PROPOSAL BACHELOR OF APPLIED SCIENCE with a major in Health Science with an Option in Physician Assistant Studies Submitted to: The Florida Department of Education by MIAMI DADE COLLEGE School of Allied Health Technologies September 1, 2008 Miami Dade College BAS-Health Science, Physician Assistant Studies Page 2 of 93 Table of Contents Cover Sheet A Executive Summary B. Description of Planning Process and Timeline for Implementation C. Analysis of Workforce Needs/Demands for the Baccalaureate Program D. Alignment with K-20 Goals and Strategic Imperatives E. Academic Content and Curriculum F. Assessment of Current and Anticipated Resources G. Proposed Enrollment, Performance, and Budget Plans H. Accreditation Plan I. Plan of Action in Case of Termination Page 2 Page 4 Page 7 Page 9 Page 16 Page 19 Page 26 Page 31 Page 32 Page 33 References Appendix 1: Appendix 2: Appendix 3: Appendix 4: Appendix 5: Appendix 6: Appendix 7: Appendix 8: Appendix 9: Appendix 10: Appendix 11: Appendix 12: Appendix 13: Appendix 14: Appendix 15: Appendix 16: Page 34 Page 35 Page 39 Page 46 Page 53 Page 54 Page 55 Page 58 Page 65 Page 67 Page 78 Page 79 Page 80 Page 85 Page 91 Page 92 Page 93 Force Field Summary Letters of Intent Letters of Support Allied Health Advisory Committee Members Physician Assistant Advisory Committee Members Allied Health Advisory Committee Minutes NOVA Southeastern University Articulation Agreement BAS-HS, PA Option Advising Sheet List of Clinical Affiliates Physician Assistant Faculty Enrollment and Budget Plan Form Miami Dade College Program Review Policy Physician Assistant Advisory Committee Minutes BAS Survey to MDC-PA Graduates 2006-2009 ARC-PA Standards Foreign Health Care Professionals Miami Dade College BAS-Health Science, Physician Assistant Studies Page 3 of 93 MIAMI DADE COLLEGE PROPOSAL FOR BACHELOR OF APPLIED SCIENCE with a major in Health Science with an Option in Physician Assistant Studies Submitted September 1, 2008 A. Executive Summary Introduction The Miami Dade College, School of Allied Health Technologies is proposing a Bachelor of Applied Science with a major in Health Science degree (BAS-HS) with specific curricular options. The School of Allied Health Technologies currently offers fifteen (15) Associate in Science degrees, each with individual accrediting agencies. Due to the complexity of each health profession’s curricula and the specific requirements set by individual accreditation agencies, Miami Dade College proposes the development of an umbrella degree (the Bachelor of Applied Science with a major in Health Science) with individual curriculum plans. The first curriculum option proposed is Physician Assistant Studies. Of the 30 fastest growing occupations in the labor market, more than half are in the allied health field (Bureau of Labor Statistics, Occupational Outlook Handbook, 2006). The State of Florida has projected a 16% (35,150) increase in Region 23 jobs in the allied health education and health services sector by the year 2015, and a 41% increase in Physician Assistant employment (Florida Research and Economic Data Base, http://fred.labormarketinfo.com 7/08). According to the Bureau of Labor Statistics, in December 2007, the healthcare sector annually added 1 out of every 3 private sector jobs. Concern regarding the availability of qualified health professionals is so great that Federal lawmakers are addressing the critical shortage of workers in the allied health professions through legislation (Allied Health Reinvestment Act, S. 2491, February, 2008, http://cantwell.senate.gov/news/record). The proposed MDC BAS-HS degree will assist in addressing the shortage of workers by providing graduates a continuum of technical, supervisory, and management skills necessary to meet the workforce needs and labor market projections. Planning and Implementation Beginning Fall 2006, the School of Allied Health Technologies (faculty, staff, and administrators) conducted a year-long Force Field Analysis (Appendix 1), which identified the need for baccalaureate education to satisfy the workforce demands for entry level and upward mobility in the health sciences. During the planning process, MDC administrators investigated, contacted and conducted site visits and surveyed current employers, students and alumni (Tables 10 and 11) to gauge the need for and level of interest in a baccalaureate degree. In 2007, based on the findings showing a high level of interest and need for the program, and on information received from the Accreditation Review Commission on Education for the Physician Assistant (ARC-PA) indicating that as of 2010, the proposed entry level requirement for the Physician Assistant profession will be the baccalaureate degree, Advisory Committees were established to research and develop a bachelor-level umbrella curriculum (BAS with a major in Health Science) with Physician Assistant Studies as the initial option. The projected start date for the proposed BAS with a major in Health Science degree with an Option in Physician Assistant Studies is planned for January 2010. Workforce Needs/Demands for a Bachelor of Applied Science with a major in Health Science with an Option in Physician Assistant Studies Miami Dade College ranks number one in the nation for producers of associate degrees in Health and Clinical Science professions from public institutions (Community College Week, June 20, 2008), making it a leading provider of healthcare workforce solutions. Although the healthcare sector is one of the fastest growing industries, there continues to be a critical Miami Dade College BAS-Health Science, Physician Assistant Studies Page 4 of 93 shortage of health care providers (Bureau of Labor Statistics, Occupational Outlook Handbook, 2006) which is predicted to reach 1.6 million to 2.5 million allied health workers by 2020 (Bureau of Labor Statistics, Occupational Outlook Handbook, 2006). Physician Assistant programs were originally developed to offset a shortage of doctors, especially in underserved areas (Physician Assistant Education Association, 2008). Physician Assistants (PAs) are health care professionals licensed to practice medicine with physician supervision, and are highly skilled health care professionals, trained to provide patient evaluation, education, and health care services (Physician Assistant Committee, 2002, and AAPA, 2007). In the United States, Florida ranks 5th (5.2%) for the largest numbers of clinically practicing PAs (2002 AAPA Physician Assistant Census Report). Due to anticipated expansion of the health services industry and an emphasis on cost containment, the employment of PAs is expected to grow much faster than the national average (27% or more) for all other occupations through the year 2014. In the State of Florida there is a projected percentage change of 41.7% from 2007-2015 for employment of Physician Assistants (Florida Research and Economic Data Base FRED, 2008, Table 7), which will result in increased utilization of PAs by physicians and health care institutions (Bureau of Labor Statistics, Occupational Outlook Handbook, 2006). Additionally, in 2010, the proposed entry level requirement for the Physician Assistant profession will be the baccalaureate degree as outlined in section A1.01 of the Accreditation Review Commission on Education for the Physician Assistant (ARC-PA, 2008). The Miami Dade College proposed BAS-HS with an Option in Physician Assistant Studies degree will comply with the 2010 accreditation mandate. Data indicate a critical need for additional Physician Assistants in Region 23 and the proposed BAS-HS, Option in PA Studies program will assist in providing and sustaining a healthcare workforce that represents the diversity in Miami-Dade County. Demographics indicate that the minority population of Miami-Dade County is 78.9% with the MDC Medical Center student population comprised of 81.1% minority students (Table 5). Ninety-eight percent (98%) of the licensed graduates from the AS program are employed within nine months with 85% employed within Region 23 (MDC PA Program, 2007). Of the 260 students who graduated from 2000-2007, 87% currently practice in Florida (MDC PA Accreditation Self Study, 2007). The trend is likely to continue with the implementation of the BAS-HS and will provide Region 23 and the State with a workforce applicant pool of qualified, culturally competent PA baccalaureate graduates with specialized skills and the educational background to meet national, state, and professional accreditation requirements. The proposed BAS-HS with an Option in Physician Assistant Studies will be the only publicly funded baccalaureate PA program in Region 23 and the only associate/baccalaureate PA program in the State of Florida and will increase the quantity and quality of affordable educational options. Academic Content and Curriculum The academic content and curriculum of the proposed Bachelor of Applied Science with a major in Health Science with an Option in Physician Assistant Studies proposal is designed to incorporate the associate-level Physician Assistant Studies standards set forth by the ARC-PA and consequently will consist of 130 credit hours (Table 1). In 2010, the Accreditation Review Commission for the Physician Assistant (ARC-PA) will require licensed PA graduates to be awarded a minimum of a baccalaureate degree and at that time, MDC will review the BAS-HS curriculum for consistency with the state-approved 120 credit hour requirement for baccalaureate degrees. Miami Dade College BAS-Health Science, Physician Assistant Studies Page 5 of 93 Table 1: Curriculum Plan – BAS -HS with an Option in Physician Assistant Studies General Education Required Courses Lower………………….. Division Natural Science Core…………………………………… Lower Division PA (discipline specific)………………………….. Interdisciplinary Upper Division Core…………………………… Advanced PA Option……………………………………………… TOTAL……………………………………………………………… 36 credit hours 8 credit hours 56 credit hours 18 credit hours 12 credit hours 130 credit hours Assessment of Current and Anticipated Resources To meet the projected enrollment of 60 students in the BAS-HS, PA Studies program in 2011-2012, additional faculty, staff, lab assistants, and equipment/software resources will be needed to support the increased class size and courses. The Medical Center Campus has adequate classrooms to meet the instructional technology needs of the associate degree program but offices will be needed to accommodate the addition of two full-time and one parttime faculty member for the proposed BAS-HS, PA Studies degree. The current associate-level PA program shares a laboratory space with the Midwifery program, and that space will require renovation. A computer learning center with an assigned computer specialist is available to serve the current associate-level enrollment and to assist all faculty members with computer software training and implementation as well as strategies to enhance classroom presentations. With the anticipated increased enrollment and upperdivision coursework, however, additional computer software and hardware will be necessary. Development of online courses will necessitate the joint use of an instructional designer currently assigned to the BS Nursing Program. Multimedia interactive patient management cases are available to both faculty and students and require annual updating. The Human Patient Simulator (HPS), programmed with sophisticated software to simulate complicated medical conditions, is available to faculty and students for regularly scheduled classes as well as for small group or individual sessions. The campus library has multiple learning resources available to support the present curriculum, but an expanded number of library resources is projected to be needed to facilitate BAS-HS, PA Studies education. Non discipline-specific resources from the Bachelor of Science in Nursing requirements may be shared. The Student Success Center currently provides services to individualize the learning process and to promote faculty and student success in the development of academic, vocational and personal goals by integrating human and technologically-based resources that extend beyond the classroom arena. Enrollment and Budget Plan A preliminary assessment of required resources has been projected with estimated costs (Appendix 11) for the academic years 2008 through 2012 to include: facilities renovations ($17,000); additional library resources ($42,000), plus library support salaries ($7,500). Instructional support requires one full-time faculty in 2009-11 and one additional full-time faculty for 2011-2012 ($99,197 annually), one part-time faculty for 2010-2012 (7,000 annually, increasing to $8,000 in 2011), and a laboratory instructional support assistant ($10,000 annually, increasing to $20,000 in 2011). The projected expenditures for 2009-10 are $198,197; $193,197 for 2010-11, and $287,394 for 2011-21012. Enrollment projections are based on 30 students (6 FTEs) beginning in January 2010 and increasing to 60 students (36 FTEs) by 2011-12. It is estimated that at the conclusion of Spring 2011, 40 students will graduate from the program and in 2011-2012, 55 will graduate with 100% placement due to the demand, and at projected starting salaries of $75,000-$78,000 or higher. Miami Dade College BAS-Health Science, Physician Assistant Studies Page 6 of 93 B. Description of Planning Process and Timeline for Implementation The proposed Bachelor of Applied Science with a major in Health Science, with an Option in Physician Assistant Studies degree is a culmination of research, benchmarking, group discussions, faculty and student input, and the gathering of information from Advisory Committees, site visits, and business and industry input. The proposal is designed as an umbrella degree for Allied Health, and the planning and research included both the need for baccalaureate level education for Allied Health and the need for an Option in Physician Assistant (PA) Studies. Planning Faculty and administration visited programs at NOVA University, Barry University, University of Florida, and the Health Sciences program at Florida International University (FIU) to determine feasibility and the need for an umbrella baccalaureate degree in Health Sciences at MDC. The MDC School of Allied Health Technologies personnel reviewed web information from Howard University, St Petersburg College, Anne Arundel Community College, Baltimore County Community College, Florida Community College at Jacksonville, and Broward Community College which resulted in a collection of programming information, benchmarking current health professions programs, as well as guiding the creation of the goals, strategies, and measurable outcomes outlined in the proposal. The administration, faculty and staff in the School of Allied Health Technologies conducted a Force Field Analysis in the 2006-2007 academic year to determine the need and interest for baccalaureate level Health Sciences programs at MDC (Appendix 1). Results were tallied and the development of a baccalaureate degree in Health Science was one of the Common Threads identified by all participants/disciplines/clusters. In the Spring 2007, the BAS-HS Allied Health Advisory Committee (Appendix 4), comprised of individuals with broad expertise in Allied Health programs, began specific discussions on the proposed Option in Physician Assistant Studies baccalaureate program. These individuals met twice a month from May 2007 through August 2007 (Appendix 6). Also during Spring 2007, a Physician Assistant Program Advisory Board was assembled to identify and discuss the needs of the proposed BAS with a major in Health Science and more specifically, to discuss the Option in Physician Assistant Studies. In addition to the Campus President, the Academic Dean, the Department Chair, and the School Director, the committee (Appendix 5) was comprised of five professionals/administrators from the healthcare industry concerned with community health care needs in Miami-Dade County and for the upcoming change in accreditation from the national accreditation agency ARC-PA (Appendix 15). Meetings were scheduled for May and November 2007. Miami Dade College surveyed Allied Health alumni and current students and Region 23 employers to determine the interest for a baccalaureate degree in Health Science with an Option in PA Studies and in the Fall 2007, the Advisory Board began the research and writing of the BAS-HS proposal (Appendix 13). The MDC Board of Trustees approved the BAS-HS with an Option in Physician Assistant Studies proposal on July 15, 2008. Timeline for Implementation Listed in Table 2 below is the expected timeline for implementation of the BAS-HS with an Option in PA Studies. Table 2: Miami Dade College Program Implementation Timeline for Bachelor of Applied Science with a major in Health Science with an Option in Physician Assistant Studies DATE Activity Personnel Items July 8, 2008 College wide CASSC Approval N/A July 15,2008 MDC Board of Trustees Approval N/A Miami Dade College BAS-Health Science, Physician Assistant Studies Page 7 of 93 September 1, 2008 MDC President submits proposal for BAS-HS degree to Commissioner of FLDOE with a copy to the Chancellor of the DCCWE. N/A Sept-Dec , 2008 Accountability and Measurement (ARM), DCCWE, and Florida Board of Governors (FBOG) staff review and provide comments to FLDOE Commissioner. Review comments provided to MDC MDC submits revised BAS-HS degree proposal to FLDOE. Collaborative Review Team, headed by DCCWE, completes final review and makes recommendation to FLDOE Commissioner for approval or disapproval. N/A January-February 2009 The MDC BAS - HS degree proposal is presented to the State Board of Education (SBE) at the SBE meeting. N/A March, - April 2009 State submits MDC BAS - HS degree proposal as an agenda item to the State Board of Education. State Board of Education votes on MDC proposal. N/A April-May, 2009 Upon SBE approval, MDC begins the BAS - HS implementation process including preliminary Capital Outlay for equipment, communication technology, other equipment, including purchase of information technology/teleconferencing equipment, and posting of faculty position. MDC posts: 1 Full time faculty June 2009 MDC advises potential BAS - HS PA students to complete general education and/or elective courses in Fall 2009 Review applications and begin accepting applications for January 2010. N/A July 2009 Interview for faculty position. N/A August, 2009 MDC library submits library resource recommendations. MDC begins ordering program equipment, technology, furniture, office, and classroom supplies. Finalize hiring of 1 Full time faculty member. September-Nov, 2009 PA faculty refines core PA courses by developing syllabi, instructional materials, and finalizing faculty course assignments. MDC finalizes textbook selection. MDC recruits, admits and advises new BAS - HS students. MDC conducts advisement for new students for January 2010. Update library resources, technology/communication software. Orientation for first class of BAS-HS. Nov.