Notes: Detroit Medical Center + Henry Ford Health System + Karmanos Cancer Center clinical network. High-volume urban Level I trauma exposure, oncology anesthesia, and diverse high-acuity case mix. Accessible for competitive in-state applicants; in-state tuition among the most affordable at a major research university. Michigan CRNA market is historically undersupplied, with strong employment outcomes. Cohort is larger than most regional programs — broad networking base.