Psychosocial Final
A healthcare professional who provides various medical services limited to emergency treatment and ambulance practice. In Russia and in other countries of the former Soviet, Union, feldspars provided primary, obstetric, and surgical care services in many rural medical centers and clinics
According to the WHO, what is a feldsher?
small rural communities
After feldshers retired from the military where did they settle to continue their practice of healthcare?
of the list once cost-of-living adjustments are taken into account
Although California has the highest median PA salary, it falls toward the bottom?
California, Texas, or New York, with each of these states employing from 4,800 up to 9,300 PAs
Although the most job opportunities for Physician Assistants can be found in larger states like
Yes, feldshers are still in practice
Are feldshers still in practice?
37% from 2016 to 2026
As per the Bureau of Labor and Statistics (BLS), employment of physician assistants is projected to grow how much?
YES! However, the options are still limited due to lack of regulations or definition of PA practice
Can PAs practice internationally?
Yes, PAs can practice with a limited permit
Can PAs practice with a limited permit?
No you cannot
Can you practice as a PA in the U.S. ,if you attended a PA program abroad?
Primary care PAs
During PA school, we get trained as what type of PAs?
Peter the Great
Feldshers in Russia were introduced into the Russian military system by whom?
100 hours
How many CME hours does a PA need to complete in 2 years?
October 6-12
In 1987, what week became national PA week?
between 137,000 and 173,000 certified PAs
In 2020, AAPA projects there will be between how many certified PAs?
70%
More than _______ of those PAs practice in non-primary care specialties.
PAEA
PA education programs are represented by whom?
Physician Assistant - Certified (PA-C) after their name
PA graduates who pass the PANCE use what title?
10 years
PAs need to recertify every ______ years
immunization at the beginning of every voyage and if typhoid, smallpox, tetanus and typhus inoculations are needed, the corpsman administered the needle.
Purser corpsman ship's crew is checked for what?
Assistant Physicians
Saudi Arabia recently opened a program - graduates are called
clinical associates
South Africa has a few programs similar to PAs, but graduates are called
California
The highest median pain state for 2016 is
85% of the physician fee, but some may be as much as 100%, depending on specific guidelines set up by Medicare
What are most PA reimbursement rates?
Duke University
What school was the first PA school to open?
Services are covered by all government - funded public payers, such as Medicare and Medicaid and nearly all private payers/ insurances
Do Insurance Companies Pay for PA Care?
Yes, PAs need a state license
Do PAs need a state license?
No -- however, you need to be able to contact a supervising physician at any time via telecommunications
Does your supervising doctor have to be there when you are seeing patients?
training ex-corpsmen to solve personal shortages in the clinical services at Duke University Hospital
Duke University also had experience with?
October 6th, 1967
Dukes first PA class graduated on
To act alone, to rely on his own knowledge and experience to handle every situation that arises on the ship. He was responsible for the health, hygiene and sanitation for his vessel. Preventative as well as emergency treatment is part of the corpsman's duties.
Every purser corpsman was trained to do what?
diagnose, prescribe, and institute emergency treatment
Experienced feldspars had full authority to do what?
China's barefoot doctors
Farmers who received minimal basic medical and paramedical training and worked in rural villages in China.
NPs are grounded in nursing and receive advanced education after they have completed a registered nurse program. It is nationally certified in their specialty area (they must pick a speciality) and clinical training hours are much different
How are NPs taught?
Programs are modeled on the medical school curriculum (classroom and clinical instruction).
How are PAs educated and trained?
They were farmers working in small villages bare-foot on the rice paddy's and they were able to spring into action when needed
How did bare foot doctors get their name?
As a team-practice medicine with physician supervision
How do PAs and MDs work together?
2.5 years long and were located in nursing schools
How long did Felshers have to train for and where were the programs located?
2-6 month training course in regional hospitals and health centers
How long is the training to be a China barefoot doctor?
It was a 2 year training program that would provide the students with an education and orientation similar to those given to the physicians with whom they work. Program also emphasized the development of life long learning skills to facilitate the ongoing professional growth of these new providers
How long was the Duke PA program and what did it emphasize?
238 programs
How many accredited PA programs are in the US ?
4
How many students initially entered the Duke PA program in October 1965?
Be of good character Be at least 21 y/o Meet educational and examination requirements Pay $115.00 every 3 years (subject to change)
In order to obtain a state licensure in NY you must
The only healthcare provider on site, collaborating with physicians through telecommunications
In rural areas, PAs may be what?
Federal Prison System to extend the services of prison physician
In the U.S. during the 1930's, former military corpsmen received on the job training from the
6 years
Initially re-certification exam were every ___ years, but now its every 10 years
Dr. Steads birthday
October 6th is not only National PA day, but what else?
Feldshers in Russia
Originated in the European Military in the 17th and 18th century
3. The other student went on to study military religion
Out of the 4 first PA students, how many became PAs?
ARC-PA
PA education programs are accredited through?
Delegated autonomy
Physician-PA practice can be described as?
maintaining national certification, a PA must complete 100 hours of CME every 2 years and pass the PANRE exam every 10 years
Practicing PAs participate in lifelong learning by
Palliative/ Hospice care and even pain management
Recent NCCPA report shows PAs going into?
