Characteristics of Postgraduate Physician Assistant Residency/fellowship Programs: A National Survey

2021 ◽  
Author(s):  
Vasco Kidd ◽  
Sarah Vanderlinden ◽  
Roderick Hooker
Keyword(s):  
Physician Assistant ◽  
Medical Center ◽  
Academic Medical Center ◽  
Postgraduate Education ◽  
Physician Assistants ◽  
Teaching Hospitals ◽  
Assigned Reading ◽  
Academic Medical ◽  
Wide Range ◽  
The Us

Abstract Introduction: The development of postgraduate programs for physician assistants (PAs) began in 1973 and by 2020 there were approximately 100 programs spread across a broad range of medical and surgical disciplines. An assessment of these programs was undertaken. Method: A non-experimental, descriptive research study was designed to obtain information on the characteristics of PA postgraduate education programs in the US. The source of information was from surveyed members of the Association of Postgraduate Physician Assistant Programs. Questions were drawn from consensus discussions. Programs that were operational in 2020 were eligible to participate. Results: Seventy-two programs were invited to the survey and 34 replied. They are geographically distributed across the US in 13 states. The respondents represent a wide range of medicine: surgery, emergency medicine, critical care, orthopaedics, hospitalist, psychiatry, oncology, primary care, pediatrics, and cardiology. Most programs are associated with an academic medical center. The curriculum includes bedside teaching, lectures, mentorship, assigned reading, procedures, simulation, and conferences. The PA fellow serves as house officer alongside physician residents and fellows. An average program length is 12 months and awards a certificate. Stipends for PA fellows are $50,000-80,000 (2020 dollars) and benefits include paid time off, health and liability insurance. About half of the programs bill for the services rendered by the PA. Over 90% of graduates are employed within two months of fellowship completion. Conclusion: A trend is underway in American medicine to include PAs in postgraduate education. PA fellowships occur across a broad spectrum of medical and surgical areas, as well as diverse institutions and organizations overseeing the programs. Most are in academic medical centers or teaching hospitals. This study expands information on PA fellowships and their operation.

scholarly journals A National Survey of postgraduate physician assistant fellowship and residency programs

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Vasco Deon Kidd ◽  
Sarah Vanderlinden ◽  
Roderick S. Hooker
Keyword(s):  
Postgraduate Training ◽  
Physician Assistant ◽  
Academic Medical Center ◽  
Postgraduate Education ◽  
Program Directors ◽  
Education Programs ◽  
Post Graduate ◽  
Wide Range ◽  
American Medicine ◽  
The Us

Abstract Introduction The development of postgraduate programs for physician assistants (PAs) began in 1973 and by 2020 there were approximately 72 programs spread across a broad range of medical and surgical disciplines. PA Post-graduate education programs are voluntary and available to American licensed PAs. Therefore, an assessment of the characteristics of PA post-graduate fellowships and residencies programs was initiated. Method A non-experimental, descriptive research study was designed to obtain information on the characteristics of PA postgraduate education programs in the US. The source of information was from surveyed members of the Association of Postgraduate Physician Assistant Programs (APPAP). Questions were drawn from consensus discussions. Directors of postgraduate programs that were operational in 2020 were eligible to participate. Results Seventy-two postgraduate program directors were invited to the survey and 34 program directors replied. These programs are geographically distributed across the US in 13 states. The respondents represent a wide range of medicine: surgery, emergency medicine, critical care, orthopaedics, hospitalist, psychiatry, oncology, primary care, pediatrics, and cardiology. Most programs are associated with an academic medical center and some institutions have more than one postgraduate specialty track. The curriculum includes bedside teaching, lectures, mentorship, assigned reading, procedures, simulation, and conferences. An average program length is 12 months and awards a certificate. Stipends for PA fellows are $50,000–80,000 (2020 dollars) and benefits include paid time off, health and liability insurance. About half of the programs bill for the services rendered by the PA. Over 90% of graduates are employed within 2 months of completing a PA postgraduate training program. Conclusion A trend is underway in American medicine to include PAs in postgraduate education. PA postgraduate training occurs across a broad spectrum of medical and surgical areas, as well as diverse institutions and organizations overseeing these programs. Most PA postgraduate programs are in teaching hospitals where the PA resident or PA fellow also serves as a house officer alongside a categorical resident. This study sets the stage for more granular economic and social research on this growing phenomenon in American medicine.

