Anesthesia Deconstructed: Science. Policy. Realities.  By  cover art

Anesthesia Deconstructed: Science. Policy. Realities.

By: Mike MacKinnon and Joe Rodriguez
  • Summary

  • Anesthesia Deconstructed: Unraveling the Complexities of Modern Anesthesia Practice

    Founded in 2018 by Mike MacKinnon, DNP, FNP, CRNA, FAAN, and later joined by co-host Joe Rodriguez, DNAP, CRNA, Anesthesia Deconstructed is an award-winning podcast that consistently ranks as the nation's top-downloaded anesthesia podcast, with two of the most well-known CRNAs in the country as hosts. We feature industry experts from across the spectrum, exploring scientific issues, policy matters, and the day-to-day realities of anesthesia practice.

    Our mission is to deconstruct complex topics, recognizing that the truth often lies in the nuanced middle ground rather than at extremes. We bring unique value to our listeners by examining the nexus of clinical practice, education, and policy, offering insights that go beyond any single perspective.

    Join us for thought-provoking discussions that bridge the gap between theory and practice in the world of anesthesia.

    © 2024 Anesthesia Deconstructed: Science. Policy. Realities.
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Episodes
  • FTC Update With Simon Willman, JD and What It Means for Anesthesia Providers
    Jun 25 2024

    Episode Summary: In this episode, Joe Rodriguez welcomes back Simon Willman, Esq., former in-house counsel for one of the largest orthopedic groups in the country. They discuss the Federal Trade Commission's recent vote to ban non-compete agreements and its implications for healthcare professionals and practice owners.

    Key Topics Covered:

    Pre-Session: State-Level Updates from Louisiana, Maryland, and Pennsylvania

    1. Introduction:
      • Welcome and introduction of Simon Willman, Esq.
      • Background on Simon's experience with Health Outcomes Performance Company and Core Orthopedics.
    2. FTC's Vote to Ban Non-Competes:
      • Overview of the FTC's recent vote to ban non-compete agreements.
      • The timeline for the ban going into effect (120 days post-publication).
      • Legal challenges from the U.S. Chamber of Commerce, the Business Roundtable, the Texas Association of Business, and the Longview Chamber of Commerce.
    3. Implications for Healthcare Professionals:
      • Simon's insights on how the ban might affect providers and practice owners.
      • Potential benefits for healthcare providers who can move freely between employers.
      • Concerns for business owners regarding the impact on enterprise value and capital investments.
    4. Details of the FTC's Final Rule:
      • Summary of the key points of the final rule.
      • Explanation of the difference between non-compete and non-solicitation agreements.
      • Potential legal interpretations and challenges ahead.
    5. Non-Competes vs. Non-Solicitation:
      • Breakdown of how non-solicitation agreements differ from non-competes.
      • Discussion on whether non-solicitation agreements might serve as a backdoor to enforce non-competes.
    6. Legal Considerations and Advice:
      • Practical advice for healthcare providers dealing with non-competes.
      • The importance of understanding the legal landscape and potential court interpretations.
      • The potential costs and implications of legal challenges.
    7. Federal vs. State Jurisdiction:
      • Explanation of how the jurisdiction might shift from state to federal courts.
      • The impact of this shift on enforcement and legal proceedings.
    8. Sale of Business Exception:
      • Discussion on the exception for bona fide sales of businesses.
      • How this exception might apply to equity owners and business transactions.
    9. Final Thoughts and Advice:
      • Simon's final comments on the significance of the FTC's rule.
      • Advice for healthcare providers and practice owners navigating this evolving legal environment.
    10. Outro:
      • Joe and Simon wrap up the discussion.
      • Teaser for the next episode.

    Key Quotes:

    • "If I'm in your audience's shoes as providers and as practice owners, I think this is significant and I don't think this is just pure speculation." - Simon Willman
    • "Everyone should have a right to earn a living, I think." - Joe Rodriguez

    Resources Mentioned:

    • Becker's Healthcare article on the FTC vote.
    • The FTC's final rule on non-competes.

    Connect with Us:

    Disclaimer: The content of this podcast is for informational purposes only and does not constitute legal advice. Listeners should consult their own legal advisors for specific guidance related to their circumstances.

