Welcome to another educational article on the comparative analysis between Certified Registered Nurse Anesthetistsand Anesthesiologists.
At the end of this piece, you will learn about the similarities and differences between CRNAsand Anesthesiologists, their job functions, salaries, and more.
This article discusses the following and more:
- CRNA vsAnesthesiologist– Job Description
- CRNA vsAnesthesiologist– Education/Certification
- CRNA vsAnesthesiologist– Career Path
- CRNA vsAnesthesiologistSalary
- Choosing between CRNAand Anesthesiologist
So, let’s roll!
Table of Contents
CRNA vs Anesthesiologist– Introduction

Nurse anesthetists are officially known as Certified Registered Nurse Anesthetists(CRNA).
A CNRA is a type of advanced practice registered nurse(APRN).
Medical school, clinical rotations, internships, and residency programsare all completed by anesthesiologists.
Anesthesiologistsand CRNAshave a lot of overlap in their responsibilities.
Both professions provide many of the same services.

Both work closely with surgeons and patients, administering anesthesia, monitoring the patient while under anesthesia, and adjusting medicine as needed.
Nurse anesthetists and anesthesiologistsdiffer mostly due to a philosophical separation between nursing and medicine.
CRNA vs Anesthesiologist– Job Description

An anesthesiologist’s clinical responsibilities include leading and supervising the anesthesia care team.
An anesthesiologistmust learn and practice a range of anesthetickinds, including:
General Anesthesia:Anesthesia that renders the patient completely unconscious and is used during major surgeries is known as general anesthesia.
Monitored Anesthesia:Depending on the surgery, this type of anesthesia might produce various levels of sleepiness.
Regional anesthesia: Atype of anestheticused to treat pain in a vast body area. During this anesthesia, the patient is fully aware.
Local anesthesia:It is similar to regional anesthesia, except it only affects a tiny part of the body.
The obligations that come with a CRNA’s title are another area where they differ from an anesthesiologist.
An anesthesiologist, understandably, has greater obligations.
However, there may be situations when a CRNAis the only option and will take over the anesthesiologist’s responsibilities.
There are situations when CRNAsare not qualified, but they can and should be used in most circumstances.
Clinical responsibilities of a licensed registered nurse anesthetist may include:
- Assessment and evaluation
- Administering of pre-anestheticdrugs
- Developing an anesthesia careplan
- Performing airwaymanagement
While an anesthesiologistcould do these duties, it makes far more sense to delegate them to the CRNAsto enhance the practice’s profit margin.
CRNA vs AnesthesiologistSalary

According to the most current Medscape compensation analysis, the average annual salaryfor an anesthesiologistis $398,000.
The Bureau of Labor Statisticsindicates that the wage range for an anesthesiologistis substantially smaller.
Their average yearly pay is only $262,000 per year, according to their data.
Of course, the market worth of an anesthesiologistis determined by a variety of criteria.
According to the Medscape report, 31% of anesthesiologistsuse nurse practitionersas part of their practice.
A CRNA’s annual pay is $181,000 (Bureau of Labor Statisticsreport).
In the United States, a CRNAwho specializes in outpatienttreatment can make up to $224,000 per year.
While these figures are lower than an anesthesiologist’s, they are higher than a primary care physician.
For an anesthesiologist, the median wage varies based on various circumstances, which is true for a CRNA.
- The number of years that a CRNAhas worked as a nurse
- The position’s geographical location
- The type of healthcaresystem that exists
There’s no doubt that CRNAsare less expensive to hire than anesthesiologists.
They can perform a high volume of repetitive cases to enhance productivity and income at a reduced cost.
CRNA vs Anesthesiologist– Education

The type and amount of education a CRNAand an anesthesiologistmust undergo to achieve their titles is one of the most significant disparities.
In comparison to an anesthesiologist, a CRNA’s education is substantially shorter, albeit their educational requirementshave grown in recent years.
To become a CRNA, you must first complete a nursing program.
While many nurses earn a bachelor’s degree, most CRNAsearn a master’s degreefrom an accreditednurse anesthesia program.
As a result, they are now a certified Advanced Practice Registered Nurse(APRNs).
You can become a CRNAafter completing one to four years of educationin nursing programs.
Following that, they must spend a year mastering critical care.
This training equips a CRNAto deal with anesthesiologyemergencies.
In an emergency, however, the anesthesiologistis usually the best choice.
CRNAscomplete a three-and-a-half-year anestheticcurriculum with an optional fellowship year after critical care.

