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For example: Internal medicine residency (3 years) followed by a Cardiology fellowship (3 years) or anesthesia (4 years) followed by a pain management fellowship (1 year) or plastic surgery (5 years) followed by a hand surgery fellowship (1 year).
Both pathways take 2-3 years to complete. There are over 100 accredited CRNA programs in the United States, and that number is growing each year. The Council on Accreditation of Nurse Anesthesia Educational Programs (COA) maintains an updated list of approved institutions on its website.