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HCP Role Matrix: Physician Assistant

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Joni Adelman

on 10 February 2014

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Transcript of HCP Role Matrix: Physician Assistant

About Us Purpose and Misson (2014) From NCCPA retrieved from https://www.nccpa.net/About

Specialty CAQs (2014) from NCCPA retrieved from https://www.nccpa.net/SpecialtyCAQs

Activities (2014) from AAPA. retrieved from http://www.aapa.org/research/activities.aspx

Differences Between PAs and NPs (2012) from MAPA. retrieved from http://www.mdapa.org/maryland/differences.asp

PAEA data and Research (2014). Retrieved from http://www.paeaonline.org/

Collaborative Scopes of Care (2008). Retrieved from

The PA’s Role (2014) From AAPA retrieved from http://www.aapa.org/the_pa_profession/quick_facts/resources/item.aspx?id=3838

Statutory and regulatory requirements for state licensure (2013) from AAPA. Retrieved from http://www.aapa.org/uploadedFiles/content/Your_PA_Career/Licensing_and_Certification/Resource_Items/Requirements%20for%20Licensure%20(Summary%20Chart)%202-13.pdf.

Becoming a PA (n.d.) from AAPA. Retrieved from https://www.aapa.org/your_pa_career/becoming_a_pa.aspx

All Allied Health Schools. (2014). Physician Assistant Degrees and Careers. Retrieved from http://www.allalliedhealthschools.com/health-careers/article/how-to-become-physician-assistant

Leaders (n.d) from AAPA. Retrieved from https://www.aapa.org/about_aapa/leaders.aspx

HCP Role Matrix: Physician Assistant
NCCPA Certification Requirements:
1. Graduate of an Accredited PA program
2. Must Pass PANCE exam

Re-certification Requirements:
1. Complete 100 CMEs every 2 yrs
2. Must pass re-certification exam (PANRE) every 6 years
(“About Us…, 2014)

Practice Model
Practice Model: Physician-PA Team
Physician assistants practice medicine with physician supervision.
Delegatory Authority
Medical model: Disease centered, with emphasis on the biological/pathologic aspects of health, assessment, diagnosis, treatment.
("Differences Between..."2012)
Role Competencies: Clinical Expert
Organizations and Associations that maintain the competencies and expertise of Physician Assistants through education, accreditation, and publication.
PA’s serve as educators in PA programs and as preceptors in clinical settings
General requirements for faculty appointment
National Certification- PANCE exam
PA-C, MSPAS, MS, or PhD in another discipline
Clinical experience
(Physician Assistant Education Association)
Professional Factors: Licensure
Basic research coursework is incorporated in some PA programs
AAPA & NCCPA support research for PA’s
PA’s serve as coordinators and support staff for research projects
PA driven research focuses on PA training, practice, employment, assessment and/or certification of physician assistants
Collaborator & Consultant
Leader / Change Agent
Certifications: Specialties
PAs Can also become certified in the following specialty areas:
Cardio/Thoracic Surgery
Emergency Medicine
Hospital Medicine
(Specialty CAQs, 2014)

American Academy of Physician Assistants - 2009 Census National Report
Physician-PA Team
5 Key Characteristics to
Team Approach
Two models where collaboration in the PA role is key to forming success in team and patient outcomes
Interdisciplinary team-based approach to primary health care delivery
Collaborative Patient Partnerships
Motivates behavior changes with consultation and discussion
Emphasizes active collaboration between patients and primary health care providers as the basis for positive behavior change and compliance with treatment regimens
Steers away from “you need to exercise more”, “you shouldn’t eat fast food”, “try to quit smoking”
“PA’s work in physician-PA based teams and are educated in a collaborative approach to health care, which improves coordination of care and can improve outcomes” -AAPA
PA Collaboration and Consulting
Interdisciplinary team-based approach to primary health care delivery
Interdisciplinary healthcare teams are organized groups of healthcare professionals who communicate with one another on a regular basis about the care of their patients
Team jointly participates in the diagnosis and management of patient care
PA will work with multiple backgrounds and need to effectively collaborate for ideal outcomes
1. Have clear goals with measurable outcomes
2. Work within well defined clinical and administrative systems
3. Division of labor and competencies are understood by all members of the team
4. Training of all team members in the distinct roles and competencies is well understood
5. All team members engage in effective communication.
(SOC, 2008)
Collaborative Care Model
Minimum education Bachelor’s degree
Prerequisites: 2 years of college courses in basic & behavioral sciences
Most accredited programs are master’s programs
Masters programs are ~27 months long
Year 1: courses in biochemistry, pathology, anatomy, physiology, disease prevention, pharmacology
Year 2: clinicals in primary care and specialties
Bachelor’s degree from accredited program.
BA-PA: accelerated, 4 yr pgm-->BA-PA + graduate-level PA certificate.
3rd & 4th years: 9 mos clinical course work, 12 mos clinical rotations

PAs must obtain state licensure to practice. In Ohio the term “registration” is used instead of licensure.
Criteria for obtaining licensure includes:
Graduation from an accredited PA program
Passing the PANCE
States vary by their requirements for minimum education, necessity of current NCCPA certification, and renewal requirements.

(AAPA, 2013)
(AAPA, n.d., all allied health schools, 2014)
Role Competencies: Clinical Expert
Click on the provided link to watch a brief video
that discusses requirements for specialty certifications.
(Specialty CAQs, 2014)
(AAPA, 2013)
American Academy of Physician Assistants (AAPA)
National professional society for PAs
Providing support and advocacy
Primary organization for advancing profession in health policy
Governing body includes board of directors, house of delegates, and volunteers.
In clinical practice PAs can practice leadership through guiding patients toward their optimal health and wellness.
Can serve as chairs on committees through health organizations and facilities
Participate in community outreach activities
Attend information and CME sessions
Make recommendations on professional issues.
Joni Adelman, Natalie Amason, Chelsea Anderson, Cara Chao, Ashly Schroyer, Jacqueline Sears
NURS 6858 B01
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