The American Association of Nurse Anesthetists(AANA) mandates that you be a licensed registered nurse (RN) who has completed additional graduate coursework in anesthesiologyand subsequently passed a national certification exam.
On the other hand, an anesthesiologistspends significantly more time in school and training than a CRNA.
They must first attend college and obtain a bachelor’s degreein science (classified as pre-medical education), classified as non-medical.
Anesthesiologistsmust then attend medical schoolfor another four years after completing those four years.
A medical doctorinterested in becoming an anesthesiologistwould complete a four-year anesthesia residency after graduating from medical school.
Most anesthesiologiststake an elective fellowship in anesthesiologyto supplement their experience.
CRNA vs Anesthesiologist– Certification

To practice as an anesthesiologist, you must complete certain requirements.
To practice in any state, they must be board-certified and licensed.
Anesthesiologistsmust also complete a MOCA (Maintenance of Certification in Anesthesiology) certification every ten years.
This certification is merely a refresher or maintenance of the initial certification.
The doctor will be able to use this certification to ensure that they:
- Keep up with the most current practices
- Are you still in good standing, and have a valid license?
- Is their performance steadily improving?
A CRNAmust also be board-certified and licensed by the state.
However, a CRNAmust be recertified every four years rather than every 10.
Every eight years, they must also complete the Continued Professional Certification exam.
CRNA vs Anesthesiologist– Job Outlook

Anesthesiologistsare in high demand right now.
If you’re geographically versatile and willing to relocate to areas where anesthesiologistsare in high demand, you’ll have no trouble finding work.
Anesthesiologistsare in high demand, with 5,410 new posts predicted to be filled by 2029.

This speculation equates to a 2.10 percent yearly increase in a few years.
CRNAsare in higher demand than they’ve ever been.
BLS indicates that nurse anesthetist positions are expected to expand by 14% between 2019 and 2019, while all APRNjobs are expected to grow by 45 percent.
Outpatientcare centers and home healthcareservices are expected to have the most job growth.
CRNA vs Anesthesiologist– Quality of Care

The most pressing question for a healthcaresystem is how these two medical professions compare patient carequality.
There are numerous aspects of anestheticsthat may require attention:
- Cardiothoracic Anesthesiology
- Critical CareAnesthesiology
- Neurosurgical Anesthesiology
- ObstetricAnesthesiology
- Pain Medicine
- PediatricAnesthesiology
Anesthesiologistsand CRNAscan both operate in these fields.
CRNAs, on the other hand, may need further training to obtain this clinical training.
Anesthesiologistsare frequently already experts in one of these fields.
When used properly, well-trained CRNAsand anesthesiologistsshould provide the best possible treatment for all patients.
When medical professionalstake on responsibilities beyond their capabilities or become overwhelmed by too many responsibilities resulting from a lack of support from other health care professionals, the quality of care suffers.
As a result, hiring a CRNAto assist your anesthesiologistcan dramatically improve your clinic’s anestheticquality of treatment.
Pros of Hiring a CRNA vs Anesthesiologist