A chemotherapy privileging process for advanced practice providers at an academic medical center

2019 ◽  
Vol 26 (1) ◽  
pp. 116-123
Author(s):  
Michelle A Carrasquillo ◽  
Tyler A Vest ◽  
Jill S Bates ◽  
Aimee Faso ◽  
Jessica Auten ◽  
...  
Keyword(s):  
Supportive Care ◽  
Nurse Practitioners ◽  
Medical Center ◽  
Academic Medical Center ◽  
Physician Assistants ◽  
Advanced Practice ◽  
Training Process ◽  
Academic Medical ◽  
The Creation ◽  
Oncology Practice

Purpose Nurse practitioners, physician assistants, and pharmacists are advanced practice providers who are highly trained and qualified healthcare professionals that can help support traditional demands on oncologists' increased time in direct patient care. The purpose of this study was to detail and assess the creation of a privileging process for this group of medical professionals within an academic medical center. Obtaining the designation of limited oncology practice provider (LOPP) gives the right to modify chemotherapy orders and to order supportive care medications. Methods An interdisciplinary team developed a comprehensive training process inclusive of required educational domains, knowledge goals, and educational activities to become an LOPP. In 2018, five years after the implementation of the privileging process, a survey was distributed to assess perceptions of the training process and integration of LOPPs within oncology practice. Results Most oncologists noted that working with LOPPs is beneficial to oncology practice (94%) and that they make modifying chemotherapy orders more efficient (87%). Greater than 82% of LOPPs also reported that their privileges streamline the chemotherapy process and make them feel valuable. Conclusion The creation of the LOPP designation is an effective way to integrate nurse practitioners, physician assistants, and pharmacists within oncology practice. The inclusion of a focused privileging process ensures the safety of cancer care provided and has created a streamlined process for chemotherapy modifications and supportive care.

scholarly journals Are USMLE Scores Valid Measures for Chief Resident Selection?

2020 ◽  
Vol 12 (4) ◽  
pp. 441-446
Author(s):  
Elaine R. Cohen ◽  
Joshua L. Goldstein ◽  
Clara J. Schroedl ◽  
Nancy Parlapiano ◽  
William C. McGaghie ◽  
...  
Keyword(s):  
Medical Center ◽  
Academic Medical Center ◽  
Chief Resident ◽  
Academic Medical ◽  
The Us ◽  
Residency Selection ◽  
P 16 ◽  
Usmle Step 1 ◽  
Usmle Step ◽  
Resident Selection

ABSTRACT Background The US Medical Licensing Examination (USMLE) Step 1 and Step 2 scores are often used to inform a variety of secondary medical career decisions, such as residency selection, despite the lack of validity evidence supporting their use in these contexts. Objective We compared USMLE scores between non–chief residents (non-CRs) and chief residents (CRs), selected based on performance during training, at a US academic medical center that sponsors a variety of graduate medical education programs. Methods This was a retrospective cohort study of residents' USMLE Step 1 and Step 2 Clinical Knowledge (CK) scores from 2015 to 2020. The authors used archived data to compare USMLE Step 1 and Step 2 CK scores between non-CR residents in each of the eligible programs and their CRs during the 6-year study period. Results Thirteen programs enrolled a total of 1334 non-CRs and 211 CRs over the study period. There were no significant differences overall between non-CRs and CRs average USMLE Step 1 (239.81 ± 14.35 versus 240.86 ± 14.31; P = .32) or Step 2 scores (251.06 ± 13.80 versus 252.51 ± 14.21; P = .16). Conclusions There was no link between USMLE Step 1 and Step 2 CK scores and CR selection across multiple clinical specialties over a 6-year period. Reliance on USMLE Step 1 and 2 scores to predict success in residency as measured by CR selection is not recommended.

