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What are the two ways to obtain a PA education?
Accelerated PA program
Traditional 4+2 or 3
What must be done before applying to a PA school (traditional route)?
Bachelor’s degree with prerequisites and then apply to ARC-PA accredited PA program
How many healthcare hours are required at DSU?
500 hours
What counts as direct patient care hours?
shadowing a PA, PCA, EMT, medical assistant, providing care for patients
What degree do you have when you graduate from ARC-PA accredited PA program?
Master’s degree
How many hours hours come with graduating from an accredited program?
about 2,000 clinical hours of education
What does PANCE stand for?
Physician Assistant National Certifying Exam
What test must you pass to become a PA and what is your title after passing?
PANCE, PA-C
Who administers the PANCE?
NCCPA (National Commission on Certification of Physician Assistants)
What are the topic areas on the PANCE?
all of the body systems, history, lab studies, diagnosis, etc.
What is the system with the highest amount of information on the PANCE?
cardiovascular
How many questions are on the PANCE and what is the breakdown of them?
300 questions
5 blocks of 60 questions
How many attempts does one get to pass the PANCE?
6 attempts with 90 days in between
What must be done after passing the PANCE before practicing?
must obtain license to practice in the state you wish to practice
What is the Certificate of Added Qualifications (CAQ)?
voluntary credential that certified PA’s can earn in certain specialties
How do you earn CAQ?
differs by specialty, must have a certain amount of hours and years of experience, CME credits
What is the cost of CAQ?
$350
How often do PA’s have recertification and new CME credits?
2 year cycles
Why is recertification required?
to keep up to date with new and updated medical information
What is the recertification maintenance fee?
$180
How many CME credits are required per cycle?
100 credits
How many CME credits must be Category 1?
50 credits
Category 1 credits
self assessment care, PI-CME
Category 2 credits
reading medical journals, precepting students, attending meetings
What is the PANRE?
Physician Assistant National Recertifying Exam
How often does one have to take the PANRE?
every 10 years, may be taken in the 9th year
What is the format of the PANRE?
240 multiple-choice questions - 4 blocks of 60 questions
all PA knowledge, core medical knowledge, labs, diagnosis, intervention, interpreting lab results
How many total attempts do you get at the PANRE?
4, 90 days in between
What is the PANRE-LA?
at home option
12 quarters-best 8 are scored
What organization handles recerification?
NCCPA
What are PA residencies and fellowships?
advanced training after PA school
How long are PA residencies and fellowships?
12-18 months, clinical and didactic education
Do fellowships have to be accredited by ARC-PA?
no
What is the APPAP?
Association of postgraduate PA programs, most fellowship programs can be found on this site
What are the prerequisites of the APPAP?
experience in past, administrative personnel,
What and when was the first PA residency program in surgery?
Montefiore Medical Center- 1973
Who are PAs certified by?
NCCPA
Where is the scope of practice decided?
practice level
Where is the scope of practice determined in institutions?
healthcare facilities- hospitals, nursing homes, surgical centers
PAs must request clinical privileges and receive approval from medical staff
defines scope of practice for PAs at that institution
Can a PA practice medicine outside of their supervising physician?
No, must practice with supervising physician, written agreement
changing in some states due to OTP
What are the roles and responsibilities of a PA?
see patients
make diagnoses
interpret labs/tests
examine
What is the AAPA and what do they do?
American Academy of PAs (JAPPA journal)
ensure the professional growth, personal excellence, and recognition of PAs
What is the PSPA and what do they do?
Pennsylvania Society of Physician Assistants
enhance quality medical care
provide loyal honest service
promote professionalism
promote understanding of PA as a profession
What is the NCCPA and what do they do?
National Commission of Certification of Physician Assistants
only certifying organization for PAs in US
What is the PAEA and what do they do?
PA Education Association
represent PA educational programs
all accredited PA programs are apart of this
What is the ARC-PA and what do they do?
Accreditation Review Commission on Education for the Physician Assistant
accredit PA programs
define the standards of PA education and standards
Why is there discussion over name change of PAs?
some think that the term does not acknowledge the work that a PA does
Pros and cons of name change?
Pros
better fit what a PA does
less confusion from patients
seen as a mid level provider
Cons
we’ve had the name for 40 years
already have an excellent representation
associate also does not describe the job of a PA
What are medical corpsman?
enlisted medical specialist , provide direct support
Basis for PA profession from military?
Duke's Eugene Stead Jr., MD, saw the value in their military medical training, and knew it could help alleviate the primary care shortage
Opportunities for PAs in the military?
civilians, IPAP, ROTC, Health Professions Scholarship Program, enlisting post PA training
What are the military branches where PAs can work?
Army, Navy, Space Force, Veterans Affairs
What is the IPAP?
Interservice Physician Assistant Program- military PA program
pays for whatever rank they previously had
Who was the first to offer the first master’s degree for PA training?
Duke University
What degree is awarded at DSU?
MSPAS
Why should a PA get a doctoral degree?
slightly higher salary, opportunity for leadership positions, more clinical knowledge, specialized opportunity, attractive job candidate
Why do some think PA’s should have a doctoral degree?
higher education and keeping up with other professions
Cons of doctoral degrees for PAs?
additional time, not much of an income change, other ways to become more confident in job
Should PA’s be required to obtain a doctoral degree?
no, people would instead choose to go to med school
What does OTP stand for?
Optimal team practice
What is OTP for PAs?
healthcare professionals working together without constraints, PAs have more responsibility
Why is OTP being considered?
reduce administrative burdens on PAs
Pros and cons of OTP?
Pros
prevent medical errors, PAs can work to full potential, efficiency, higher income
Cons
more responsibility, less support, regulatory requirements