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 Florida Statute 458.347, Regulation of Professions and Occupations 2008 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 37 Appendix 1 The 2008 Florida Statutes Title XXXII Chapter 458 REGULATION OF PROFESSIONS AND MEDICAL OCCUPATIONS PRACTICE 458.347 Physician assistants.-- View Entire Chapter (1) LEGISLATIVE INTENT.-(a) The purpose of this section is to encourage more effective utilization of the skills of physicians or groups of physicians by enabling them to delegate health care tasks to qualified assistants when such delegation is consistent with the patient's health and welfare. (b) In order that maximum skills may be obtained within a minimum time period of education, a physician assistant shall be specialized to the extent that he or she can operate efficiently and effectively in the specialty areas in which he or she has been trained or is experienced. (c) The purpose of this section is to encourage the utilization of physician assistants by physicians and to allow for innovative development of programs for the education of physician assistants. (2) DEFINITIONS.--As used in this section: (a) "Approved program" means a program, formally approved by the boards, for the education of physician assistants. (b) "Boards" means the Board of Medicine and the Board of Osteopathic Medicine. (c) "Council" means the Council on Physician Assistants. (d) "Trainee" means a person who is currently enrolled in an approved program. (e) "Physician assistant" means a person who is a graduate of an approved program or its equivalent or meets standards approved by the boards and is licensed to perform medical services delegated by the supervising physician. (f) "Supervision" means responsible supervision and control. Except in cases of emergency, supervision requires the easy availability or physical presence of the licensed physician for consultation and direction of the actions of the physician assistant. For the purposes of this definition, the term "easy availability" includes the ability to communicate by way of telecommunication. The boards shall establish rules as to what constitutes responsible supervision of the physician assistant. (g) "Proficiency examination" means an entry-level examination approved by the boards, including, but not limited to, those examinations administered by the National Commission on Certification of Physician Assistants. (h) "Continuing medical education" means courses recognized and approved by the boards, the American Academy of Physician Assistants, the American Medical Association, the American 38 Osteopathic Association, or the Accreditation Council on Continuing Medical Education. (3) PERFORMANCE OF SUPERVISING PHYSICIAN.--Each physician or group of physicians supervising a licensed physician assistant must be qualified in the medical areas in which the physician assistant is to perform and shall be individually or collectively responsible and liable for the performance and the acts and omissions of the physician assistant. A physician may not supervise more than four currently licensed physician assistants at any one time. (4) PERFORMANCE OF PHYSICIAN ASSISTANTS.-(a) The boards shall adopt, by rule, the general principles that supervising physicians must use in developing the scope of practice of a physician assistant under direct supervision and under indirect supervision. These principles shall recognize the diversity of both specialty and practice settings in which physician assistants are used. (b) This chapter does not prevent third-party payors from reimbursing employers of physician assistants for covered services rendered by licensed physician assistants. (c) Licensed physician assistants may not be denied clinical hospital privileges, except for cause, so long as the supervising physician is a staff member in good standing. (d) A supervisory physician may delegate to a licensed physician assistant, pursuant to a written protocol, the authority to act according to s. 154.04(1)(c). Such delegated authority is limited to the supervising physician's practice in connection with a county health department as defined and established pursuant to chapter 154. The boards shall adopt rules governing the supervision of physician assistants by physicians in county health departments. (e) A supervisory physician may delegate to a fully licensed physician assistant the authority to prescribe or dispense any medication used in the supervisory physician's practice unless such medication is listed on the formulary created pursuant to paragraph (f). A fully licensed physician assistant may only prescribe or dispense such medication under the following circumstances: 1. A physician assistant must clearly identify to the patient that he or she is a physician assistant. Furthermore, the physician assistant must inform the patient that the patient has the right to see the physician prior to any prescription being prescribed or dispensed by the physician assistant. 2. The supervisory physician must notify the department of his or her intent to delegate, on a department-approved form, before delegating such authority and notify the department of any change in prescriptive privileges of the physician assistant. Authority to dispense may be delegated only by a supervising physician who is registered as a dispensing practitioner in compliance with s. 465.0276. 