Pa practice final Flashcards

1
Q

steps to become certified

2

A
  1. graduate from ARC-pa program
  2. pass the PANCE
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2
Q

How much is the PANCE? How soon can you register

A

$550
180 days before graduation

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3
Q

How many questions is the pance?

A

300 questions
5 blocks of 60 question
45 minutes alloted for 60 questions

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4
Q

what is the earliest eligibility to take the PANCE

A

7 days after graduation

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5
Q

Passing score of PANCE

A

350 out of 800

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6
Q

what is the limitation on eligability for the PANCE?

A

six years, six attempts

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7
Q

What do you have to do to maintain your certification?

A
  1. log 100 hours of CME
  2. submit a recertification fee every 2 years
  3. Take the PANRE q10 years
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8
Q

what is the PANRE process

A

4 blocks of 60 questions, 60 minutes per block

take the 9th or 10th year of certification

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9
Q

what is the PANRE-LA process?

A

25 questions a quarter, 5 minutes per question

Must pass 8 quarters, can take up to 12 quarters

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10
Q

when was licensure enacted? what does it protect against?

A

late 19th century to protect against explotation and quakery

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11
Q

what is the process a law goes through

A

legislative process committee to assembly/senate to governor

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12
Q

RPA or RPA-C

A

registration used by NYS

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13
Q

How is prescribing authority obtained?

A

legal/politcal negotiation

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14
Q

who was the first state to have prescribing authority

A

colorado only if they graduated from CU CHA

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15
Q

Who was the last state to get prescribing authoritiy

A

Indiana in 2006

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16
Q

When did NY get prescribing authority

A

1972 (second state)

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17
Q

what org. must you be registered with to prescribe controlled substances

A

DEA

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18
Q

what are the two leagal issues facing PAs

A
  1. liability
  2. malpractice/duty
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19
Q

what office can you be reported at?

A

Office of professional misconduct (OPMC)

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20
Q

what edition of the standards of accredidation are we on?

A

5th edition; ARC-PA

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21
Q

what are the two types of entry into PA profession?

A
  1. direct entry program (3+3) or (4+3)
  2. masters (24-30 months_
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22
Q

A Standards

A

program administration

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23
Q

B standards

A

curriculum

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24
Q

C standards

A

program evaluation

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25
Q

D standards

A

provisional accreditation

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26
Q

E standards

A

accreditation maintenance

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27
Q

what is a teach out plan?

A standards

A

all currently matriculated students in the event of program closure

28
Q

Faculty standards (A standards)

A
  • minimum 3 FTE principal faculty (2 must be NCCPA certified)
  • Medical direction must be DO or MD board certified
  • all must be qualified
29
Q

What 4 settings must SCPE’s occur in?

A
  • ED
  • inpatient
  • outpatient
  • or
30
Q

what are the required SCPEs

7

A
  1. family med
  2. ED
  3. internal med
  4. surgery
  5. peds
  6. ob-gyn
  7. behavioral health
31
Q

pro’s of post grad programs

A
  • additional training
  • better job opp.
  • paid training
32
Q

Cons of post grad programs

A
  • lower pay during training
  • single speciality
  • not standardized
33
Q

2 definitions of rural healthcare

according to policy makers

A
  1. non-metropolitan counties
  2. at least 400 sq. mi. with a population density of 35 ppl per sq. mile
34
Q

MC issues for rural healthcare

list 4

A
  1. resources are maldistributed
  2. population is too small for economic viability
  3. scarce specialty services
  4. distance and transportation
35
Q

what services do rural communities have poor access to?

list 5

A
  1. mental health
  2. hospice
  3. substance abuse
  4. obstetrics
  5. oral health
36
Q

health insurance rates and health literacy is _____ in rural counties

A

poor

37
Q

what can help with rural health access

list 4

A
  1. free standing ED
  2. expanded roles of EMT/paramedic
  3. care coordination
  4. affiliation with larger systems
38
Q

are PAs in rural healthcare older or younger?

A

older

39
Q

PAs in rural healthcare have ____________ specialty credintials

A

less

40
Q

Should rural PAs prefer autonomy or not?

A

yes

41
Q

Benefits of Rural Healthcare

A
  • higher satisfication of job
  • higher salary
42
Q

3 barriers to rural practice

A
  1. cultural isolation
  2. quality of schools
  3. spousal job support
43
Q

how many years does it take rural PAs to move to urban settings

A

within 4 years

44
Q

what are the NHSC grants?

A

rural health grants that offers loan repayment (people leave once its paid off)

45
Q

Primary care definition

A

healthcare services provided by clinicians responsible for meeting MOST personal healthcare needs

46
Q

what are 4 characteristics of primary care

A
  1. first contact care
  2. longitudinally
  3. coordination
  4. comprehensiveness
47
Q

what is secondary care

A
  • short term services
  • routine surgery
  • specialty consultation
  • rehabilitation
48
Q

tertiary care characteristics

A
  • complex conditions requiring advance tech
  • organ transplant
  • burn center
  • cardiothoracic surgery
  • advance trauma
49
Q

what are the 4 primary care disciplines

A
  1. family med
  2. internal med
  3. peds
  4. womens health
50
Q

Non Primary Care specialties

list 10

A
  1. surgery
  2. cardiology
  3. nephrology
  4. hematology/oncology
  5. pheumatology
  6. pulmonology
  7. gastroenterology
  8. psychiatry
  9. hospitalist
  10. Emergency med
51
Q

describe the supervisor in a coach/mentor relationship

A

guides in decision making

52
Q

describe the supervisor in a team player relationship

A

shared decisions, listens and contributes

53
Q

describe the supervisor is a laissez-faire relationship

A

hands-off with little interaction

54
Q

describe the supervisor in a control freak relationship

A

needs to know everything and holds onto knowledge to keep their power

55
Q

describe the supervisor in an autocrat relationship

A

full control of decision making, hard to please

56
Q

what are 5 things you need for a successful relationship with your supervisor

A
  1. willing to mentor/apprentice
  2. mutual understanding of what you can and can’t do
  3. patience
  4. availability
  5. honest feedback
57
Q

what does the AAPA stand for?

A

american academy of physician associates

58
Q

what does the AAPA do?

A

advocates for the profession and educates

59
Q

what does PAEA stand for

A

physician assistant education association

60
Q

what does the PAEA do?

A

represents the educational programs

61
Q

what organization developed CASPA

A

PAEA

62
Q

what does ARC-PA stand for?

A

accreditation Review commission on Education for PAs

63
Q

what does the ARC-pa do?

A

accreditation for all programs
* all programs must be accredited in order for graduates to sit for the PANCE

64
Q

what does NCCPA stand for?

A

National commission on Certification of PAs

65
Q

what does NCCPA do?

A

mandates the certification of PAs
* assures the public of standards to be a PA

66
Q

what does NYSSPA stand for?

A

new york state society of PA

67
Q

what does PASS stand for?

A

Physician assistant student soicety