-December, 2009 Finalize course assignments, complete syllabi development. January, 2010 MDC offers the first BAS - HS core PA courses. MCC begins didactic courses for first class. Renovation of laboratory completed. April, 2010 Review applications for next class. June 2010 Accept applicants for next class. Planning committee for Accreditation. Student Services conducts recruitment. MDC Posts: Part time faculty June – December 2010 ARC-PA accreditation visit. Second class orientation in November. Part time faculty hired May 2011 First BAS-HS class graduates. July 2010-June 2011 Faculty begins development of Online Courses. Begin Planning for scheduling flexible classes. Instructional Designer works with Faculty to develop Online courses July 2011-September 2011 Continue development of Virtual (on-line) courses. Orientation for third class. MDC posts 1 Full- time Faculty December 2011 Second class graduates. January 2011 MDC begins course for second class of PA Option. First Virtual College online course offered. Miami Dade College BAS-Health Science, Physician Assistant Studies Page 8 of 93 N/A N/A N/A Hire lab assistant August 15, 2011 MDC conducts assessment of BAS-HS, PA program and submits status report to State. August 15, 2012 MDC conducts assessment of BAS-HS, PA program and submits status report to State. C. Analysis of Workforce Needs/Demands for the Baccalaureate Program National Analysis of Health Services and Education According to the U.S. Department of Labor, sixty percent (60%) of the American healthcare workforce is made up of allied health professionals. Of the 30 fastest growing occupations in the labor market, more than half are in the allied health field (Bureau of Labor Statistics, Occupational Outlook Handbook, 2007). Employment gains in education and health services were second in the nation, and along with professional business services, and leisure and hospitality, accounted for about 60 percent of the total job growth from August 2003-2006 (US Department of Labor Division of Labor Force Statistics). According to the Bureau of Labor Statistics for the month of December 2007, the healthcare sector added 28,000 jobs; in 2007, healthcare added 381,000 annual jobs, accounting for 1 out of every 3 private sector jobs added. Although the healthcare sector is a growing occupation, there is a critical shortage of health care providers and the shortage is predicted to reach 1.6 million to 2.5 million allied health workers by 2020 (Bureau of Labor Statistics, Occupational Outlook Handbook, 2006). The American Hospital Association states, “there are a vast number of retirements occurring across the spectrum of the health care industry” (Health and Hospital Trends, 2006). These growing demands of healthcare needs are a major challenge for educators (American Hospital Association, Health and Hospital Trends, 2006). The US Bureau of Labor Statistics has documented increases in education and healthcare services job openings in the United States and reports that since December 2000, Education and Health Services is one of three industries consistently showing higher job openings rates than other industries (US Bureau of Labor Statistics Job Openings and Labor Turnover Statistics, Summary, July 2008). The shortage of workers in the allied health professions has become so critical that Federal legislators have become concerned. The United States Congress passed the S. 473 Allied Health Reinvestment Act (109th Congress, retrieved June, 2008), to amend the Public Health Service Act to promote and improve the allied health professions and increase the availability of qualified health professionals. Florida Analysis of Allied Health Industry Employment As noted in Table 3, the State of Florida has postulated a 15.9% (35,150) increase in Region 23 jobs in the allied health education and health services sector by the year 2015 (Florida Research and Economic Data Base, http://fred.labormarketinfo.com (12/6/2007). Table 3: Industry Employment Projections (2007 - 2015) for Region 23 Industry Employment & Projections data in Miami-Dade County from Base Year 2007 to Projected Year 2015 for Healthcare Annual Total Total Estimated Projected Avg. Industry Title Employment Percent Employment Employment Percent Change Change Change Total Employment, All Jobs Education and Health Services 1,166,672 1,275,841 109,169 1.17 9.4 221,268 256,418 35,150 1.99 15.9 Miami Dade College BAS-Health Science, Physician Assistant Studies Page 9 of 93 The MDC Medical Center Campus is a leading producer of health professions graduates, and ranked second in the nation for associate degrees in health professions in 20062007 (Community College Week, www.ccweek.com, June 16, 2008). The School of Allied Health Technologies offers an Associate in Science (AS) degree in 15 different health-related fields and 10 short-term certificate programs for those who seek employment in the health care industry. The proposed baccalaureate degree curriculum will provide a continuum of technical, supervisory, and management skills that will lead to increased employment opportunities in the healthcare industry by providing another rung in the career ladder for graduates, and will increase the pool of qualified workforce applicants. As noted in Table 4, MDC has seen a continuous increase in the number of Associate in Science degree graduates from 2000-2007 (Institutional Research, MDC, 2008), confirming the large applicant pool available to the BASHS program. Table 4: Number of Associate in Science Allied Health Graduates 2000 – 2007 Academic Year Associate in Science Allied Health Graduates 2000-01 1,178 2001-02 1,091 2002-03 1,186 2003-04 1,258 2004-05 1,230 2005-06 1,336 2006-07 1,461 A goal of the Medical Center Campus is to graduate healthcare practitioners to serve in urban underserved communities with diverse populations. As indicated in Table 5, in 2006 the Medical Center Campus served a larger total percentage of Hispanics and AfricanAmericans than reflected in the Miami-Dade County demographics (78.9% compared to 81.1%). In addition to ethnicity, the Medical Center Campus served a higher percentage of females than reflected in Miami-Dade County population (60.4% - compared to 51.6%). Table 5: Comparison of Miami-Dade County and Medical Center Campus Fall 2006 Student Demographics Ethnicity/Race MCC MCC Miami-Dade Number Percent County Percent Hispanic 989 55.8% 60.1% African American (Non-Hispanic) 502 25.3 18.8 White (Non-Hispanic) 267 15.4 19.0 Other 64 2.7 2.1 Not reported .8 Total 1822 100% 100% Gender MCC MCC Miami-Dade Number Percent County Percent Female 1100 60.4 51.6 Male 722 39.6 48.4 Total 1822 100% 100% Source: MDC Institutional Research Statistics (2008) Miami Dade College BAS-Health Science, Physician Assistant Studies Page 10 of 93 Umbrella Baccalaureate degree BAS-HS The implementation of the Bachelor of Applied Science with a major in Health Science will assist in bridging the following gaps in healthcare workforce shortages as documented by the American Hospital Association by: Providing graduates with specialized skills and the educational credentials that are required by national, state, professional and other accreditation agencies. Providing a pool of viable employees large enough to fill the key (administrative, supervisory, technical, management) vacant positions that are becoming available due to employee retirement. Providing a cadre of ethnically diverse and culturally competent healthcare professionals. South Florida, as well as the nation as a whole, is currently facing a crisis in producing and employing qualified health care practitioners. The proposed MDC BAS-HS baccalaureate degree is designed to provide a continuum of technical, supervisory, and management skills above and beyond the allied health Associate in Science degrees and will help provide needed baccalaureate-prepared graduates for critical allied health fields. Need/Demand for the Physician Assistant Studies Option The first BAS-HS curriculum option proposed for MDC is the Physician Assistant (PA) Studies program. Physician Assistant programs were originally developed to offset a misdistribution and shortage of doctors (Physician Assistant Education Association, 2008). The Physician Assistant (PA) is the “new general practitioner” for the medical profession. Under the direction of a physician, Physician Assistants practice medicine and are formally trained to provide diagnostic, therapeutic and preventive health care services as delegated by physicians (AAPA , 2008). PAs are performing more of the initial routine health assessments that previously took up an inordinate amount of a physician’s time. In specialty areas such as cardiology, the Physician Assistant is becoming the initial point of contact when a patient arrives for a scheduled appointment. Physician Assistant Demand-Nationwide Physician Assistants held approximately 66,000 jobs nationwide in 2006 (Table 6). The number of jobs is greater than the number of practicing PAs because some hold two or more jobs (i.e., PAs may work with a supervising physician, and also work in another practice, clinic, or hospital) (Bureau of Labor Statistics, U.S. Department of Labor, Occupational Outlook Handbook, 2006-07 Edition, Physician Assistants http://www.bls.gov/oco/ocos096.htm, December 6, 2007). The Bureau of Labor Statistics has postulated that nationwide employment for Physician Assistants is expected to grow much faster than average (at least 27%) for all occupations through the year 2016 (Table 6) due to anticipated expansion of the health care industry and an emphasis on cost containment. This will result in an increased utilization of Physician Assistants by physicians and health care institutions and provide cost-effective solutions to expensive health care. Table 6: Nationwide PA Employment Labor Statistics 2006-2016 Projected Change 2006-16 Occupational Employment employment title 2006 Number Percent 2016 Physician Assistants 66,000 Miami Dade College BAS-Health Science, Physician Assistant Studies Page 11 of 93 83,000 18,000 27% Physician Assistant Employer Demand in Florida Projections for employment between 2007 and 2015 also demonstrate a critical need for Physician Assistants in Florida. As noted in Table 7, estimated employment projections demonstrate a significant percentage change of 41.7% from 2007-2015 (Florida Research and Economic Data Base FRED, 2008). Table 7: Occupational Employment Projections in Florida (2007 – 2015) Occupational Title 2007 Estimated 2015 Projected Employment Employment Physician Assistants 4414 6,254 Total 2007Annual Avg. Total 2015 Percent Percent Employment Change Change Change 1,840 5.2 41.7 The State of Florida ranks 5th employing the largest number of clinically practicing Physician Assistants (2002 AAPA Physician Assistant Census Report). In South Florida there are 253 estimated annual jobs openings for Physician Assistants: 182 due to growth and 71 due to replacement (Choices Planned of Bridges Transitions Inc., 2005). The Florida Academy of Physician Assistants (July, 2008) has a current listing of 96 job postings on their website (fapaonline.org/jobListings.asp) and Region 23 has a large market of employers. Table 8 lists industries that employ Physician Assistants in Florida (Florida Research and Economic Data Base, 2008). Table 8: Industries that Employ Physician Assistants in Florida Industry Estimated Employment Employment Services General Medical and Surgical Hospitals Medical and Diagnostic Laboratories Offices of Other Health Practitioners Offices of Physicians Outpatient Care Centers Self-Employed Workers, Primary Job % of Total Projected Estimated Employment Employment % of Total Projected Employment 266 6.1 371 5.9 315 7.6 380 6.1 21 0.5 26 0.4 123 2.9 165 2.6 2,995 246 66.2 5.8 4,497 313 71.9 5.0 70 1.8 76 1.2 Letters received from health care industry administrators support the data and reiterate the critical need for more Physician Assistants in the community (Appendix 3): Ricardo Forbes, Vice President of Baptist Health System, one of the largest health employers in Region 23, stated “an increasing supply of highly educated Physician Assistants is vital to the healthcare delivery system of our community”. Roberto De J. Fernandez, MD, F.A.C.G., wrote: “a physician shortage is approaching a critical level in the United States.” Miami Dade College BAS-Health Science, Physician Assistant Studies Page 12 of 93 Dr. Kevin Fox, D.O., stated: “Our nation is being threatened by a physician shortage that is rapidly approaching a critical level. An increasing supply of highly educated and well trained PAs will assist in relieving this situation.” Entry Level for Licensure for Physician Assistant Beginning in 2010, the entry level requirement for the Physician Assistant profession will be the baccalaureate degree, as outlined in Section A1.01 of the Accreditation Review Commission on Education for the Physician Assistant (ARC–PA): “the sponsoring institution must be accredited by a recognized regional or specialized and professional accrediting agency to award graduates of the Physician Assistant program a baccalaureate or higher degree. To retain accreditation, the proposed MDC BAS-HS with an Option in Physician Assistant Studies will satisfy the 2010 entry level requirement as set forth by the agency. Student Demand Although there is significant employer demand for PAs in Florida, there are only four schools offering accredited Physician Assistant programs in the state and student demand is high for Physician Assistant education in South Florida. Of the 1254 foreign medical graduates who contacted Miami Dade College for information on medical programs between October 2007 and February 2008, 644 (31%) were interested in enrolling in a baccalaureate program in Physician Assistant Studies, if offered at Miami Dade College (Table 9). Table 9: Foreign Medical Graduates Interested in Baccalaureate PA Programs Foreign Medical Graduates Contacting MDC 1254 Interest in BAS-HS, PA program 644 Percentage of Interest 31% In addition to the Foreign Medical graduate interest, MDC surveyed current students to gauge the level of interest in the proposed BAS-HS, PA degree. Table 10 provides the results of the surveys conducted in person, via email, and by telephone. As noted, 10 (32%) of the thirty-one students who entered the PA program with an expected graduation date of 2008, and 26 (41%) of the forty-one students expected to graduate in 2009 expressed interest in the proposed BAS-HS degree. Table 10: Associate of Science MDC Physician Assistant Current Student Survey Results (Interested in BAS-HS degree) Expected Year of Graduation 2008 2009 Number of Respondents Respondents Indicating Interest in BAS-HS Percentage of Respondents Indicating Interest in BAS-HS 31 41 10 26 32% 41% Alumni Interest In addition to the above surveys, MDC surveyed alumni who graduated in 2006 and 2007 and found that eleven (31.4%) of the thirty-five (35) 2006 graduates and seven (21.2%) of the thirty-three (33) 2007 graduates indicated interest in the proposed BAS-HS PA program at Miami Dade College (Table 11). Miami Dade College BAS-Health Science, Physician Assistant Studies Page 13 of 93 Table 11: Associate of Science MDC Physician Assistant Alumni Survey Results (Interested in BAS-HS degree) Year of Graduation 2006 2007 Number of Respondents 35 33 Respondents Indicating Interest in BAS-HS 11 7 Percentage of Respondents Indicating Interest in BAS-HS 31.4% 21.2% Beginning 2010, when the entry level requirement for the Physician Assistant profession will be the baccalaureate degree, it is expected that interest in the BAS-HS, PA will increase to 100%. The demand for Physician Assistants in Miami-Dade County results in more applicants each year than student openings for acceptance into the current Miami Dade College AS PA program. For the class of 2008, there were 325 applicants for the 50 student openings. Table 12 demonstrates the number of openings, the percentage of students completing the associate degree level from the MDC Physician Assistant program and the highest degree earned. As shown in Table 12, students have a diverse educational background and 52.5% (21) of the 2007 AS PA graduating class earned a baccalaureate or higher degree in some other area prior to entering the associate level program and would have chosen a higher degree program had it been available at MDC. For the 2007 graduating class, levels of highest degree earned prior to obtaining the AS PA degree included four (4) MDs, one (1) Ph.D., three (3) Master’s, and thirteen (13) BS/BS degrees. In 2010, when accrediting criteria raise the minimum degree requirements to the baccalaureate level, it is expected that previous AS degree graduates will return to complete the BAS-HS, PA degree for professional growth and development and to be competitive for workforce advancement. 2 0 1 17 14 2 8 0 1 9 15 7 3 0 2 15 14 14 1 0 0 13 8 12 4 1 0 9 10 12 2007 2006 36 34 40 32 2007 34 29 2006 2005 2004 2003 2002 2001 6 0 3 8 13 6 48 44 2005 2 0 0 9 7 6 40 29 2004 Medical Degree (M.D.) Ph.D. Master’s Degree BS/BA AA/AS No degree 36 33 2003 Highest Degree Earned 36 35 2002 24 24 2000 Original Enrollment/Openings Graduated 2001 Graduating Class 2000 Table 12: Degrees Earned by AS PA Graduates prior to entrance to AS PA program 4 1 3 13 10 12 As reflected in Table 13, there is a significant paucity of baccalaureate level Physician Assistant programs nationwide (21) and of the four schools in the State of Florida offering accredited Physician Assistant programs (Barry University, Nova Southeastern, University of Florida and Miami Dade College), only Nova Southeastern and Barry currently offer a PA baccalaureate. Although it did not offer an accredited PA program, Florida International University (FIU) did offer a Bachelor of Health Science until 2008, when it was terminated. Consequently, the addition of the proposed MDC BAS with a major in Health Science will fill a void in Region 23. As previously noted, MDC has a large applicant pool and upon approval of Miami Dade College BAS-Health Science, Physician Assistant Studies Page 14 of 93 the proposed MDC BAS-HS, PA option, Miami Dade College would provide an additional educational opportunity to meet Region 23 workforce needs. Table 13: Highest credentials awarded by institutions nationally, upon completion of a Physician Assistant Program Credential awarded by institution for completion of PA Number of Institutions program Certificate Only 5 Associate AA/AS* 3 Baccalaureate BA/BS 21 Master’s 110 * Note: ARC-PA accreditation will phase-out for Associate-level programs in 2010. (ARC-PA, 2007) Affordable Access Miami Dade College, as one of only four institutions in the State to award an accredited Physician Assistant degree, currently offers the least expensive PA program in the State of Florida. As noted in Table 14, and supported by correspondence received for the Economic Opportunity Family Health Center, the addition of bachelor degrees “would provide an opportunity for low income students to further their careers”. The MDC proposal will provide a more cost effective option for students seeking a BAS-HS in PA Studies than any other PA program in the State. Table 14: Comparison of Florida Physician Assistant Program Tuition Miami Dade College University of Florida Nova Southeastern University Barry University $19,262 $25, 213 $52,360 $55,046 Employment of MDC Graduated Physician Assistants According to MDC Medical Center Physician Assistant program data (Table 15), eighty-five (85%) of the licensed graduates from the Miami Dade College Associate of Science PA program are employed within nine months, and ninety-eight (98%) are employed within nine months. Of those employed, eighty-five (85%) of graduates are employed within Region 23 and eightyseven (87%) are employed within the State of Florida. It is expected that these trends will continue with the implementation of the BAS-HS. Table 15: 2005-2006 Allied Health Graduates’ Placement Status (Physician Assistant) 6 Month = 85% 9 Months = 98% Miami Dade College BAS-Health Science, Physician Assistant Studies Page 15 of 93 As noted below, local physicians are supportive of a baccalaureate level Physician Assistant program (Appendix 3) and endorse the BAS-HS, PA proposal: Dr. Arnold Oper, Medical Director of Family Medicine wrote “By transitioning to a baccalaureate program, our PA students will be eligible for scholarships, grants and loans not otherwise available for students in an associate program. The graduates will also be more competitive in the marketplace when they have a degree commensurate with the level of training received at Miami Dade. Of the four PA programs in Florida, Miami Dade College has graduated the most “local” students than any other program in Florida that would otherwise never have had the opportunity to attend a PA program”. Institution contact In compliance with the State Board of Education Baccalaureate Program Proposal for Community Colleges guidelines, Dr. Norma Martin Goonen, Provost, Academic and Student Affairs, Miami Dade College, notified local higher education institutions of Miami Dade College's intent to submit baccalaureate program proposals to the State Board in September 2008 (Appendix 2). Florida International University and University of Miami (neither of which offer the option in Physician Assistant Studies) were provided with a copy of the curriculum guide and a summary of the proposed Bachelor of Applied Science with a major in Health Science with an Option in Physician Assistant Studies. As of the submission date of this proposal, there has been no response to the correspondence. D. Alignment with K-20 Goals and Strategic Imperatives The Florida Department of Education (LDOE) K-20 Strategic Plan Mission states: “The Strategic Plan of the State Board of Education is structured around priorities, objectives and projects that target meeting and exceeding Florida's state education mission and goals.” Mission: "Increase the proficiency of all students within one seamless, efficient system, by allowing them the opportunity to expand their knowledge and skills through learning opportunities and research valued by students, parents, and communities.” Goals: 1. Highest Student Achievement 2. Seamless Articulation and Maximum Access 3. Skilled Workforce and Economic Development 4. Quality Efficient Services The proposed MDC BAS-HS will align with the goals and imperatives in the following ways: 1. Highest Student Achievement. The proposed BAS-HS program encourages high student achievement and performance at all levels and consistently applies academic and training standards as required by the Southern Association of Colleges and Schools Commission on Colleges. In addition, the PA Studies option will meet accrediting requirements as set by the Accreditation Review Commission for Physician Assistant (ARC-PA). 