The national distribution of Certified Registered Nurse Anesthetists across metropolitan and nonmetropolitan settings.

The purpose of this study is to describe the metropolitan and nonmetropolitan distribution of Certified Registered Nurse Anesthetists actively practicing across the United States. More than 3,000 counties of the United States were categorized according to degree of urbanization by utilizing the rural-urban continuum codes for metropolitan and nonmetropolitan counties developed within the U.S. Department of Agriculture. Zip code information was used to locate all actively practicing CRNAs by county of residence. Applying the rural-urban continuum codes to this database revealed a descriptive national distribution of CRNAs across geographical areas. Data show that 81.3% (18,086) of CRNAs reside in metropolitan counties and that 18.7% (4,182) reside in nonmetropolitan areas. The greatest number of CRNAs (8,519) are found in central counties of metropolitan areas of one million population or more. The lowest number of CRNAs (90) are found in completely rural counties of fewer than 2,500 urban population adjacent to a metropolitan area, and 160 CRNAs reside in counties of fewer than 2,500 population not adjacent to a metropolitan area. Differences in age, gender distribution, educational credentials, and population ratios are also noted between metropolitan and nonmetropolitan CRNAs.