If one anesthesiologistcannot cover your facility’s anesthesiologytasks, you may hire a CRNA.
CRNAsare well-trained, as this article demonstrates.
Because of advancements in anestheticpractice technology, they can now do almost everything an anesthesiologistcan do by just following a near-perfect formula.
CRNAsare certainly valuable members of the anesthesia team when working under the direction of a physician.
Their assistance enables more surgeries to be completed each year, resulting in higher profit margins for healthcareorganizations.
However, CRNAscannot replace an anesthesiologist’s expertise, which is why anesthesiologistsare paid more.
Anesthesiologistsare better qualified to make executive judgments when an emergency arises.
They are trained doctors with comprehensive knowledge of medicine beyond simply anesthesiology.
An anesthesiologist’s residency (and optional fellowship) provides far more hands-on anesthesia practice.
Their training adequately prepares them to assume responsibility for all anestheticpractices.
It also allows certain anesthesiologiststo specialize in different areas of the field.
An obstetrician may hire a clinician who has completed an obstetricanesthesiologyfellowship.
Choosing between becoming a CRNAand Anesthesiologist

In a fast-paced career like nursing, having the ability to make decisions based on your education and experience is crucial.
As a nurse anesthetist, you have the freedom to make decisions on your own to preserve patients’ health and safety.
If you’re a registered nurse (RN) searching for more autonomy while working with patients in an ICU, operating room, or surgical facility, a career as a Certified Registered Nurse Anesthetist(CRNA) could be ideal for you.
On the other hand, an anesthesiologistbenefits from competitive pay and job stability, as well as a wide range of practice opportunities, a flexible work schedule, and more.
Between these two occupations, deciding on a career will consider the numerous features and criteria involved.
Conclusion

A nurse anesthetist is a nurse, whereas an anesthesiologistis a doctor.
On the other hand, nurses and physicians approach clinical practice from diverse perspectives, and their education and certification requirements reflect this diversity.
Patients being cared for by a highly qualified nurse anesthetist or an anesthesiologistcan relax.
However, regardless of which path an anesthesia providerchooses, they must complete extensive, advanced, specialized training, have supervised clinical experience, and meet stringent requirements to obtain and retain their professional credentials.
These professional paths have advantages, so it’s impossible to say one is better than the other.
Anesthesiologistsmake more money than nurse anesthetists.
But they also devote more time and money to their studies.
FAQs

