Pa Role Exam 1

Front 1

Lyndon Johnson (TX) – push to eliminate poverty, concerns about physician supply

Back 1

1960

Front 2

Look Magazine – gives PA national attention

Back 2

1966

Front 3

Oct. 6 – Duke graduates 4 Navy men (PA Day)

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1967

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AAPA

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1968

Front 5

Federal funding for PA program development

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1971

Front 6

Association of Physician Assistant Programs (now PAEA)

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1972

Front 7

1st certification exam

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1973

Front 8

1st Annual conference

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1973

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1st class graduate of FL from UF

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1974

Front 10

FAPA established

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1974

Front 11

APPAP founded

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1988

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1st class enter Barry

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1997

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1st class to graduate Barry

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1999

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1st class enter St. Pete

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2005

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1st class to graduate Barry St. Pete

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2007

Front 16

American Academy of Physician Assistants

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AAPA

Front 17

Student group of AAPA

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SAAAPA

Front 18

Accreditation Review Committe-Physician Assistant (142 PA programs total)
* formerly CAAHEP, CAHEA

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ARC-PA

Front 19

National Commission on Certification of the Physician Assistant

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NCCPA

Front 20

Central application of students for physician assistants

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CASPA

Front 21

Association of Postgraduate Physician Assistant Program

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APPAP

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Florida Academy of Physician Assistant

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FAPA

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Florida Medical Association

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FMA

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florida osteopathic medical association

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FOMA

Front 25

Physician Assistant National Certification EXam

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PANCE

Front 26

History of the PA Profession

The sixties=increases

Back 26

-social consciousness among americans
-push to eliminate social deprivations
-LBJ/s "Great Soceity"
-positive value attached to heatlh care
-concerns about physician supply
2010 similarities

Front 27

how many pa's can a doctor supervise

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4

Front 28

More history of the PA profession

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growing demand for additional clinical support personnel in hospital and office.
-increasing physician workload.
-mal-distribution
-specialty and demographic

Front 29

A russian term for some medical training

Back 29

Feldsher

Front 30

Chinese term for educated doctors who went away and others emerged

Back 30

Barefoot Dr.

Front 31

Who proposed PA concept to AMA (american medical association)

Back 31

Dr. Charles Hudson in 1961

Front 32

Who was the first to propose the masters pa program at Duke
we call him the father of PA

Back 32

Eugene Stead

Front 33

Who was AAPA past president.
patient safety project
Internal Med
Jensen Beach, FL

Back 33

Mary Ettari, PA-C

Front 34

Who is related with facts below
-Past president
-first webmaster for FL
-did alot for FL PA's

Back 34

Ron Pace, PA-C

Front 35

More PA history

Back 35

-Russian "Feldsher"
-Chinese "Barefoot Doctor"
-Other "physician extender" models
-CNM
-Assistant medical officers in Africa

Front 36

What Doctor proposed PA concempt to AMA, and wanted PA's for technical procedures such as lumbar puncture, intubation, and suture

Back 36

Dr. Charles Hudson

Front 37

What groups are involved with the PA profession

Back 37

AMA and other groups reamain involved.
-NCCPA
-ARC-PA

Front 38

What are the PA type A/B/C

Back 38

-primary care generalists in outpatient settings
-urban/rural
-Inpatient /technical medical settings
-specializatioin and level of judgement

Front 39

Who was concerned with the following:
-First to propose masters degree for nurse clinicain
-rejected by national league of nursing
-concerns over "absorption of nursing" into medicine
-Potential for diminishing nursing moder/theory
-Political divides persist organizationally
-less in "trenches"

Back 39

Dr. Eugene Stead

Front 40

What is the medical model for the PA program

Back 40

two year program
-education
-orientation
Medical model
-similar to physician training
-shorter
-based on competency

Front 41

-traditional medical school
-PA training

Back 41

-education first
-experience follows

pa training
-experience first
-education follows

Front 42

What is important about October 6, 1967

Back 42

Steads first class graduated from duke. It was 4 navy corpsmen.
-this day was adopted as National PA day.

