Awakened Anesthetist

Pre-AA to CAA [PROCESS] Part 1. Meet Britton, Pre-reqs, Application ft. Britton Robinson

Mary Jeanne, Certified Anesthesiologist Assistant Season 5 Episode 89

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0:00 | 31:18

This new PROCESS series is at the core of what I love to share, the messy middle. What if you could witness the making of a Certified Anesthesiologist Assistant in real time, not as a polished highlight reel, but as it is actually unfolding? In all things, I care far less about the end result and far more about who you are in the becoming.

This Pre-AA to CAA PROCESS series follows Brittany Robinson as her journey unfolds from 2024 through 2028, an ongoing conversation that captures the growth, the pivots, the waiting, and the wins along the way. It is about honoring growth as it happens and having the courage to tell your story before you know how it will end. This is the Pre-AA to CAA [PROCESS] of Britton Robinson.

A HUGE Thank You to my Season 5 PROCESS sponsor, Harmony Anesthesia Staffing.

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SPEAKER_00:

Before we get into today's episode, I want to invite you to experience the Awakened Anestus podcast live and in person. For our season five finale, I'll be recording live on stage at the Quad A annual conference in Denver, Colorado, with our current Quad A president, Emily Meisick. This won't be a policy interview or a Quad A update. It's a process style conversation focused on the person behind the presidency and reminding all of us that meaningful impact inside this profession is made by real people who once stood exactly where you stand. Afterwards, Rad and Sessie from Harmony Anesthesia will join us to host a live audience QA, creating space for our awakened Anestus community to engage in real time. Season five has been supported by Harmony Anesthesia. And if you're curious about working with them, you can schedule your free 15-minute consultation linked in the show notes. And if you'll be at Quad A 2026, I hope you'll join us for the live finale. Welcome to the Awakened Anesthetist Podcast, the first podcast to highlight the CAA experience. I'm your host, Mary Jean, and I've been a certified anesthesiologist assistant for close to two decades. Throughout my journey and struggles, I've searched for guidance that includes my unique perspective as a CAA. At one of my lowest points, I decided to turn my passion for storytelling and my belief that the CAA profession is uniquely able to create a life by design into a podcast. If you are a practicing CAA, current AA student, or someone who hopes to be one, I encourage you to stick around and experience the power of being in a community filled with voices who sound like yours, sharing experiences you never believed possible. I know you will find yourself here at the Awakened Anesthetist Podcast. Welcome in. Welcome back to the Awakened Anesthetist Podcast, where we expand our understanding of what's possible within the CAA profession. I'm your host, Mary Jean, a longtime practicing certified anesthesiologist assistant, an AA educator, and now a doctoral student focused on researching the art of anesthesia. This series is a slightly different perspective on our normal process episodes because it's really created for the ever-increasing number of pre-anesthesiologist assistants who are here and have found the Awaken Anestus podcast because they're searching for insight and some understanding of what their future will hold. And by the way, if that's you, I'm really glad you're here. This process series is a long form passion project that I started in 2024, where I highlight the journey of one pre-anesthesiologist assistant as she applies, interviews, is accepted, and becomes a practicing CAA. This series was created with future CAAs in mind so you can hear what this season actually feels like while you're in it too. And for those of us who are further along, it's an invitation to remember, to reconnect with that vulnerable stretch of time, wanting something deeply, but not yet knowing if it's going to happen, not yet knowing what school will hold, or if your CAA dreams will come true. This is the process of Brittany Robinson from pre-AA to practicing CAA. Let's dive in and see where she is on her journey to become a practicing certified anesthesiologist assistant. Welcome, Britton, to Awakened Anesthetist. Thank you so much. I'm so excited to be here today. Yeah, I'm excited because I had this idea maybe about six months ago. Right now it's October 2024. And probably six months ago, I was talking to the CAA behind Anesthesia OneSource, uh Jen Danoso, who's been on the podcast as well. And I'm like, man, what would be really interesting is to find a willing prospective AA that would let me document their journey from the time that they apply all the way through graduation and taking the first job. Like I just would love to over four years collect that story and then be able to share that with the Awakened Anestus community. And, you know, hop, skimp a jump later. I found you and I was connected with you through Jen, through Anesthesia OneSource. And I just feel like you are the perfect person to talk to. I think you've got a lot of insights and you've known you've wanted to be a CAA for it sounds like most of your adult life, like most of your college, undergrad, late high school life, which I think is an interesting story that I don't have, but is, you know, pretty um, I think that's a more common story now. So I love that. And yeah, I just love that um you are so committed to the CAA profession. So I think you and I are gonna be a perfect match, and everyone is gonna get to know you and love you over the next four years and be rooting for you. So I'm really excited to start the process. And I want to do my little rapid fire round to start us off on the right foot, which is to pry into your personal life. Love it. Uh, let's start off with your best and worst part of college of undergrad.

