Shifts range from 7:00 to whenever cases are finished Case mix: general and colorectal, OB&GYN, uro, ENT, ortho, spine fusions, eyes, pacemakers, cardioversions, TEE and GI No heads/neuro, no traumas, no open hearts Supervision ratio is 1/2.5 OT expected Second call optional 5 anesthesia sites Practice model: 4 MDs and 3 CRNAs Charting is paper and pen