Physician duties · CRNA · Maryland
Signing for a Certified Registered Nurse Anesthetist in Maryland: what the physician takes on
The agreement is mandatory for the clinician, which makes its duties mandatory for you. Maryland does not name a specific instrument.
CRNAs may not practice independently in Maryland — a CRNA must notify the Board of Nursing of the name/license number of a collaborating physician or dentist before practicing, and Maryland is one of roughly 11 states granting CRNAs NO prescriptive authority at all (not merely restricted).
What you take on as the physician
The rules the physician relationship has to follow. Each fact comes from the statute or board rule listed under sources.
Proximity
nurse-anesthetist graduate practicing before national certification: On-site presence required
A CRNA graduate awaiting certification must practice under an anesthesiologist or CRNA who is on-site and immediately available.
certified CRNA: Available remotely (no on-site requirement)
No on-site or fixed mile/minute radius standard was confirmed for a certified CRNA's collaborating physician/dentist beyond the initial notification-of-collaborator requirement — treat the exact proximity mechanics as an open item pending direct confirmation of COMAR 10.27.06 text.
Supervision ratio
Not codified — no cap on file
Chart review
Not codified — left to the agreement
Meeting cadence
Not codified — left to the agreement
Prescriptive authority
Covered by the practice agreement · no controlled-substance authority
Maryland grants CRNAs NO prescriptive authority — they administer anesthesia-related drugs under standing orders/protocols and RN licensure rather than any independent or delegated DEA prescribing authority.
Written agreement
Required
Unconditional — every CRNA must have a collaborating physician or dentist on file with the Board before practicing; there is no independent-practice pathway.
Practice ownership (corporate practice of medicine)
Licensee-only ownership required — Same open item as the general `np` entry — Maryland's physician-only Professional Corporation regime and non-recognition of PLLCs leave APRN practice-entity ownership unresolved in this pass.
Legal sources for these rules (2)
What physicians charge for this role
Typical monthly compensation in Maryland
$500 – $600
Estimate for one Certified Registered Nurse Anesthetist. Standard-tier state.
About Maryland's rules
Maryland's APRN categories are NOT uniform: CRNPs/CNMs gained full practice authority in 2015 (after an 18-month new-graduate mentorship), but CRNAs remain fully supervised with NO prescriptive authority at all (Maryland is one of ~11 states granting CRNAs none), and only the psychiatric-mental-health population focus of CNS practice is independent. Maryland does not recognize PLLCs — professional entities use physician-only Professional Corporations, so multi-disciplinary PC ownership questions are open items below.
Other clinicians in Maryland: see the state overview.