SPEAKER_01:

Okay, so that is actually kind of an easy question for me because by far the best thing that has come of my college experience has definitely been the friendships. I've made so many amazing friends, but especially those who I am trauma bonded with through the organic chemistries, the biochem, all of those fun classes. It's just so nice to be surrounded by like-minded individuals, especially through the club, meeting a bunch of people who are all pursuing AA. We have 240 people in our group chat right now, which is insane to be connected with so many people who are all pursuing AA. So that's definitely the best thing that has come out of college is those friendships and relationships. Um, and then the lows of my college experience has definitely been all the sacrifices that I've had to make over the past three and a half years. Um, there's been a lot of things that I've had to say no to because I have to study. Last night I was at the library until 2 a.m. and then had to wake up at 6 a.m. to take an exam. So there's been lots of sacrifices, but I wouldn't trade it for the world.

SPEAKER_00:

Oh girl. You're doing awesome. You're doing great. Fingers crossed. Yeah. Oh, how much time do you spend on social media every day?

SPEAKER_01:

Too much, but probably not more than the average college student. I would say probably an hour or two, which now that I'm saying it out loud, like two hours kind of sounds like a lot. But if I'm on my phone, most of the time I'm playing Clash of Clans and not on social media. Clash of clans girly. Okay. Yes. Um, favorite coffee shop order. I love a matcha latte, especially the Starbucks matcha with vanilla sweet cream, cold foam, light ice, and two pumps of peppermint. Peppermint's kind of a weird combo with the matcha, but don't knock it till you try it. It's delicious. What's something that never gets old, Britain? Family. My family never gets old. Spending time with them, I don't know. That's just invaluable to me. Yeah.

SPEAKER_00:

Well, speaking of family, let's dig up a little dirt and tell us about your upbringing, um, your cultural background, just what it was like to be you as a kid, and maybe how you see that shaping you now when you're looking back.

SPEAKER_01:

Yeah, for sure. So I've spent all 21 years of my life in Tallahassee. Um, so it's kind of crazy to have grown up in this city and now go to school here, about to graduate from here. I'm the third generation of my family to go to Florida State. So that's really special. But I'm the first person in my family to go into healthcare. Nobody in my family works in healthcare. I have a distant cousin who's a nurse. We joke that she's like my second cousin. Like once we're moved, we don't even know the relationship. We're just like, eh, we're cousins. But I'm the first person in my family to go into healthcare, which I think is really interesting. Both my parents have their degrees in business. So it was kind of weird for me to branch off and pursue this healthcare thing that I got going on. And I never had like a family member be like, you need to be a doctor. And my parents never put a lot of pressure on me academically, which I'm super fortunate for. They were always the kind of parents that were like, Did you do your best? And I say yes, and then they say, Well, we're proud of you. So I feel really lucky to have parents like that. But then also, of course, they're my biggest cheerleaders ever and have been so proud of me through this whole process. Um, I'm very close with both my parents. I love them very much. And then I'm also the oldest sibling, which I think you'd be able to tell if you get to know me. I think that I give the oldest child type of aura. And then I have a brother, he's 12, or he actually he just turned 13 a few days ago, five days ago. And then my sister is 18. And so she just started college at the University of Florida. Um, so yeah, that kind of sums up my family.