3. The physician assistant must file with the department, before commencing to prescribe or dispense, evidence that he or she has completed a continuing medical education course of at least 3 classroom hours in prescriptive practice, conducted by an accredited program approved by the boards, which course covers the limitations, responsibilities, and privileges involved in prescribing medicinal drugs, or evidence that he or she has received education comparable to the continuing education course as part of an accredited physician assistant training program. 4. The physician assistant must file with the department, before commencing to prescribe or dispense, evidence that the physician assistant has a minimum of 3 months of clinical experience in the specialty area of the supervising physician. 39 5. The physician assistant must file with the department a signed affidavit that he or she has completed a minimum of 10 continuing medical education hours in the specialty practice in which the physician assistant has prescriptive privileges with each licensure renewal application. 6. The department shall issue a license and a prescriber number to the physician assistant granting authority for the prescribing of medicinal drugs authorized within this paragraph upon completion of the foregoing requirements. The physician assistant shall not be required to independently register pursuant to s. 465.0276. 7. The prescription must be written in a form that complies with chapter 499 and must contain, in addition to the supervisory physician's name, address, and telephone number, the physician assistant's prescriber number. Unless it is a drug or drug sample dispensed by the physician assistant, the prescription must be filled in a pharmacy permitted under chapter 465 and must be dispensed in that pharmacy by a pharmacist licensed under chapter 465. The appearance of the prescriber number creates a presumption that the physician assistant is authorized to prescribe the medicinal drug and the prescription is valid. 8. The physician assistant must note the prescription or dispensing of medication in the appropriate medical record, and the supervisory physician must review and sign each notation. For dispensing purposes only, the failure of the supervisory physician to comply with these requirements does not affect the validity of the prescription. 9. This paragraph does not prohibit a supervisory physician from delegating to a physician assistant the authority to order medication for a hospitalized patient of the supervisory physician. This paragraph does not apply to facilities licensed pursuant to chapter 395. (f)1. The council shall establish a formulary of medicinal drugs that a fully licensed physician assistant, licensed under this section or s. 459.022, may not prescribe. The formulary must include controlled substances as defined in chapter 893, general anesthetics, and radiographic contrast materials. 2. In establishing the formulary, the council shall consult with a pharmacist licensed under chapter 465, but not licensed under this chapter or chapter 459, who shall be selected by the State Surgeon General. 3. Only the council shall add to, delete from, or modify the formulary. Any person who requests an addition, deletion, or modification of a medicinal drug listed on such formulary has the burden of proof to show cause why such addition, deletion, or modification should be made. 4. The boards shall adopt the formulary required by this paragraph, and each addition, deletion, or modification to the formulary, by rule. Notwithstanding any provision of chapter 120 to the contrary, the formulary rule shall be effective 60 days after the date it is filed with the Secretary of State. Upon adoption of the formulary, the department shall mail a copy of such formulary to each fully licensed physician assistant, licensed under this section or s. 459.022, and to each pharmacy licensed by the state. The boards shall establish, by rule, a fee not to exceed $200 to fund the provisions of this paragraph and paragraph (e). (5) PERFORMANCE BY TRAINEES.--Notwithstanding any other law, a trainee may perform medical services when such services are rendered within the scope of an approved program. (6) PROGRAM APPROVAL.-- 40 (a) The boards shall approve programs, based on recommendations by the council, for the education and training of physician assistants which meet standards established by rule of the boards. The council may recommend only those physician assistant programs that hold full accreditation or provisional accreditation from the Commission on Accreditation of Allied Health Programs or its successor organization. Any educational institution offering a physician assistant program approved by the boards pursuant to this paragraph may also offer the physician assistant program authorized in paragraph (c) for unlicensed physicians. (b) The boards shall adopt and publish standards to ensure that such programs operate in a manner that does not endanger the health or welfare of the patients who receive services within the scope of the programs. The boards shall review the quality of the curricula, faculties, and facilities of such programs and take whatever other action is necessary to determine that the purposes of this section are being met. (c) Any community college with the approval of the State Board of Education may conduct a physician assistant program which shall apply for national accreditation through the American Medical Association's Committee on Allied Health, Education, and Accreditation, or its successor organization, and which may admit unlicensed physicians, as authorized in subsection (7), who are graduates of foreign medical schools listed with the World Health Organization. The unlicensed physician must have been a resident of this state for a minimum of 12 months immediately prior to admission to the program. An evaluation of knowledge base by examination shall be required to grant advanced academic credit and to fulfill the necessary requirements to graduate. A minimum of one 16-week semester of supervised clinical and didactic education, which may be completed simultaneously, shall be required before graduation from the program. All other provisions of this section shall remain in effect. (7) PHYSICIAN ASSISTANT LICENSURE.