Front 43

Who is qualified by
Education
Training
Experience
Personal Character
-To provide medical services
-Under the direction and supervision of a licensed physician

Back 43

Physician Assistants

Front 44

What is AAPA stand for and when did it start

Back 44

American academy of physician assistant
started in 1968

Front 45

When did the comprehensive health manpower training act pass and what did it do for the pa profession

Back 45

The act passed in 1971
-Federal funding stimulated PA program development

Front 46

When did the Association of physician assistant program begin and what is it called now (the abbreviation)

Back 46

1972
now it is PAEA

Front 47

Who administered the first certification exam? what year was it? and how administers it now?

Back 47

-national board of medical examiners
-1973
-Now administered by NCCPA

Front 48

When was the first AAPA annual conference

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1973

Front 49

What is the PA profession known for

Back 49

-ability to adapt
-flexibility
-focus on competency

Front 50

what are PA's

Back 50

Physician assistants are health care professionals licensed, or in the case of those employed by the federal government they are credentialed, to practice medicine with physician supervision. As part of their comprehensive responsibilities, PAs conduct physical exams, diagnose and treat illnesses, order and interpret tests, counsel on preventive health care, assist in surgery, and write prescriptions. Within the physician-PA relationship, physician assistants exercise autonomy in medical decision making and provide a broad range of diagnostic and therapeutic services. A PA's practice may also include education, research, and administrative services.

Front 51

What are PA's shorten version

Back 51

dependent practitioners
-may practice with a large degree of autonomy
-must be supervised by licensed physician

Front 52

how many accredited PA programs are there

Back 52

142

Front 53

What other countries have adopted he PA model so far?

Back 53

Netherlands
canada
england
scotland
australia
new zealand

Front 54

In what magazine was the statement below written and in what year?
(more than a nurse, less than a doctor)

Back 54

1966
Look Magazine
This catapulted PA concept to national attention. And undermined attempts to foster nurses acceptance of PA

Front 55

HRSA

Back 55

Bureau of health professions

Front 56

stimulus and funding
first

Back 56

-US public health service
-1971-1973 original 31 PA programs
-bureau of health professions (HRSA)

Front 57

More recent funding support

Back 57

-Area health education councils (AHEC)
-National Health Service Corps (NHSC)
-scholarship
-loan repayment
-Military branches

Front 58

What concept places students in medically underserved areas
-preceptors physicians who agreed to employ upon graduation

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MEDEX concept

Front 59

True or False
More recently programs developed to take students with no prior HC experience and 2years of academic training.

Back 59

True

Front 60

True or False
ARC-PA accredits 140 member PA program and includes provisional /probationary

Back 60

true

Front 61

Changes in applicant pool

Back 61

-wide variations in applicants
-younger entrants
-varying academic experience
-less health care experience
-more women
-applicant pool exceeds program capacity

Front 62

Early program leaders non-PAs

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physicians
basic scientist
humanities
social service orientation

Front 63

Patient oriented focus

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programs with people centered philosphy
-including students

Front 64

true or false
ARC-PA standards require PA presence
-2 full time equivalent PA on core faculty
-shared by no more than 4 individuals

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true

Front 65

The directors of pa programs must be?

Back 65

a PA or physician

Front 66

What is the percentage of programs that have gone the masters route?

Back 66

75%

Front 67

RPA standards require that all pa programs have certain things, what are they?

Back 67

Basic science and about a year of clinical experience

Front 68

true or false
part of the PA role is knowing the nurses limitation

Back 68

False
part of the pa role is knowing your own limitation

Front 69

What are CAAHEP or CAHEA now called?

Back 69

ARC-PA who drives the standards

Front 70

What year was ARC-PA established

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january 2001

Front 71

what year did
-US Surgeon General
identifies shortage of medically trained personnel.

Back 71

1959

Front 72

what year did
Charles Hudson MD proposed PAs to AMA (PAs for technical procedures: LP, suture, intubation, etc.)