Physician assistant and nurse practitioner utilization in radiation oncology within an academic medical center

2012 ◽  
Vol 2 (4) ◽  
pp. e31-e37 ◽  
Author(s):  
Marc Moote ◽  
Richard Wetherhold ◽  
Karin Olson ◽  
Rachel Froelich ◽  
Nadia Vedhapudi ◽  
...  
Keyword(s):  
Nurse Practitioner ◽  
Radiation Oncology ◽  
Physician Assistant ◽  
Medical Center ◽  
Academic Medical Center ◽  
Academic Medical

scholarly journals Patterns of Consultation and Treatment of Patients with Hepatocellular Carcinoma Presenting to a Large Academic Medical Center in the US

2013 ◽  
Vol 17 (9) ◽  
pp. 1600-1608 ◽  
Author(s):  
Sylvie Stacy ◽  
Omar Hyder ◽  
David Cosgrove ◽  
Joseph M. Herman ◽  
Ihab Kamel ◽  
...  
Keyword(s):  
Hepatocellular Carcinoma ◽  
Medical Center ◽  
Academic Medical Center ◽  
Academic Medical ◽  
The Us

scholarly journals Do You Know What Your Scribe Did Last Spring? The Impact of COVID-19 on Medical Scribe Workflow

2020 ◽  
Vol 11 (05) ◽  
pp. 807-811
Author(s):  
Jeffrey A. Gold ◽  
James Becton ◽  
Joan S. Ash ◽  
Sky Corby ◽  
Vishnu Mohan
Keyword(s):  
Medical Center ◽  
Academic Medical Center ◽  
The United States ◽  
New Paradigm ◽  
Virtual Care ◽  
Academic Medical ◽  
Wide Range ◽  
Secondary Outcomes ◽  
Medical Scribes ◽  
The Impact

Abstract Objective To understand the impact of the shift to virtual medicine induced by coronavirus disease 2019 (COVID-19) has had on the workflow of medical scribes. Design This is a prospective observational survey-based study. Setting This study was conducted at academic medical center in the United States. Participants Seventy-four scribes working in ambulatory practices within an academic medical center. Interventions All medical scribes received a survey assessing their workflow since beginning of COVID-19 restrictions. Primary and Secondary Outcomes To assess the current workflow of medical scribes since transition to virtual care. Secondary outcomes are to assess the equipment used and location of their new workflow. Results Fifty-seven scribes completed the survey. Overall 42% of scribes have transitioned to remote scribing with 97% serving as remote scribes for remote visits. This workflow is conducted at home and with personal equipment. Of those not working as scribes, 46% serve in preclinic support, with a wide range of EHR-related activities being reported. The remaining scribes have been either redeployed or furloughed. Conclusion The rapid transition to virtual care brought about by COVID-19 has resulted in a dramatic shift in scribe workflow with the adoption of a previously unreported workflow of remote scribing for virtual care. Additional work is now needed to ensure these new workflows are safe and effective and that scribes are trained to work in this new paradigm.

Impact of Physician Assistants on the Outcomes of Patients With Acute Myelogenous Leukemia Receiving Chemotherapy in an Academic Medical Center

2013 ◽  
Vol 9 (5) ◽  
pp. e228-e233 ◽  
Author(s):  
Brett E. Glotzbecker ◽  
Deborah S. Yolin-Raley ◽  
Daniel J. DeAngelo ◽  
Richard M. Stone ◽  
Robert J. Soiffer ◽  
...  
Keyword(s):  
Service Use ◽  
Medical Center ◽  
Academic Medical Center ◽  
Physician Assistants ◽  
Myelogenous Leukemia ◽  
Health Service Use ◽  
Health Care Outcomes ◽  
Academic Medical ◽  
Acute Myelogenous ◽  
Care Outcomes

The authors' findings suggest that the physician assistant service is associated with increased operational efficiency and decreased health service use without compromising health care outcomes.

scholarly journals 177. Implementation of Pharmacist-Driven Penicillin Allergy Evaluation and Testing with a Focus on Bypassing Penicillin Skin Testing at an Academic Medical Center

2020 ◽  
Vol 7 (Supplement_1) ◽  
pp. S95-S96
Author(s):  
YoungYoon Ham ◽  
Shyam Joshi ◽  
Ellie Sukerman ◽  
Kendall J Tucker ◽  
Diana Yu ◽  
...  
Keyword(s):  
Medical Center ◽  
Skin Testing ◽  
Academic Medical Center ◽  
Penicillin Allergy ◽  
Patient Interview ◽  
Academic Medical ◽  
Number Of Patients ◽  
The Us ◽  
Graded Challenge ◽  
Negative Health Outcomes