-(a) Any person desiring to be licensed as a physician assistant must apply to the department. The department shall issue a license to any person certified by the council as having met the following requirements: 1. Is at least 18 years of age. 2. Has satisfactorily passed a proficiency examination by an acceptable score established by the National Commission on Certification of Physician Assistants. If an applicant does not hold a current certificate issued by the National Commission on Certification of Physician Assistants and has not actively practiced as a physician assistant within the immediately preceding 4 years, the applicant must retake and successfully complete the entry-level examination of the National Commission on Certification of Physician Assistants to be eligible for licensure. 3. Has completed the application form and remitted an application fee not to exceed $300 as set by the boards. An application for licensure made by a physician assistant must include: a. A certificate of completion of a physician assistant training program specified in subsection (6). b. A sworn statement of any prior felony convictions. c. A sworn statement of any previous revocation or denial of licensure or certification in any state. d. Two letters of recommendation. (b)1. Notwithstanding subparagraph (a)2. and sub-subparagraph (a)3.a., the department shall 41 examine each applicant who the Board of Medicine certifies: a. Has completed the application form and remitted a nonrefundable application fee not to exceed $500 and an examination fee not to exceed $300, plus the actual cost to the department to provide the examination. The examination fee is refundable if the applicant is found to be ineligible to take the examination. The department shall not require the applicant to pass a separate practical component of the examination. For examinations given after July 1, 1998, competencies measured through practical examinations shall be incorporated into the written examination through a multiple-choice format. The department shall translate the examination into the native language of any applicant who requests and agrees to pay all costs of such translation, provided that the translation request is filed with the board office no later than 9 months before the scheduled examination and the applicant remits translation fees as specified by the department no later than 6 months before the scheduled examination, and provided that the applicant demonstrates to the department the ability to communicate orally in basic English. If the applicant is unable to pay translation costs, the applicant may take the next available examination in English if the applicant submits a request in writing by the application deadline and if the applicant is otherwise eligible under this section. To demonstrate the ability to communicate orally in basic English, a passing score or grade is required, as determined by the department or organization that developed it, on the test for spoken English (TSE) by the Educational Testing Service (ETS), the test of English as a foreign language (TOEFL) by ETS, a high school or college level English course, or the English examination for citizenship, Bureau of Citizenship and Immigration Services. A notarized copy of an Educational Commission for Foreign Medical Graduates (ECFMG) certificate may also be used to demonstrate the ability to communicate in basic English; and b.(I) Is an unlicensed physician who graduated from a foreign medical school listed with the World Health Organization who has not previously taken and failed the examination of the National Commission on Certification of Physician Assistants and who has been certified by the Board of Medicine as having met the requirements for licensure as a medical doctor by examination as set forth in s. 458.311(1), (3), (4), and (5), with the exception that the applicant is not required to have completed an approved residency of at least 1 year and the applicant is not required to have passed the licensing examination specified under s. 458.311 or hold a valid, active certificate issued by the Educational Commission for Foreign Medical Graduates; was eligible and made initial application for certification as a physician assistant in this state between July 1, 1990, and June 30, 1991; and was a resident of this state on July 1, 1990, or was licensed or certified in any state in the United States as a physician assistant on July 1, 1990; or (II) Completed all coursework requirements of the Master of Medical Science Physician Assistant Program offered through the Florida College of Physician's Assistants prior to its closure in August of 1996. Prior to taking the examination, such applicant must successfully complete any clinical rotations that were not completed under such program prior to its termination and any additional clinical rotations with an appropriate physician assistant preceptor, not to exceed 6 months, that are determined necessary by the council. The boards shall determine, based on recommendations from the council, the facilities under which such incomplete or additional clinical rotations may be completed and shall also determine what constitutes successful completion thereof, provided such requirements are comparable to those established by accredited physician assistant programs. This sub-sub-subparagraph is repealed July 1, 2001. 