How to Become a Practicing Certified Anesthesiologist Assistant (CAA) in 10 Steps

If you’re thinking about a career as a Certified Anesthesiologist Assistant (CAA) but aren’t clear on what it takes to get there, you’re in the right place! This guide will walk you through each step, from earning your degree to getting credentialed at a hospital. Let’s dive into how to go from aspiring CAA to practicing professional.

Step 1: Earn Your Bachelor’s Degree

To apply to CAA programs, you’ll need a bachelor’s degree, though there is not a mandatory major. However, science-heavy majors can make you more competitive. Just be sure your degree is from a regionally accredited institution—whether that’s a community college or a university. You don’t need to have graduated to apply, but you’ll need to complete your degree before you start CAA school.

Step 2: Complete Prerequisite Courses

CAA programs require you to complete certain prerequisite courses, like:

  • General Biology
  • General Chemistry
  • Organic Chemistry
  • Physics
  • Biochemistry
  • Calculus
  • Statistics
  • Anatomy
  • Physiology

Each program has specific prerequisites, so double-check the requirements for the schools you’re interested in. Most schools have a limit on the number of in-progress prerequisites you can have when applying, so be sure to confirm these details.

Step 3: Apply to CAA School Through CASAA

You’ll submit your CAA program applications through CASAA, the Centralized Application Service for Anesthesiologist Assistants. This system makes it easy to apply to multiple programs at once. There are 25 CAA programs across the country that will be open by 2026


The CASAA application includes:

Step 4: Prepare for Your Interview

If your application stands out, you’ll be invited for an interview. The admissions committee wants to learn more about you and see if you’re a good fit for the program. Interviews may be in person or virtual, depending on the school. Prepare well; mock interviews can help you get comfortable and make a great impression.

Step 5: Accept Your Spot and Enroll

Once you’re accepted, you’ll need to officially confirm your spot with an acceptance deposit by the program’s deadline. In CAA school, you’ll have a packed schedule. The first year is full of lectures, labs, and simulations, while the second year focuses on clinical rotations and preparing for the certification exam.

Step 6: Graduate from an Accredited CAA Program

To graduate, you’ll need to complete all academic and clinical requirements. This includes meeting your program’s GPA minimum and completing over 2,500 hours of clinical care. You’ll gain experience in anesthesia specialties such as cardiac, obstetrics, and pediatrics.

Step 7: Pass the National Certification Exam

The NCCAA (National Commission for Certification of Anesthesiologist Assistants) administers the certifying exam, a comprehensive multiple-choice test with 180 questions. You’ll spend time preparing with lecture reviews, study guides, and practice questions. Passing the exam earns you the title of Certified Anesthesiologist Assistant (CAA).

Step 8: Land a Job

Many CAAs receive job offers even before they graduate, especially if they’ve made a strong impression during clinical rotations. Treat each rotation like a job interview, and be ready to discuss potential job offers. Each position may be structured differently, so be sure to understand the specifics of any offer.

Step 9: Apply for State Licensure

Before you can start working, you’ll need a medical license in the state where you’ll practice. Each state has its own licensure requirements, so review the application carefully and be prepared to pay a processing fee.

Step 10: Complete Hospital Credentialing

Once hired, you’ll go through credentialing, a verification process that confirms your qualifications to provide patient care. The hospital will review your education, training, licenses, certifications, and references. After completing credentialing, you’ll receive privileges to work as part of the anesthesia team.

Your Journey to a Rewarding Career as a Certified Anesthesiologist Assistant

From start to finish, becoming a CAA involves dedication, preparation, and hard work. Each step builds toward a rewarding career where you’ll make a real impact in healthcare.

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Sarah is the founder of Aspiring CAA, a practicing certified anesthesiologist assistant, clinical preceptor, and assistant professor at a master of medical science program. With admission committee experience and an intricate knowledge of the admissions process, she helps guide prospective CAA students on their career journey.

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About this blog

Aspiring CAA is the go-to blog for expert advice on how to become a CAA. Founded by a practicing certified anesthesiologist assistant with extensive experience as an educator and former admissions committee member, Aspiring CAA provides aspiring anesthesiologist assistants with valuable guidance. Drawing on the founder's deep knowledge of the admissions process, the blog simplifies applying to CAA programs and empowers applicants to succeed.