Psychosocial Final

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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


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