Greater purchasing power after cost-of-living adjustments are made
States where PAs report lower salaries may find they have what?
$102,00 in 2016 and an increase of 5.2 percent over the year prior
The median annual salary for full- time clinical physician assistants in 2016 was
115,547
The number of PAs in the country increased 44 percent over the past 6 years to number _________ at the end of 2016, according to the NCCPA.
To take an examination to become a "village doctor."
Today, China's barefoot doctors are still in existence. In fact, they are even able to do what?
800 purser mates
U.S. Coast Guard trained how many purser mates in a 4 month program during WWII to provide health care on merchant ships?
Independent organizations that are chartered or recognized by AAPA (NYSSPA - New York)
What are constituent organizations?
- Constituent Organizations - Accreditation Review Commission on Education for the Physician Assistant (ARC - PA) - National Commission on Certification of Physician Assistants (NCCPA) - Physician Assistant Education Association (PAEA) - Physician Assistant History Society (PHAS)
What are some PA organizations?
Obtain medical histories, perform physical exams, diagnose and treat illnesses, order and interpret tests, perform procedures, assist in surgery, provide patient education and counseling, make rounds in hospitals and nursing homes, and prescribed medications
What are some of the things a PA can do?
Dermatology - $118,145 Emergency medicine - $116,661 Surgery (subspecialties) - $113,752 Pathology - $119,000 Critical care medicine - $114,235
What are the highest paid specialties with their average annual salaries include?
United Kingdom
What country has PAs currently work and train across England and Scotland. As of February 2016 it was estimated that there were 260 PAs and 550 PAs students
India
What country has a growing and promising community of PAs- there are over 300 practicing PAs?
Netherlands
What country has a growing cohort with 5 programs and about 700 PAs?
Canada
What country has the most established and fastest growing network of PAs?
Brittan
What country is begging US PA's to come and help them out, but the pay is not what a US PA is used to making?
October 6th
What date was established as National PA day?
continuing medical education
What does CME stand for?
Physician Assistant Education Association
What does PAEA stand for?
Physician Assistant National Recertification Exam
What does PANRE stand for?
Registered Physician Assistant - Certified
What does RPA-C stand for?
Median salary: $88,750 Cost- adjusted median salary: $102,011
What is Alabama's median salary and cost-adjusted median salary?
Median salary: $118,000 Cost-adjusted median salary: $91, 972
What is California's median salary and cost-adjusted median salary?
Median salary: $110,000 Cost-adjusted median salary: $88,638
What is Connecticut's median salary and cost-adjusted median salary?
Median salary: $107,500 Cost-adjusted median salary: $94,464
What is New Jersey's median salary and cost-adjusted median salary?
Median salary: $104,500 Cost-adjusted median salary: $79,832
What is New York's median salary and cost-adjusted median salary?
Median salary: $94,000 Cost-adjusted median salary: $93,532
What is Pennsylvania's median salary and cost-adjusted median salary?
Graduate from an accredited PA program who is nationally certified and state licensed to practice medicine with the supervision of a physician
What is a PA?
26 months
What is the average length of a PA program?
Grounding in different disciplines and the way each profession is trained, certified and regulated
What is the biggest difference between the PA vs NP?
Master's degree
What is the typical entry-level education for PAs?
Non-physician provider, physician extender, mid-level practitioner, healthcare practitioner
What other names have been proposed for PAs?
Kentucky
What state is the only state in the US which does NOT allow their PAs permission to prescribe controlled substances?
$104,860 per year
What was the 2017 median pay for PAs?
$108,610 per year
What was the 2018 median pay for PAs?
1965
What year did the PA program begin?
During the 1965 Cultural Revolution as a physician substitute
When did China's Barefoot Doctors originate?
Private practices and clinics, hospitals, nursing homes, the armed forces and other federal government agencies
Where can PAs practice?
Physician Assistant History Society (PAHS)
Which PA organization charts the history of the PA profession?
Yale and the University of Oklahoma
Which PA programs use Physician Associate instead of Assistant?
National Commission on Certification of Physician Assistants (NCCPA)
Who administers the PANCE?
Eugene Stead, MD
Who developed a program to extend the capabilities of nurses at Duke University?
Only graduates of accredited PA programs
Who may take the Physician Assistant National Certifying Exam (PANCE)?
It allows an individual who has satisfied all requirements for licensure as a registered physician assistant (graduated from an accredited institution) except the examination requirement to practice as a registered physician assistant under appropriate supervision while meeting the requirement.
Why can a PA practice with a limited permit?
Because there was a shortage of physicians
Why did a large number of Russian troops rely on feldshers for medical care?
Because it sounds more collegial
Why do PA's like the term collaboration instead of supervision?
"assistant" doesn't adequately represent all that a PA does and is confusing for patients (being mistaken as a MA)
Why is there a move to change the name of physician assistant to physician associate?
They didn't want to teach the medical model
Why was the Nurse Practitioner movement opposed by the National League of Nursing?
All PAs must be "registered" within the state for which they practice so it was felt the R was no longer required to write
Why was the R in RPA-C dropped?
Duke Students and Graduates in NC
in 1968, AAPA was formed by
