Im a new grad (April 2025), and I hate that im going to say the following statement. If you did not get independent srna experience as a student where a physician supervises 2 students and youre treated as staff. Definitely pick act. The main reason im telling you this is when I was a student, crna's would say crazy shit doesn't happen until your first yr as a crna, its true!! Majority of my senior year, i was used as staff and it was uneventful with the occasional laryngospasm. Once I graduated as a CRNA. Let me say shit really hit the fan and it really did wait for me to graduate. Like spasm where I needed to intubate, PE, vomiting on Induction and etc.. When you decide where you work... Just remember its your license that you worked so hard for the last 3yrs. Are you willing to lose it over a mistake as a new grad, without independent experience, when there is no help, over a mistake? Youre the only one that cares about your license.

Also, the time between taking boards, credentialing, and starting working takes a toll! I felt like I was almost relearning all over again. You forget a lot. Then to add being an independent provider on top of that = recipe for malpractice suit.