Why More CRNAs Are Choosing Independent Practices Over Hospitals

In recent years, Certified Registered Nurse Anesthetists (CRNAs) across the country have started reevaluating their long-term professional goals—and for good reason. Between mounting administrative burdens, rigid hospital policies, and inflexible scheduling, many are seeking a different way to practice. That’s why independent anesthesia practices like ACA are attracting CRNAs who want more control over their careers, greater collaboration, and a healthier work-life balance.

Whether you're a newly certified CRNA or a seasoned clinician, here's why the shift toward independent groups is more than a trend—it's a movement.

Clinical Autonomy: Your Expertise is Respected

In many large hospital systems, clinical decision-making is often centralized, leaving CRNAs with less influence over how care is delivered. Independent practices operate differently. At ACA, CRNAs are seen as essential partners in perioperative care—trusted to make decisions, contribute to case planning, and collaborate with physicians as equals.

This autonomy leads to more engaged providers and ultimately better patient outcomes. You’re not just administering anesthesia—you’re helping shape how care is delivered.

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Flexible Scheduling That Respects Your Life Outside Work

Burnout is one of the biggest concerns among CRNAs today. Hospital systems often operate on rigid schedules and high call volumes, which can take a toll on your health and personal life. Independent practices have the flexibility to build schedules that prioritize both patient needs and clinician well-being.

At ACA, we actively involve our team in scheduling decisions. Whether you need consistent hours, reduced call, or the option to increase your shifts for a period of time, we do our best to make it happen. We believe balance leads to longevity and satisfaction in this profession.

A Culture Built by Clinicians, for Clinicians

One of the defining features of independent practices is that they’re often led by clinicians themselves. This has a major impact on culture.

At ACA, leadership isn’t some distant executive committee. It’s made up of practicing anesthesiologists and CRNAs who understand the challenges of the OR because they’re in it every day. Policies aren’t handed down, they’re shaped by the people doing the work.

This fosters a culture of transparency, trust, and responsiveness. Your concerns are heard and addressed because the people making decisions share your perspective.

Opportunities for Professional Growth and Leadership

In larger systems, CRNA roles can sometimes feel static, with limited paths for professional development. In contrast, independent groups often offer more dynamic opportunities to grow into leadership roles, contribute to organizational strategy, and even participate in governance.

ACA supports CRNAs in pursuing advanced certifications, joining clinical committees, and exploring other roles within the group.

Connection and Community in a Team-Based Environment

Finally, CRNAs working in independent groups often report feeling a stronger sense of camaraderie and purpose. Smaller, tight-knit teams create room for deeper professional relationships. You're not just a cog in the wheel—you’re part of a collaborative effort where every role matters.

This team-oriented dynamic improves communication, efficiency, and job satisfaction—making your work not just manageable, but meaningful.

Conclusion: Rethink What’s Possible in Your CRNA Career

As more CRNAs look beyond traditional hospital roles, independent practices like ACA are emerging as the preferred choice for those seeking fulfillment, flexibility, and clinical excellence. If you’ve been feeling constrained, undervalued, or burnt out, maybe it’s time to explore what’s next.

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At ACA, we’re always looking for CRNAs who want to be part of something more. A team where your voice matters. A culture that prioritizes well-being. A place to thrive—not just survive.

Reach out today to learn more about our open CRNA opportunities and see if ACA is the right fit for your next chapter.