Anesthesia Deconstructed: Moving Anesthesia Forward

I Thought We Were Winning. Then, We Got Fired: Essentials of Anesthesia Leadership


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In this powerful and unfiltered episode, Dr. Joseph Rodriguez — CRNA, former state and national leader, faculty member, and host of Anesthesia Deconstructed — takes us inside the real lessons of anesthesia leadership.

From COVID-era disruption to contract losses, difficult boardroom conversations, and the relentless financial pressures of today’s anesthesia market, Joe shares stories that few leaders are willing to tell. Each story carries a hard-won lesson: why leadership is never just a title, how executive presence shapes outcomes, why data transparency can backfire, and how accountability transforms teams from fragile to high-performing.

We also dive into the frameworks that shaped his leadership journey — from Crucial Conversations to The Four Agreements and Five Dysfunctions of a Team — and how every leader can apply them to grow themselves, their organizations, and the people they serve.

This isn’t theory. It’s frontline leadership, with all the scars, pivots, and resilience required to survive in one of healthcare’s most disrupted specialties.

Whether you’re a CRNA, SRNA, or a healthcare leader navigating change, this conversation is a masterclass in turning setbacks into systems, failures into frameworks, and words into lasting impact.


Keywords:

Anesthesia, CRNA Leadership, Healthcare Business, Executive Presence, Leadership Lessons, Nurse Anesthesiology, Organizational Growth, Accountability, Professional Development, Anesthesia Contracts, No Surprises Act, Healthcare Strategy, Team Building, Crucial Conversations, Five Dysfunctions of a Team

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Anesthesia Deconstructed: Moving Anesthesia ForwardBy Mike MacKinnon and Joe Rodriguez

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