2. Seamless Articulation and Maximum Access. The proposed BA-HS will utilize the education resources of the K-20 system. The educational and training opportunities may begin immediately after high school with a student enrolling in the MDC School of Allied Health Technologies. Successful completion of the Associate in Science degree in the Physician Assistant program will allow enrollment in the proposed BAS-HS program, PA Studies, culminating in a BAS-HS degree. Students will receive the full range of articulation and transfer Miami Dade College BAS-Health Science, Physician Assistant Studies Page 16 of 93 rights guaranteed by the Florida Statewide Course Numbering System (SCNS) and statewide articulation agreements. Maximum access is a cornerstone of the Mission statement for Miami Dade College. “The mission of Miami Dade College is to provide accessible, affordable, high quality education by keeping the learner’s needs at the center of decision-making and working in partnership with its dynamic, multicultural community MDC meets the challenges of increasing rates of learning and completion at all levels by utilizing proven multiple and varied academic student support services. Almost half of the enrolled student population at MDC (49%) receive some form of Financial Aid (MDC Institutional Research, June, 2008). As previously noted in Table 14, MDC currently offers the least expensive Physician Assistant program in the State of Florida and can provide a more affordable option for students seeking a BAS-HS in PA Studies than any other PA program in Florida. The proposed BAS-HS program combines the theoretical with practice-based courses and is designed to provide students with additional job readiness skills. MDC courses are in compliance with the State Common Prerequisites, articulation agreements and degree transferability. Currently, MDC has an articulation agreement (Appendix 7) with Nova Southeastern University (NSU) that allows graduates of the MDC Associate in Science Physician Assistant program the opportunity to obtain an on-line baccalaureate degree (Bachelor of Health Science) completion program that is accredited by the Southern Association of Colleges and Schools. After 2010, however, the agreement will no longer have validity due to the requirement by the professional accrediting agency (ARC-PA), that the sponsoring institution (MDC) must award Physician Assistant graduates a baccalaureate degree or higher. MDC administrators have begun discussions with Nova Southeastern University for an articulated Master’s degree in Physician Assistant Studies upon approval of the BAS-HS. 3. Skilled Workforce and Economic Development Miami Dade College endeavors to meet the diversified workforce needs of the community and agencies in its service region by offering affordable and accessible opportunities for higher education. The majority of MDC students are place-bound due to transportation and financial issues. MDC also provides higher education opportunities for South Florida residents by enrolling and graduating more minority students than any other institution of higher education in the nation (MDC, IR, 2008) and consequently, MDC has the potential to provide healthcare agencies with a pool of culturally diverse PAs prepared for positions in community-based, local, state, or federal agencies, and other healthcare facilities, or to prepare for PA faculty positions if enrolling in Master of Science in Physician Assistant Studies programs. As noted previously in Table 15, according to the 2005-2006 Allied Health Graduates’ Placement Status data, MDC graduated thirty-one PA students who have a 85% employment rate six months after graduation (Institutional Research 2007) and a 98% employment rate (PA Program, MDC 2008) nine months after graduation. 4. Quality Efficient Services The proposed BAS-HS degree program will provide high quality and efficient services by utilizing existing Miami Dade College resources and services including those affiliated with the existing AS-PA program. Applications for admission and registration services will be processed utilizing Miami Dade College’s existing systems within the Offices of the Registrar and Admissions. Admission requirements will conform to established MDC policy and Florida statutes and rules. The MDC comprehensive student support services will be available to all BAS-HS degree students, including peer and faculty tutoring, collaborative learning, service learning, learning communities, and simulated learning situations with human patient simulators. Students will also obtain structured health care experiences through affiliation and partnership Miami Dade College BAS-Health Science, Physician Assistant Studies Page 17 of 93 agreements with the 428 health care institutions and agencies throughout Miami-Dade County (Appendix 9). The implementation of the proposed BAS-HS will align with the Florida Department of Education K-20 Strategic Plan supporting workforce healthcare education programs with the skill requirements and entry level qualifications of the market place. The implementation of the Bachelor of Applied Science with a major in Health Science with an Option in Physician Assistant Studies will help bridge gaps in healthcare workforce shortages by providing students with specialized skills and the educational credentials that are required by national, state, professional and other accreditation agencies. The proposed BAS-HS, PA degree will provide an increased pool of ethnically diverse and culturally competent workforce applicants. Strategic Imperatives In addition to aligning with the Florida Department of Education K-20 Mission and Goal statements, the proposed MDC Bachelor of Applied Science with a major in Health Science with an Option in Physician Assistant Studies degree is designed to align with the Strategic Imperatives as follows: 1. Set, Align, and Apply Academic Curricular and Testing Standards. Students will be required to meet all baccalaureate admission standards, including foreign language, CollegeLevel Academic Skills Test (CLAST) requirements, and minimum grade point averages. The BAS-HS will align course requirements with professional needs and standards to ensure graduates are prepared for admission to graduate programs. In addition, the MDC BAS-HS with an option in PA Studies proposed degree program will meet all standards to attain accreditation from the ARC-PA. 2. Improve Student Rates of Learning. The proposed BAS-HS degree will improve student rates of learning by developing and implementing plans to annually increase: The percentage of AS graduates who enroll in the BAS-HS. The retention rates of BAS-HS. The completion rates of the BAS-HS. Diverse teaching methods through technology. 3. Improve the Quality of Instructional Leadership. The intent of the proposed BAS-HS degree is to provide an affordable, efficient, seamless, workforce-driven baccalaureate degree. The proposed BAS-HS with an Option in PA Studies degree will include medical knowledge and skills, the teaching of multi-cultural healthcare clients, leadership and management strategies, research approaches that address health care issues, and alternative medicine knowledge (Table 17, Course Descriptions). Additionally, theories of community empowerment, care of communities for health promotion and culturally congruent therapeutic care of acute and chronic conditions will be provided. The BAS-HS in PA Studies is recognized as the basic level from which PAs may enter graduate programs that provide the requisite quality of instructional leadership skills for PA faculty. The proposed BAS-HS with an Option in PA Studies degree is designed to provide graduates with a combination of classroom knowledge and practical applied strategies that may consequently impact the quality of leadership within the PA and healthcare professions. 4. Increase the Quantity and Improve the Quality of Education Options. The proposed BAS-HS degree increases the educational options and workforce opportunities for prospective students within the region by providing the opportunity for a high quality, seamless, workforcedriven degree that adds to the educational options at MDC. The proposed BAS-HS with an Option in PA Studies is designed to provide the graduate with the skills and abilities to handle Miami Dade College BAS-Health Science, Physician Assistant Studies Page 18 of 93 the increasing responsibilities, and critical thinking required of professionals in a global community. Region 23 students enrolling in the proposed BAS-HS in PA Studies degree program will obtain the skills and abilities to provide competent care to patients and to work with communities to improve the health of their community members. 5. Align Financial Resources with Performance. MDC will provide advisory committees with information regarding accountability measures and processes. Recruitment and retention of students will be monitored to ensure that student learning and educational needs are met. The annual budget process, the annual School of Allied Health Technologies Annual Report and the five-year program review process all contain evaluative measures and benchmarks that assess effectiveness. 6. Coordinate Efforts to Improve Higher Student Learning. MDC will continue to utilize its existing articulation and access plans and will facilitate new agreements as appropriate. Academic student advising will be coordinated to ensure that students progress toward baccalaureate degree completion in a timely manner. The proposed Miami Dade College BAS-HS degree will align with the FLDOE Mission Statement and Goals by providing a seamless, workforce-driven, efficient, and cost-effective education that meets FLDOE strategic imperatives. E. Academic Content and Curriculum Program Title / Degree C.I.P. Code Department General Education Requirements Total Credits Common Course Pre-requisites Bachelor of Applied Science with a major in Health Science with an Option in Physician Assistant Studies 51.0000 (Health Sciences, Track 5) School of Allied Health Technologies 36 credit hours 130 The Physician Assistant concentration requires an associate's degree in the health profession practitioner content area and possession of license, certification, or registration in the Physician Assistant health profession. Program Location: School of Allied Health Technologies, Medical Center Campus, Miami Dade College Degree Description: The Bachelor of Applied Science in Health Science (the baccalaureate “umbrella”) provides the entry level skills to specific allied health professions and is designed to supplement the workforce-specific skills that are inherent in the associate degree program. The curriculum provides an interdisciplinary approach to healthcare practice by providing practitioners with specific health delivery system and patient management strategies which include medical knowledge and skills, the teaching of multi-cultural healthcare clients, leadership and management strategies, research approaches that address health care issues, and alternative medicine knowledge (Table 17, Course Descriptions). Students will complete course work in basic sciences, general studies, discipline specific medical skills, and have the opportunity to expand their knowledge by participating in structured clinical experiences. Upper-division Miami Dade College BAS-Health Science, Physician Assistant Studies Page 19 of 93 coursework is carefully designed so that associate degree graduates will be able to build upon the practical knowledge obtained at the associate level. All baccalaureate graduates will have a firm foundational understanding of health care and have exposure to critical issues that confront practitioners, managers and instructors in selected health-related professions. Program Description: The Bachelor of Applied Science with a major in Health Science with an Option in Physician Assistant Studies (concentration) consists of 130 total semester credits which incorporate AA and AS lower division coursework. Students will complete course work in basic sciences, general studies, clinical medicine, history, and physical examination techniques, surgical, clinical and practice management skills. Students will be provided with opportunities to develop discipline-specific medical skills and to expand their knowledge by participating in structured clinical experiences under the supervision of Physician Assistants and physicians. In order to provide students with a broad range of clinical experience, the program will utilize the existing 428 Miami Dade College Medical Center Campus clinical affiliates which include hospitals, primary care centers, and free standing clinical settings throughout South Florida (Appendix 9). Curriculum Plan The proposed Bachelor of Applied Science with a major in Health Science is an umbrella degree designed to build on the lower division Associate in Science degree in a variety of health professional programs. The first option submitted for approval is the BAS-HS with an Option in Physician Assistant Studies. Other program options that may follow in future years could potentially include Clinical Laboratory Sciences, Radiology and Respiratory Care. The following goals of the proposed Bachelor of Applied Science with a major in Health Science are fundamental in addressing healthcare work force needs and demands: 1. Prepare “market-ready” health profession graduates at the baccalaureate level. 2. Curtail workforce shortages by meeting current and future employer needs. 3. Increase the number of minority graduates in healthcare disciplines at the baccalaureate level. 4. Provide a career path for preceptors, clinical practitioners/supervisors, and adjunct faculty to package their clinical expertise in an educational framework. 5. Comply with program accreditation requirements as set out by the individual professional accreditation agencies (e.g., ARC-PA). For the Option in Physician Assistant Studies concentration, the proposed curriculum includes thirty-six (36) semester hours of General Education, eight (8) semester hours of Lower Division Natural Science core, fifty-six (56) hours of PA course work, and thirty (30) hours of upper division coursework. The upper division courses are divided into eighteen (18) hours of interdisciplinary coursework which focuses on teaching skills, client education, leadership, management, research design and alternative medicine strategies and twelve (12) disciplinespecific Advanced Physician Assistant credit hours. (Table 17, Course Descriptions). Upper division courses are designed to enhance and develop the health professional’s skills as leaders, educators, and to assist them in becoming more effective in the current interdisciplinary clinical setting as well as improving the delivery of quality health care in a complex global health care environment. To comply with current associate-level accreditation standards, the MDC AS-PA degree consists of eighty-eight (88) semester hours. In 2010, when the PA program accreditation will require a minimum of a baccalaureate degree, the BAS-HS curriculum will be reviewed for consistency with the state-approved 120 required credits for baccalaureate degrees. Miami Dade College BAS-Health Science, Physician Assistant Studies Page 20 of 93 Table 16: Bachelor of Applied Science with a major in Health Science with an Option in Physician Assistant Studies Curriculum Guide LOWER DIVISION REQUIREMENTS Course Course Title General Education: Communications – 6 Credits Required ENC 1101 English Composition 1 (Recommended) ENC 1102 English Composition 2 Oral Communication – 3 Credits Required SPC 1026 Fundamentals of Speech Comm. (Recommended) Humanities – 6 Credits Required Group A Choose 3 credit hours from Group A AND Group B – PHI 2604 Critical Thinking/Ethics (Recommended) Behavioral and Social Science – 6 Credits Required Group A – CLP 1006 Psychology of Personal Effectiveness (Recommended) AND Group B – Choose 3 credit hours from Group B Natural Science – 6 Credits Required Group A BSC 2085 Human Anatomy & Physiology 1 (Recommended) AND Group B – CHM 1033 Chemistry for Health Sciences (Recommended) Mathematics – 6 Credits Required MAC 1105 College Algebra STA 2023 Statistical Methods (Recommended) General Education Elective – 3 Credits Required MCB 2010L Microbiology Lab (Recommended) BSC 2085L Human Anatomy & Physiology 1 (Recommended) Credits 3 3 Pre-Req ENC 1101 3 3 3 Pre-Req ENC 1102 3 3 3 Co-Req BSC 2085L 3 Co-Req CHM 1033L 3 3 2 Co-Req MCB 2010L 1 Co-Req BSC 2085 LOWER DIVISION NATURAL SCIENCE CORE 8 Credits Required Course Course Title Credits BSC 2086 Human Anatomy and Physiology 2 3 BSC 2086L Human Anat and Physiology 2 Lab 1 MCB 2010 Microbiology 3 CHM 1033L Chemistry for Health Science Lab 1 Miami Dade College BAS-Health Science, Physician Assistant Studies Page 21 of 93 Pre-/Co-Requisites Pre-/Co-Requisites Co-Req BSC 2086L Co-Req BSC 2086 Co-Req MCB 2010 Co-Req CHM 1033 LOWER DIVISION DISCIPLINE PA SPECIFIC REQUIREMENTS- 56 Credits PAS 1800C Physical Diagnosis I 2 PAS 1812 Behavioral &Community Medicine I 1 PAS 1831 Clinical & Diagnostic Imaging 1 PAS 1823 Principles of Pharmacology I 2 PAS 1822C Electrocardiography/Cardiology 2 PAS 1813 Pathophysio Phys of Disease I 2 PAS 1801C Physical Diagnosis II 2 PAS 1821 Behavioral & Community Medicine II 1 PAS 1811 Introduction to Medicine I 5 PAS 1830 Pharmacotherapeutics 4 PAS 1824 Pathophysio Basis of Disease II 2 PAS 1820 Introduction to Medicine II 5 PAS 1810C Surgical Problems and Procedures 5 PAS 2841L Geriatrics 2 PAS 2842L Psychiatry 2 PAS 2866L Family Medicine 4 PAS 2840L Internal Medicine 4 PAS 2860L Pediatrics 2 PAS 2870L Obstetrics/Gynecology 2 PAS 2850L Surgery 4 PAS 2876L Emergency Medicine 2 UPPER DIVISION COURSES – 30 Credits Required Interdisciplinary Core- 18 credits HSC 3057 Intro to Research Meth in Healthcare 3 HSC 3701 Leadership/Mgmt. Health Prof. 3 HSC 3243 Teaching Skills for Health Prof. 3 HSC 3231 Client Education in Health Care 3 HSC 3720 Alternative Medicine Strategies 3 HSC 4XXX Community Service Learning Pract. 3 Advanced PA Option – 12 credits PAS 4XXX Contemporary Issues Physician Assistant 3 PAS 4XXX Physician Assistant Pract. Manage. 