One of the contributing factors limiting access to surgery is an insufficient number of anesthesia providers to meet the current demands. This shortage predates the pandemic but has been exacerbated by the challenging
landscape for healthcare workers in recent years.
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CAS firmly rejects the adoption of CRNAs in Canada. Anesthesia should remain as a physician-led domain of medicine, with a specialty trained (FRCPC) anesthesiologist or Family Practice Anesthetist (FPA) providing care, with the support of Anesthesia Care Teams, using a principle of delegation, not substitution.
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As the national society representing anesthesia
professionals in Canada, health human resource
planning is of great interest and concern to our
organization. As health systems continue to grapple with staff shortages and backlogs due to the pandemic, one of our priorities as an organization is to engage governments on this important issue.
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Earlier this year, we learned of the Government
of British Columbia’s plan to introduce Certified
Registered Nurse Anesthetists (CRNAs) as a new
profession in the province, under the guise of their wider plans to eliminate surgical backlogs and improve access to care for British Columbians.
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As our health care system evolves, so do the
professionals working in it. In addition to the
introduction of new technologies and procedures, the roles of different health care professionals are shifting as the health system strives to improve access to care while maintaining or improving quality.
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The Canadian Anesthesiologists’ Society (CAS) has become concerned over the last several years with the increasing number of positions for anesthesiologists that are being advertised but remain unfilled. We believe that these
shortages of anesthesiologists are not anecdotal, isolated, nor do they reflect a temporary shortfall.
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