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    31 mins
  • We Became The Top Anesthesia Podcast in the United States AND Episode Previews
    Jun 14 2024

    Summary

    The podcast, Anesthesia Deconstructed, has become the number one anesthesia podcast in the United States (Apple Podcasts - subsection: Medicine) due to its focus on deconstructing issues and having thoughtful and respectful conversations. The host, Joe Rodriguez, discusses his involvement in the The Nurse Anesthesiologist Facebook Group (TNAG) and the importance of creating a space for sharing ideas and discussing issues. He addresses a screenshot from another Facebook group that accuses him and others of monopolizing information platforms. Rodriguez clarifies his involvement and highlights the diversity of perspectives in the group. He also previews upcoming episodes on topics such as FTC banning non-competes, CRNA advocacy, interprofessional collaboration, and the CRNA-friendly environment in Arizona.

    Keywords

    anesthesia podcast, deconstructing issues, respectful conversations, Facebook groups, sharing ideas, diversity of perspectives, upcoming episodes, FTC banning non-competes, CRNA advocacy, interprofessional collaboration, CRNA-friendly environment, Arizona

    Takeaways

    • Anesthesia Deconstructed is the number one anesthesia podcast in the United States due to its focus on deconstructing issues and having thoughtful and respectful conversations.
    • Creating spaces like the TNAG group allows for the sharing of ideas and discussions on anesthesia-related issues.
    • Rodriguez clarifies his involvement in the group and highlights the diversity of perspectives and respectful conversations that take place.
    • Upcoming episodes will cover topics such as FTC banning non-competes, CRNA advocacy, interprofessional collaboration, and the CRNA-friendly environment in Arizona.

    Titles

    • Previewing Upcoming Episodes: FTC Banning Non-Competes, CRNA Advocacy, and More
    • Creating a Space for Sharing Ideas: The Neuroscientist-Anesthesiologist Facebook Group

    Sound Bites

    • "Anesthesia Deconstructed: The number one anesthesia podcast in the United States."
    • "Wanting to have really good and thoughtful conversations, and trying to do it in a respectful way."
    • "Creating a place where people can share ideas and discuss issues without constant attacks."

    Chapters

    00:00
    Introduction and Podcast Success

    01:26
    The Importance of Thoughtful and Respectful Conversations

    07:59
    CRNA Advocacy: Empowering Anesthesia Professionals

    08:29
    Interprofessional Collaboration: Enhancing Patient Care

    11:43
    Arizona: A Model for CRNA-Friendly Regulatory Environment

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    14 mins
  • Return of The Dark Lord: MacKinnon is BACK RE: Mass Opt Out
    Jun 7 2024

    Summary


    In this conversation, Joe Rodriguez interviews Michael McKinnon, podcast founder, CRNA, and assistant program director at National University. They discuss two topics: the supervision clarification advisory opinion from the Arizona Board of Nursing and the opt-out of Medicare Part A physician supervision requirements in Massachusetts. McKinnon shares his perspective on these issues and emphasizes the importance of removing barriers to competition and promoting a level playing field in healthcare.

    Keywords


    CRNA, supervision clarification, advisory opinion, Arizona Board of Nursing, AA, opt-out, Medicare Part A, physician supervision, Massachusetts

    Takeaways


    • Removing barriers to competition and promoting a level playing field in healthcare is important.
    • The supervision clarification advisor opinion from the Arizona Board of Nursing allows CRNAs to supervise other health professionals.
    • The opt-out of Medicare Part A physician supervision requirements in Massachusetts eliminates the perception of supervision and reduces liability concerns for CRNAs.
    • The opt-out also simplifies contract negotiations and promotes collaboration between CRNAs and surgeons.
    • CRNAs should have the opportunity to choose the model of care that best suits their practice and the needs of their patients.
    • More states should consider opting out of Medicare Part A physician supervision requirements to improve access to care and increase provider options.

    Chapters


    00:00
    Introduction and Background of Michael McKinnon

    01:04
    Supervision Clarification Advisor Opinion in Arizona

    05:21
    Opposition to Anti-Competitive Legislation

    09:31
    Opting Out of Medicare Part A Supervision Requirements in Massachusetts

    12:20
    Impact of Opting Out on CRNAs and Service Line Management

    16:29
    Future Plans and Conclusion





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    20 mins

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