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| American College of Surgeons |
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| National Commission on Certification of Physician Assistants |
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| Accreditation Review Commission on Education for the Physician Assistant |
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| Texas Academy of Physician Assistants |
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| American Academy of Physician Assistants |
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| Student Academy of the American Academy of Physician Assistants |
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| Health Insurance Portability and Accountability Act of 1996 |
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| Personal Health Information |
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| Continuing Medical Education |
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| National Practitioner Data Bank |
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| Physician Assistant National Certifying Exam |
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| Physician Assistant National Recertifying Exam |
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| Electronic Medical Records |
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| Physician Assistant-Certified |
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| Physician Assistant-Student |
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| Interservice Physician Assistant Program |
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| Texas Tech Health Sciences Center |
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Definition
| American Medical Association |
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| Electronic Data Interchange |
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| Food and Drug Administration |
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| Physician Assistant Education Association |
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| Texas State Board of Medical Examiners |
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Term
| What University graduated the first PAs & where is the University located? |
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Definition
Duke University
Durham, North Carolina |
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Term
| What year did the first PA program begin? |
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Definition
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Term
| What were the primary reasons for starting up the first PA program? |
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Definition
Shortage of primary care physicians,
New medical specialties,
Scientific breakthroughs,
Overgrowth of hospitals & hospital services,
New graduates were not replacing primary care physicians |
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| What add factors put PA programs on the fast track? |
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Definition
War in Southeast Asia was ending,
Military had used trained medical care teams in combat areas (non-physician members of these teams were returning home w/ advanced training,
America was more aware of the lack of medical care,
State & Federal governments were willing to support programs (Medicare/Medicaid) |
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Term
| PAs were not a new concept, what are examples of other medical assistants used throughout history? |
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Definition
17th century: Feldshers (orig. German) Russian military medical assistants introduced by Peter the Great
1940, Alaska: village health aids
1966, China: barefoot Dr. came about as a result of Chairman Mao "purging the elite & intellecutal" |
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Term
| Who is attributed w/ the idea for "mid-level" care providers? |
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Definition
| Dr. Charles Hudson, in 1961 in the Journal of American Medical Association called for mid-level provider from ranks of former military corpsmen |
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| Who actually started the first PA program? |
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Definition
Dr. Eugene A. Stead Jr. (Chairman of the Dpt. of Medicine)
He believed mid-level practitioners could increase consumer access to health services by extending the time & skills of the physcian |
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Term
How many individuals were in the first class?
How many graduated? |
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Definition
| Dr. Stead enrolled 4 ex-Navy corpsmen, but only 3 made it to graduation |
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Term
| What agency came about to represent the professional interests of the PA? When was this agency established? |
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Definition
American Academy of Physician Assistants (AAPA)
Established in 1968 |
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Term
| In 1971, who developed training program guidelines & a program accreditation mechanism? |
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Definition
| American Medical Association (AMA) Committee on Allied Health Education and Accreditation (CAHEA) |
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Term
| In 1972, the National Board of Medical Examiners (NBME) and the AMA discussed the need to establish an independent certifying authority for PAs, what is the name of the authority created and what year was it created? |
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Definition
National Commission of Certification of Physician Assistants (NCCPA)
Established in 1975 |
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Term
True or False:
In US, PAs receive their national certification from the NCCPA |
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Definition
| TRUE, all states require this certification for liscensure |
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Term
True or False:
NCCPA is not the only nationally recognized certifying body for PAs in the US |
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Definition
FALSE, the NCCPA is the only certifying body
(so far it has certified over 80,000 PAs) |
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Term
| The state laws require 3 things for a PA to graduate, get certified, and to get a liscense, what are these 3 things? |
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Definition
Required to graduate from an accredited PA program (ARC-PA)
Require national certification (NCCPA)
Require passing the Physician Assistant National Certification Exam (PANCE) to receive a liscense |
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Term
Certification vs. Liscensure
Practice of an activity or occupation is not directly restricted, but limits are placed on use of certain occupational titles
Publicly identifies someone who has met certain standards but does not prevent uncertified practitioners from engaging in the activity
These 2 statements describe what? |
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Definition
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Certification vs. Liscensure
Persons have no right to engage in a particular activity w/o permission to do so by the state
Permission conditioned on stringent requirements
These 2 statements describe what? |
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Definition
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Term
| What is the definition of a PA? |
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Definition
PAs are health professionals licensed to practice medicine w/ physician supervision
They are qualified by graduation from an accredited PA educational program and certified by the NCCPA
They are liscensed by the state after passage of a national exam (PANCE) |