3 PAS 4XXX Physician Assistant Capstone Course 6 General Education Required Courses Lower………………….. Division Natural Science Core…………………………………… Lower Division PA (discipline specific)………………………….. Interdisciplinary Upper Division Core…………………………… Advanced PA Option……………………………………………… TOTAL……………………………………………………………… 36 credit hours 8 credit hours 56 credit hours 18 credit hours 12 credit hours 130 credit hours Computer Competency: By the 16th earned college level credit (excluding EAP and college preparatory courses), a student must take the Computer Competency Test and pass, Or By the 31st earned college level credit (excluding EAP and college preparatory courses), a student must pass CGS 1060, an equivalent continuing education or vocational credit course or retest with a passing score on the Computer Competency Test. Foreign Language: Students admitted to the baccalaureate degree program without meeting the foreign language admission requirement of at least 2 courses (8-10 credit hours) of sequential foreign language at the secondary level or the equivalent of such instruction at the postsecondary level must earn such credits prior to graduation. Miami Dade College BAS-Health Science, Physician Assistant Studies Page 22 of 93 Successful completion of 30 semester hours of upper division (3000-4000) level coursework required. A sequenced Four Year Advisement Plan for the BAH-HS, Option in PA Studies is provided in Appendix 8. Admission Requirements (BAS-HS, PA Studies) Applicants who meet program requirements will be placed into the selection pool. Selection priority will be granted according to the following: An earned AS degree in Physician Assistant Studies from an accredited college. Successful completion of the Physician Assistant National Certifying Examination (PANCE). Cumulative GPA of 2.50, 2.75 in science courses, and 2.50 in Physician Assistant course work. Completed MDC Admission Application. Completed Health Form. Successful completion of a background investigation and a drug screen. Students entering with an AS or AAS degree plus licensure, may need additional General Education coursework to meet the 36 hours of General Education credits required for the baccalaureate degree. Students entering with an AA degree plus PA licensure may need additional electives to provide appropriate background for the baccalaureate program. Note: In 2010, ARC-PA accreditation standards will be activated. The BAS-HS, PA Studies admission criteria will be reviewed at that time to ensure compliance with the accreditation standards required for the profession. Graduation Requirements (BAS-HS, PA Studies) The BAS-HS degree will be awarded to students who meet the following requirements: Successful completion of a minimum of 130 credit hours in acceptable course work required for the BAS-HS with an Option in PA Studies degree Successful completion of the final 30 semester hours at MDC Successful completion (with grade of “C” or higher) of 30 semester hours of upper division (3000-4000 level) course work Computer competency Minimum of a 2.5 cumulative GPA in BAS-HS course work Satisfactory completion of the State of Florida College Level Academic Skills Test (CLAST) or approved alternative Foreign Language: Students admitted to the program without meeting the foreign language admission requirement of at least 2 courses on sequential foreign language (or American Sign Language) at the secondary level or in the equivalent of such instruction at the post secondary level must earn such credits prior to graduation. Course Descriptions Table 17 below contains the course prefixes, numbers and descriptions for the BAS-HS, with an Option in PA Studies. Miami Dade College BAS-Health Science, Physician Assistant Studies Page 23 of 93 Table 17: Upper Division (3000-4000 level) Course Descriptions: HSC 3231 Client Education in Health Care (3 credits) This course focuses on the delivery of client specific health education. The student will learn to develop the attitudes, knowledge, and skills required for successful education of patients. The student will learn to assess curriculum, training objectives, and educational experiences, and serve in the best interest of educating the patient. PAS 4XXX Contemporary Issues for the PA (3credits) In this course the student will examine current issues, challenges, and practices influencing leaders in the field of health care education. The student will learn to use evidenced based medicine to research topics including leadership perspectives on health care education and promotion; the changing nature of health care delivery in the United States; demographic, economic, ethical, and political factors influencing the practice of health education. HSC 3701 HSC 4xxx Leadership and Management in Healthcare (3 credits) Community Service Learning Practicum (3 credits) This is a leadership and management course that will examine leadership as a process with a tri-fold focus: the leader, the followers, and the situation. The student will learn leadership theories and build leadership skills. This course is designed to engage students in meaningful healthcare related community service learning activities. Students will learn to explore new collaborations in service-learning, cultural diversity and community healthcare development. These experiences will help to and prepare them for lives as civically-engaged local, national, and global citizens. HSC 3243 Teaching Skills for Health Care (3 credits) This course emphasizes significant problems instructors have related to content and design of curricula or courses. Students will learn the theoretical underpinnings of teaching and learning in health science disciplines from a variety of perspectives – educational, psychological, developmental, and social. PAS 4xxx HSC 3720 Alternative Medicine Strategies (3 credits) This course will introduce students to new approaches to health and healing. The student will learn the various medicines practiced around the world, collectively referred to as complementary and alternative medicines (CAM). Students will learn epidemiology, usage, and terminology specific to these practices. HSC 3057 Introduction to Research Methods in Health Care (3 credits) This course will provide an overview of research methods used in healthcare. Students will learn the use of effective inquiry through research strategies that address healthcare issues with logical and observational rigor. Students will learn the rudiments relative to the evaluation of research literature, research design and the application of research methods to the clinical setting. PAS 4xxx Physician Assistant Capstone Course (6 credits) This is an experiential course that incorporates all the learning competencies of the BAS-HS with an option in PA courses. The student will learn to apply the knowledge, skills and abilities they have garnered throughout the program by identifying, researching and presenting a current challenge or trend in healthcare. Miami Dade College BAS-Health Science, Physician Assistant Studies Page 24 of 93 Physician Assistant Practice Management (3 credits) This course is designed to assist the PA in understanding and applying the principles of management to a primary care practice. Students will learn the basic concepts of managing the patient/client, the office and a medical team. Program Learning Outcomes for the Bachelor of Applied Science with a major in Health Science The Miami Dade College proposed BAS-HS umbrella degree will prepare students to meet the following program outcomes: 1. High quality education and training opportunities in primary care settings for students interested in providing health care services to medically under-served residents in urban and rural communities. 2. Promotion and maintenance of high academic and professional standards. 3. Participation in professional activities and continuing education to promote life-long learning. 4. A level of didactic and clinical competence that provides for successful entry into the healthcare profession. Program Learning Outcomes for the BAS-HS with an Option in Physician Assistant Studies Upon completion of the proposed BAS-HS with an Option in PA Studies degree, graduates will be expected to demonstrate the outcomes of the BAS-HS umbrella degree listed above and the following Physician Assistant Studies concentration-related outcomes: 1. Integration of theoretical and scientific knowledge from PA and related disciplines to provide quality, culturally competent healthcare to multi-cultural clients and communities. 2. Application of appropriate evidence-based findings and research to change and improve PA practice. 3. Analysis of management theories and concepts from PA and related disciplines in professional PA practice. 4. Analysis of current ethical, legal, and socio-economic issues and trends to develop unique PA strategies to improve the healthcare delivery. 5. Utilization of professionalism, communication, interdisciplinary collaboration to develop instructional goals and objectives for diverse populations in a rapidly changing, global environment. 6. Examination of strategies to design and implement community service activities using principles of community health. 7. Integration of alternative medicine strategies with professional PA knowledge, abilities and skills in the provision of complex and unique PA care to a variety of diverse populations. 8. A commitment to life-long learning to enhance critical thinking and professional values and behaviors in professional PA care. Current Clinical Affiliations: Miami Dade College has developed extensive education-practice partnerships with healthcare institutions and agencies throughout South Florida. The Medical Center Campus has 428 partnerships and affiliation agreements with health care agencies such as hospitals (e.g. Baptist, Mercy, Jackson Memorial, Kendall Regional, and Mt. Sinai Hospitals), community health agencies, centers, clinics, long term care centers, nursing homes, and others (Appendix 9). The current Associate in Science PA program has affiliation agreements with health care facilities throughout the service community and it is expected the number will continue to increase as the program expands and health related organizations and businesses seek to develop relationships with the program. The numbers of affiliation agreements are more than adequate to support the baccalaureate program. Miami Dade College BAS-Health Science, Physician Assistant Studies Page 25 of 93 Justification for Exemption to Policy of 120 Maximum Credit Hours: To comply with current associate-level accreditation standards (ARC-PA) and State of Florida criteria for baccalaureate programs (i.e., 36 semester hours of General Education), the minimum number of credit hours required to complete the proposed Bachelor of Applied Science with a major in Health Science, with an Option in Physician Assistant Studies is 130 credit hours. In 2010, when the PA program accreditation requirements are activated, the BASHS curriculum will be reviewed for consistency with the state-approved 120 required credits for baccalaureate degrees. F. Assessment of Current and Anticipated Resources to Deliver the Program Miami Dade College Medical Campus has an assortment of resources, including a large library, state of the art medical instruction equipment, human patient simulators, and a variety of student services. A detailed narrative for current and anticipated resources is provided in Table 18. Table 18: Summary of Current and Anticipated Resources to Implement the BAS-HS Program Resource Instructional Library Resources Current Resources Faculty for Associate Science PA program. Total book collection: 9,539 Approximately 3,994 multimedia resources and 99 Journal titles. On-line databases including CINAHL, Medline, Thomson Healthcare Series, Bates Physical Examination Series, Physicians Desk Reference, and others. Miami Dade College BAS-Health Science, Physician Assistant Studies Page 26 of 93 Anticipated Additional Resources Needed 2 Full time faculty 1 part time faculty Faculty Support- lab assistant. New baccalaureate level book collection for theory, community, leadership and management and research in Allied Health. New Online resources to include baccalaureate-level databases such as Ovid and Proquest for full-text articles available 24/7. Resources to update and classify new material. Increased Library Support staff hours. Instructional Centers and Equipment Computer Learning Center. Human Patient Simulator. Student Success Center. Career Center. Student Center. Space Clinical Sites Operating Expenses Capital Outlay Electronic and traditional classrooms. Clinical Laboratory Library and Information Resource Center with multimedia stations, full wireless connectivity, group study rooms, reading rooms and a quiet study area. Over 428 clinical sites. Close proximity to 3 local hospitals and several clinics. Library support, academic administration, IT support, travel, materials, Student Services support. Professional services support, Student recruiter. Accreditation expenses Library Capital outlay for equipment updates. Three new computers with updated software. Online course development resources. PT Lab Assistant Renovated laboratory facilities. Two office spaces for new faculty. Additional Information Resource Center. Additional Shelving space for multimedia and book titles. Clinical sites that allow research, management and community service. Resources to increase operating expenses in Academic administration, materials, supplies, travel, student services, professional services, accreditation, support services. Library Resources Information Technology equipment. Other equipment. Facilities/Renovation. Instructional Resources: The current Associate in Science Physician Assistant Program has a Program Director, a Medical Director, five teaching faculty, and a Student Services assistant. Three of the personnel are medical doctors (Appendix 10, Faculty Listing). The proposed BAS-HS PA Studies program will require the addition of a minimum of 2 full-time faculty, 1 part-time faculty, a part-time lab assistant, the use of an instructional designer, and administrative staff support. Miami Dade College BAS-Health Science, Physician Assistant Studies Page 27 of 93 Library Resources: The Library and Information Resource Center of the Medical Center Campus provides students with access to library collections, print and non-print resources, services and facilities in support of the campus’ specialized PA curriculum. Certified medical librarians are available to instruct library clientele in the efficient and effective use of resources. The Medical Center Campus library participates in cooperative services with local, national and international library networks. The collection of resources and services will meet users’ information needs, and reflect advances in information delivery systems. The campus library has multiple learning resources available to support the present AS curriculum. The library has 24 Pentium computers of which 12 are connected to a VHS/DVD machine allowing students the opportunity to view videos, CDs and DVDs. The library also enjoys a wireless environment and there are 17 wireless laptops available to users. The library has 4 group study rooms equipped with state of the art technology including a plasma screen, a computer, a DVD/VHS machine and wireless keyboard and mouse. There is also a seating/reading room with capacity for 60 students and a quiet study area with 27 individual study carrels. The campus library has multiple learning resources available to support the present curriculum. To meet the anticipated academic needs of the baccalaureate degree, the Library resources will need to expand to include magazines, books and media that address the curriculum of the baccalaureate degree. The proposed curriculum includes courses in leadership principles, primary care management practices, healthcare research methods, educational teaching skills, alternative medicine beliefs and applications, community health and current issues that change the role of the healthcare giver. The total library book collection at MDC Medical Center Campus library is approximately 9,539 items in the subject areas of Medicine, Allied Health, and Nursing. There is also a media collection that includes slides, audio cassettes and computer disks. The total Media Collection has 3,994 items on health and medicine (MDC Library, June 2008). The library subscribes to 99 journal titles and to the following medical, nursing and allied health online databases: CINAHL Plus Full Text: provides indexing for over 3000 journals from the fields of allied health and nursing. The database contains more than 1,000,000 records dating back to 1982, offering complete coverage of English-language nursing journals and publications from the National League for Nursing and the American Nurses Association, CINAHL with Full Text covers nursing, biomedicine, health sciences librarianship, alternative/complementary medicine, consumer health and 17 allied health disciplines. Health & Wellness Resource Center: Easy-to-use interface with access to full-text allied health journals, encyclopedias and other reference sources, as well as informational pamphlets. Also includes the Alternative Health suite of resources. Health Reference Center Academic: An advanced interface to the full-text allied health journals found in the Health & Wellness Resource Center. Health Source: Consumer Edition: provides information on many health topics including the medical sciences, food sciences and nutrition, childcare, sports medicine and general health. Health Source: Consumer Edition features searchable full text for nearly 160 journals including Consumer Reports on Health and Men’s Health, as well as abstracts and indexing for nearly 180 general health, nutrition and professional health care publications. Health Source: Nursing/Academic Edition: provides nearly 540 scholarly full text journals focusing on many medical disciplines. Also featured are abstracts and indexing for over 570 journals. Lexi-Comp Online: specifically aimed toward Dental Hygiene students, this database covers drug information, dental office medical emergencies, oral soft tissue and hard tissue diseases, manual of clinical periodontics, lexi-natural products online, clinician's endodontic handbook, and dental office management and practice. Miami Dade College BAS-Health Science, Physician Assistant Studies Page 28 of 93 MEDLINE with Full-Text: Full text for nearly 1,200 journals with coverage dating back to 1965. Authoritative medical information on medicine, nursing, dentistry, veterinary medicine, health care system, and much more. Created by the National Library of Medicine. Search abstracts from over 4,000 current biomedical journals. Nursing and Allied Health Source: Access articles and graphics from more than 270 nursingrelated publications, including Nursing, Nursing Management, RN, American Journal of Sports Medicine, Physical Therapy, and Patient Care Management. Physicians’ Desk Reference: Searchable index of hundreds of drugs and medications. Search by product name, manufacturer, product category, indications, contraindications, side effects, or drug interactions. Includes product photos. PsycArticles: provides full-text, peer-reviewed scholarly and scientific articles in psychology. It contains more than 100,000 articles from 59 journals - 48 published by the American Psychological Association (APA) and 11 from allied organizations. It includes all journal articles, letters to the editor, and errata from each journal. Coverage spans 1894 to present. Thomson Healthcare Series: Access gateway to several Thomson Healthcare products including: MICROMEDEX Health Care, which includes information about drugs, toxicology, diseases, acute care, and alternative medicine; CareNotes System, which provides patients with easy-to-understand information about all aspects of their care, medications, and health; and, the PDR Electronic Library. Library Serials: The Medical Center Campus Library subscribes to 34 periodicals in print. Students, staff, and faculty can access electronic databases 24 hours a day, 7 days a week for full text journal articles, magazine articles, newspaper articles, and full text reference sources. To facilitate usage of the online databases and to make the online materials more user friendly, the Medical Center Library has designed multimedia tutorials on how to login and how to effectively search the databases. These tutorials are available at http://www.mdc.edu/ medical/library/tutorials.htm. To support the needs of a baccalaureate degree, additional resources will be required as defined in the budget (Budget, Appendix 11). In addition