SPEAKER_00:

I'm I I'm very interested to hear now how you found out about the CA profession, um, seeing how you had no touchstone to healthcare and you know, where this sort of little known profession came into your rearview mirror. Tell us about that.

SPEAKER_01:

It's actually funny because I know exactly where I was standing when I had this conversation. I was in my driveway, and that second cousin, once removed, was at our house, and I had said that I wanted to go into anesthesia. Um, I guess we can dive into that a little bit more lately, how I had decided on anesthesia in the first place. But she was like, You should look into this thing called CAAs, like, or I guess maybe they were even AAs then. I don't know. But she was like, you should look into it. And I was like, eh, I just felt kind of I didn't know about it. So I was like, eh, I just brushed it off. And also, granted, I am about like 14, 15 years old at this time. Um, and so I was like, oh, they're not licensed to practice in every state. And that was why I was like, eh, whatever. And so I just kind of brushed it off and ended up going through with going to college, pursuing um nursing at first. And then as soon as I started working at the hospital my freshman year of college, I met all these other AAs who loved their jobs so much. Everybody there is an AAA. And I just learned more about it. And I was like, this is for me. This is for sure it. Um so as I just learned more about it, like I said, that really just solidified that this was the career that I'm gonna pursue.

SPEAKER_00:

What were you doing at the hospital to get experience as a nurse? I'm assuming that's why you were there.

SPEAKER_01:

I was there. I was a freshman nursing major. Uh-huh. And so I was pre-nursing. I hadn't been admitted into the nursing program, if that makes sense. And I was working there just to get experience in anesthesia because I knew that my end goal was to do nurse anesthetis, CRNA. At the time. Yes. It took me one week to switch my major after starting as an anesthesia tech. That is not an exaggeration.

SPEAKER_00:

So you were an anesthesia tech.

SPEAKER_01:

That was the job you had.

SPEAKER_00:

Yes. Oh my goodness. So you knew I should probably be an anesthesia tech if I want to eventually be a CRNA, a certified registered nurse anesthetist. And that's my starting point, as well as getting a nursing undergraduate degree.

SPEAKER_01:

Yes. And that was also a recommendation from that second cousin once removed.

SPEAKER_00:

This second cousin was very influential for being your only person.

SPEAKER_01:

Yes. Well, she actually works in recovery. And so she works very, she's a nurse manager, so she works very closely with the anesthesia providers. Um, so she really knows a lot about it and really pushed me towards that profession and getting that job.

SPEAKER_00:

So when your cousin told you about CAA and you were 14 for many reasons, probably, but do you remember having a thought like, oh, well, I maybe don't want to be an anesthesiologist. A CAA feels like an insecure option, so I'll be a CRNA. Is that what was that the thought process? Or were you thinking you wanted to be an anesthesiologist as well?

SPEAKER_01:

I was kind of open to whatever. I was knew I wanted to go into college. And like at the time when I was in high school, I was like, maybe nurse anesthetist, maybe anesthesiologist. I don't really know. And then also I was under the impression at the time, I don't know where I got this from, but I thought only nurse anesthetists could do epidurals and C-sections and everything L and D related. And that is something that really drew me to anesthesia in the first place as well. And so I had just a misconception that I had to be a CRNA if I wanted to do those things. Okay. Weird. That is a very like specific misconception. I think it's because at TMH, all of the um people who all of the anesthesia providers who work in L and D are all CRNAs. Like there's no AAs. And so I think that that's where I got it from.

SPEAKER_00:

I don't know. I see, yeah. Well, that would confuse you. Yeah, it is a confusing system from the outside. It's like, what am I looking at? Who are these people? It's not like everyone goes around screaming out their professional title necessarily, which is something, you know, like people kind of get upset about. But um, very interesting. Okay. So take us from that first week, it sounds like, of working as an anesthesia tech. You were a freshman in college, you changed your major from nursing to what? Exercise physiology. And why exercise physiology?

