Exam : Intro to PA

the PA profession is based on

Feldshers, Barefoot docs, military corpsman

who invented the PA profession

Henry "Buddy" Treadwell

When did the first doctor's assistant get hired

1940

When was a the first fast track curriculum created

1942

when did the advanced nurse clinician

1964

What year was the 1st PA program inaugurated

1965

Where school was the first PA class at

Duke

Which type of program did the Medical Board like

Type A: two broad trained years

What year did all 50 states allow PAs to prescribe

2007

Who is Karen Bass

1st PA to hold a seat in the US house of reps

What year did Bass get elected to congress

2011

What was the first state to adopt the title Physician Associate

Oregon

What two factors contribute to the 6 core competencies

Cultural humility

Self Assessment & ongoing professional development

Some key benefits of hiring a PA

-increased speed of care

-more eyes on the pt

-enhance coordination and pt satisfaction

Supervision of PAs

scope of practice deterred by supervising physician

supervised on and off site

PA prescribing rights

All states have prescriptive privileges; up to supervising physician

-need a DEA for controlled substances

How much do gov't agencies reimburse for PAs

mostly 85% some at 100%

Malpractice rates

remarkable low rate of malpractice liability

what percentage of PAs are hired from their clinical preceptor

more than 1/3

Added benefits of hiring a PA

-easier physician workload

-cost effective

-higher pt satisfaction

-easier access to appts

For every $1 generated by a PA, you pay them ___

$.30

PA pt satisfaction scores

86%-96%

Delegation

Physician must determine what tasks they want delegated

T/F the physician is responsible for any care the PA provies

T: in a written agreement

T/F PAs must follow protocols

F: impedes on autonomy, not flexible, tedious

Consulation

supervising physician must be available; can be on site, over the phone, or have Dr in the room

Concurrent methods

general, direct, personal, retrospective

General concurrent method

physician is available to PA at all times

Direct concurrent method

physician must be onsite

Personal concurrent method

physician must be in the room

-NOT common

Retrospective concurrent method

evaluate performance, clinical activities, and reviews charts

cosigns some charts

what falls under primary care

internal medicine, family medicine, pediatrics

NCCPA is for ___ PAs

certified

The PA profession is expected to grow ____

30%

why is the PA field growing

expanding health care industry

aging population

PA employment is primarily in the ____ setting

in-patient

where do PAs receive most of their training

on the job after graduation

Telehealth

collection of methods for enhancing health care, education, and support using technology

-public app the gives outbreak alerts

-video conferencing for med education

telemedicine

specific form of Telehealth that involves medical services

-remote appointment

-send photos of rash

types of telemedicine

-store and forward telemedicine solution "asynchronous"

-remote patient monitoring

-real-time telemedicine "synchronous"

benefits of telemedicine

-more convenient, accessible care

-saves on cost

cons of telemedicine

may reduce care continuity

what speciality gets the biggest use with telemedicine

teledermatology