I don't know you. You can be a star. Every anesthesia group has their Jedi. You could be the Jordan of MDA's so no CRNA will come close. One doc in my group is our Yoda. We all ask his opinion on difficult cases or 1st clinical encounters. There are so many skills involved in anesthesia: knowledge, experience, intuition, manual skills, when to intervene or let CRNA figure it out, or let the CRNA make the mistake (as long as it causes no pt harm), how to talk to surgeons, how to compromise, when to hold your ground, when to take risks, courtesy to staff no matter their rank or status, how to talk to patients and make that quick connection so that they trust your care, how to diffuse situations, how to talk to families after poor outcome, to prioritize tasks in critical and immediate situations, etc... Most of medicine is not difficult. The difficult part of medicine is the ungodly amount of information to memorize. Those things that are very difficult in medicine are only difficult because of lack of cumulative training, experience or cursory knowledge.
Do you think just because you are a doctor you are better than every CRNA out there? You never call for help from fellow MD's because you are smarter than all your MD's in your group? You didn't think that many of our medical school classmates were a "bit off," strange, poorly socialized, no common sense, etc. You don't have fellow MDs that make patient decisions that you don't agree with? Maybe you are so smart that no one here on the forum can touch your skills, knowledge, and experience, but there are some smart CRNA's out there. The majority of the CRNA's, I have met, seem less able than a below average MD. Even Yoda's make mistakes: an ortho doc wanted to do a redo TKA (not septic) on a ASA 4 patient. All the MD's said no but our Yoda. He has skills, knowledge and experience. I said the patient would die either in the OR or postoperatively (I know my limitations). I said I would not do the case. The ortho scheduled the case when Yoda was on call. Well, that patient died POD 2. If you are a star, I would put up our Yoda against you any day, even not knowing you.
The most import skill is to know your strengths and weakness so you know when to call for help. Every CRNA has a different 'call for help'-meter. When I get a call from CRNA A, I know that I have to move quick because they rarely call unless it is something difficult and important. Other CRNA's call too early. The worst ones are those who don't call until it is a bit too late.
I know my limitations. Maybe against you, you are better. I am no Yoda, but as an overall package....not many like me. Against CRNA's... ya there were a handful over the past +20 years that were pretty darn good.
In a ACT setup, what is needed from the CRNA's are different from the MD's. We need CRNAs that can do the manual labor efficiently -- quick, careful, quick turnover, don't get into trouble, get along with surgeons, connect with patients, practice great basic anesthesia, and KNOW when to call for help/consult. We need MD's that can efficiently do the juggling of 4 rooms, when to give and take with the surgeons, connect with the patient, know how to put out CRNA fires big and small, great manual skills, and when to say NO.