Clinical Component

Navigating the Clinical Component

This is a procedure-heavy adult anesthesia practice with a diverse case mix and meaningful exposure to higher-acuity surgery. The stated position scope excludes cardiac and pediatric anesthesia.

Patient Population

  • Broad adult surgical population.
  • No pediatric cases in the client-provided scope.
  • Case acuity ranges up to complex surgery, including neurosurgery.

Case Mix

  • Neurosurgery, including craniotomies
  • Bariatric surgery
  • Complex endoscopy
  • ENT
  • General surgery
  • Orthopedics and hand procedures (a smaller portion of the mix)
  • Urology
  • Gynecology
  • Robotic surgery

Cardiac and pediatric anesthesia are outside the stated scope of this position.

Care Model

You would practice in a medical-direction model with strong CRNA autonomy.

  • CRNAs are supported to practice to the full extent of their skill set and can perform blocks.
  • No MD supervision of SRNAs is required; SRNAs may be paired with CRNAs.

Obstetric Coverage

  • Obstetrics is located on the floor below the main surgical area.
  • CRNAs cover OB autonomously; anesthesiologists do not routinely supervise that service.
  • While on in-house call, an MD may occasionally be asked to assist with C-sections.

Call Structure

The rotating six-week schedule distributes daytime, night, and weekend responsibilities across the cycle, with a post-call day off built in.

Rotation ElementDetail
First-out dayApprox. 7:00 a.m. start; generally finished 1:00 to 3:00 p.m.
Regular day shiftGenerally finished 3:00 to 5:00 p.m.
Late dayApprox. 7:00 a.m. to 5:00 p.m.
Night / in-house callApprox. 5:00 p.m. to 7:00 a.m.
Weekend call7:00 a.m. to 7:00 p.m.; Fri, Sat, Sun distributed within the rotation
Post-callDay off

  • One portion of the six-week rotation includes Monday, Tuesday, and Wednesday nights without a daytime shift.
  • Night and in-house call is worked on-site.

The client describes the schedule above as a rough outline. Exact sequencing should be confirmed with the Berkeley medical director.

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