earned his Master of Science in Anesthesia (MSNA) from Texas Wesleyan University in 2000, found YPS Anesthesia Services in 2003 and went on to earn a Master in Business Administration (MBA) from George Washington University in 2008.







    Leading YPS Anesthesia Services for nearly 20 years has provided Tracy a wealth of first hand experience in the anesthesia and healthcare business world. He enjoys giving back to the anesthesia community through teaching on business related issues for SRNAs at several anesthesia programs and for CRNAs through private conferences across the United States. Tracy also enjoys developing venture capital opportunities with both businesses in and out of healthcare. Tracy has been a long-time active member of the Louisiana State Association of Nurse Anesthetists, serving 2-terms as the president of the association.







    All of this experience, coupled with Tracy’s easy-going Louisiana style, makes him one of the most sought-after expert presenters on the business of anesthesia. His presentations on business related topics are really some of the best I’ve heard. The power behind his talks comes from his deep personal knowledge coupled with an ability to communicate the relevance of business topics to practicing clinicians, both those working in employed W2 settings and those working in 1099 practices. But it’s not just this deep knowledge and keen teaching ability that Tracy brings to his talks. Perhaps the most powerful aspect of his ability to communicate is his character & integrity and emphasis on professionalism as a key to success in business.







    Tracy often talks about the 3 A’s of Anesthesia.







    The Three A’s of Anesthesia:







    Amicable + Affable + Available







    He encourages providers to understand that you’re in the service industry and your clients are diverse: it’s not just the patients, but the surgeons, the OR nurses & techs, the hospital administration and other staff. You’re in a service-oriented industry and embracing a positive attitude (being amicable & affable) while being available and supporting the delivery of efficient, high quality anesthesia care are critical aspects of developing a successful anesthesia practice or business.







    I’m so glad you’ve found this podcast… it’s just an amazing conversation and I think you’re really going to enjoy it.

    • 1 hr 4 min
    #80 – How to do 1099 Anesthesia Work with Sandry Gaillard, MSN, CRNA

    #80 – How to do 1099 Anesthesia Work with Sandry Gaillard, MSN, CRNA

    What’s up yall, this is Jon Lowrance with Anesthesia Guidebook. This is episode 80 – how to do 1099 anesthesia work with Sandry Gaillard, MSN, CRNA. This is the second episode in a short series on the business of anesthesia. I’m gonna do a little run of interviews and topics on the business of anesthesia in the next few weeks. In the last episode you heard from Navin Goyal, MD & Saket Agrawal, CEO, both with OFFOR Health on how physician anesthesiologists can expand their careers beyond their clinical practice. In upcoming shows you’ll hear from Tracy Young of YPS Anesthesia in an episode covering lots of topics on the business of anesthesia and another episode with Randy Moore & Desirée Chappell of NorthStar Anesthesia on change management & leadership in anesthesia.







    These conversations are incredibly valuable for anyone in anesthesia even if you have no interest in running your own business or becoming a practice manager or leader. These podcasts are relevant for every staff CRNA, physician anesthesiologist & anesthesia resident because they help you understand the contexts that we all work in. A mentor shared with me that there’s four pillars of anesthesia: your clinical practice, which everyone has at least initially in your career, education & research, advocacy work & the business of anesthesia. While you might anchor yourself solely in your clinical practice as your primary or even only professional interest, it’s helpful to have a basic understanding of the other domains – education & research, advocacy & policy and the business of healthcare – so that you can be a more informed provider and adept at navigating your career.







    This episode was first released on 14 February 2015. At the time, Sandry Gaillard, MSN, CRNA was working as an independent CRNA in a 1099 practice in rural Western North Carolina.







    This episode was released as part of the initial launch of From the Head of the Bed, the podcast that preceded Anesthesia Guidebook. It’s an interview between Kristin Lowrance (formerly Kristin Andrejco) who at the time was a SRNA at Western Carolina University. Kristin and I both worked with Sandry while we were SRNAs at WCU and Kristin invited her on the show to talk about the basic difference between working as a W2 employee and 1099 contractor, as well as some of the unique characteristics of working in a small, rural independent CRNA practice.







    Sandry clearly outlines the key differences between working as a W2 employee and working as a 1099 independent contractor. Her and Kristin discuss the financial & business considerations including filing taxes, hiring an attorney & accountant, setting up a business structure and insurance considerations. They also discuss the personal leap it takes to transition from working as a W2 employee to 1099 work where you have to learn to manage you finances & certain aspects of your career in much greater detail. Sandry shares her story of making this transition and gives some wonderful encouragement for others who might be considering making the switch.







    Beyond discussing the financial & business considerations of working as a 1099 independent contractor, they discuss the unique characteristics of working in a small, rural CRNA-only practice.







    It’s important to recognize that you can work as a 1099 “independent contractor” while still working in a group or with an anesthesia care team or with a larger company, whether that is a larger CRNA-only or physician-only group or an anesthesia care team model that includes both CRNAs & physicians. Filing taxes as a 1099 doesn’t mean you work in a CRNA-only or physician-only group. It’s simply a different business structu...

