20: From Penn to Solo CRNA Practice: The Unexpected Growth of Independent Practice

Most anesthesia providers assume that growth comes from increasingly complex cases, bigger hospitals, and higher-acuity patients. In this episode, Dr. T.D. Carnahan shares how leaving the University of Pennsylvania for a solo CRNA practice in an office-based oral surgery setting unexpectedly made him a stronger anesthesia provider. We discuss independent practice, patient selection, All-on-4 dental implant surgery, office-based anesthesia, and why greater ownership and autonomy can drive professional growth in ways many CRNAs never anticipate.