SPEAKER_01:

So I had actually done exercise testing when I was in high school. I graduated with a biomedical concentration, which was a new thing for my school at the time. I was the first class to graduate with it. So we did things like a VO2 max, we did lactate threshold testing, we did wing gate testing. And so I was familiar with that, and now I'm doing it again in college, and it's super fun. And just exercise is something that's super interesting to me, especially the way that exercise can literally be used as medicine. And so I was just very drawn towards the exercise field. And then also exercise physiology at FSU aligns very closely with the prereqs that are required for AA school. I did not have to go very far out of my way to meet all the prereqs. I think the only thing that I took that wasn't on the requirements for ex-fiz was calculus. So it was kind of just the perfect storm for me.

SPEAKER_00:

Yeah. And also smart, I don't know if was this part of it that if being a CAA doesn't work out, because it's so specialized and specific that you could then fall back on this degree that you love as well.

SPEAKER_01:

Yes. But I I I've never been a plan B person with this. But yes, if anything happened where it didn't work out, I could do something that I'm passionate about related to exercise.

SPEAKER_00:

Yeah, I mean, makes sense. Why would you get a sort of know nothing biology degree, which is what I had, and not have anything specific to do, you know, it just sort of makes sense. It's one of the drawbacks, I think, of the CAA profession is that there isn't an obvious fallback option with your graduate degree. All right, so you work at a hospital. Currently, while we're speaking, you're still in anesthesia tech at this hospital, right? Yes, ma'am.

SPEAKER_01:

I just got off work an hour ago.

SPEAKER_00:

Girl, oh my. Okay, so I'm assuming then that your shadow hours and your mentoring experience maybe was a little different than some. Can you give some insight on how you tackled those shadow hours and the mentors that you feel like really made a difference and how you connected with them? For sure.

SPEAKER_01:

So I have an insane amount of shadowing hours. I have more than anybody needs. And that's just because I've been an anesthesia tech for so long and have such ease of access to the hospital. And I also have friends who are super kind and outgoing and love for me to shadow them. So I was able to get 260 hours of shadowing. And so I would either, I know it's crazy, but I would just stay late every so often and just pop into my friend's room and they'd be like, You want to see what I'm doing? Like, let me tell you about what I'm doing. Um, or some days when I would have like one class a day, I would just skip it and come into the hospital to shadow. Um, so I was able to get a lot of hours, but my main mentors through that have been my friends Thomas, Andrew, and Craig. The three of them are like the three musketeers. They're super awesome. And I could go on about all of them, but I've spent a lot of time, especially with Thomas, shadowing him. He also graduated from FSU and was an ex Fiz major. And he went to Nova Jacksonville and was in their inaugural class. Um, and he has just been so great with explaining things to me. He'll use big words and then it'll break them down and explain it to me. And he also likes to let me do as much as I possibly can without having a like degree in anything. So he'll let me practice like holding the mask and non-invasive techniques, everything that's allowed.

SPEAKER_00:

Yeah, you're allowed to be there. You're an anesthesia tech. Yeah.

SPEAKER_01:

Yes. And so that's been super special to get such hands-on experience. Um, and he's very encouraging. He wrote me a really great recommendation letter that literally brought like tears to my eyes. I was like, that is so sweet. And he's also spoken at our pre-AA club meetings, um, which is so kind of him to take the time out of his day to talk to these 240 kids who are very thirsty to talk to in AA. And then also, my friend Andrew has always been like, come and talk to me whenever, like, let me explain what I'm doing. He loves to explain medicines that he's using, ask me questions. And he just has such a true passion for the career. Like, you can literally just tell that he just loves what he does. And I think that that's very interesting and like niche. There's not that many careers where people just love what they do so much. In your episode that you had with Mr. Mark Leonard, he said that like he's never met anybody on either side of the world who is who is an AA and hates their profession. And I just think that there's not many careers where that is true. Um, so it's been really awesome to be friends with people like Andrew, who are just so passionate about the career. And then Craig's just a jokester and he'll let me shadow him whenever. And he's like, eh, I just I just love him. He's great. Um, so the three of them have been huge mentors for me during this process.