to expanded resources, library staff will need to update, classify, catalog, and process new resources. Interlibrary Loan The library can electronically request and receive journal articles and chapters of books in less than 24 hours to respond to the informational needs of users. The library is a member of local, state, and nationwide library consortiums that support the exchange of materials. Instructional Centers and Equipment: A computer learning center with an assigned computer specialist is available to serve the current enrollment and to assist all faculty members with computer software training and implementation as well as strategies to enhance classroom presentations. With the anticipated increased enrollment and upper-division coursework for the proposed BAS-HS, additional computer software and hardware will be necessary. A minimum of three new computers and updated software will be required. Interactive patient management problem-based cases are available to the faculty and the students, and will need to be updated. The addition of online courses is expected to be an important component to the program, and will require additional time and resources for development. The use of the Human Patient Simulator (HPS) is available to faculty and students for regularly scheduled classes as well as for small group or individual sessions. Programs for the HPS need to be updated periodically. The Student Success Center currently provides services to individualize the learning process and promote student success in the development of academic, vocational and personal goals by integrating human and technological based resources that extend beyond the Miami Dade College BAS-Health Science, Physician Assistant Studies Page 29 of 93 classroom arena. Additional staffed hours will be required to administer and support the increased class size and courses for the BAS-HS as detailed in the Budget (Appendix 11). The following facilities are also available at the MDC Medical Center Campus to support the BAS-HS program: The New Student Center: provides prospective MCC students with information on programs. The Center maintains and distributes current information regarding program and careers and directs students to the most appropriate services. The Career Center: assists current MCC students with career strategies such as interviewing and resume skills. The Student Success Center: assists students in developing and achieving their academic, vocational and personal goals by providing computer access, tutoring and supplemental instruction. Housed in the Student Success Center is a state-of-the-art Human Patient Simulator. The simulator is used to demonstrate or provide hands-on skills and knowledge to students during their nursing program via simulated patient scenarios. The Library and Information Resources Center: houses library materials and upto-date resources that support the medically related programs. Budget provisions to keep these resources current will be implemented. SPACE: Classroom, Teaching Laboratory, Office The Medical Center Campus currently has adequate classrooms and laboratories to meet the associate degree program needs; all classrooms are presently equipped with instructional technology. The current Physician Assistant program has laboratory space for the physical diagnosis and clinical skills laboratory sessions. The AS PA faculty and staff, however, share a clinical laboratory on campus with another program that requires renovation (Budget, Appendix 11). Offices will be needed to accommodate two full-time faculty members for the implementation of the BAS-HS degree program. Internship/Clinical Sites MDC Medical Center Campus is adjacent to three local hospitals including Jackson Memorial Hospital, a non-profit, tertiary care hospital, the Veterans Administration Hospital, and the University of Miami Hospital. The campus is also surrounded by multiple clinics and research facilities such as the Bascom Palmer Eye Institute (Number One Eye institute in the US), the Parkinson Institute, the Sylvester Comprehensive Cancer Center, Miami-Dade Public Health Clinics, and the University Of Miami Miller School Of Medicine that can be utilized for upper level course work. In addition, the current Associate in Science PA program currently has 428 affiliation agreements (Appendix 9) with health care facilities throughout the service community, and it is expected that this number will continue to increase as the program expands and health related organizations and businesses seek to develop relationships with the program. Summary The Miami Dade College Medical Center Campus (MCC), a large, modern facility provides students with a variety of excellent classroom, library, media and student oriented resources. The campus is strategically located in an area of several major medical care centers allowing for a wide range of learning experiences and is dedicated to teaching and integrating programs in healthcare treatment. The implementation of the BAS-HS with an Option in PA Studies will provide additional development of Allied Health baccalaureate programs under the umbrella of the BAS-HS, thereby assisting in meeting the healthcare needs of the community and providing an accessible, affordable healthcare education. Miami Dade College BAS-Health Science, Physician Assistant Studies Page 30 of 93 G. Proposed Enrollment, Performance, and Budget Plans Planned Student Enrollment To meet the projected enrollment of 60 students in 2011-2012 (Table 19), and effectively implement the BAS-HS with an option in Physician Assistant Studies, the proposed Budget Plan reflects the following additional resources: two full-time and one part-time faculty, academic administration expenses, additional support staff including the use of an instructional designer, library resources, informational technology equipment, laboratory equipment, renovated laboratory space, and additional offices to accommodate two faculty members and support staff (Appendix 11). Table 19: Proposed Enrollment for BAS-HS – Option PA Studies BAS-HS – Option PA Studies Expected Students Enrolled, Graduated, & Placed Year Enrolled Graduated Placed 2009-10 30 2010-11 45 40 40 2011-12 60 55 55 Budget As noted in Table 20, the proposed Budget Plan estimates implementation costs of $198,197.00, for 2009-2010; $193,197, for 2010-2011, and $287,394 for 2011-2012. A start-up budget for 2008-2009 is estimated at $21,000 for initial library outlay, administrative expenses, materials, supplies and any professional services. Faculty The proposed BAS-HS, PA Studies will require: One full time faculty for 2009-2010 at a salary of $99,197. A second full time faculty for 2011-2012 at a salary of 99,197. A part time lab assistant at a salary of $10,000-20,000 for 2010-2012. A part-time faculty for 2010-2012 at an anticipated salary of $7,000-8,000. Operating Expenses The proposed academic administration, materials, supplies, travel, communication and technology, library support, Student Services, professional support and support services total: $37,000 for 2009-2010 $42,000 for 2010-2011 $47,000 for 2011-2012 Capital Outlay The projected budget for Capital Outlay includes: Library resources to include hardware, software, and updating current resources: $25,000 for 2009-2010 $10,000 for 2010-2011 $ 2,000 for 2011-2012 Information Technology and Other Equipment expenditures will include equipment and software necessary for the teaching and learning by students and faculty. The cost is estimated at: $17,000 for 2001-2010 $15,000 for 2010-2011 $10,000 for 2011-1012 Miami Dade College BAS-Health Science, Physician Assistant Studies Page 31 of 93 Facilities/Renovation cost is estimated at: $10,000 for 2009-2010 $ 5,000 for 2010-2011 $ 2,000 for 2011-2012 An overview of the operating costs is located in Table 20 (Budget, Appendix 11). TABLE 20: Summary of Operating Costs and Available Funds for years 2009-2012 2009-2010 2010-2011 2011-2012 Resources Cost Cost Cost Instructional + $109,197.00 +$121,197.00 $226,394.00 Operating expenses 37,000.00 42,000.00 47,000.00 Capital Outlay 52,000.00 30,000.00 14,000.00 TOTAL $198,197.00 $193,197.00 $287,394.00 Grants and Fees Total Deficit Total Funds Available - $198,197.00 0 $198,197.00 - $193,197.00 0 193,197 - $287,394.00 0 $287,394.00 Sources of Funds Miami Dade College will utilize four revenue streams to implement and expand the proposed BAS/HS option PA studies Program. State funding- will provide a $3,657.00 subsidy for each FTE student credit hour. Baccalaureate Degree Grants - $21, 942 from 2009-2012 Resident Student Fee -$15,615 2009-2012 Cost per upper division credit hour at MDC is $86.75 for the 2008-2009 academic year. Projected Costs versus Funds: The annual projected costs for the BAS-HS PA option program will match the annual projected funds. H. Accreditation Plan Miami Dade College is currently a Level 2 educational institution, accredited by the Southern Association of Colleges and Schools (SACS), Commission on Colleges. The Physician Assistant associate degree program is accredited by the Accreditation Review Commission on Education for the Physician Assistant (ARC-PA). In 2010, the proposed entry level requirement for the Physician Assistant profession will require a baccalaureate degree, as outlined in section A1.01 of the Accreditation Review Commission on Education for the Physician Assistant (ARC-PA). The document states that: “the sponsoring institution must be accredited by a recognized regional or specialized and professional accrediting agency to award graduates of the Physician Assistant program a baccalaureate or higher degree.” The proposed BAS-HS with an Option in Physician Assistant Studies degree will comply with the 2010 accreditation mandate and will add a new educational option for Region 23 that provides quality, accessible, and affordable health sciences education at the baccalaureate level. Miami Dade College BAS-Health Science, Physician Assistant Studies Page 32 of 93 I. Plan of Action in Case of Termination As mandated by the State Board of Education, Miami Dade College will demonstrate diligence to individual student needs in the event of program termination and will enact an approved degree completion plan to enable eligible students to complete the appropriate BASHS with an Option in PA Studies program coursework no later than two academic years following the termination decision. The BAS-HS, PA program will provide transition services to students, including a transition educational plan outlining coursework and program options for program completion and will ensure that the program will remain open and provide “train-out” options to allow eligible students currently enrolled to complete graduation requirements. The plan will be comprised of courses based on an individual student review, with transfer and advising assistance provided. MDC will maintain transcripts of BAS-HS, PA Studies students and program graduates in accordance with MDC policies and procedures and will maintain and archive the BAS-HS with an Option in PA Studies course descriptions and representative course syllabi. Every effort to serve the interests of affected students will be observed in the event of program termination. Miami Dade College will adhere to the stipulations as mandated by the State Board of Education regarding its monitoring of the program implementation through annual reviews. All educational programs at MDC are reviewed on a five-year cycle and follow established operational procedures for college-wide evaluation (Appendix 12). Following this process, MDC develops program recommendations to continue, modify, or discontinue specific programs. This same procedure would be followed in case of program termination. MDC academic programs are to be reviewed on a five year cycle. Each program review will address five areas: 1. 2. 3. 4. 5. Program viability Program goals and rationale Outcomes assessment Program resources and support Program strengths/opportunities for improvement Proposal Implementation Implementation is planned for January, 2010 and upon State Board of Education (SBE) approval of the proposed Miami Dade College BAS-HS with an Option in PA Studies program, a Memorandum of Agreement (MOA) will be developed listing the criteria for initial release of funds, and for continuing program approval as stipulated by the State. Upon approval, the MOA will be signed by the Miami Dade College President and the Commissioner on behalf of the SBE. Funding, as determined by the Commissioner, approved by the SBE, and specified in the MOA, will be released upon receipt of the signed MOA. Terms and Conditions of Program Continuation As indicated in the Miami Dade College Program Review Policy (Appendix 12), MDC will adhere to all requirements as stipulated in the MOA. MDC values a systematic approach to decision making and assessment of program effectiveness and is in compliance with Florida Statute 1001.03 (13) regarding a cyclic review of post-secondary academic programs. MDC will provide data required by the Chancellor of Community Colleges and Workforce Education and the Chancellor, Board of Governors, and revisions to budget information (such as FTE, faculty hires, etc.), as appropriate. Miami Dade College understands that continued funding will be based upon performance specified in annual reports and dependent on Legislative funding. Once the program is established, continued funding will be provided via the upper-division funding model approved by the Legislature. Miami Dade College BAS-Health Science, Physician Assistant Studies Page 33 of 93 REFERENCES AAPA Physician Assistant Census Report, 2002 Accreditation Review Commission on Education for the Physician Assistant (ARC-PA) Allied Health Reinvestment Act (S. 2491, http://cantwell.senate.gov/news/record, retrieved February 5, 2008 American Hospital Association, Health and Hospital Trends, 2006 Bureau of Labor Statistics, U.S. Department of Labor, Occupational Outlook Handbook, 200607 Edition, Physician Assistants on the Internet at http://www.bls.gov/oco/ocos096.htm, retrieved December 06, 2007) Bureau of Labor Statistics, Occupational Outlook Handbook, 2006 Choices Planned of Bridges Transitions Inc., 2005 Community College Week, Top Producers of Associate Degrees, June 20, 2008. Florida Research and Economic Data Base, http://fred.labormarketinfo.com retrieved 12/6/2007 Health and Hospital Trends, 2006 MDC Physician Assistant Accreditation Self Study, 2005 MDC Physician Assistant Committee, 2002, and AAPA, 2005 MDC Office of Institutional Research: http://www.mdc.edu/ir/datapages/Gradrpt.pdf Miami Dade College BAS-Health Science, Physician Assistant Studies Page 34 of 93 Appendix 1 Force Field Summaries Critical issues The Force Field Analysis process identified critical issues that present opportunities and or challenges that the School must address. Facilitating Forces: The SAHT faculty, staff, and administration are dedicated and committed to working well as a team. Excellent student/instructor relations result in positive student and program outcomes. Excellent community reputation. Variety of clinical sites that provide high quality experiential learning. Programs provide a multiplicity of volunteer services to the community Inhibiting Forces: Lack of laboratory and classroom space to facilitate growing class size and accreditation requirements. The growing need for additional full-time faculty and academic support to some programs. The critical need for Baccalaureate program in Allied Health. Inadequate budgets to support academic programs. Significant advances in technology have increased the need for newer equipment and improved technology required for training students and hence a qualified labor force. There is a need to align academic programs with favorable industry trends. Increases in the number ESL students in the health professions give rise for the need to adapt curricula and explore new teaching/learning styles, as well as, new student and academic support services to serve this expanded population. RECOMMENDATIONS/STRATEGIC DIRECTIONS GOAL # 1 Technology in Learning – The School will expand access in technology to foster individual learning, global access, and enhance didactic experiences for students. Objectives: 1. To increase the development of instructional pedagogies by 10% for the online delivery of courses/programs by the year 2008. Outcomes: a. Faculty from each discipline has attended the CT&D Seminar for developing on-line courses and web enhanced courses. b. Selected faculty has started the development of on-line courses and web enhanced courses. Miami Dade College BAS-Health Science, Physician Assistant Studies Page 35 of 93 2. To develop a plan that will increase the number of leading-edge technology in all program laboratory and classrooms by year 2010. Outcomes: a. Department Chairs have completed an assessment of all laboratories. A Technology/Equipment Plan for each cluster was developed and submitted to the Academic Dean for review. b. The School has submitted to the Academic Dean a comprehensive plan for new programs and program expansion. This plan was developed to provide initial justification for the proposed new building on the Student parking lot. c. Specific programs (EMS, MLT, DEH) have procured some new equipment. d. The Radiological Sciences program has submitted a plan for live x-ray in the laboratories GOAL # 2 Strategic Management - The School will revise and or implement learning-centered activities aimed at improving student learning outcomes and enhancing professional development and training for faculty and staff. Begin development of plans for bachelor level programs. Objectives: 1. To expose faculty to professional development programs that explore new learning styles to meet the needs of students, investigate development of a bachelor level programs, while strengthening recruitment, and the retention and graduation rates of programs. Outcomes: a. This academic year an increased number of faculty was able to travel to professional development meetings and seminars b. Each program cluster developed and implemented a plan for enhancing graduation rates. 2. Realign programs with similar laboratory/classroom space to facilitate dual usage and shared interdisciplinary teaching among faculty. 3. To build its own reserve against revenue shortfalls, unanticipated expenditures, and maintain an effective budgeting resource allocation plan by exploring “fee for service” clinics. 4. Through a comprehensive program review process, the School will assess the need for baccalaureate and associate level full-time faculty and additional academic support, Outcomes: a. An assessment of the need for full-time faculty was done for each discipline. The School was awarded two new full-time faculty positions. b. Plans for bachelor level programs discussed. Miami Dade College BAS-Health Science, Physician Assistant Studies Page 36 of 93 GOAL # 3 Strategic Partnerships - The School will take a proactive approach to establishing relationships/partnerships with business and industry and to assist with community development; provide workforce training; increase multiple learning opportunities for students; and seek to increase revenue through contractual agreements with the private and public sectors. Objectives: 1. To increase by 15% the number of partnerships in the health care industries by 2008. Outcomes: a. Programs continue to seek new clinical sites in alternative settings b. Several new clinical partnerships have been added this new academic year (PA, MLT, Histology, Phlebotomy, EMS) 2. To increase by 15% the number of existing faculty and administrative staff involvement in community based non-profit organizations by 2008. 3. To become the primary provider of health related continuing education/contract training in Miami Dade County by 2010. GOAL # 4 Innovative Curricula - The School will build on its existing academic programs by developing leading-edge curricula that meet the growing needs of the community. Objectives: 1. Increase by 20% the number of week-end and evening course offerings by year 2008. Outcomes: a. Vision Care, HIM, Paramedics, and MLT have added new evening and week-end course offerings. 