Abstract Background Penicillin allergies are reported by approximately 10% of the US population; however, studies reveal that >90% of those patients can tolerate penicillins. Penicillin allergies are associated with negative health outcomes, both clinical and financial, due to reduced efficacy and increased adverse effects of alternative antibiotics. Patient interview, penicillin skin testing (PST) and/or an oral graded challenge can be used to evaluate penicillin allergies. Different facilities use various algorithms for testing. The objective of this project was to determine whether a pharmacist-driven penicillin allergy evaluation and testing protocol which largely bypasses PST could safely de-label patients. Methods Adult patients (≥18 years) admitted with a penicillin allergy were evaluated for eligibility between September 2019 and June 2020. Pregnant patients, critically-ill patients, and patients receiving test-invalidating medication were excluded. Patients were evaluated and tested using institutional protocols, which allowed for the majority of patients to be challenged without PST. Allergies were removed with standardized documentation, and patients were given a pamphlet and counseled to discourage relabeling. Data collected included but were not limited to, the number of patients challenged and de-labeled, number of patients who were relabeled, and number of patients whose change in allergy status resulted in change of therapy. Results Forty-eight patients were interviewed and evaluated. One patient was evaluated by PST and oral graded challenge while 27 patients underwent an oral graded challenge only. Twenty patients were de-labeled as a result of patient interview. One patient failed oral challenge with minor itching that did not require any treatment, while 27 patients passed. Forty-seven allergies were removed or modified. Two patients who were de-labeled were relabeled with no record of a new reaction. Of de-labeled patients, 50% received a penicillin following removal of the allergy. Conclusion Penicillin allergies can be evaluated and removed using a pharmacy-driven algorithm that prioritizes direct challenges when appropriate. Risks of a reaction are low, and removal leads to change in treatment in a significant portion of patients. Disclosures All Authors: No reported disclosures

scholarly journals Productivity Assessment of Physician Assistants and Nurse Practitioners in Oncology in an Academic Medical Center

2012 ◽  
Vol 8 (3) ◽  
pp. 167-172 ◽  
Author(s):  
Marc Moote ◽  
Ron Nelson ◽  
Robin Veltkamp ◽  
Darrell Campbell
Keyword(s):  
Nurse Practitioners ◽  
Medical Center ◽  
Academic Medical Center ◽  
Physician Assistants ◽  
Economic Indicators ◽  
Productivity Measurement ◽  
Academic Medical ◽  
Relative Value ◽  
Productivity Assessment

Productivity measurement for physician assistants and nurse practitioners can be challenging. This study quantifies their productivity in oncology according to economic indicators such as charges and work relative value units.

Complementary and Integrative Medicine at Mayo Clinic

2015 ◽  
Vol 43 (08) ◽  
pp. 1503-1513 ◽  
Author(s):  
Ran Pang ◽  
Shihan Wang ◽  
Lin Tian ◽  
Mark C. Lee ◽  
Alexander Do ◽  
...  
Keyword(s):  
Back Pain ◽  
Stress Management ◽  
Mayo Clinic ◽  
Medical Center ◽  
Academic Medical Center ◽  
Psychological Disorders ◽  
Management Training ◽  
Stress Management Training ◽  
Academic Medical ◽  
The Us

Complementary and alternative medicine (CAM) has gained acceptance throughout the industrialized world. The present study was performed to provide information about the use of CAM at Mayo Clinic, an academic medical center in Northern Midwest of the US. We retrospectively reviewed the electronic medical records of 2680 patients visiting the CAM program at Mayo Clinic, Rochester, between 1 July 2006 and 31 March 2011. Services provided included acupuncture, massage, integrative medical consultations and executive stress management training. Data including age, gender, race, diagnosis and the number of treatment/consultation sessions were collected to describe the use of CAM in our institute over the last several years. It was found that the mean (standard deviation) age of patient was 52.6 (15.5) years. Of those, 73.1% were female and 26.9% were male. Most patients were white. The number of patients referred to CAM increased significantly from 2007 to 2010. The three most common diagnostic categories were back pain (12.9%), psychological disorders (11.8%), and joint pain (9.6%). Back pain was the most common diagnosis for patients receiving acupuncture, and fibromyalgia was the most common for patients receiving massage therapy. Psychological disorders (i.e., stress) were the major diagnosis referred to both integrative medical consults and executive stress management training. These results suggest that the diseases related to pain and psychological disorders are the main fields of CAM use. It also shows the increasing trend of the use of CAM at an academic medical center in the US.

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