SPEAKER_00:

Good. Tell me how you got that anesthesia tech job, because that is like a creme de la creme pre-CAA job, and you didn't know that. I mean, that is likely a creme de la creme pre-CRNA job as well. But how did you first get that job?

SPEAKER_01:

Well, I was recommended by my cousin to apply, but the timing honestly is what just worked out really well. A lot of people are like, it's so hard to get in, and sometimes you just have to wait. There had been a huge turnover of anesthesia texts at the hospital at that time. So a bunch of people had just left. So that opened up a bunch of positions, and I was able to slip in and then get experience. Um, and so really, it was the timing that really worked out for me. And then obviously, I put a lot into my application, and I think I wrote a cover letter, and I just showed that I really cared and put everything into my application.

SPEAKER_00:

I'm giving that this is a theme with you, Brittany. That is, that's for sure. Picking up from our single conversation. Um, very good. You sort of hinted at the pre-AA club that you were a co-founder of at Florida State. Tell me a little bit about the how and why of starting that pre-AA club.

SPEAKER_01:

So it's always been like a little bit of an idea in my head. I'm like, oh, I should do that because I would love to unite people who are pre-AA, thinking like there would be like eight people who were interested. But I was like, okay, maybe I can recruit three of my friends with them and myself. That's half the club. And I never ended up doing too much with it because I was just like, I don't know how to start a club. Like, that's kind of scary. Um, and then one day in my bio lab, I was partnered with like a random other student. And he was like, Oh, like what's your major? What do you want to do? And I like took a deep sigh. He tells the story all the time, and I was like, and like getting ready to give my speech, where I was like, So, like, I want to be an AA. It's like a PA of anesthesia, like ready to explain it. And he was like, No way, me too. Because at FSU, you don't just meet other pre AA students, like that's crazy. And yeah, and we started the club and we never looked back. So what year was that? Like your sophomore year, your junior year? We met going into my junior year and then started the club the fall of my junior year. Okay, so it's we met in the

SPEAKER_00:

Summer. It's been a year. Has the club been a real club for a year?

SPEAKER_01:

I think in January it'll officially be a club for a year. We were getting it took a while of getting everything together to get it official. There's whole lots of steps with that. So I think in January is when it'll officially be one year.

SPEAKER_00:

And you and this other lab partner founded it. How long did it take to grab on? Like, did you put out a couple, you know, blasts and then all of a sudden it you were filled with 200 people?

SPEAKER_01:

Honestly, it happened pretty quickly. Um, I sent it into some group meetings that I have of like those general like bio classes, orgo classes, where there's like 300 students sometimes, and we got a lot of people that way. And then I also did a lot of flyers around campus. We got a lot of people that way. We've done tabling events. So yeah, it happened pretty quickly. And then it's just continuing to grow as we promote it more and more people find out about the profession.

SPEAKER_00:

And besides being like amazing on your resume and your application, what do you think the biggest benefit to the participants has been from a pre-AA club?

SPEAKER_01:

Definitely getting to know more about the profession and the application process. There can be like some hazy information online, um, especially with like the Discord. People on the Discord will like spread misinformation. I'm like, no, hopefully somebody doesn't read that and think that that's true. Like somebody in July had said that it was too late to apply to AA school. And I was like, no, I hope nobody believes that. So it's really nice to have a group of people where they know they can like come to us for like, okay, this is advice, this is resources, and we'll share people like aspiring CAA will be like, you should check out her website or um Anesthesia OneSource. Jen will recommend them going to her website. Um, and so we'll also do CV workshops. I do a CV workshop every semester where I help students with building their CV, how to really just promote themselves as a student. And so those are the resources that I think the students benefit from the most.

SPEAKER_00:

And just having a collective body to come to that's sort of in it together is huge. And that makes a big difference. For sure. Okay, let's get into the really exciting stuff, which is breaking down where you're at right now in your application interview process while we are talking. It is October 22nd of 2024.