2. Increase articulations with Miami Dade Public Schools Health Academies. Outcomes: a. The MLT program has instituted a dual enrollment program for students at Miami Springs High School 3. Explore the addition of 2 new programs by year 2010. Outcome: a. A 5 and 10 year plan was proposed and submitted for new programs and program expansion. GOAL # 5 Enhancing Infrastructure - Since the budget is a formal statement of the School’s future plans, and the formalization of the budgeting process determines organizational success, managers at all levels should be actively involved in the budgeting process. Objectives: 1. Realign program clusters to allow purchasing across similar programs hence diminishing duplication. 2. Increase of base budgets/lab fees to meet the needs of current program expenditures. 3. Insure that dedicated lab fees are collected and distributed in a timely manner. 4. Increase the number of grant proposals submitted. Miami Dade College BAS-Health Science, Physician Assistant Studies Page 37 of 93 Principle of force field 1. In order for change to occur in a system, it must take the form of problem solving. 2. The institution must develop its own process to include all those invested in that unit. 3. The people within the unit must work collaboratively in the process of problem identification and solution. Process 1. The topic: “Improving Your Program” was given to the following groups: faculty, staff, lab managers and administrators within the school. 2. Each group had a brainstorming session listing those facilitating and inhibiting forces as they see them in their department or within the school. 3. After each Force Field Analysis was completed, the list was duplicated and distributed to all participants for their review. 4. The participants then individually rank ordered the list. 5. Results were tallied and the top five facilitating and top five inhibiting forces were identified for each program. 6. Small groups then met to develop strategies for eliminating the inhibiting forces. 7. Two or three strategies for eliminating each of the five inhibiting forces from each program were then reviewed and common problems and solutions were identified by the facilitator. 8. This is the first step in developing your strategic plan. Common threads These are identified ideas that were common to all participants/disciplines/clusters. In addition to the development of baccalaureate level programs, these ideas are organized into threes major headings, organizational effectiveness, leadership effectiveness, and core leadership values. Organizational Effectiveness Technology in Learning Strategic HR Management Strategic Partnerships Expand Infrastructure Innovative Curricula Leadership Effectiveness Relationships Teamwork Operations Performance Core Leadership Values Student Achievement - Attainment of goals/aspirations Freedom - Independence in thought/lifestyle Health - Soundness of body/mind Creativity - Inventive, original and innovative Miami Dade College BAS-Health Science, Physician Assistant Studies Page 38 of 93 Appendix 2: Letter of Intent/ Summary to Institutions Miami Dade College BAS-Health Science, Physician Assistant Studies Page 39 of 93 Miami Dade College BAS-Health Science, Physician Assistant Studies Page 40 of 93 Miami Dade College BAS-Health Science, Physician Assistant Studies Page 41 of 93 Miami Dade College BAS-Health Science, Physician Assistant Studies Page 42 of 93 Miami Dade College BAS-Health Science, Physician Assistant Studies Page 43 of 93 MDC Medical Campus Bachelor of Applied Science Health Science, with an Option in Physician Assistant Studies SUMMARY The Miami Dade College, School of Allied Health Technologies is proposing a Bachelor of Applied Science with a major in Health Science degree (BAS-HS) in specific curricular options. Due to the complexity of the specific health professions’ curricula and the specific standards set by individual accreditation and certification agencies and state licensure requirements, it is necessary to develop an umbrella degree, the Bachelor of Applied Science – Health Science, with individual curriculum plans. The first curriculum option proposed is Physician Assistant Studies. Physician Assistants (PAs) are health care professionals licensed to practice medicine with physician supervision. They are highly skilled health care professionals, trained to provide patient evaluation, education, and health care services and the Miami Dade College proposal is an affordable, accessible degree program which will assist in meeting the workforce need of Region 23. Accreditation. The Physician Assistant field is faced by an accrediting agency (ARC-PA) mandate which states that as of 2010, “the sponsoring institution must be accredited by a recognized regional or specialized and professional accrediting agency to award graduates of the Physician Assistant program a baccalaureate or higher degree”. o The proposed Bachelor of Applied Science-HS degree with an option in Physician Assistant Studies will be the only undergraduate PA program in South Florida, Region 23, and the only associate/baccalaureate PA program in the State of Florida. o One institution in Region 23 (Barry University) offers a Physician Assistant option at the Master’s level: Master of Clinical Medical Science degree with a Physician Assistant Certificate. Need for Physician Assistants in Miami-Dade County: o The need for Physician Assistants in Miami-Dade County is expected to increase 27% between the years 2007 and 2015, (Florida Research and Economic Data Base, http://fred.labormarketinfo. com, 12/6/2007). o In South Florida there are 253 estimated annual job openings for Physician Assistants (Choices Planned of Bridges Transitions Inc., 2008). Barry University, the only other school in Region 23 graduating Physician Assistants, has an average local class size of 45 students, who graduate at the Master’s level. o The State of Florida ranks 5th in the United States with the largest number of clinically practicing PAs (2002 AAPA Physician Assistant Census Report). The MDC BAS-HS will provide Region 23 with qualified graduates in Physician Assistant Studies. o Six hundred and forty four (644) foreign medical graduates who contacted Miami Dade College for information on medical programs October 2007 - February 2008 stated they were interested in enrolling in a baccalaureate program in Physician Assistant Studies (AS-PA Program, 2008). Miami Dade College BAS-Health Science, Physician Assistant Studies Page 44 of 93 o o Miami Dade County has a minority population of approximately 79% (MDC Institutional Research, 2006). The 2007 AS- PA program graduating class was comprised of 78% minority students. From 2006-2008, MDC graduated 99 AS PA students, with an average pass rate for the Physician Assistant National Certifying Examination (PANCE) of 95%. Licensed graduates from the Miami Dade College PA program have a 100% employment rate (AS PA program 2008). Program of Study: o The academic content and curriculum of the proposed 130 semester hour BAS-HS, PA degree is designed to meet accreditation requirements and incorporate the associatelevel Physician Assistant Studies standards set forth by the ARC-PA. o Physician Assistant graduates will obtain career-specific knowledge, skills and leadership tools necessary for healthcare management positions. Miami Dade College BAS-Health Science, Physician Assistant Studies Page 45 of 93 Appendix 3 Letters of Support Miami Dade College BAS-Health Science, Physician Assistant Studies Page 46 of 93 Miami Dade College BAS-Health Science, Physician Assistant Studies Page 47 of 93 Miami Dade College BAS-Health Science, Physician Assistant Studies Page 48 of 93 Miami Dade College BAS-Health Science, Physician Assistant Studies Page 49 of 93 Miami Dade College BAS-Health Science, Physician Assistant Studies Page 50 of 93 Miami Dade College BAS-Health Science, Physician Assistant Studies Page 51 of 93 Miami Dade College BAS-Health Science, Physician Assistant Studies Page 52 of 93 Appendix 4 Allied Health Advisory Committee Members School of Allied Health Technologies Bachelor of Applied Science in Health Science With an Option in Physician Assistant Studies Allied Health Advisory Committee Members Walter Mackey – Academic Dean 2007-2008 Cynthia Adams – School Director 2007-2008 John Solomon - Chair Pete A. Gutierrez - Chair Jimmy Santana, Faculty Pascale Gehy-Andre, Faculty Charles Stringer, Faculty Antonio Rivas, Faculty Nicolas Massimini, Faculty Kathy Burns, Staff Jackie Hernandez, Staff Elisa Abella, Library Director Miami Dade College BAS-Health Science, Physician Assistant Studies Page 53 of 93 APPENDIX 5 Physician Assistant Advisory Committee Members Dr. Pete Gutierrez Program Director Department Chair Mr. Ricardo Forbes Vice-President Baptist Health Systems Baptist Hospital Dr. Anita Kaplan 2008 Campus President Dr. Pedro Greer, Jr. Medical Director Camillus House Dr. Walter Mackey 2007-2008 Academic Dean Dr. Ausberto Hidalgo PA Program Medical Director Dr. Cynthia Adams 2007-2008 School Director Mr. Jose Mercado, PA-C North Shore Hospital ENT Dept. Ms Maria Eugenia Perez, RN Memorial Healthcare System Ms. Patricia Neff, PA-C University of Miami Surgery Department Dr, Gary Sanon Private Practice Chair-elect Dr. Fatima Zafar Medical Director Economic Family Health Center Miami Dade College BAS-Health Science, Physician Assistant Studies Page 54 of 93 APPENDIX 6 Allied Health Advisory Committee BAS – HS Proposal Committee Meetings Compiled Minutes May 21, 2007 Meeting of Advisory Committee Members • Discussed projected start date of program academic curriculum for 2010. • Discussed the need to determine current and projected resources needs. • Discussed projected enrollment budget needs. • Discussed preliminary time line for implementation. • Discussed the presentation of the BAS-HS degree proposal to the Executive Summary at the upcoming Miami Dade College Board of Trustees meeting. May 28, 2007 Meeting of Advisory Committee Members • Physician Assistant Program Medical Director discussed needs for initial degree option of Physician Assistant Studies. • Determined responsibilities for collection of information needed to write the BAS-HS degree Executive Summary. • Met with the MDC Budget Department to begin the development of the budget for the proposed BAS-HS degree implementation. • Assessed present facilities and learning resources available to support the proposed program. • Determined the need for future facilities. June 11, 2007 Meeting of Advisory Committee Members • Discussed compilation of information to begin writing the Executive Summary section of the proposed BAS-HS degree. • Discussed the positive results of communication with Nova Southeastern University, Barry University, and the University of Florida PA Program Directors on the need for the BAS-HS with an option in PA studies at MDC. • Discussed the positive results of community leaders who responded to the question of need for the proposed BAS-AH degree. June 23, 2007 Meeting of Advisory Committee Members • Discussed State of Florida outline requirements for writing Executive Summary. • Assigned topics to specific faculty members for write-up for the Executive Summary. • Assigned writer to incorporate all data collected into the proposal and discussed timeline. July 9, 2007 Meeting of Advisory Committee Members • New information for the contents of the BAS-HS, with an option in PA studies, was distributed to all faculty and administrators. • Initial draft of the Executive Summary for the proposed BAS-HS with an option in PA studies was reviewed. • Information on Learning Resources needs with emphasis on room facilities and equipment was evaluated and discussed. July 23, 2007 Meeting of Advisory Committee Members • Members reviewed the revised draft of the Executive Summary and suggested revisions. • Inclusion of the specific compiled information for the various components of the BASHS proposal was discussed. Miami Dade College BAS-Health Science, Physician Assistant Studies Page 55 of 93 August 6, 2007 Meeting of Advisory Committee Members • The positive results of communication with MDC alumni regarding the proposed BASHS program were presented. • Discussion continued on the current needs of the students for a BAS-HS vs. Associate of Science degree. • Discussion of the design of a survey from previous and present students for the need of a BAS-HS degree program was presented. August 20, 2007 Meeting of Advisory Committee Members • Results from American Academy of Physician Assistants demonstrating a nationwide need for more Physician Assistants were presented and discussed. • Results from Florida Academy of Physician Assistants in regard to the need for Physician Assistants in the Florida area were presented and discussed. September 10, 2007 Meeting of Advisory Committee Members • Contact initiated to Associate of Science programs throughout the nation to ascertain the needs for Bachelor of Applied Science degree. • Presented the results of a negotiated and closed contractual agreement with Nova Southeastern University for a Bachelor of Health Science / Masters of Health for our current and former PA students. September 24, 2007 Meeting of Advisory Committee Members • Continued discussion of the planning process for the BAS-HS Proposal. October 15, 2007 Meeting of Advisory Committee Members • Results of information from local employees regarding the need for a higher degree were presented. • Results of a survey of what level of degree is offered in all currently accredited PA Programs in the US were presented. Currently there are 141 accredited PA programs in the US with approximately 90 offering at the Master’s level. October 29, 2007 Meeting of Advisory Committee Members • The Dean of Allied Health reviewed the latest draft of the BAS-HS Executive Summary and presented results. • Revisions for the draft were discussed. November 5, 2007 Meeting of Advisory Committee Members • Members continued to work on Executive Summary to include suggested revisions. November 19, 2007 Meeting of Advisory Committee Members • Presentation of results of the Accreditation Review Commission on Education for Physician Assistants information on the need for a Bachelor of Applied Science degree in 2010. • Members presented continued data on feedback from local employers. December 3, 2007 Meeting of Advisory Committee Members • Presentation of an update to faculty and administrators on the status of the BAS Executive Summary. • Set goals for upcoming year for the BAS-HS Proposal in the upcoming year. January 7, 2008 Meeting of Advisory Committee Members • Submission of the draft of the Executive Summary to Dr. Mollie DeHart, District Director of Academic Programs, for review. January 28, 2008 Meeting of Advisory Committee Members • Members discussed the design of a preliminary budget for the BAS-HS Program. Miami Dade College BAS-Health Science, Physician Assistant Studies Page 56 of 93 February 11, 2008 Meeting of Advisory Committee Members • Rewritten suggestions to the Executive Summary were reviewed. • Members were assigned writing responsibilities for the other sections of the proposed BAS-HS with an Option in PA studies. February 25, 2008 Meeting of Advisory Committee Members • Review of letters of support from the PA Advisory Committee. • Members continued to finalize the Executive Summary. Miami Dade College BAS-Health Science, Physician Assistant Studies Page 57 of 93 APPENDIX 7 NOVA Southeastern University Articulation Agreement Miami Dade College BAS-Health Science, Physician Assistant Studies Page 58 of 93 Miami Dade College BAS-Health Science, Physician Assistant Studies Page 59 of 93 Miami Dade College BAS-Health Science, Physician Assistant Studies Page 60 of 93 Miami Dade College BAS-Health Science, Physician Assistant Studies Page 61 of 93 Miami Dade College BAS-Health Science, Physician Assistant Studies Page 62 of 93 Miami Dade College BAS-Health Science, Physician Assistant Studies Page 63 of 93 Miami Dade College BAS-Health Science, Physician Assistant Studies Page 64 of 93 APPENDIX 8 Bachelor of Applied Science in Health Science with an Option in Physician Assistant Studies Advising Sheet YEAR ONE Semester 1(Fall) CHM 1033 CHM 1033L CLP 1006 ENC 1101 PHI 2604 Chemistry for Health Sciences Chemistry for Health Sciences Lab Psychology of Personal Effectiveness English Composition 1 Critical Thinking/Ethics SEMESTER TOTALS (3 credits) (1 credit) (3 credits) (3 credits) (3 credits) 13 credits Human Anatomy/Physiology 1 Human Anatomy/Physiology 1 Lab Microbiology Microbiology Lab Fundamentals of Speech SEMESTER TOTALS (3 credits) (1 credits) (3 credits) (2 credits) (3 credits) 12 credits Semester 3 (Summer) BSC 2085 Human Anatomy/Physiology 1 BSC 2085L Human Anatomy/Physiology 1 Lab SEMESTER TOTALS (3 credits) (1 credits) 4 credits YEAR ONE TOTALS 29 credits Semester 2 (Spring) BSC 2085 BSC 2085L MCB 2010 MCB 2010L SPC 1026 YEAR TWO Semester 1(Fall) PAS 1800C PAS 1812 PAS 1813 PAS 1822C PAS 1823 PAS 1831 STA 2023 Semester 2 (Spring) PAS 1801C PAS 1811 PAS 1821 PAS 1830 Physical Diagnosis 1 Behavioral and Community Medicine 1 Pathophysiological Basis of Disease 1 Electrocardiography/Cardiology Principles of Pharmacology 1 Clinical Diagnostic Imaging Statistical Methods SEMESTER TOTALS (2 credits) (1 credit) (2 credits) (2 credits) (2 credits) (1 credit) (3 credits) 13 credits Physical Diagnosis 2 Introduction to Medicine 1 Behavioral and Community Medicine 2 Pharmoacotherapeutics SEMESTER TOTALS (2 credits) (5 credits) (1 credit) (4 credits) 12 credits Semester 3 (Summer) PAS 1810C Surgical Problems and Procedures SEMESTER TOTALS (5 credits) 5 credits YEAR TWO TOTALS 30 credits Miami Dade College BAS-Health Science, Physician Assistant Studies Page 65 of 93 YEAR THREE Semester 1 (Fall) PAS 1820 PAS 2841L PAS 2842L PAS 2866L Introduction to Medicine 2 Geriatrics Psychiatry Family Medicine SEMESTER TOTALS Semester 2 (Spring) PAS 1824 PAS 2840L PAS 2860L PAS 2870L PAS 2876L (5 credits) (2 credits) (2 credits) (4 credits) 13 credits Pathophysiological Basis of Disease 2 Internal Medicine Pediatrics OB/GYN Emergency Medicine SEMESTER TOTALS Semester 3 (Summer – Session A) PAS 2850L Surgery SEMESTER TOTALS (2 credits) (4 credits) (2 credits) (2 credits (2 credits) 12 credits YEAR THREE TOTALS 29 credits TOTAL LOWER-DIVISION CREDITS 88 credits (4 credits) 4 credits _________AS Degree Awarded_________ Successful completion of NCCPA Certification and Florida License YEAR FOUR Semester 3 (Summer – Session B) ENC 1102 English Composition 2 MAC 1105 College Algebra Select Course From Social Science Group B SEMESTER TOTALS Semester 1 (Fall) HSC 3057 Intro. Research Methods in Health Care HSC 3231 Client Education in Health Care HSC 3701 Leadership and Management in Health PAS 4xxx Contemporary Issues for the P.A. PAS 4xxx Physician Assistant Pract. Management SEMESTER TOTALS Semester 2 (Spring) HSC 3243 Teaching Skills for Health Care HSC 3720 Alternative Medicine Strategies HSC 4xxx Community Service Learning Practicum Select Course From Humanities Group A SEMESTER TOTALS Semester 3 (Summer) PAS 4xxx Physician Assistant Capstone Course SEMESTER TOTALS (3 credits) (3 credits) (3 credits) 9 credits (3 credits) (3 credits) (3 credits) (3 credits) (3 credits) 15 credits (3 credits) (3 credits) (3 credits) (3 credits) 12 credits (6 credits) 6 credits TOTAL UPPER-DIVISION CREDITS 42 credits CURRICULUM TOTAL 130 credits Miami Dade College BAS-Health Science, Physician Assistant Studies Page 66 of 93 Appendix 9 List of Clinical Affiliates Clinical Sites Academic Year 2007-2008 (Updated: April 8, 2008) (428 sites) 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. 31. 32. 33. 