Are CRNAsbetter than anesthesiologists?
Nurse anesthetists and anesthesiologistsuse the same approach to putting a patient under anesthesia. However, there may be exceptions to the potential necessity for CRNAmonitoring. Nurse anesthetists are more often seen in smaller medical offices. On the other hand, CRNAsand anesthesiologistsare usually found at larger hospitals.
Can a CRNAdo everything an anesthesiologistdoes?
An anesthesiologistmay perform all of the tasks of a CRNA. In addition, anesthesiologistscan perform more invasive or minor medical proceduresbecause they are doctors. A CRNAcan do practically everything an anesthesiologistcan do, but their licensureis often limited by state law, so they can’t do everything.
Are anesthesiologistsgoing to be obsolete?
By 2033, AAMC (Association of American Medical Colleges) expects an estimated shortage of 140,000 physicians, with anesthesiologistsaccounting for 12,500 of those. In addition, CRNAshortages are also expected, particularly in rural hospitals and healthcarefacilities where anesthesia is lower than in other locations.
Can a CRNAtransition to An Anesthesiologist?
A CRNAwho wishes to pursue a career in medicine as an anesthesiologistmust return to school. She should be eligible for medical schoolbecause she already has a master’s degree, and medical schoolsdemand a baccalaureate. Then, the CRNAwould go through medical school, residency, and maybe a fellowship.
What is the difference between a CRNAand an Anesthesiologist?
The major disparity between these two professions is that anesthesiologistsare medical doctorsthat administer anesthesia. At the same time, nurse anesthetists are certified registered nurses who may assist or collaborate with doctors in administering anesthesia or may work entirely independently as they administer anesthesia.
How do anesthesiologistsfeel about CRNAs?
The CRNAsare responsible for being there in the room with the patient. Still, they must always contact the anesthesiologistfor any necessary treatment and keep them updated on the case’s progress. CRNAsand anesthesiologistshave a close working relationship. Prioritizing the treatment of patients is always a top priority.
References
Between CRNAsand Anesthesiologists
AnesthesiologistsAnnual Salary
Nurse Anesthetist’s Annual Salary
FAQs
Why choose CRNA over anesthesiologist? ›
CRNAs are more likely to work in the offices of other healthcare practitioners while anesthesiologists are more likely to work in higher education. Despite their differences, CRNAs and anesthesiologists share similar responsibilities.
Which is better CRNA or anesthesiologist? ›According to the New York Times, two studies conducted in 2010, “... Concluded that there is no significant difference in the quality of care when the anesthetic is delivered by a certified registered nurse anesthetist or by an anesthesiologist.”
Will CRNAs take over anesthesiologists? ›Although some CRNAs would like to practice independently, the majority work closely with anesthesiologist to provide superior care to patients undergoing anesthesia. CRNAs will never replace anesthesiologists.
What is the future for CRNAs? ›Several factors, including health care reform and the aging baby boom population, are precipitating the demand for more health care providers. The Bureau of Labor Statistics projects 11.8% employment growth for nurse anesthetists between 2021 and 2031. In that period, an estimated 5,300 jobs should open up.
What is the biggest issue facing the CRNA profession? ›The Scope of Practice and Autonomy for CRNAs
One of the most significant issues facing CRNAs is the ongoing debate over their scope of practice and autonomy. While CRNAs are highly trained and skilled professionals, they may encounter restrictions on their practice depending on state regulations and hospital policies.
The major difference between these two professions is that anesthesiologist are medical doctors that administer anesthesia, while nurse anesthetists are registered nurses who may assist or collaborate with doctors in administering anesthesia, or may work entirely independently as they administer anesthesia.
What are the disadvantages of being a nurse anesthetist? ›- Significant responsibility. It's the CRNA's job to speak to each patient, assess them, gather a history and then support them throughout surgery and afterward in recovery. ...
- Heavy workload. Depending on where you work, there may not be any going home at 5:00. ...
- Long education, high cost.
While the CRNA degree is challenging, most health care professionals would agree that medical school for doctors is far more rigorous.
Are nurse anesthetists respected? ›Respected career
Within the medical industry, as a high-ranking and highly specialized position, CRNAs typically have respect from their peers who understand the intense education and training required for the position, and the unique skills needed to perform their specialized work.
Although 30 states, such as California, and the District of Columbia, allow CRNAs independent practice, many other states, including Florida and South Carolina, require physician supervision of CRNAs.
What is the hardest thing about CRNA school? ›
Intense clinical requirements:
