IHP Module 1 Cards

What was the MEDEX program started in 1969?

A program started by Dr. Richard A. Smith in 1969 targeting provider shortages by training medically trained veterans and sending clinical students to serve in underserved areas in the Pacific Northwest.

What specialty program did the University of Alabama develop?

The first Surgical program for Physician Assistant that was 2 years long.

What was the significance of the military corpsman in the PA profession?

Military corpsmen were trained to become Physician Assistants, utilizing their medical experience to address the physician shortage after World War II.

Who coined the term 'Physician Assistant'?

Dr. Eugene A. Stead Jr. in 1964.

What was the impact of World War II on the PA profession?

It created a physician shortage, leading to the establishment of the PA profession to help fill the gap in the 1960s.

What was the Child Health Associate program?

Developed by Dr. Henry Silver in Colorado, it was the first master's degree program for PAs, focusing on pediatric care.

What role did Eugene Stead play in the PA movement?

He developed the first formal PA training program at Duke and is known as the 'father of the PA profession.'

What is the current name of the PA profession as of May 2021?

Physician Associate

What are the roles of the AAPA (American Academy of Physician Associates)?

To lead the PA profession, empower members, enhance patient health, and advocate for quality healthcare.

What does NCCPA stand for?

National Commission on Certification of Physician Assistants.

What is the difference between certification, licensing, and credentialing for PAs?

Certification is national (NCCPA),

Licensing is state-specific (e.g., Texas Medical Board), and

Credentialing is local, based on privileges at specific institutions.

What was the historical role of Feldshers (made up 25% of future physicians) in Russia?

Feldshers were rural providers created by the Russian military to address physician shortages, dating back to the 1700s.

What were Barefoot Doctors (made up 33% of future physicians) in China?

Physician substitutes trained to provide healthcare in rural areas, with 1.3 million trained between 1965-1975.

What was the significance of the Officer de Sante in France?

Established in 1791 to address physician shortages, it was later abolished in 1944 due to increased risks to patients.

What is the purpose of PAEA?

Physician Assistant Education Association: To promote PA education, advocate for students, and establish core competencies for new graduate PAs.

What was the initial training model for PAs at Duke?

The early Duke training model focused on generalist training rather than specialized training.

How did the PA profession evolve from the 1980s to the 2010s?

The profession saw nationwide adoption in the 1980s, maturation and growth in the 1990s, and began going international in the 2000s.

What was the role of Dr. Amos Johnson in PA history?

He trained Henry Lee 'Buddy' Treadwell to be a doctor's assistant in 1940.

What was the significance of the 1930s training of corpsmen?

Former military corpsmen were trained in the Federal Prison System to extend physician services.

What was the impact of the nursing league on the PA profession?

The nursing league opposed the initial PA training program designed for nurses, fearing it would transfer nursing roles to a medical model.

What does ARC-PA stand for?

Accreditation Review Commission on Education for the Physician Assistant.

What organization develops the certification exam for Physician Assistants?

NCCPA (National Commission on Certification of Physician Assistants)

What is the purpose of the ARC-PA?

To ensure uniform and excellent PA education and provide guidelines for PA program accreditation.

What is the waiting period to retake the PANCE exam?

90 days

How many times can the PANCE exam be taken within six years?

Up to six times

What are the requirements to sit for the PANCE exam?

Graduation from an accredited PA program in the United States.

What is the recertification process for PAs every ten years?

PAs must take the PANRE (Physician Assistant National Recertifying Exam).

What is the new longitudinal recertification process introduced for PAs?

PANRE-LA, which involves taking a 25-question test every quarter for three years.

What is the CME requirement for PAs every two years?

100 hours, with 50 hours needing to be category 1.

What is the role of the supervising physician in PA prescribing practices in Texas?

The supervising physician determines if the PA can prescribe medications.

Texas Occupations Code Chapter 157: The authority of physicians to delegate certain medical acts.

What are the practice settings where PAs typically work?

Clinics, surgery centers, hospitals, and procedure clinics.

PA specialties as of 2025.

27.8% - surgical

20.1% - primary care

What is required for a PA to maintain certification?

Completion of CME and maintaining current NCCPA certification.

What is the difference between licensure and certification for PAs?

Licensure is state-specific and grants permission to practice, while certification is a national standard indicating competency.

What is the AMA's stance on PA state licensure?

The AMA supports that MDs have ultimate responsibility and oversight for PAs.

What does the AAPA advocate for regarding PA practice?

Optimal team practice and the elimination of burdensome administrative restraints on PAs.

What is the significance of the NCCPA in the credentialing process for PAs?

It administers the certification exam (PANCE) and maintains a registry of certified PAs.

What is the role of the ARC-PA in PA education?

To set and uphold the highest standards of quality for educational programs through accreditation.

What is the purpose of the accreditation process by ARC-PA?

To ensure compliance with Accreditation Standards for Physician Assistant Education and promote best educational practices.

What are the guidelines for PA programs set by the AMA and AAPA?

Uniform standards for assessing educational effectiveness and ensuring public safety in medical practice.

What are the six key elements of a modern PA practice act?

1. Licensure as the regulatory term

2. Full prescriptive authority

3. Scope of practice at the practice level

4. Adaptable proximity requirements

5. Chart co-signature requirements determined at practice

6. No PA-physician ratio

What is the benefit of optimal team practice in healthcare?

It allows all healthcare professionals to work together to provide quality care without burdensome administrative constraints.

What is the primary role of PAs in underserved communities?

To extend the reach of physicians and provide care to those living in poverty and uninsured.

What are the three types of supervision for PAs?

1. General

2. Direct

3. Personal

What is the difference between dependent and interdependent relationships in PA practice?

Dependent involves one PA and one MD,

Interdependent involves one MD supervising multiple PAs.

What are the core competencies for interprofessional collaboration in healthcare?

Values and ethics, roles and responsibilities, communication, teams/teamwork.

What is the purpose of interprofessional education (IPE)?

To enable effective communication among learners from two or more professions.

What is the hierarchy of healthcare roles in a team?

1. Physician

2. PA and NP

3. Radiology Tech, PT, Lab tech, Nurses

4. CNA/Medical assistants.

What is the significance of documentation in PA practice?

It is crucial for communication, coordination, and continuity of care.

What is the difference between NP and PA in surgical roles?

NPs cannot first assist in surgery without an additional certificate, while PAs can.

What are the seven team characteristics for primary care practice improvement?

1. Trust

2. Mindfulness

3. Heedfulness

4. Communication

5. Coordination

6. Role recognition

7. Conflict management.

What is the goal of interprofessional team-based care?

To deliver care with a collective identity and shared responsibility for a patient.

What does the term 'agency relationship' refer to in PA practice?

Both MD and PA are legally liable for the care provided.

What is the significance of trust in healthcare teams?

It fosters collaboration and improves patient outcomes.

What is the goal of the 'Engage Me' series in healthcare education?

To present patient experiences and discuss various diseases for better understanding.

What is the purpose of the UTMB Disaster Day?

To prepare healthcare professionals for emergency situations.

Were PAs meant to be involved in clinical dx, decision making, or treatment of medical probs when started by Eugene Stead??

No. Pa's were first meant to perform procedures, dxm, and medical therapies.

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