34. A Birth Center (A Woman’s Way, Inc.) A Loving Start A Loving Start d/b/a A Birth Center A Woman’s Wellness Center All Paws Animal Clinic, Inc. Animal Health & Rehab Center Animal Medical Center @ Bird Clinic of Hollywood Arch Creek Animal Hospital Arch Plaza Nursing & Rehab Center (Contract under DOS) Arch Plaza Nursing & Rehab Center (Contract under DOS) Around the Clock Medical Center Arthritis & Osteoporosis Treatment & Research Center, Inc. Atlantic Rehab Center Aventura Animal Hospital Aventura Hospital and Medical Center (Renew)(HCA) CCE C/T DMS EMS HIM HT MLT NMT NS PA PHL PTA RG RC RT HHA Avian and Exotic Animal Medical Center Baptist Cardiac & Vascular Institute Baptist Hospital of Miami, Inc. CCE DMS EMS HIM HT MA MLT NMT NS PA PHL PT PTA RG RC RT HHA Baptist Outpatient Services DMS HIM MA NMT NS PA RG Bascom Palmer Eye Institute Bayshore Veterinary Clinic Bayview Center for Mental Health, Inc. Bethesda Memorial Hospital Birthing Center of South Florida Birthright Midwifery Services Biscayne Animal Hospital Borinquen Health Care Centers, Inc. Broward Avian & Exotic Animal Clinic Broward Medical Laboratories, Inc. Camillus Health Concern, Inc. Central Florida Internists/Dr/ Huhammad A. Khan Children’s Medical Group/Crampton & Associates Children’s Rehab Network Citrus Health Network, Inc. (=Northwest Dade Center, Inc.) Miami Dade College BAS-Health Science, Physician Assistant Studies Page 67 of 93 35. 36. 37. 38. 39. 40. 41. 42. 43. 44. 45. 46. 47. 48. 49. 50. 51. 52. 53. 54. 55. 56. 57. 58. 59. 60. 61. 62. 63. 64. 65. 66. 67. 68. 69. 70. 71. 72. 73. 74. 75. 76. City of Miami Beach Fire Department City of Coral Gables Fire Rescue Department City of Hialeah Fire Department City of Miami Department of Fire Rescue Coastal OB/Gyn CoEye OP Cohens Fashion Optical Community Blood Centers of South Florida, Inc. Community Health of South Florida, Inc. Comprehensive Eye Care Center of South Florida Comprehensive Osteopathical Medical Specialist Conscious Childbirth, Inc. CORA Health Services, Inc. CORA Rehabilitation Clinics Cutler Ridge PTA CORA Rehabilitation Clinics Doral PTA CORA Rehabilitation Clinics Miami Lakes PTA CORA Rehabilitation Clinics North Dade PTA CORA Rehabilitation Clinics West Kendall PTA Coral Gables Hospital EMS HIM HT MLT NMT NS PA PHL PTA RG Coral Reef Nursing & Rehab Center CorePlus, LLC (before: Mark & Kambour) Cornestone Pediatrics Country Club Animal Hospital Countryside Birth Center Cyber Knife Center of Miami Da Vita Inc. Requested MA Deleeuw Family Clinic Dependable Therapy Dermatology and Laser Center Descending Dove Nurse Midwifery MW Discount Pet Clinic DMS EMS HIM HT MA MLT NS PA PHL PT PTA RC RT Doctor B. Clinic Doctors’ Hospital CCE EMS HIM HT MLT NMT NS PA PHL PTA RG RC Doral Center Animal Clinic Doral Medical Center, Inc. Doris Ison South Dade Health Center DOS Health Care, Inc. Douglas Gardens Community Mental Health Ctr. Of NMB Dr, Dorsey L. Goosby Dr. Alex Berenthal Dr. Ana Duarte/Children’s Skin Center Miami Dade College BAS-Health Science, Physician Assistant Studies Page 68 of 93 77. Dr. Anita Petteway 78. Dr. Asoka Wijetilleke, MD 79. Dr. Augustin J. Schwartz III, MD 80. Dr. Barnett I. Alpert 81. Dr. Basilio GarciaSelleq 82. Dr. Bernard Miot 83. Dr. Bhasker P. Patel 84. Dr. Calvin Peters, MD (Center for Plastic & Rec, Surgery) 85. Dr. Carmel J. Barrau, MD 86. Dr. Craig Bratter 87. Dr. Deborah Longwell 88. Dr. Debra Price, MD 89. Dr. Edward L. Reid,II, M.D., F.A.C.E. 90. Dr. Elie Dumeny 91. Dr. Elizabeth A. EtkinKramer, M.D. 92. Dr. Eric Lo 93. Dr. Eric Pantaleon 94. Dr. Eric Stelnicki 95. Dr. Felix Bigay 96. Dr. Fidel H. Henriquez, MD 97. Dr. Floyd E. Seskin, MD 98. Dr. Gladys LopezUrizar MA 99. Dr. Gonzalez & Perez, MD 100. Dr. Hakan CharlesHarris, M.D. 101. Dr. Hector Wiltz, M.D 102. Dr. Henry Noriega, MD 103. Dr. Horace Leyva 104. Dr. Hossain Daee, MD 105. Dr. Humberto Barrios, MD 106. Dr. Humberto C. Machado 107. Dr. Isidoro Zarco 108. Dr. Jeffrey O’Brien (The Orthopedic Center) 109. Dr. John Fox 110. Dr. Jorge Antunez de Mayolo, MD 111. Dr. Jorge Larin, DVM Requested V 112. Dr. Jose Gorostiza, DVM 113. Dr. Jose Lamas, PA 114. Dr. Joseph Isaac Chi, M.D. PA 115. Dr. Juan Carlos Fleites, MD/Surgical Associates PA 116. Dr. Juan M. Lombillo PA 117. Dr. Julio C. Roble Requested PA 118. Dr. Julio Tallet, MD PA Miami Dade College BAS-Health Science, Physician Assistant Studies Page 69 of 93 119. 120. 121. 122. 123. 124. 125. 126. 127. 128. 129. 130. 131. 132. 133. 134. 135. 136. 137. 138. 139. 140. 141. 142. 143. 144. 145. 146. 147. 148. 149. 150. 151. 152. 153. 154. 155. 156. 157. 158. 159. 160. Dr. K’s Animal Hospital Dr. Laura Lasalvia MA Dr. Lazaro Fraga, MD PA Dr. Leonardo Blachar, MD HIM Dr. Luis H. Lugo, PA Dr. Manuel Suarez Mendizabal, MD PA Dr. Marilu Madrigal, PA Dr. Mario Magcalas, MD PA Dr. Marisa Messore, PA Dr. Mark G. Agresti, MD, PA Dr. Marvin Wellen, M.D. MA Dr. Matthew Taub PA Dr. Michael Ross PA Dr. Miguel A. De La Rosa MA Dr. Morry Fox, DO PA Dr. Nelson Velazquez PA Dr. Paul Henrys, MD, PA Dr. Rafael A. Penalver Clinic (PHTJHS) Dr. Raymond Whitted & Paul Pietro HIM Dr. Rene A. Reyes PA Dr. Richard B. Polakoff, MD PA Dr. Robert Paul Derhagopian PA Dr. Roberto J. Fernandez PA Dr. Rolando R. Gomez PA Dr. Scott H. Goldberg, MD MA PA Dr. Sheryl R. Facey PA Dr. Sidney Indgin, MD MA Dr. Stephen N. Horwitz, MD Requested PA Dr. Steven Fletcher PA Dr. Steven Magilen MA PA Dr. Susan Hole, D.O. PA Dr. Susana LealKhouri PA Dr. Thomas Armbruster PA Dr. Tory P. Sullivan Requested PA Dr. Valerio Toyos, MD PA East Ridge Retirement Village Health Center, Inc. PTA Easter Seals Society of Dade County, Inc. PTA Economic Opportunity Family Health Center, Inc. HIM MA PA EMS HIM HT MLT NS PHL PTA RG RT Everglades Health Center Eyes Vision Center OP Fair Havens Center HIM Miami Dade College BAS-Health Science, Physician Assistant Studies Page 70 of 93 161. 162. 163. 164. 165. 166. 167. 168. 169. 170. 171. 172. 173. 174. 175. 176. 177. 178. 179. 180. 181. 182. 183. 184. 185. 186. 187. 188. 189. 190. 191. 192. 193. 194. 195. 196. 197. 198. 199. 200. 201. 202. Family Medicine Clinics of South Florida, PA Requested PA Fem Care, PA PA Femwell Group Health, Inc. MA Fishermen’s Hospital HIM Fit For Kids PTA Florida Hospital Waterman PA Florida Occupational Healthcare HIM PTA Foot & Ankle Institute of South Florida MA Fountainhead Nursing and Convalescent Home, Inc. 2/16/1982 CCE HIM G.V. T. Services, Inc. HIM Gables Rehabilitation, Inc. PTA Gastroenterolgy Care Center Requested PA Global Pathology Laboratory Services HT Good News Care Center PA Gramercy Park Nursing Home CCE HIM NS Greater Miami Behavioral Care Center Requested NS Greenfield Animal Hospital VT Gulf Coast Medical Center PA Hammocks Veterinary Hospital, Inc. VT Harmony Health Center at Green Briar, Inc. HIM NS Health Choice Network Requested HIM HealthSouth EMS HIM PT Healthsouth Corporation PTA HealthSouth Regional Rehabilitation Center NS PTA HealthSouth Rehabilitation Center of Kendall PTA HealthSouth Rehabilitation Dadeland Healthsouth Rehabilitation North Miami PTA HealthSouth Sports Medicine & Rehab Ctr, of C. Gables PTA Heartland HealthCare Center Mannor care PTA Heartland Homestead Rehabilitation Services PTA Hebrew Home of Miami Beach (DOS) Hebrew Home of North Dade (DOS) Helen B. Bentley Family Health Center, Inc. HIM MA NS PA Heritage Health & Rehabilitation Center Requested PA Heritage Nursing Home and Rehabilitation Center CCE HIM PA Hialeah Hospital Hialeah Shores Nursing & Rehab Center CCE Hollywood Animal Hospital VT Hollywood Hills Rehab Center HIM Holmes Regional Lab Requested PA Holy Cross Hospital EMS HT PHL Homebirth Associates MW Homebirth Services MW Miami Dade College BAS-Health Science, Physician Assistant Studies Page 71 of 93 203. 204. 205. 206. 207. 208. 209. 210. 211. 212. 213. 214. 215. 216. 217. 218. 219. 220. 221. 222. 223. 224. 225. 226. 227. 228. 229. 230. 231. 232. 233. 234. 235. 236. 237. 238. 239. 240. 241. 242. 243. 244. Homestead Behavioral Clinic NS Homestead Hospital Homestead Hospital Physical Therapy & Rehabilitation PTA Homestead Physical Therapy and Rehabilitation, Inc PTA Hometown Animal Hospital and Dental Clinic VT Hospice and Home Care by the Sea CCE HIM Hospital Contact Lens/BPEI OP House Calls Doctors of South Florida Requested PA IMED Urgent Care Center PA Impact Rehab PTA Indian River County Health Dpt ( Dr. Christopher Coppola) PA Indian River Medical Center Requested PA Indian Trace Animal Hospital VT Integrated Regional Labs HT MLT PHL IVAX Pharmaceuticals, Inc. HIM Jackson Health North (was Parkway Reg Med Ctr CCE EMS Jackson Health System/Public Health Trust Jackson Memorial Hospital (PHTJHS) Jackson North Comm. Mental Health Center (PHTJHS) HIM Jackson Plaza Nursing and Rehab Center CCE Jackson South Community Hospital (=Deering) (PHTJHS) Jefferson Reaves Sr. Health Center (PHTJHS) HIM PA Kendall Family Medical Center PA Kendall Regional Medical Center (HCA) DMS Kendall Sports Medicine MA Key Biscayne Medical Centers MA PA Kindred Hospital South Florida/Coral Gables Knowles Animal ClinicsVT L & R Stables Requested VT Labor of Love Birth Center (Dunedin, Tampa, Lakeland) MW Lakes Radiology CCE RG Lanes & Mangas, MD, PA MA Larkin Community Hospital HIM MLT NS PHL RG Lauderdale Orthopedic Surgeons PA Legion Park Medical Center PA Lestrange Orthopedics PA M.D. Transcriptions HIM Mama’s Cradle Midwifery Services MW Marathon Health Center Mariners Hospital HIM HT PHL Mark & Kambour Pathology Associates HT Martin Luther King Jr. Clinica Campesina Miami Dade College BAS-Health Science, Physician Assistant Studies Page 72 of 93 245. 246. 247. 248. 249. 250. 251. 252. 253. 254. 255. 256. 257. 258. 259. 260. 261. 262. 263. 264. 265. 266. 267. 268. 269. 270. 271. 272. 273. 274. 275. 276. 277. 278. 279. 280. 281. 282. 283. 284. 285. 286. MDCPS & Dental Hygiene Program, MDC DH MedEye Associates OP Medical Associates of Miami Lakes PA Medical Business Service, Inc. HIM Medical Care Services MedLife Health Systems PTA MedQuist, Inc. HIM Memorial Hospital Pembroke Memorial Hospital West Memorial Regional Hospital Mercy Hospital, Inc. Mercy Outpatient Center (Bayside Pavilion) PA Miami Dade Area Health Education Center (AHEC) NS Miami Dade County Fire Rescue Department CCE EMS Miami Dade County Health Department Miami Dade County Medical Examiner Department HIM MA PA Miami Dade Weed & Seed, Inc. 11/10/2005 MLT PHL Miami Beach Community Health Center PA Miami Beach Foot & Ankle Center HIM PTA Miami Cardiac and Vascular Institute Miami Children’s Hospital Miami Dade County Public Schools Requested DH Miami Emergency and Critical Care for Animals VT Miami Institute for Joint Reconstruction PA PTA Miami International Animal Hospital Miami Jewish Home and Hospital for the Aged at Douglas Miami Lakes Eye Care Center OP Miami Lakes Medical Center MA Miami Neurology and Rehab Specialists PTA Miami Pet Emergency Requested VT Miami Physical Therapy Associates PT Miami Shores Nursing and Rehab Center CCE NS Miami Veterinary Internists @ Animal Specialty Center VT Miami Veterinary Specialists VT Midland Medical Inc. PA Midwifery Care MW Miracles Obstetrics & Gynecology Requested PA Mitrani & Drucker, M.D., P.A. MA PA MRI Center of Miami on Mercy Hospital Campus Ms. Christina Holmes MW Ms. Laura Houwers (Palmetto Bay Maternity Center) MW Ms. Melissa Roberts MW Ms. Yaqueline Arjona, ARNP MA Miami Dade College BAS-Health Science, Physician Assistant Studies Page 73 of 93 287. 288. 289. 290. 291. 292. 293. 294. 295. 296. 297. 298. 299. 300. 301. 302. 303. 304. 305. 306. 307. 308. 309. 310. 311. 312. 313. 314. 315. 316. 317. 318. 319. 320. 321. 322. 323. 324. 325. 326. 327. 328. Ms. Yaqueline Arjona, ARNP MA Mt. Sinai Med. Center & Miami Heart Inst. My Intensive Therapy PTA Naranja Health Center Nathan R. Allen, O.D., P.A. Requested OP National Balance Center PTA National BioVet Laboratory HT VT Natural Birth Center MW Natural Birth Choices Requested MW Neuroscience Consultants PTA New Horizons Community Mental Health Center, Inc. Nine Lives Cat Hospital VT North Beach Physical Therapy & Wellness Center PTA North Shore Medical Center, Inc Nova Southeastern University Ocean Optical OP Oncology and Radiation Associates PA RT Oncology and Radiation Associates, PA (Doral Oncology Center) RT Optica Futura OP Palm Beach Equine Clinic, Inc. VT Palm Gardens Nursing Center of North Miami Beach PTA Palm Springs General Hospital EMS HIM MLT PHL PT RG Palm Springs Pediatrics Associates PA Palmetto Bay Maternity Center MW Palmetto General Hospital Palmetto Open MRI Requested PA Palmetto Subacute Care Center HIM PTA Parrot Jungle Island VT Pasco Regional Medical Center PA Pasco Surgical Associates PA Pedroso Pediatrics PA Perdue Medical Center (PHTJHS) HIM NS Perdue Medical Center (PHTJHS) HIM NS Personal Care Medical Center MA PA Personal Care Rehab PTA Physical Therapy and Fitness Mangement of Miami, Inc. PTA Physician Offices of Florida City, Inc. PA Physician’s Group of South Florida PA Physician’s Health Center PTA Physician’s Primary Care of SW Florida PA Physiotherapy Associates, Inc. PTA Plantation Animal Hospital VT Miami Dade College BAS-Health Science, Physician Assistant Studies Page 74 of 93 329. 330. 331. 332. 333. 334. 335. 336. 337. 338. 339. 340. 341. 342. 343. 344. 345. 346. 347. 348. 349. 350. 351. 352. 353. 354. 355. 356. 357. 358. 359. 360. 361. 362. 363. 364. 365. 366. 367. 368. 369. 370. Ponce Plaza Nurs. & Rehab Ctr. (DOS) Ponce Plaza Nursing & Rehab Center CCE Primary Care Physicians of Hollywood PA Prime Care Medical Associates PA Quality Care Animal Hospital VT Radiology Associates of South Florida PA Redlands Animal Hospital VT Reflections Wellness Center, Inc. NS RMS Services USA, Inc. (Under Jackson Health Systems) HIM Rose Mary Birthing Home, Inc. MW S. Broward Hosp. District/dba Memorial HealthCare Syst Sabal Chase Animal Clinic 5/23/2005 VT Salazar, Santiago, Villegas, Sabates & Cabrales PA Schenholm Veterinary Clinic VT Seventh (7th) Avenue Medical Plaza Requested PA Silver Bluff Animal Clinic VT Silver Lakes Animal Hospital VT Simmons Veterinary Clinics VT Sinai Plaza Nursing & Rehab Center CCE Sinai Plaza Nursing & Rehab Center (DOS) Sister Emmanuel Hospital CCE EMS NS PHL PTA HHA Sky Lake Animal Hospital VT Smith, Matza & Kutner, MD, LLC MA Soul of a Woman Maternity Center MA South Dade Animal Hospital VT South Dade Health Center South Dade Rehab Inc. d/b/a Children’s Clinic PTA South Florida Cardiology Associates NMT South Florida E.N.T. Associate, P.A. (Dr. Felipe Martinez) PA South Florida E.N.T. Associate, P.A. (Dr. Steven Fletcher) Requested PA South Florida Evaluation and Treatment Center HIM South Florida Pediatric Partners HIM South Florida Perinatal Medicine DMS MA South Kendall Animal Clinic VT South Miami Hospital South Point Manor HIM Southeast Veterinary Referral Center PA Southern Winds Requested NS PA Southland Animal Hospital VT Spectrum Medical Services, Inc. EMS NS PHL Spirit Health & Empowerment Inc. d/b/a All Natural Birth Center MW Spirit of Life Midwifery MW Miami Dade College BAS-Health Science, Physician Assistant Studies Page 75 of 93 371. 372. 373. 374. 375. 376. 377. 378. 379. 380. 381. 382. 383. 384. 385. 386. 387. 388. 389. 390. 391. 392. 393. 394. 395. 396. 397. 398. 399. 400. 401. 402. 403. 404. 405. 406. 407. 408. 409. 410. 411. 412. Sports Medicine & Orthopedic Center Requested PA St. Anne’s Nursing Center CCE NS St. Francis Emergency Animal Hospital VT Sunglass Depot Optical OP Sunrise Health and Rehab Center HIM NS Sunset Animal Clinic VT Sunshine Medical Center HIM PA Surgical Partners Requested PA Sylvester Comprehensive Cancer Center Tampa General Hospital PA Tender Care Pediatrics MA The Birth Place The Family Birth Center of Fort Myers, Inc. MW The Family Birth Center of Naples, Inc. MW The Family Clinic PA The Floridean Nursing Home, Inc. CCE HIM NS The Hollywood Birth Center MW The Humane Society of Broward County, Inc. VT The Humane Society of Greater Miami/AdoptAPet The Leavitt Companies HT The Mount Sinai Comprehensive Cancer Center, Inc. MA NS RT The Nursing Center at Mercy HIM NS The Plaza Nursing & Rehab Center (DOS) The Plaza Nursing & Rehab Center CCE The Waterford Convalescent Center HIM Total Health Compliance PA Tropical Park Animal Hospital VT UF Surgeons of Melbourne PA Unidad of Miami Beach, Inc. (MOU) DH United Medical Consultants, Inc. RC Unity Health and Rehab Center, Inc. dba Unity Nursing Home Unity Health of South Florida Requested PA University of Miami University of Miami Hospital (Previously Cedars Hospital) University of Miami Women’s Center DMS VCA Promenade Animal Hospital Requested VT Venetian Isle Medical MW Vero Orthopaedics & Vero Neurology PA Veterans Affairs Medical Center Veterinary Specialists of South Florida VT Victoria Healthcare, Inc., dba Select Specialty Hospital HIM Victoria Nursing and Rehabilitation, Inc. CCE Miami Dade College BAS-Health Science, Physician Assistant Studies Page 76 of 93 413. 414. 415. 416. 417. 418. 419. 420. 421. 422. 423. 424. 425. 426. 427. 428. Villa Maria Nursing & Rehab Center, Inc. Visiting Nurse Association of Miami Dade, Inc. CCE HIM Vitas Healthcare Corporation of Florida Walgreen Co. PT WalMart Vision Center Wander Animal Hospital VT West Coast Family Medical Care PA West Gables Health Care Center (DOS) West Gables Rehabilitation Hospital HIM PTA West Hialeah Pediatric Associates, Inc. PA West Perrine Health Center Westchester General Hospital Requested NS Wexford Medicine in Corrections NS PA Wildlife Care Center VT Wiles Road Animal Hospital VT William H. Turner Tech. Arts High School Miami Dade College BAS-Health Science, Physician Assistant Studies Page 77 of 93 APPENDIX 10 MDC Physician Assistant Program Faculty Antonio Rivas, BS, MPAS, PA-C Assistant Professor Ausberto Hidalgo, M.D. Medical Director Charles Stringer, MA, PA-C Assistant Professor & Assistant Didactic Coordinator Jimmy Santana, MBA, PA-C Associate Professor & Clinical Coordinator Nicolas Massimini, MD Assistant Professor Pascale Gehy-Andre, BS, PA -C Assistant Professor & Assistant Clinical Coordinator Pete A. Gutierrez, MD, MMS, PA-C Program Director Miami Dade College BAS-Health Science, Physician Assistant Studies Page 78 of 93 APPENDIX 11 Miami Dade College BAS-Health Science, Physician Assistant Studies Page 79 of 93 APPENDIX 12 Miami Dade College Program Review Process Miami Dade College (MDC) is guided by its mission, vision, and values as well as state statutes and accreditation criteria of the Southern Association of Colleges and Schools (SACS) in its review of academic programs. Specifically, MDC’s mission calls for the institution “to provide accessible, high-quality education by keeping the learner’s needs at the center of decision-making…” while its vision states that: Miami Dade College is committed to being a college of excellence renowned for its: Satisfied, well-prepared students who, through their extraordinarily positive experience at MDC, have acquired the needed knowledge and skills to be successful in their ongoing academic career pursuits; Empowered employees, working within an environment that encourages creativity, risk-taking and accountability, who apply their individual and collective talents to fulfill the College’s mission; Highly supportive community that recognizes the significant impact of the College’s educational and training programs; and Effective use of adequate resources to enable programs to flourish and the talents of the people to emerge. MDC also values “a systematic approach to decision making” and “assesses programs’ effectiveness.” There are two other entities which also guide MDC’s review of programs: state statutes and regional accreditation. The 2004 Florida Statute (1001.02 [6]) calls for the State Board of Education to: …coordinate the programs with the Council for Education Policy Research and Improvement, including doctoral programs. The programs shall be reviewed every 5 years or whenever the state board determines that the effectiveness or efficiency of a program is jeopardized. The State Board of Education shall define the indicators of quality and the criteria for program review for every program. Such indicators include need, student demand, industry-driven competencies for advanced technology and related programs, and resources available to support continuation. The results of the program reviews must be tied to the university and community budget requests. The 2004 Florida Statute further delineates the specific powers of the State Board of Education (1001.03 [13]) that stipulates a “cyclic review of postsecondary academic programs.” Miami Dade College BAS-Health Science, Physician Assistant Studies Page 80 of 93 The State Board of Education shall provide for the cyclic review of all academic programs in community colleges and state universities at least every 7 years. Program reviews shall document how individual academic programs are achieving stated student learning and program objectives within the context of the institution’s mission. The results of the program reviews shall inform strategic planning, program development, and budgeting decisions at the institutional level. SACS criteria place responsibility on an institution for reviewing its programs. 