Pa practice final Flashcards
steps to become certified
2
- graduate from ARC-pa program
- pass the PANCE
How much is the PANCE? How soon can you register
$550
180 days before graduation
How many questions is the pance?
300 questions
5 blocks of 60 question
45 minutes alloted for 60 questions
what is the earliest eligibility to take the PANCE
7 days after graduation
Passing score of PANCE
350 out of 800
what is the limitation on eligability for the PANCE?
six years, six attempts
What do you have to do to maintain your certification?
- log 100 hours of CME
- submit a recertification fee every 2 years
- Take the PANRE q10 years
what is the PANRE process
4 blocks of 60 questions, 60 minutes per block
take the 9th or 10th year of certification
what is the PANRE-LA process?
25 questions a quarter, 5 minutes per question
Must pass 8 quarters, can take up to 12 quarters
when was licensure enacted? what does it protect against?
late 19th century to protect against explotation and quakery
what is the process a law goes through
legislative process committee to assembly/senate to governor
RPA or RPA-C
registration used by NYS
How is prescribing authority obtained?
legal/politcal negotiation
who was the first state to have prescribing authority
colorado only if they graduated from CU CHA
Who was the last state to get prescribing authoritiy
Indiana in 2006
When did NY get prescribing authority
1972 (second state)
what org. must you be registered with to prescribe controlled substances
DEA
what are the two leagal issues facing PAs
- liability
- malpractice/duty
what office can you be reported at?
Office of professional misconduct (OPMC)
what edition of the standards of accredidation are we on?
5th edition; ARC-PA
what are the two types of entry into PA profession?
- direct entry program (3+3) or (4+3)
- masters (24-30 months_
A Standards
program administration
B standards
curriculum
C standards
program evaluation
D standards
provisional accreditation
E standards
accreditation maintenance
what is a teach out plan?
A standards
all currently matriculated students in the event of program closure
Faculty standards (A standards)
- minimum 3 FTE principal faculty (2 must be NCCPA certified)
- Medical direction must be DO or MD board certified
- all must be qualified
What 4 settings must SCPE’s occur in?
- ED
- inpatient
- outpatient
- or
what are the required SCPEs
7
- family med
- ED
- internal med
- surgery
- peds
- ob-gyn
- behavioral health
pro’s of post grad programs
- additional training
- better job opp.
- paid training
Cons of post grad programs
- lower pay during training
- single speciality
- not standardized
2 definitions of rural healthcare
according to policy makers
- non-metropolitan counties
- at least 400 sq. mi. with a population density of 35 ppl per sq. mile
MC issues for rural healthcare
list 4
- resources are maldistributed
- population is too small for economic viability
- scarce specialty services
- distance and transportation
what services do rural communities have poor access to?
list 5
- mental health
- hospice
- substance abuse
- obstetrics
- oral health
health insurance rates and health literacy is _____ in rural counties
poor
what can help with rural health access
list 4
- free standing ED
- expanded roles of EMT/paramedic
- care coordination
- affiliation with larger systems
are PAs in rural healthcare older or younger?
older
PAs in rural healthcare have ____________ specialty credintials
less
Should rural PAs prefer autonomy or not?
yes
Benefits of Rural Healthcare
- higher satisfication of job
- higher salary
3 barriers to rural practice
- cultural isolation
- quality of schools
- spousal job support
how many years does it take rural PAs to move to urban settings
within 4 years
what are the NHSC grants?
rural health grants that offers loan repayment (people leave once its paid off)
Primary care definition
healthcare services provided by clinicians responsible for meeting MOST personal healthcare needs
what are 4 characteristics of primary care
- first contact care
- longitudinally
- coordination
- comprehensiveness
what is secondary care
- short term services
- routine surgery
- specialty consultation
- rehabilitation
tertiary care characteristics
- complex conditions requiring advance tech
- organ transplant
- burn center
- cardiothoracic surgery
- advance trauma
what are the 4 primary care disciplines
- family med
- internal med
- peds
- womens health
Non Primary Care specialties
list 10
- surgery
- cardiology
- nephrology
- hematology/oncology
- pheumatology
- pulmonology
- gastroenterology
- psychiatry
- hospitalist
- Emergency med
describe the supervisor in a coach/mentor relationship
guides in decision making
describe the supervisor in a team player relationship
shared decisions, listens and contributes
describe the supervisor is a laissez-faire relationship
hands-off with little interaction
describe the supervisor in a control freak relationship
needs to know everything and holds onto knowledge to keep their power
describe the supervisor in an autocrat relationship
full control of decision making, hard to please
what are 5 things you need for a successful relationship with your supervisor
- willing to mentor/apprentice
- mutual understanding of what you can and can’t do
- patience
- availability
- honest feedback
what does the AAPA stand for?
american academy of physician associates
what does the AAPA do?
advocates for the profession and educates
what does PAEA stand for
physician assistant education association
what does the PAEA do?
represents the educational programs
what organization developed CASPA
PAEA
what does ARC-PA stand for?
accreditation Review commission on Education for PAs
what does the ARC-pa do?
accreditation for all programs
* all programs must be accredited in order for graduates to sit for the PANCE
what does NCCPA stand for?
National commission on Certification of PAs
what does NCCPA do?
mandates the certification of PAs
* assures the public of standards to be a PA
what does NYSSPA stand for?
new york state society of PA
what does PASS stand for?
Physician assistant student soicety