SPEAKER_01:

So I submitted my application on August 12th. Um, I had to wait for my summer classes to be done because I could only apply with two outstanding prereqs. And I'm in two right now, and I took two over the summer, so I had to wait for those to be finished up. So I submitted my application on August 12th, and that's when I had everything in. I had already taken my GRE, I had my rec letters. It was a complete application ready to be reviewed. And then I received my first interview invite from VCom Auburn on August 27th. And that interview invite was for October 10th. And then in between that time, I also received an interview invite from South in Savannah, South University. And that interview invite was sent to me on October 4th, and the interview was for October 11th. And they just gave me that day and they were like, you're gonna come then. And I was like, perfect. I'm honored. You will be there. Yes, yes. With VCOM, I got to pick what day I wanted to interview. I think there was like a choice between like maybe eight different days, and I just chose the one that worked best for me.

SPEAKER_00:

And then where else have you applied to that you're waiting on some sort of feedback?

SPEAKER_01:

So I applied to all the Florida Novas, except for Orlando, because it just opened a few days ago. Um, but I'm still waiting to hear back from Nova, Tampa, in Nova Jacksonville. I applied to Nova Fort Lauderdale as well, but they required Casper this year, which is new for this cycle. And I didn't really want to spend the$80 to take the Casper. What is that? I don't even know what that is. It's a personality exam. It's kind of interesting. It's like an exam you take on your computer and they'll ask you like ethical questions, and you have to talk to your computer to answer them. That's my understanding of it. I haven't taken it, so I don't really know. But yeah, I just didn't want to take that, especially since I felt pretty good about my chances at other schools.

SPEAKER_00:

Mm-hmm. And that was Nova Fort Lauderdale. Yes. So tell me what your top school is. Like what's your dream school and why?

SPEAKER_01:

As of right now, my dream school is Nova Clearwater, Nova Tampa. I have a lot of friends who went to that program. I went to their open house. The campus is just beautiful. The amenities are top-notch, which I mean, obviously isn't enough to pick a school in and of itself, but it's just an added bonus that it's right next to the water and the campus is beautiful. And then the professors are just the creme de la creme, amazing people. Their simulation lab is incredible. And everybody I know who's graduated from Nova Tampa has nothing but amazing things to say about it. And so that's just always been what I'm familiar with. And so I've always wanted to go there since I've known about AA. So that would be my first choice.

SPEAKER_00:

Okay, couple more questions that uh I just think are interesting for people who are kind of at this point in the journey or a little earlier than you. What would you do if you don't like AA school? Like if it's a big no in terms of your intuition.

SPEAKER_01:

So that's a really interesting question because to me, the possibility of that happening is so slim. I feel like I know very well, more than the average person, what I'm getting into, having just been an anesthesia tech for so long, worked with so many AAs, picked their brains about their experience in school. Like, I feel like I've already gone to AA school because I've asked so many questions about the experience. Um, and having a friend who's in it right now. Um, I just feel like I really know what I'm getting myself into. So there really isn't a plan B for me. And there really hasn't ever been. That's a qu that's a very valid question. And my parents have asked me that. They're like, what are you gonna do if you don't get in? And I was like, I'm gonna take a gap year and reapply. But I honestly have no clue what I would do if I get in and I just hate it. So unimaginable to me. Um, but that's kind of a I'll cross that bridge when I get to it kind of situation.

SPEAKER_00:

Yeah. Well, we're all gonna cross the bridge with you, Brittany. So we'll see. Yeah. Yeah, we'll see.

SPEAKER_01:

But hopefully we're not crossing that bridge. Exactly.

SPEAKER_00:

Thanks for listening to Awakened Anesthetist. If this episode resonated with you, share it with a CAA friend, an AA student in your life, or a perspective and let them know why you loved it. It's the most important thing you can do to support this podcast and its mission. You can always find more ways to connect with me and this CAA community at awakenedanesthetist.com. And while you're scrolling the website, check out my trusted CAA partners who make this podcast possible with a special thank you to my season five sponsor, Harmony Anesthesia Staffing. Talk soon.