Rochester Institute of Technology Rochester, New York. COLLEGE OF SCIENCE Department of Medical Sciences. Course Number:

Transcription

1 Rochester Institute of Technology Rochester, New York COLLEGE OF SCIENCE Department of Medical Sciences Course Number: Title: PA Seminar Date: June 2006 Credit Hours: 1.0 Prerequisite(s): enrolled in PA program Corequisite(s): 2 nd or 3 rd year status Course proposed by: Heidi B. Miller 2.0 Course information: Contact hours Maximum students/section Classroom Lab Studio Other (specify ) Quarter(s) offered (check) Fall Winter Spring Summer Students required to take this course: (by program and year, as appropriate) SCLP: Second or third year status Students who might elect to take the course: Course open to physician assistant students only 3.0 Goals of the course 3.1 To gain a general overview of the PA profession (past, present, and future) at national and local levels. 3.2 To understand the historical evolution of the PA profession and its original educational premises and foundations. 3.3 To develop an understanding of some of the interactions between PAs and the overall health care community and various healthcare providers. 3.4 To understand the distinctions between under graduate and post-graduate physician assistant education and the current trends of the profession. 3.5 To recognize the differences between master s level and post-graduate residency training.

2 3.6 To recognize some of the basic medico-legal and malpractice issues that confront healthcare professionals and how medical malpractice relates to physician assistants. 3.7 To understand the various professional organizations within the PA profession; AAPA, PAEA, ARC-PA, NCCPA, AAPPA, etc. 3.8 To distinguish some of the different role responsibilities, duties, and Codes of Conduct of PAs within various medical disciplines. 3.9 To develop an understanding of some of the key trends and workforce issues within the profession today To recognize the essence of professionalism in the role of a physician assistant To recognize various issues accompanying stress, burnout, and self care in the work force today To understand certification, licensure, state registration, and recertification in the PA profession. 4.0 Course description Introduces the student to the role of the physician assistant in relationship to patients, supervising physicians, colleagues and other physician assistants. Emphasis is on developing a high degree of professionalism in conjunction with health care. Topics include legislation, certification, registration, professional organizations, sociomedical issues, ethics, legal and economic aspects of medicine, health care organization and medical records. 5.0 Possible resources Ballweg, Ruth, Sherri Stolberg, Ed Sullivan. Physician Assistant: A Guide to Clinical Practice, 3 rd edition, WB Saunders, Topics (outline): 6.1 History of the PA profession The setting: 1960s Great Society Increased social consciousness Advances in healthcare Disparity in healthcare providers and access Military corpsmen Other non-physician healthcare providers Barefoot doctors Feldshers Dr. Eugene Stead Background & education 2

3 Duke University climate & interest Duke s Department of Nursing 6.2 PA Education & Post-Graduate Residencies Duke University PA Program PA curriculum and medical model PA Day October 6, Dr. Hu Myers Alderson Broaddus College PA Program Dr. Richard Smith University of Washington- MEDE PA Program Henry Silver, MD University of Colorado PA Program Early Legislation PA Titles Early PA Journals & Publications American Academy of Physician Assistants APAP to PAEA Post-graduate Residency Programs various disciplines classifications, stipends, experience future accreditation of post-grad programs 6.3 Professional Boundaries Characteristics of a PA professional Other healthcare providers on team Education and training of physicians Allopathic (MD) Osteopathic (DO) Specialists in Team Medicine Profession s view of independent practice Managed Care impact Credentialing Licensure PANCE PANRE Accreditation (ARC-PA) NCCPA Continuing Medical Education (CME) 6.4 PA/MD Relationships Concurrent supervision Retrospective supervision Prospective supervision 3

4 6.4.4 Characteristics of a successful PA/MD team Hallmarks of PA/MD relationship PA/MD relationship enhancements to patient care Shared Responsibility on a medical team 6.5 Inpatient PAs PA utilization Fastest growing areas Hospitalists and Intensivists JCAHO Functions of hospital organization HIPPA Evolution of change in last four decades Practice guidelines Scope of practice 6.6 Ambulatory PAs Ambulatory care and examples Key tasks Prevention Health promotion First contact of care Longitudinality Comprehensiveness Coordination Primary Care Secondary Care Tertiary Care Six principle diagnoses Solo & Group practice Productivity 6.7 Trends and Workforce Issues Health Policy Question for the 1960s Health Policy Question for the 1970s Health Policy Question for the 1980s Health Policy Question for the 1990s Workforce Trends Call hours Productivity bonuses Medical Unions Discipline specific issues 4

5 6.8 Medical Conduct & Ethics Guidelines for Ethical Conduct for PA profession Office of Professional Medical Conduct (OPMC) Relational Ethics Decisional Ethics Historical Ethical Cases 6.9 Stress, Burnout and Self-Care Top stressors in didactic phase of education Top stressors in clinical phase of education Top stressors of new graduates Burn out Strategies to avoid burn-out Stress reduction techniques When to get help 6.10 Alternative Roles for PAs Clinical Research Education Administration Business 6.11 Future Directives and Immerging Trends Radiology Forensic Science Master s Degree as terminal degree Accreditation of Post-Graduate Residency Programs Hospitalists 7.0 Intended learning outcomes and associated assessment methods of those outcomes Learning Outcomes Written Assignments Final Exams Research Paper 7.1 Describe the contributions of Dr. Eugene Stead to the physician assistant profession. 7.2 Identify the circumstances which led up to the creation of the PA profession. 7.3 Classify the initial four PA programs and provide characteristics of each of them. 7.4 Define the medical model of education. 7.5 Describe the principle duties of physician assistants. 5

6 Learning Outcomes Written Assignments Final Exams Research Paper 7.6 Identify the factors involved in PA re-certification. 7.7 Differentiate the differences between certification and accreditation. 7.8 Compare the roles and responsibilities between inpatient and ambulatory care PAs. 7.9 Define stress and list three stressors involved in the didactic and clinical phases of PA education List some effective strategies of stress reduction List the emerging trends in healthcare delivery and PA education Define how entry-level master s degree education may affect enrollment, diversity, salaries, and competency-based PA education Specify what factors are necessary for successful PA/MD relationships Explain why PAs are specialists in team medicine Define the current number of practicing PAs in the country and the most common practice settings Define what the Office of Professional Medical Conduct is and what relevance this Office has on PAs in New York State Explain how to recognize workplace burn-out Summarize how to recognize and deal with an impaired colleague Define Scope of Practice for PAs Identify some current workforce issues within the PA profession. 8.0 Program or general education goals supported by this course 8.1 To introduce basic concepts and ideologies of the physician assistant profession. 8.2 To introduce the student to the role of the PA in relationship to patients, supervising physicians, and colleagues. 8.3 To introduce and emphasize the theme of professionalism that is a hallmark of the physician assistant profession. 9.0 Other relevant information 9.1 Smart classroom will be useful in didactic lectures 9.2 Audiovisual aides will be utilized on occasion. 6

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