This time does not include the time you will spend preparing for clinicals and prepping for difficult cases. Completing intense clinical requirements on top of your coursework makes CRNA school hard.
The nationwide shortage of anesthesiologists and certified registered nurse anesthetists (CRNAs) is a significant problem for hospitals and health systems in the United States because surgical services account for the bulk of hospital revenue.
What is the job outlook for anesthesiologist for the next 10 years? ›The Bureau of Labor Statistics projects 1.1% employment growth for anesthesiologists between 2021 and 2031.
Are we facing an anesthesiologist shortage? ›Increasing demand for Anesthesiologists' services.
The American Association of Medical Colleges predicts a shortage of up to 120,000 physicians across all specialties by the year 2030. And with an ever-growing population of older Americans, the demand for anesthesia and surgical services will increase.
Highest-Paying Workplaces for Nurse Anesthetists
Nurse anesthetists' work settings also influence how much money they can earn. CRNAs who work in outpatient care centers make the most, followed by individuals who work in specialty services.
Professionalism, quick critical thinking, and problem solving skills are key traits for successful CRNAs. Certified registered nurse anesthetists are also required to complete ongoing education throughout their careers.
What kind of person should be a CRNA? ›CRNA Personality Traits
You should be patient, compassionate, accurate, and responsible. The CRNA profession requires a “Type A” personality that is willing to work diligently and willing to continue their education after graduation to keep pace with changes in the field of anesthesia.
Rank | Industry |
---|---|
1 | Specialty hospitals - Privately owned |
2 | General Medical and Surgical Hospitals - State government owned |
3 | General Medical and Surgical Hospitals - Privately owned |
4 | General Medical and Surgical Hospitals - Local government owned |
All CRNA programs require a minimum GPA of 2.75. This GPA requirement includes cumulative GPA in addition to GPA of science related courses. In general, the average GPA of students attending CRNA School is approximately a 3.5 GPA. Those admitted to top CRNA programs will generally have a GPA of 3.70 or higher.
Why do nurse anesthetists make so much? ›The average CRNA salary is so high because the position requires very advanced knowledge and skills. While many nursing positions only require that you have a Bachelor's degree, or even an Associate's degree, Certified Registered Nurse Anesthetists need at least their Master's of Science in Nursing (MSN) degree.
What are the best states to practice anesthesiology? ›
Best-Paying States for Anesthesiologists
The states and districts that pay Anesthesiologists the highest mean salary are Florida ($363,570), Pennsylvania ($360,790), District of Columbia ($355,780), Wisconsin ($355,050), and Massachusetts ($349,860).
The average age of an employed certified registered nurse anesthetist is 44 years old.
What are cons of being an anesthesiologist? ›- Extended studies and training. It takes at least eight to 12 years to become an anesthesiologist. ...
- Pressure to succeed. ...
- Scheduling challenges. ...
- Lack of appreciation. ...
- Reduced bargaining power. ...
- Potential stress.
Meaningful work
Some of their primary responsibilities include helping patients feel more comfortable before entering a procedure and helping patients manage pain. Many CRNAs find the opportunity to help patients during difficult times a very rewarding and meaningful experience.
3.5. Good work! The average GPA of accepted students is 3.7.
How old are most CRNA students? ›Most of us are probably in the 26-30 range, though there are more than a few 30+ and 40+, and a handful of 50+.
Does CRNA require a lot of math? ›The most important skills a CRNA must possess are: Maths and chemistry: As a CRNA, subjects such as math, chemistry, and pharmacology are the most important when it comes to proficiency. Administering medication requires exceptional math skills as well as understanding of the science behind the substances.
How happy are nurse anesthetists? ›The survey reports that 89% of CRNAs report being satisfied, 48% indicating that they're satisfied and 41%responding that they're somewhat satisfied. Certified nurse anesthetists play a critical role in providing patient care.
What states pay nurse anesthetists the most? ›Highest-paying states for nurse anesthetists
For nurse anesthetists, Connecticut tops the list of highest-paying states with an average annual wage of $276,540. New Jersey comes in at second with an average CRNA salary of $263,850, followed by Illinois at $250,280.
Every day, nurse anesthetists monitor patients during surgery. This requires preparing and administering drugs before anesthesia, managing patients' airways, and pulmonary status during surgery and closely observing their physical reaction to drugs.
How long does it take to go from CRNA to anesthesiologist? ›
