Quiz 3 Review: Careers & Certification and Licensure Flashcards
What are the 5 types of primary care providers?
I) General Practice II) Family Practice III) Internal Medicine IV) Pediatrics V) OBGYN
Define Tertiary Care
Any secondary care that is occurring in a facility; location or institution
Ex. Mayo, Chans
Define Chief Complaint
The patients answer/reason as to why they are coming in to see a PA
What are the characteristics usually found in a “History of Present Illness”?
- Location of illness/pain
- Quality
- Severity
- Timing (onset, duration, frequency)
- Setting in which it occurs
- Aggravating and relieving factors
- Associated symptoms
What are the characteristics of a patient’s “past medical history”?
- Past surgeries
- Past medications
- Allergies
- Family history
- Social history (drugs, alcohol, foreign travel, sexual history, partners, etc.)
What are the 3 different PA provider practice settings?
I) Federal practitioners
II) Private practice
III) Hospital settings
Family medicine physicians =
Family care providers
Family medicine physicians are trained as…
Generalists
T/F Family medicine physicians only cover a certain specific age range of patients
False; family medicine physicians cover all age ranges of patients (from birth-death)
Family medicine physicians _____ practice OBGYN?
DO
Family medicine physicians manage _____ problems with ___________ referrals.
All; minimum
T/F Family medicine physicians have a large knowledge base
True
Family medicine physicians treats the whole ________ and the whole “_________”.
Family; patient
Family medicine physicians provide…
- History and physicals
- Management of chronic and acute problems
- Health care maintenance and immunizations
- Gatekeeper role
What are the challenges of being a family medicine physician?
- Pay
- Large and ever-changing knowledge base
- Must know standard care and guidelines
What are the rewards of being a family medicine physician?
- Continuity of care
- Variety of patients and problems
- Relationships
What types of patients are seen in Family Medicine but not in Internal Medicine?
- OBGYN
- Pediatrics
- Orthopedics
Internal Medicine became a specialty in…
1968
What was the idea of Internal Medicine in the past?
Idea was for General Physicians to refer harder cases to an Internal Physician
Internal medicine deals with diseases of…
Adults
What are the types of training required for an Internal Medicine Physician?
- Residency = 3 years
- Rotations of 1-2 months
- Board certification exams (re-certification of 10 years)
Emergency Medicine became a specialty in…
1968
Emergency Medicine is open when?
365 days/year, 24 hours
T/F The law requires Emergency Medicine Physicians to ALWAYS see patients who come in, regardless of anything
True
What are the general principles of Emergency Medicine?
I) Identify life-threatening conditions
- History, PE’s, labs, ECG, X-Rays, MRI, etc.
II) Stabilize life-threatening conditions
- ACLS, ATLS, PALS, BLS
III) Find an explanation for the condition
IV) Recognize coexistent pathology
- Ex. Alcoholism
What are the roles of an Emergency Medicine Physician?
- Treat the symptoms
- Make diagnosis
- Decide on the disposition
- Plan for follow-up
- Record the visit
Define Fast-Track
Handles common ailments, such as sprains, strains, simple fractures, low-back pain, UTI, minor animal bites, mild burns, abscesses, rashes, etc.
Fast-Tracks are apart of what specialty?
Emergency Medicine
Pediatricians may work in what kinds of settings?
- Outpatient
- Combination of out/inpatient
About ___% of PA’s practice Pediatrics.
4
Pediatricians must think about ____________ and follow growth for overall ________ of child.
Immunizations; health
What are the challenges of Pediatric Medicine?
- Exposure to illness
- Witnessing Child abuse/neglect
- Must like being around children all day
What are the rewards of Pediatric Medicine?
- Fun
- Limited knowledge base
- Family education
Define Gynecology
Physicians who treat female reproductive issues and challenges
Define Obstetrics
Physicians that treat females during their childbearing years/times at life
T/F Majority of OBGYN providers are males
False; females
What are the types of settings OBGYN Physicians can work in?
I) Outpatient - covering for physicians delivering babies
II) Inpatient - first assisting in OR (working in hospital with deliveries)
How many years of residency do Surgical Physicians require?
5-year residency
T/F Some Surgical Physicians sub-specialize
True
PA’s working in surgery work ____ hours and generally make _____ in this area.
More; more
What are the common duties of a Surgical PA?
- Assist in operating room
- Performing procedures like chest tubes, lumbar punctures, catheters
- History/physicals
- Admission orders
- Preoperative evaluation
- Instruction to residents
- Research
Geriatric Physicians treat patients of what age?
65 years or older
Geriatric care is based on…
Managing chronic conditions, not necessarily treatment of acute conditions
What are the general settings Geriatric Physicians work in?
- Nursing homes
- Home visits
- IM
What are common problems Geriatric Physicians see in their patients?
- Cardiovascular disease
- Cancer
- Dementia
- Urinary incontinence
- Falls
- Organ failure
Define Behavioral Medicine
Focuses on behavioral health topics frequently encountered in primary care
Hospital Medicine is meant to reduce…
Errors and improve hospital quality
Orthopedics are a _________ specialty.
Surgical
T/F Orthopedics cannot subspecialize
False; many Orthopedics subspecialize
What are the common duties of an Orthopedic Physician?
- Evaluate and treat patients
- Splints and casts
- First assist in surgery
- Hospital rounds
Define Dermatologist
Takes care of patients of all ages with skin, hair and nail problems
Dermatology is a _________ specialty.
Visual
What are the common duties of a Dermatologist?
- Microscopy
- Excisional biopsies
- Skin cancer removal
- Cryosurgery
- Nail removal
- Cosmetic procedures
- Electrodessication
Define Lifelong Learning
Ongoing, voluntary and self-motivated pursuit of knowledge for either personal or professional reasons
What are the characteristics of Lifelong Learning?
- Self learn things over time
- Idea that we continue to learn voluntarily over time
- Must keep up with Lifelong Learning
Define Continuing Medical Education (CME)
The way in which Physicians and PA’s complete Lifelong Learning
How can Physicians and PA’s partake in continuing medical education?
- Attending live events
- Written publications
- Attending online programs
- Listening/engaging in audio, video and other electronic media
Define Certified PA (PA-C)
A nationally certified and state-licensed medical professional who practices medicine on healthcare teams with other providers
What are the 10 ways certified PA’s can improve on quality and reducing costs?
I) Expand the clinical team II) Serve as the primary care provider III) Reduce wait times IV) Provide coordination and continuity of care V) Specialize in any area V) Manage the health of populations VI) Manage the health of populations VII) Reduce hospital rates of infections VIII) Build patient satisfaction IX) Help earn financial incentives X) Increase patient volume and revenue
Why should a PA be certified?
- Certified PA’s are 5X less likely to be critiqued by the American Board
- More likely to adhere to guidelines
What is the purpose of The National Commission on Certification of Physician Assistants (NCCPA)?
Provides certification programs that reflect standards for clinical knowledge, reasoning and other medical skills and professional behaviors
The NCCPA is necessary for PA’s because all of the characteristics they obtain is required upon…
Entry into practice and throughout their careers as PA’s
Care values guide the way we make ___________ and conduct ____________ as inidividual’s and apart of an _____________.
Decisions; ourselves; organization
Care values are committed to the practice of…
- Professionalism
- Responsibility
- Accountability
- Collaboration
- Trust
- Inclusion
- Certification
- Excellence
What are the competencies for the PA profession?
- Medical knowledge
- Interpersonal and communication skills
- Patient care
- Professionalism
- Practice-based learning and improvement
- Systems-based practice
Maintaining certification for PA’s requires recertification every…
10 year cycles