    • 41 min
    #79 – The Future of Healthcare with Navin Goyal, MD & Saket Agrawal, CEO with OFFOR Health

    #79 – The Future of Healthcare with Navin Goyal, MD & Saket Agrawal, CEO with OFFOR Health

    What’s up yall this is Jon Lowrance with Anesthesia Guidebook.  I’m really excited to bring you this episode on the future of healthcare with Dr Navin Goyal and Saket Agrawal of OFFOR Health.







    This is episode 79 of anesthesia guidebook and it’s coming out on June 24, 2022.







    This is one of the most interesting conversations I’ve had with contributors to this show.  Navin & Saket are here to discuss what the future looks like – or what it could look like – for physicians in healthcare.  They hit on something that’s not talked about very much in medical school or residency programs or every around the OR amongst your colleagues, which is “what more can you do” as a physician anesthesiologist?  What else is out there?  Graduating from medical school and completing your residency is really just the beginning – or as Navin puts it – fills one particular bucket in your career.  But there are other possibilities out there and now more than ever, he and Saket want to share with you how physicians can engage in new ventures and roles both in the healthcare sector and beyond as a way to leverage the value you bring as a highly trained clinician.







    They unpack this story and create this invitation to look beyond your clinical practice through sharing the story of OFFOR Health and the path they’ve been on as business partners. 







    So let me tell you a little about each of them and then we’ll get to it…







    Navin Goyal, MD







    Navin Goyal, MD is a physician anesthesiologist and a co-founder of SmileMD, a mobile anesthesiology startup that is aiming to change the accessibility of anesthesia to small practices. He is also a co-founder of Loud Capital, a venture capital firm that provides financial support to early-stage startups as well as value-added services such as business development and guidance in scaling sales operations.







    Navin received his MD from the University of Cincinnati College of Medicine and trained in anesthesiology at the University of Chicago Medical Center.







    Saket Agrawal 







    Saket is the CEO of OFFOR Health, a company that brings access to specialists closer to home by partnering with local dentists and medical offices to deliver specialized care. Saket became CEO of OFFOR Health in 2016 after working for years in the technology space in Silicon Valley. 







    Sakate graduated from The Ohio State University with training in computer science and engineering, earned his MBA in North Carolina, and worked in tech in San Francisco for nearly 10 years before SmileMD’s mission drew him back to Columbus.







    So one of the contextual frameworks we worked off of in planning this discussion was physician anesthesiologist burnout.  Navin is going to share with you his own story of being over a decade into his clinical practice at a large academic medical center when he began to feel bored with the daily grind and started wondering what else was out there.  We talked before we recorded this about the MedScape 2022 Physician Burnout & Depression survey.  Now this is a survey I’ve been following for several years and sharing in my own talks at anesthesia conferences on wellness.  Each year, Medscape surveys around 13-15,000 physicians across 29 specialities and reports data on burnout,

    • 39 min
    #78 – Thrive in Training: how to transition to practice

    #78 – Thrive in Training: how to transition to practice

    This episode covers advice for the last six months of anesthesia training, transitioning out of training and into the first six months of your anesthesia practice.







    The year encompassing your last six months of training through boards and your first six months of practice is epic!  







    There’s a huge learning curve you encounter during your first six months of anesthesia practice following the “completion of training.” Finishing training is a bit of a misnomer given that the best providers keep training… keep practicing and developing towards true expertise and mastering their craft.







    This was the first solo episode I produced on From the Head of the Bed, meaning just me and the mic. I originally published this on February 1, 2016, about 8 months after I completed anesthesia training and passed boards. At the time, I wanted to do a show on transitioning to practice before the lessons of that time faded from my immediate memory.







    I think there’s three big aspects of the last six months of anesthesia training: completing your research/thesis/DNP or residency project, securing a job and passing boards. For CRNAs, we must pass boards before we begin work. For physician residents, you may start working as a board-eligible physician anesthesiologist and work towards completing boards after you make that transition to practice.







    I speak a bit about wrapping up training in this episode from the experience side of things… your co-residents will likely scatter to take jobs all across the nation after training. Try to connect with them in the final months and thank your program faculty. They pour a ton of effort into developing you as a provider and launching you into the world. A little gratitude goes a long way towards helping them know their work is appreciated.







    The first six months of your practice brings a massive learning curve as you’re finally charged with putting all of the pieces together on your own. This is an important time where you must answer the following questions concerning your actual practice:







    * Why do I do what I do?* Why do I not do what I don’t do?







    Sounds simple enough, but you must clarify your decision making around clinical judgments and interventions finally for yourself and not because your program faculty or preceptors prefer you to do or not do something. My encouragement is that you frame your decision making on the latest evidence for best practices and not simply because you taught one way to do things. You must continue to evolve your practice after graduation.







    I hope you enjoy this show. As always, drop your comments or questions on the website, social media or in an email to me. If you haven’t already, please take 3-5 minutes and drop a review on Apple podcasts. You rating, but especially your written review, helps push the podcast out to more people and helps those individuals trust the show.







