PA PROFESSION MIDTERM
Which of the following is/are a general category of supervision?
Prospective Concurrent Retrospective **All of the above**
The russian medical profession that helped to shape the PA profession.
Feldsher
. In what decade was there an expansion phase of PA programs due to inefficiencies in medical education?
1990s
Continuing medical education (CME) must be completed every how many years by a PA-C?
2 years
Where was the MEDEX model developed?
University of Washington
How many PA programs were accredited by 2011?
159
Which year was the first AAPA conference?
1973
A protocol is what form of supervision?
Prospective
In order to develop lines of communication to benefit physician, PA and patient...
. The physician and PA should work completely independent of each other B. Regular meetings should be held to discuss current working arrangements C. The physician delegates workloads to ensure a healthy work balance **D. Both B and C** E. None of the above
After how many years is recertifying required?
10 years
To main certification a physician assistant must obtain ____ hrs of continuing education every ____ year(s)?
100 hours, 2 years
How many questions are on the PANCE?
360 questions
How many PAs is a Physician allowed to supervise at a time?
4
In how many states of the US are PAs licensed to practice?
48
How many states do not regulate the temporary license?
5
The PA should submit the application ______ days prior and a min of ______ days after graduation and ____ payment in advance to take the PANCE.
90, 7, $550
Which of the following is required for PA programs?
A bachelor's degree Prerequisites for the PA program Patient care hours/ healthcare hours **All of the above**
What does the retrospective focus provide?
A mechanism for feedback and quality assurance and ensures that standards of care are being met
The ARC-PA Standards are organized into which sections?
A. Administration B. Legislation C. Evaluation **D. Answers A & C**
The following is true regarding the scope of practice concerning PA-C.
A. As of February 2020 all states allow PA-C to prescribe scheduled drugs. B. Kentucky is the only state that does not allow prescriptive authority to PAs for scheduled drugs. C. PAs can assist in surgery. **D. Answers b and c**
In the Physician PA relationship, who has the liability?
A. The PA B. The Hospital/Clinic C. The Physician **D. Both A and C**
What is required for successful communication?
Advanced interpersonal skills Ability to coordinate care with multiple providers Ability to coordinate care with multiple systems **All of the above**
Which PA program offered the first 4-year degree?
Alderson-Broaddus program
What happens when there are well defined lines of communication between you(as a PA) and your physician?
Allows for expansion of duties, reassignment of resources, and more clearly defined working roles and relationships leading toward expanded patient serves
How did Carter and Grifford describe the conditions that fostered the PA concept?
An increasingly positive value attached to health and healthcare, which produced greater demand for health services, criticism of the healthcare delivery system and constant complaints about rising healthcare costs Heightened concern about the supply the physicians, their geographic and specialty maldistribution and workloads they carried Local circumstances in numerous hospitals and office-based practice settings that required additional clinical-support professionals **All of the above**
Some states require physicians to co-sign:
Charts Order Prescriptions **All of the above**
Barefoot Doctors originated in the 1965 cultural revolution in what country?
China
What are the responsibilities of the commission of NCCPA?
Develop a certification exam and mechanisms for periodic recertification
What is the commission of the NCCPA?
Develop a certification examination Determine eligibility to sit for the examination Assist state licensing boards to facilitate interstate mobility **All of the above**
Which Physician was credited with founding the PA Profession?
Dr. Eugene Stead
Where was the first Physician Assistant School?
Duke university
What is the geographic distribution of PAs in relation to population compared with other primary care providers?
Evenly matches the population
When a relationship is established between the physician and PA, what aspect of practice is able to expand?
Expansion of duties and roles to work towards expanded patient services
True/False: A PA-S can practice with a temporary license after graduating PA school in all states?
False
True/False: A PA-S must first complete a residency in their specific and chosen field of practice before sitting for their certification exam.
False
True/False: After graduating from an accredited institution, a PA-S, if failing the first attempt may take the PANCE only one more time.
False
True/False: Effective communication can easily be achieved without the use of technology.
False
True/False: The AAPA discouraged the Association of Physician Assistant Programs to develop new programs.
False
What is a healthcare professional who provides various medical services limited to emergency treatment and ambulance practice?
Feldsher
PAs have helped with the shortage of healthcare providers in all ways except...
Higher pay
How do PAs impact the cost effectiveness of health care?
Increased demand for PAs due to Affordable Care Act
What is the foundation that develops a working communication between you and your physician?
Interpersonal skills
In order to work as a PA, a supervising physician must be
It is dependent on state law and/or physician direction
Why were the press and american public attracted to the PA concept?
