steps to become certified 2

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

Pa practice final Flashcards by McKenna s

steps to become certified

graduate from ARC-pa program
pass the PANCE

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How much is the PANCE? How soon can you register

$550
180 days before graduation

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How many questions is the pance?

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

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what is the earliest eligibility to take the PANCE

7 days after graduation

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Passing score of PANCE

350 out of 800

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what is the limitation on eligability for the PANCE?

six years, six attempts

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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

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what is the PANRE process

4 blocks of 60 questions, 60 minutes per block

take the 9th or 10th year of certification

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what is the PANRE-LA process?

25 questions a quarter, 5 minutes per question

Must pass 8 quarters, can take up to 12 quarters

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when was licensure enacted? what does it protect against?

late 19th century to protect against explotation and quakery

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what is the process a law goes through

legislative process committee to assembly/senate to governor

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RPA or RPA-C

registration used by NYS

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How is prescribing authority obtained?

legal/politcal negotiation

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who was the first state to have prescribing authority

colorado only if they graduated from CU CHA

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Who was the last state to get prescribing authoritiy

Indiana in 2006

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When did NY get prescribing authority

1972 (second state)

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

DEA

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what are the two leagal issues facing PAs

liability
malpractice/duty

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what office can you be reported at?

Office of professional misconduct (OPMC)

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what edition of the standards of accredidation are we on?

5th edition; ARC-PA

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what are the two types of entry into PA profession?

direct entry program (3+3) or (4+3)
masters (24-30 months_

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A Standards

program administration

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B standards

curriculum

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C standards

program evaluation

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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

1. family med 2. ED 3. internal med 4. surgery 5. peds 6. ob-gyn 7. 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

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

MC issues for rural healthcare | list 4

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

what services do rural communities have poor access to? | list 5

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

health insurance rates and health literacy is _____ in rural counties

poor

what can help with rural health access | list 4

1. free standing ED 2. expanded roles of EMT/paramedic 3. care coordination 4. 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

1. cultural isolation 2. quality of schools 3. 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

1. first contact care 2. longitudinally 3. coordination 4. 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

1. family med 2. internal med 3. peds 4. womens health

Non Primary Care specialties | list 10

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

1. willing to mentor/apprentice 2. mutual understanding of what you can and can't do 3. patience 4. availability 5. 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