At Maury Regional Medical Center, CRNAs practice in a loosely medically directed model that provides real autonomy with strong physician support. The case mix is broad and keeps skills sharp—vascular, orthopedics, spine, neurosurgical, urology, gynecology, bronchoscopy, plastics, ENT, endoscopy, TEEs, and cardioversions, with occasional pediatrics. The CRNA team is clinically excellent and highly collaborative, supported by a collegial physician group in a true no-drama, no-conflict environment focused on efficiency and patient care.