    I mentioned this article in the podcast:







    Assante, J., Collins, S., & Hewer, I. (2015). Infection Associated With Single-Dose Dexamethasone for Prevention of Postoperative Nausea and Vomiting: A Literature Review. AANA Journal, 83(4), 281-288.

    • 29 min
    #77 – Thrive in Training: how to land your first job in anesthesia with Jon Bradstreet, MSN, CRNA

    #77 – Thrive in Training: how to land your first job in anesthesia with Jon Bradstreet, MSN, CRNA

    In this episode, I talk with Jon Bradstreet, MSN, CRNA who at the time of this recording was the chief CRNA/Director of CRNA Services at Maine Medical Center, Maine’s only level 1 trauma center. Jon was the chief CRNA who gave me my first job in anesthesia. At the time he hired my wife and I, in June of 2015, there were around 50 CRNAs in our group. Seven years later, our group has more than doubled in size with just over 100 CRNAs. Jon has overseen that growth and the development of an incredibly healthy culture within the anesthesia team at Maine Medical Center. We originally recorded this interview in December of 2015.







    In this episode we talk about how to prepare for the job hunt as a SRNA… everything from what to look for in a job and how to weigh various pros & cons, how to prepare your resume or CV and how to ace the interview & follow up communications with a prospective employer. You’ve worked incredibly hard during anesthesia school to develop the skills & knowledge to become a competent provider; following through with a similar degree of proactive ownership to land your first job is key to making a successful transition into working as an anesthesia provider. This episode will tell how to do just that.







    Key topics:







    * CV Preparation – what works and what’s fluff on your CV* When to and how to contact prospective employers* Tips for interviews including:* What chief CRNAs are looking for in your interview* Questions you should be asking in your interview* Things to consider doing and avoid doing in an interview* When to follow up on an interview* Tips for promoting yourself as a CRNA* Advice for how to prioritize important aspects of jobs including location, practice type, group culture, compensation packages and more* Advice for CRNA couples who are in the job hunt together







    Parting words from Jon Bradstreet, MSN, CRNA:







    “Have fun… we have a great profession and we have a great lifestyle.  We’re very lucky to do what we do for a living.  Always keep that in mind – how fortunate we are in this profession.  And then finally I think I would say listen to your gut.  It’s taken you very far in life already… don’t repress what it’s telling you as you’re in that interview.”

    • 31 min
    #76 – Thrive in Training: the SEE & NCE exams

    #76 – Thrive in Training: the SEE & NCE exams

    This episode covers the NBCRNA’s SEE & NCE exams for SRNAs/RRNAs. Get these on lock down. Thrive in training.







    The Self-Evaluation Exam (SEE) is a 240-question computerized adaptive exam that’s designed for three reasons:







    * help the SRNA gauge their progress in their training program* help program faculty gauge how well they’re preparing students* help SRNAs prepare for the NCE board exam







    NBCRNA’s website for the SEE is here: SEE Resources.







    The National Certification Exam (NCE) is the board exam required to become a Certified Registered Nurse Anesthetist (CRNA).







    The NCE is a 100-170 question computerized adaptive exam that includes 30 random, non-graded questions. All examinees will take at least 100 questions. The exam shuts off between 100 – 170 questions once a minimum passing (or failing) standard is met. The cost of NCE is $995 and is available only to graduates of accredited nurse anesthesiology training programs.







    NBCRNA’s website for the NCE is here: NCE Resources.







    The NBCRNA also provides an exam tutorial for the SEE/NCE, which is an extremely valuable resources: SEE/NCE Exam Tutorial.







    In this podcast, I break down the SEE & NCE in detail and share advice for how to approach both exams. I also go in-depth on preparation for the NCE in episode 14 of Anesthesia Guidebook with expert-exam coach, LTC Peter Strube, DNP, CRNA. Dr Strube has coached nurse anesthesia trainees in passing boards both ahead of their initial try at boards and, most often, after they’ve failed. His insights are invaluable for preparing for boards so I’d definitely recommend checking out that episode.







    I will also hit on the NCE in an upcoming show about wrapping up training and preparing for the transition to practice.







    You can watch the trailer for SOMM here.







    As always, drop me an email, IG/Facebook message or comment here on the website with your questions or comments.

    • 45 min

Customer Reviews

4.8 out of 5
123 Ratings

123 Ratings

Jess.Kaz. ,

Favorite podcast

As a second year SRNA, I love this podcast for so many reasons. You can tell the Jon would be the most ideal preceptor/clinical faculty in the way he talks about his job and coworkers. The top drawer rundown podcasts are some of my favorite 👏🏼 keep’em coming!

future_crna_extraordinaire ,

Awesome Podcast!

I have been a listener of this podcast for some time now. Episode #67 “How to Thrive in Training” could not have come at a better time! I just started my first semester in CRNA school and was struggling to get myself together. I’m married with 2 sons, and it has been a little rough due to being tired. Thank you for being so open about your “why” and sharing your story. It gave me the motivation to get my act together and finally sit down and write down my why! I really appreciate you developing your podcast and giving students an avenue to find ways to thrive in our new profession! Thank you for all that you do!

COstew14 ,

Would Recommend

An essential podcast for anyone considering nurse anesthesia/ physician anesthesiologist

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