After becoming a registered nurse, a nurse must complete 1 year of acute-care nursing. Then the nurse must enter a graduate program that leads to a master's degree as well as certification as a nurse anesthesiologist. The graduate program usually takes from 24 to 36 months.
What is the shortest time to become a CRNA? ›CRNAs are only required to earn their bachelor's degree, spend a year working in critical care, then complete a CRNA program which takes about 2-3 years. Nurse Anesthetists work in a variety of medical offices, such as hospitals, outpatient care centers, and doctor's offices.
How many CRNAs graduate each year? ›It takes a minimum of 7-8.5 calendar years of education and experience to prepare a CRNA. More than 2,400 student registered nurse anesthetists graduate each year and go on to pass the National Certification Examination to become CRNAs.
How to financially survive CRNA school? ›- Consider a cheaper CRNA school.
- Open up a separate savings account for CRNA school.
- Apply for financial aid early.
- Get a second job or take extra shifts.
- Ask your employer to pay for your education.
- Apply for grants and scholarships.
You can take the NCE up to four times within one year following the completion date of your nurse anesthesia educational program. If you do not pass within that first year, you will only have up to four more times within one more year to take and pass the NCE.
What is the pass rate of the CRNA boards? ›With a 93% average ANCC board pass rate and a 100% average AANP board pass rate in 2021, students are prepared to make a lasting impact on patients. Part-time and full-time tracks offered.
Are CRNA salaries decreasing? ›The average CRNA salary has grown by 23.43% in the past five years and is in line with the cost of living increases.
What is the future outlook for nurse anesthetists? ›US News ranks nurse anesthetists as one of the top 10 best-paying jobs out of the top 100 jobs ranked on the 2022 Best Paying Jobs List. [2] The US Bureau of Labor Statistics predicts a 40 percent job growth for this career in the next decade, with about 30,200 job openings slotted for each year within that decade [3].
What are three similar occupations to an anesthesiologist? ›- Pharmacists.
- Physician Assistants.
- Podiatrists.
- Dentists.
- Medical Scientists.
- Family and General Practitioners.
- Surgeons.
- Veterinarians.
This minimum timeline adds up to 12 years after high school. Most anesthesiologists are 30 years old or older before they are finished training. BOARD CERTIFICATION by the American Board of Anesthesiology requires passage of both a written and an oral examination.
Will anesthesiologists be replaced by machines? ›
PROBLEMS WITH ROBOTS REPLACING ANESTHESIA
The current and proposed robotic devices are only small steps toward replacing anesthesiologists, because anesthetizing patients requires far more expertise than merely titrating drug levels or performing a solitary mechanical procedure.
Responsibility for the patient's life - the prime stressor
“The main stress is the life of the patient is in your hands,” said Mary Dale Peterson, MD, president of the American Society of Anesthesiologists. “And we give extremely powerful drugs.
While the CRNA degree is challenging, most health care professionals would agree that medical school for doctors is far more rigorous.
Can CRNAs work in trauma? ›Registered Nurses Anesthetists (CRNAs) are air- way experts who can stabilize the condition of trauma patients with skills acquired from practice as an anes- thetist. CRNAs practice in a variety of settings; one of the most challenging is the rural hospital. Anesthetists have a wide range of skills.
Can CRNAs work in the ICU? ›CRNAs ARE HIGHLY QUALIFIED
Experts in the conversion of operating room ventilators to ICU ventilators and oversight of patients needing ventilatory management.
- You will have a high earning potential. ...
- You will be in demand. ...
- You can work in a variety of settings. ...
- You will have a great deal of autonomy. ...
- You can have a pretty flexible schedule. ...
- Do you like to travel? ...
- Your training period will be shorter compared to an Anesthesiologist.
CRNAs are known for their specialized skills in airway management, intubation, and advanced patient assessment, including excellent patient safety records, and because of temporary changes in the law, they were able to “step up and safely fill essential healthcare needs in a time of national crisis,” reports the AANA.
What do you love about being a CRNA? ›The independence that comes with being a CRNA amazes me each and every day. In my institution, I work with anesthesiologists and CRNAs who I enjoy working with. I love being independent in the sense that you develop good relationships with people you work with and you get to try new anesthetic techniques.
What type of nurse anesthetist makes the most money? ›Conclusion. CRNAs are among the highest-earning categories of nurses, with average salaries significantly higher than that of registered nurses overall. Salaries can vary based on experience, location, and type of employer, with experienced CRNAs earning up to $250,000 or more.
What is the satisfaction rate of a CRNA? ›It found that overwhelming majority of CRNAs, 89%, are either “very satisfied” (48%) or “somewhat satisfied” (41%) with their current job.