Clinical Component

Navigating the Clinical Component

Diverse Cases, Complete Autonomy, Genuine Impact

Your clinical practice at Barrett Hospital offers the variety and autonomy that many CRNAs are seeking. Managing anesthesia for two fully-equipped operating rooms plus the endoscopy suite, you'll experience a refreshing diversity of cases that keeps your skills sharp across multiple specialties. From morning orthopedic procedures to afternoon general surgery cases, from routine colonoscopies to urgent C-sections, your days unfold with the engaging unpredictability that makes rural anesthesia practice so rewarding.

Unlike the restrictive supervision models common in many facilities, you'll practice with complete independence, performing your own regional blocks including epidurals and nerve blocks that showcase your full training. The obstetric service, with 80–90 deliveries annually and a C-section rate around 30%, provides regular opportunities for epidural placement and surgical obstetric anesthesia. You'll be the primary anesthesia provider these families trust during one of life's most important moments, with the satisfaction of following many of them through multiple pregnancies as part of this tight-knit community.

  • Case mix spanning four surgical specialties: orthopedics, general surgery, OB/GYN, and urology, ensuring varied and interesting daily practice
  • Complete autonomy with regional anesthesia: perform your own epidurals, spinals, and peripheral nerve blocks without supervision requirements
  • 80–90 annual deliveries with approximately 30% C-section rate, maintaining your obstetric anesthesia skills
  • Epic EMR system with Dragon dictation software streamlining documentation and allowing more time for patient care
  • Dedicated endoscopy suite coverage adding GI procedures to your diverse practice portfolio
  • No pediatric cases under 17 except for obstetrics, as the hospitalist service manages adult inpatients
  • Supportive CRNA Lead available for case consultations and professional development without micromanagement

The collaborative environment extends throughout the hospital, where dedicated ABEM ER physicians and hospitalists manage emergency and inpatient services, allowing you to focus on surgical and procedural anesthesia. The facility's modern infrastructure includes PET CT, MRI, CT, and digital radiography, ensuring you have the diagnostic support needed for safe anesthetic planning. When complex cases require tertiary care, established referral patterns to Bozeman, Missoula, and Salt Lake City mean you're part of a broader care network while maintaining local service excellence.

Your practice here embodies what drew you to anesthesia—the blend of critical thinking, technical skill, and compassionate care, delivered in an environment that respects your expertise and supports your professional autonomy. This is anesthesia practice as it should be: challenging, rewarding, and sustainable for the long term.

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