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Term
| What does PA-C stand for? |
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Definition
The "C" is an indication that the PA is nationally certified
This means that the person who holds the title has met the defined course of study & maintained professional standards, such as successfully passing the NCCPA (National Commission on Certification of Physician Assistants) PANCE (Physician Assistant National Certifying Exam) test |
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| In 2009 how many US PA graduates were there? From that same year how many were actively practicing? |
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Definition
>90,000 US graduates
>73,500 in active practice |
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Term
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Definition
| A licensed healthcare professional educated to practice medicine w/ a supervising physician; they provide healthcare services that were traditionally performed by a Dr |
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| In 2009, how many accredited programs were turning out PAs, how long was the program, what did the program require for entry, what is the typical degree upon finishing? |
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Definition
145 ARC-PA (Accreditation Review Commission on Education for the Physician Assistant) programs
Duration: 26.8 months
Requirements: college degree & some healthcare experience
3/4 of programs award Master's Degree |
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Term
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Definition
| Take medical histories, Perform physical exams, Diagnose & treat illnesses, Order & interpret lab & diagnostic tests, Provide patient education & counseling, Suture, Assist in surgery, Provide routine immunizations, Cast uncomplicated fractures, Prescribe medication, Write orders, Admit patients to hospitals & make rounds, Take call, Make rounds in nursing homes |
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| What a PA does or does not do depends on what 4 factors? |
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Definition
| Their training, education, state laws, and the relationship they have w/ their supervising physician |
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Term
| Physicians may delegate medical duties to PAs, but what 2 factors should be taken into account? |
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Definition
| The duties mus be w/in the physician's scope of practice & w/in the PAs training experience |
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Term
True or False:
You must have your supervising physician sign a form & send it in prior to beginning your practice. |
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Definition
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Term
| PAs exercise what in medical decision making & provide a broad range of diagnostic & therapeutic services? |
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Definition
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| What are some differences between PAs and Physicians? |
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Definition
| The amount of time spent in school, Physicians do an internship and a majority complete a residency in a specialty while PAs do NOT have to do either of these, Drs have complete responsibility for the care of patients while PAs share the responsibility, Drs are independent practitioners while PAs practice w/ supervising physicians, Dr is not required to be on site when a PA is seeing patients, Drs and PAs have an interdependent relationship |
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| As a PA, we are required to play as a team; who are some "team members" we will come in contact w/ on a regular occasion? |
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Definition
Physician
Nurses
Other staff members |
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Term
| What are the differences between PAs and Nurses? |
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Definition
| Nurses study nursing while PAs study medicine, Nurses focus on patient care issues while PAs are taught to diagnose & treat illnesses using the medical model |
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Term
| What are the differences between PAs and Nurse Practitioners? |
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Definition
NPs are RNs w/ advanced training, the specialize during their training making them degree based
PA education is competency based (we can move around careers in the medical field whereas NPs get a degree in a singel aspect and that is what they get to do)
NPs work in collaborative model w/ Drs while PAs work w/ Drs as a team |
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Term
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Definition
| They receive a broad-based medical education as generalists & after graduation they may work w/ any specialty! |
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Term
| What things can PAs do in surgery? |
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Definition
A PA working w/ a surgeon may:
Assist in surgery
Perform pre & post operative care
Be able to perform special tests & procedures |
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Term
| Can PAs prescribe medications? What schedules? |
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Definition
All 50 states, the District of Columbia & Guam grant prescriptive privileges.
In Tx, we can write non-schedule and schedule drugs class III-V |
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Term
| What administration is responsible for the creation & enactment of HIPAA (Health Insurance Portability and Accountability Act of 1996)? |
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Definition
| Clinton administration, healthcare reform movement |
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Term
| HIPAA (Health Insurance Portability and Accountability Act of 1996) deals a lot with confidentiality of patient information, this includes what? |
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Definition
Information from or about medical records, test results, appointments and referrals
Even a patients presence in a medical practice office should NOT be disclosed |
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| What are the goals & objectives of HIPAA (Health Insurance Portability and Accountability Act of 1996)? |
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Definition
Streamline industry inefficiencies
Reduce paperwork
Make easier to detect & prosecute fraud & abuse
Enable workers of all professions to change jobs, even if they (or family members) had pre-existing medical conditions |
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Term
True or False:
It is alright for staff to discuss patient information w/ another healthcare provider who is not involved in the patient's care. |
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Definition
FALSE
Just b/c they are in the healthcare field does not mean they are entitled to the information about a patient; they are only allowed to receive the information if they are helping administer patient care |
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Term
True or False:
It is NEVER alright to discuss patient information w/ your family members or friends in a social conversation. |
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Definition
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| If caught disclosing patient information to people or parties that breach HIPAA (Health Insurance Portability and Accountability Act of 1996) can lead to? |
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Definition
| Disciplinary action or even termination |
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