Back 72

1961

Front 73

what year did
Dr. Henry McIntosh, cardiologist at Duke University, trains local fireman in emergency procedures for the community; in exchange, off-duty firemen staff the cardiac catheterization laboratory; former Navy hospital corpsmen are hired for similar roles and are classified as physician's assistants by Duke's payroll department

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1962

Front 74

what year did
Academic Committee chaired by Dr. Andrew Wallace approves Dr. Stead's proposed PA curriculum and the National Heart Institute funds Dr. Herbert Saltsman's grant to train hyperbaric chamber operators and physician's assistant. This clears the way for the first four physician assistant (PA) students, all ex-Navy hospital corpsmen, to begin training at the Duke University Medical Center in Durham, NC.
 Program initiated by Eugene Stead, MD
 Content similar to training of physicians with whom they would work
• Opposite of medical education
Medical School: knowledge followed by experience
PA School: experience followed by education
• Stimulus: military corpsmen demonstrated a high degree of skill with after short course of training
• Offered the opportunity to approve a master’s degree program for nurse clinicians (Thelma Ingles, RN) at Duke, the National League of Nursing refused accreditation
• Organized nursing concerned about absorption of nursing into the “medical model”
• Potential for diminishing nursing model/theory
• Political divided that persists organizationally but not in”trenches”

Back 74

1965

Front 75

what year did
First Class of three PAs, graduate from Duke University on October 6th. The American Academy of Physician Assistants (AAPA) adopts the date later as "National PA Day."

Back 75

1967

Front 76

what year did
The Association of Physician Assistant Programs (APAP) is established with sixteen charter members to facilitate communication and cooperation among physician assistant educational programs at universities and colleges throughout the United States. Alfred M. Sadler, Jr., MD is elected as the organizations first president.

Back 76

1972

Front 77

what year did
National Board of Medical Examiners (NBME) administers the first Certifying Examination

Back 77

1973

Front 78

what year did
AAPA becomes an official organization on the Joint Review Committee on Educational Programs for PAs (JRC-PA).

Back 78

1974

Front 79

what year did
American Medical Association (AMA) grants observer status to AAPA in the AMA House of Delegates.

Back 79

1996

Front 80

when did
1968- Health Manpower Act (PL-490) funds the training of a variety of health providers

Back 80

1968

Front 81

when did
1971- Comprehensive Health Manpower Training Act (PL92-157) contracts for physician assistant education and deployment.

Back 81

1971

Front 82

when did
Federal support of PA education continues under grants from Health Professions Assistance Act (PL94-484).

Back 82

1976

Front 83

when did
Rural Health Clinic Services Act (PL95-210) provides Medicare reimbursement of PA and nurse practitioner (NP) services in rural clinics.

Back 83

1977

Front 84

from his ppt
when did
original 31 PA programs were established with federal funding from Health Manpower Educational Initiatives, US Public Health Service.

Back 84

1971-1973

Front 85

true and false
 More recently funding support comes via Area Health Education Councils (AHEC) and National Health Service Corps (NHSC) programs: also, military/reservists.

Back 85

true

Front 86

what year did the first PA class of the university of florida graduate

Back 86

1974

Front 87

When was the FAPA created

Back 87

1974

Front 88

when did Nova Southeastern, Barry and Miami Dade College start their pa programs

Back 88

1990's

Front 89

When did Barry's first pa class matriculate in miami shores

Back 89

1997

Front 90

when did barry's first pa class graduate

Back 90

1999

Front 91

when did barry start their expansion program in St. Petersburg

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2005

Front 92

When did St. pete have their first graduating class

Back 92

2007

Front 93

True or False
barry has had over 350 graduates and over 3,000 clinical rotations

Back 93

true

Front 94

What is barry's mission statement

Back 94

o The Barry University Physician Assistant Program is dedicated to producing ethical, caring and competent Physician Assistants. Barry University Physician Assistant students will have a part of their training working in underserved and disadvantaged communities with an emphasis on primary care. Another aim of the Program is to produce graduates who have sufficient knowledge of scientific research design and statistics to be able to read and intelligently interpret the medical literature.