It seemed to be one of the few positives of the Vietnam War
Which commission is responsible for the credentialing process for licensed providers working with an institution?
Joint Commission on Accreditation of Hospitals
Which is not a concern regarding the PA name change?
May imply ownership of the PA
What population of people played a key role in becoming the first PA?
Military corpsmen
What states do not regulate temporary licensure?
Montana New Hampshire North Carolina **All of the above**
Which of the following are goals of physician/PA communication?
More clearly defined working roles and relationships Discuss current working arrangements Expansion of duties **All of the above**
ective communication is __________________ when the physician and PA are at different sites, and ________________ becomes extremely helpful.
More important; technology
What certification and entitlement are PAs issues after they pass PANCE?
NCCPA, PA-C
Which state has its own licensing board where a practicing physician assistant must obtain a state license?
Nebraska California Kentucky **All of the above**
When is the National PA Day?
October 6th
What qualifies an individual as a PA?
One who graduates from an accredited PA program with a masters degree
Who benefits from clear communication in healthcare?
Patient Physician PA **All of the above**
What happens when clear communication is not practiced?
Patient can be harmed
This is the most restrictive form of supervision, it requires Physicians to be present in the room while the PA provides care?
Personal Supervision
What is the correct way to identify a PA?
Physician Assistant
What exam is the certifying exam to become a PA-C?
Physician assistant national certification examination (PANCE)
What exam is the certifying exam to recertify to become a PA-C?
Physician assistant national recertification examination (PANRE)
Which TWO of the following is TRUE regarding physician assistant?
Physician must be electronically available to a PA PAs are way cooler than NPs
The developing PA profession was the first to officially share the knowledge base that was formerly the "exclusive property" of _____?
Physicians
Which of these courses are not required for the professional PA curriculum?
Physics
Hospital practice requires which of the following steps?
Providers documenting their training and experience with specific procedures before being granted the privilege of performing these activities within the system Entails providing proof of competency for certain procedures. Expanded privileges are given over time as providers gain additional training and experience new procedures. Privileging is administered by the medical staff. **All of the above is true**
How often should you discuss working arrangements with your physician?
Regularly
This form of supervision involves the periodic review of patient charts, prescriptions, and orders written by the PA.
Retrospective
Where did the controversy of the PA name change arise?
Silver of the University of Colorado
What happens when there is not clear communication between the physician and the PA?
The system falls apart quickly It leads to miscommunication and misunderstanding Can lead to patient harm **All of the above**
What is the purpose of the MEDEX program?
To deploy students and graduates to underserved areas
What is the goal of the Affordable Care Act?
To lower healthcare cost To increase access of care Reduce the number of uninsured individuals To reduce chronic illness prevalence due to improving public health **All of the above**
What is the purpose for completing continuing medical education hours every two years?
To maintain medical assistant license
True/False The AAPA actively encourages the development of new PA programs.
True
True/False The University of Alabama was the first program to offer specialty training?
True
True/False: A PA's scope of practice is determined by the state they practice?
True
True/False: A major concern with attempting to change the name of the profession is that opening up state PA law could lead to outside forces (other health professions) modifying practice law and decreasing the scope of practice of PAs.
True
True/False: Communication between the physician and physician assistant requires advanced interpersonal skills and ability to coordinate care among multiple providers and systems.
True
True/False: Content in PA and medical education are both based on the medical model.
True
True/False: Each state license has its own licensing board.
True
True/False: Generally the state delegates to Physicians to the authority to determine scope of practice for PAs.
True
True/False: In the 1960's Physician's and Educators recognized that there was a shortage of primary care Physicians and came up with the concept of Mid-Level Practitioners known as Physician's Associates to fill the void.
True
True/False: PA's, unless practicing in a private medical practice with no regulation, will be subject to credentialing by the institution in which the PA practices.
True
True/False: PAs can become full or part ownership or become shareholder of a professional corporation.
True
True/False: Physician Assistants have the liberty to move fluidly between specialties.
True
True/False: Silver believed that the term assistant and associate should be avoided due to being potentially demeaning
True
True/False: Technology can be extremely helpful to a physician and PA when they communicating from different sites.
True
True/False: The American Academy of Physician Assistants (Formerly Known as the American Association of Physician Assistants) was established and incorporated in the state of North Carolina in 1968.
True
True/False: The NCCPA the physician assistant profession certification body
True
Which of the following could result in patient harm?
Unclear communication between PA and physician