3.3.1 The institution identifies expected outcomes for its educational programs and its administrative and educational support services; assesses whether it achieves these outcomes; and provides evidence of improvement based on analysis of those results. 3.4.1 The institution demonstrates that each educational program for which academic credit is awarded (a) is approved by the faculty and administration, and (b) establishes and evaluates program and learning outcomes. 3.4.12 The institution places primary responsibility for the content, quality, and effectiveness of its curriculum with its faculty. 3.5.1 The institution identifies college-level competencies within the general education core and provides evidence that graduates have attained those competencies. The MDC program review process described in the following sections meets the guidelines outlined in MDC’s mission, vision, and values, Florida state statutes, and SACS accreditation criteria. Program Review Process The A.A. degree will be reviewed through a different program review process. MDC academic programs leading to an A.A.S. or an A.S. and associated College Credit Certificate(s), are to be reviewed on a five year cycle (see Appendix 1). Each program review will address five areas: 1. Program goals and rationale 2. Outcomes assessment 3. Program resources and support 4. Program strengths/opportunities for improvement 5. Program viability A Program Review Questionnaire will be completed by the program chair in consultation with the program’s faculty, school/discipline committee, and advisory committee to determine the program’s effectiveness (see Appendix 2). The Office of Institutional Research will maintain a website with information to be used Miami Dade College BAS-Health Science, Physician Assistant Studies Page 81 of 93 in the questionnaire and will assist in obtaining other required information. The Program Review Questionnaire is to be compiled and reviewed in the following timely manner. A.A.S. and A.S. and associated C.C.C.(s)Program Review Timeline The Academic Deans will develop a five year program review schedule. The timeline below reflects the program review cycle for an academic year. Schedule Year 1 March April – June Program Review Action Dean of Workforce Education and Development and the Associate Provost for Academic Affairs forward the program review schedule to Academic Deans and the College Academic and Support Service Council (CASSC). Academic Dean submits Program Review Questionnaire to School Director/Chair/Program Director who assigns to the program chair for completion. Academic Dean and School Director consult on approaches to complete questionnaire. July – December Program chair completes questionnaire in collaboration with program faculty, School/Discipline/Program Committee, and Advisory Committee and submits completed questionnaire to School Director. The School Director reviews and forwards completed questionnaire to the Academic Dean. Year 2 January February Academic Dean reviews completed questionnaire with School Director/Associate Dean and program chair and makes recommendations concerning program’s strengths, opportunities for improvement, resources, and viability to the Academic Deans. Academic Dean forwards recommendations to respective Campus President. Campus President, in consultation with the Academic Dean provides summary of the program’s strengths, opportunities for improvement and viability to the Provost for Academic and Student Affairs who will confer with the Dean of Workforce Education and Development, the Associate Provost for Academic Affairs, and the Associate Provost for Institutional Effectiveness. The Provost for Academic and Student Affairs will also confer with the President and the Provost for Operations regarding strategic planning, program development, and institutional budget and resource implications. Decisions regarding program revisions and viability are made following these discussions and communicated back to the Campus President and Academic Dean who will inform the School Director/Associate Dean and Program Chair. Curricular/Program revisions based on feedback from the program review submitted by the program chair are sent to the Academic Dean. March - April May - June April September – December Program review information and decisions will be included in the School’s annual report submitted by the School Director to the Academic Dean and the respective Campus President. A final approved Annual Report is submitted to the Associate Provost for Institutional Effectiveness. Academic Deans provide a report to CASSC on program review results and the use of those results in program improvement. Evaluation of A.A.S. and A.S. and associated C.C.C.(s) Program Review Process Miami Dade College BAS-Health Science, Physician Assistant Studies Page 82 of 93 The program review process will be evaluated every five years by the CASSC Institutional Effectiveness Committee to determine its strengths and opportunities for continuous improvement. The Institutional Effectiveness Committee will also provide a report to CASSC on recommendations to improve the process. The table below outlines responsibilities for various aspects of the program review process. Committee/Person Responsible CASSC Institutional Effectiveness Committee/Associate Provost for Institutional Effectiveness Responsibility (Frequency) Evaluate effectiveness of program review process and report to CASSC (Every five years) CASSC Program Chair Program Faculty Curricular/Program revisions; Receives program review results report from Academic Dean (Annually) Completes Program Review Questionnaire (Every five years) Contribute to Program Review Questionnaire (Every five years) Dean of Workforce Education and Development Forward Program Review Schedule to Academic Deans. Review of Program Review Recommendations (Annually) Associate Provost for Academic Affairs Forward Program Review Schedule to Academic Deans. Review of Program Review Recommendations (Annually) Review of Program Review Recommendations (Annually) Associate Provost for Institutional Effectiveness School Directors/ Directors/Associate Deans Academic Deans Distribute Program Review Questionnaire; Assist with and review questionnaire and recommendations for program’s strengths, opportunities for improvement and viability (Annually) Distribute Program Review Questionnaire; Review of completed questionnaire and recommendations for program’s strengths, opportunities for improvement, and viability; Provide program review report for information to CASSC (Annually) Provost for Academic and Student Summary of program’s strengths, opportunities for continuous improvement, viability, and the use of results for improvement. (Annually) Review Campus Presidents’ summaries of program’s strengths, opportunities for continuous improvement, viability, and the use of results for improvement. (Annually) Review of programs’ review summaries for strategic Affairs/Provost for Operations planning, program development, budgetary, and Campus Presidents Provost for Academic and Student Affairs resource allocation implications. (Annually) College President Considers program review summaries in context of strategic planning, program development and College budget and resource allocations and sets priorities based on these. (Annually) Relationship between School Annual Reports and Program Review Miami Dade College BAS-Health Science, Physician Assistant Studies Page 83 of 93 An annual report is provided by each School to the Academic Deans, the Coordinating Campus President, and the Associate Provost for Institutional Effectiveness, and is a formative assessment of the program. Outcome data, program development activities, and other information included in these annual reports will be considered when the program director, in consultation with the program faculty, School/Discipline Committee, and Advisory Committee, complete the Program Review Questionnaire. During the year of the program review, questionnaire and resulting recommendations will constitute the program’s contribution to the School’s annual report. The cycle of annual reports and A.A.S. and A.S. and associated C.C.C.(s) program review is shown below. B.S., B.A.S., A.A.S, A.S. and associated C.C.C.(s) ACADEMIC PROGRAM REVIEW ANNUAL REPORT Miami Dade College BAS-Health Science, Physician Assistant Studies Page 84 of 93 Appendix 13 Physician Assistant Advisory Committee Meeting Minutes Miami Dade College Physician Assistant Advisory Board Meeting Medical Center Campus 950 NW 20th Street, Miami, FL 33127 Wednesday, April 16, 2008 6 pm to 7:30 pm – Room 1302 Welcome & Introductions Dr. Cynthia Adams New Faculty Advisory Board Members Shawn Comerford, Gary Sanon, PA_C, Jose Mercado, PA-C, Dr. Hidalgo Accepted Minutes based on changes – Jose Mercado Increased 75 to 90 Students The Accreditation Board agreed to increase the number of students in the PA program from 75 to 90 students (combined in the Junior and Senior classes). BAS/HS Board approved yesterday Introduced to Deans 4/17/08 2010 – Projected Start Date In Process of Completing Package to sent to State Students under a BAS program will be able to apply for more loans and grants – that aren’t available now as a AS degree. FAPA Brain Bowl MDC PA Program won again- against UF, Barry, and Nova. AA-PA Bowl in San Antonio, Texas Miami Dade College BAS-Health Science, Physician Assistant Studies Page 85 of 93 May 24th – May 28th – The expenses will be paid by MDC for six students from the Senior Class, that won the State of Florida contest. Professor Jimmy Santana and Dr. Pete Gutierrez’ expenses to this event will be covered by MDC, as well. One of the participants from the Junior Class, that participated in the State of Florida contest, will attend as well. Selection of Class for 2010 Average 3.5 to 4.0 Interviews started, 350 applications A medical vocabulary test will be added and the essay will be continued. Approximately 50 students will be accepted for Class of 2010 90% are local 10% are out of state Most stay in community. Two interviews – personal and academic CASPA – Central Application – Next Year $45.00 – application fee to MDC $165 for CASPA Miami Rescue Mission Health Fair – Full blown clinic – community clinic Faculty and Staff of MDC Medical Campus invited to attend a lunch on April 24th – at NW 21st and lst Avenue They purchased a building – waiting room and doctors’ office have been added. MDC medical students can have their clinical rotations at the community clinic. The hours of the clinic will be 9 am – 5 pm. The opening activities will be on July 4, 2008. Dr. Gutierrez will be the Medical Director and the faculty of the PA program will work for the Rescue Mission. Foreign Doctors 3,000 foreign doctors 670 – would like to apply to PA program They need to pass the TOEFL exam. Miami Dade College BAS-Health Science, Physician Assistant Studies Page 86 of 93 NCCPA – Board Scores 2007- 93% 2006 – 82% Harvey Program at University of Miami – Cardiology Training for Juniors $250 to $350 for 2007/2008 until June ‘09 Ross University would charge $250. UM charges medical students $1,350. The grant that we had initially lasted for 9 years. The College Foundation is looking for grant $$$ to help support this endeavor. This coming year we increased the lab fee to $350 to pay for Harvey. Board Review Send outline of classes to Shawn Comerford and he will approve for CME credit. Nova has a good model. MDC has clickers available for the students during the Board Review. The Board Review will start Friday, July 25th at 2 pm, continue on Saturday, July 26th, Monday – Thurs – July 28th – 31st and Saturday, August 2nd. The cost will be from $250 to $350 per student. Several pharmaceutical companies will provide lunch and give a presentation during the noon hour. It is recommended that no more than 50 to 60 students attend. Retreat for Faculty, Staff, and Advisory Board Dr. Hidalgo volunteered to have a retreat at his home in Miami Lakes on Sunday, October 5th at 1 pm. We will notify appropriate parties two weeks in advance. Miami Dade College BAS-Health Science, Physician Assistant Studies Page 87 of 93 Physician Assistant Advisory Board Meeting Wednesday, November 14, 2007 Introductions Board Members Present Faculty New Staff/Faculty Antonio Rivas, Faculty Kathy Burns, Clinical Liaison Accreditation On September 17, 2007, the Accreditation Review Commission on Education for the Physician Assistant (ARC-PA) informed Miami Dade College that the Commission has removed the Physician Assistant Program from Probation and awarded the program “Continued Accreditation.” The next full review of the program by the ARC-PA will be in 2010. Nova Agreement for Bachelors and Masters Program for MDC PA Students MDC has an agreement with Nova with 15% discount for our PA students to obtain a Bachelors and Masters Degree. Several students and alumni have applied to Nova. MDC Bachelor of Applied Science MDC has permission for an Applied Science Bachelors Degree, of which we are in the process of writing. The PA Class 2010 will come into the Bachelor’s Program instead of an Associate of Science Program. Revamp Admissions Criteria For the next class, we are considering a pre-admission exam as part of the process for acceptance into the PA program. We will discuss this further at our staff/faculty retreat on Friday, December 7, 2007. Some other PA schools have an admission test. We also have an interview as part of the process. It was discussed by the Advisory Board: To borrow from another college/university an Admission Exam that has already been validated. To utilize websites that can provide banks of questions in Anatomy, Physiology, and medical terminology. Use MDC Paramedic Admission Test. If developing a new test, we would need to measure for a two-year period to see if the test assisted in improving the acceptance of students that will be successful. PAEA & Sister Association – Obtain test Admissions Points to be used in the Admission Process based on already achieved degrees: o AS – 2 pts o BS – 2 pts o MS - 2 pts o Doctor – 2 pts The Faculty/Staff Retreat The Faculty/Staff Retreat will take place on Friday, December 7, 2007, at Peter’s home at 11454 SW 127th Court, Miami, FL 33186. It will be a working retreat from 1am – 5 pm and a barbeque Miami Dade College BAS-Health Science, Physician Assistant Studies Page 88 of 93 to follow. The topics for the retreat will be (1) Process for Admission, (2) Evaluation for Cumulative Students and (3) Anatomy and Pharmacology finalize curriculum. We will also discuss the Retreat for next year in 2008. Foreign Medical Doctor’s This is a political issue. MDC has received a $300,000 federal government grant to assist the foreign medical doctors. The Board was asked for ideas on how MDC can assist the foreign medical doctors. At MDC, 2,700 doctors have applied – the primary programs that the doctors are interested are -- #1 for Nursing and #2 for the PA program. REVEST – train the foreign medical doctors to speak English. Have applied to increase the program from 75 students to 90 students for the two-year program. We are making the necessary plans to have a day and evening session (plus Saturday for the evening session). Foreign doctors have to go through the same process as a regular student for admission into the program. Seventy to eighty of the foreign doctors that have applied to MDC have passed the TOEFL – English Test. Historically 20% of MDC - PA admissions have been foreign doctors. They are usually dead center of the class. The language barrier is often a problem. Class of 2007 The first-time takers PANCE pass rate is 97% -- 26 of the 27 students that took the boards passed. The national average is 94%. The Medical Challenge – Class of 2007 – Competition MDC PA Program beat the PA Program at Nova, Barry and UF. We lost in the finals to Duke. Equipment We purchased equipment last year and we are headed in the right direction. 10th Year Physician Assistant Anniversary We celebrated at the White Coat Ceremony. Norman Rose, founding Director of the Program, and Willie Taylor, founding Staff member, were honored at the White Coat Ceremony. Alumni Association Jimmy and Kathy are working on the Alumni Association Roster. Status of Class of 2009 in Didactic Year Several of the students are failing. The faculty is holding extra review sessions. Each student has met with their assigned advisor. Harvey – University of Miami Cardiology Training at The Gordon Center for Research In Medical Education The $75,000 grant from 1999, which has paid for the students to attend a one-month training program, is running out. The price was originally $200 per student and now is $350 per student. The University of Miami students pay $1,500 per student. The cost for the students next year to attend this class, which is a very important part of the Clinical Year, is $14,000. We are recruiting dollars and grants to help us keep our students in this class. Mr. Ricardo Forbes, Vice-President of Baptist Hospital , suggested that we ask the Fire Rescue/Ambulance Service to help us fund the Miami Dade students. Dr. Forbes will contact the ambulance service to see if this is possible. Service Projects with PA Students Dominican Republic Several PA students, as part of their clinical rotations, will participate in a mission trip next March, 2008, to the Dominican Republic to assist the poor. Miami Dade College BAS-Health Science, Physician Assistant Studies Page 89 of 93 Salvation Army Approximately 25+ students and Jimmy Santana gave PPD’s to 130 people from the Salvation Army. They were reimbursed $2,000 for this service and the monies will go toward the Dominican Republic Mission Trip. Personal Health Insurance for Students Dr. Ausberto Hidalgo, from the Board, indicated that he would develop an agreement, where he would provide basic health insurance to the students as his urgent care centers for a nominal fee. PAEA Annual Education Forum Peter attended this conference held in Tucson, Arizona on October 24 – 26, 2007. There was discussion at the conference that the entrance level to become a PA would be at the PHD level within 5 to 10 years. Only doctors and PA’s can open clinics at this time. Business people in the past have been able to open up clinics and hire the doctors/PA’s. Current Standards for Admittance into the PA Program at MDC 2.75 Science 2.5 Overall GPA Interview Process General Education Classes Basic Sciences from 5 to 10 years Miami Dade College BAS-Health Science, Physician Assistant Studies Page 90 of 93 Appendix 14 BAS Survey to MDC PA Graduates From 2006 – 2009 BAS Survey to MDC PA Graduates From 2006 – 2009 Survey Conducted By Phone, Email or In-Person 1. Are you planning to complete your Bachelors Degree? 2. If MDC would offer a Bachelors Degree for Physician Assistants, would you be interested in completing the 20 to 30 hours required to complete the program? 3. If you are interested in completing a Bachelors degree at MDC in Physician Assistant studies, are you interested in taking the courses on campus or on-line? Expected Year of Graduation 2008 2009 Year of Graduation 2006 2007 Number of Respondents Respondents Indicating Interest in BAS-HS Percentage of Respondents Indicating Interest in BAS-HS 31 41 Number of Respondents 35 33 10 26 Respondents Indicating Interest in BAS-HS 11 7 32% 41% Percentage of Respondents Indicating Interest in BAS-HS 31.4% 21.2% Miami Dade College BAS-Health Science, Physician Assistant Studies Page 91 of 93 Appendix 15 ARC-PA Standards Miami Dade College BAS-Health Science, Physician Assistant Studies Page 92 of 93 Appendix 16 Foreign Health Care Professionals A A P P E Miami Dade College BAS-Health Science, Physician Assistant Studies Page 93 of 93