2. The department may grant temporary licensure to an applicant who meets the requirements of subparagraph 1. Between meetings of the council, the department may grant temporary licensure to practice based on the completion of all temporary licensure requirements. All such administratively issued licenses shall be reviewed and acted on at the next regular meeting of the council. A temporary license expires 30 days after receipt and notice of scores to the licenseholder from the first available examination specified in subparagraph 1. following licensure by the 42 department. An applicant who fails the proficiency examination is no longer temporarily licensed, but may apply for a one-time extension of temporary licensure after reapplying for the next available examination. Extended licensure shall expire upon failure of the licenseholder to sit for the next available examination or upon receipt and notice of scores to the licenseholder from such examination. 3. Notwithstanding any other provision of law, the examination specified pursuant to subparagraph 1. shall be administered by the department only five times. Applicants certified by the board for examination shall receive at least 6 months' notice of eligibility prior to the administration of the initial examination. Subsequent examinations shall be administered at 1-year intervals following the reporting of the scores of the first and subsequent examinations. For the purposes of this paragraph, the department may develop, contract for the development of, purchase, or approve an examination that adequately measures an applicant's ability to practice with reasonable skill and safety. The minimum passing score on the examination shall be established by the department, with the advice of the board. Those applicants failing to pass that examination or any subsequent examination shall receive notice of the administration of the next examination with the notice of scores following such examination. Any applicant who passes the examination and meets the requirements of this section shall be licensed as a physician assistant with all rights defined thereby. (c) The license must be renewed biennially. Each renewal must include: 1. A renewal fee not to exceed $500 as set by the boards. 2. A sworn statement of no felony convictions in the previous 2 years. (d) Each licensed physician assistant shall biennially complete 100 hours of continuing medical education or shall hold a current certificate issued by the National Commission on Certification of Physician Assistants. (e) Upon employment as a physician assistant, a licensed physician assistant must notify the department in writing within 30 days after such employment or after any subsequent changes in the supervising physician. The notification must include the full name, Florida medical license number, specialty, and address of the supervising physician. (f) Notwithstanding subparagraph (a)2., the department may grant to a recent graduate of an approved program, as specified in subsection (6), who expects to take the first examination administered by the National Commission on Certification of Physician Assistants available for registration after the applicant's graduation, a temporary license. The temporary license shall expire 30 days after receipt of scores of the proficiency examination administered by the National Commission on Certification of Physician Assistants. Between meetings of the council, the department may grant a temporary license to practice based on the completion of all temporary licensure requirements. All such administratively issued licenses shall be reviewed and acted on at the next regular meeting of the council. The recent graduate may be licensed prior to employment, but must comply with paragraph (e). An applicant who has passed the proficiency examination may be granted permanent licensure. An applicant failing the proficiency examination is no longer temporarily licensed, but may reapply for a 1-year extension of temporary licensure. An applicant may not be granted more than two temporary licenses and may not be licensed as a physician assistant until he or she passes the examination administered by the National Commission on Certification of Physician Assistants. As prescribed by board rule, the council may require an applicant who does not pass the licensing examination after five or more attempts to complete additional remedial education or training. The council shall prescribe the additional requirements in a manner that permits the applicant to complete the requirements and be reexamined within 2 years after the date the applicant petitions the council to retake the examination a sixth or 43 subsequent time. (g) The Board of Medicine may impose any of the penalties authorized under ss. 456.072 and 458.331(2) upon a physician assistant if the physician assistant or the supervising physician has been found guilty of or is being investigated for any act that constitutes a violation of this chapter or chapter 456. (8) DELEGATION OF POWERS AND DUTIES.--The boards may delegate such powers and duties to the council as they may deem proper. (9) COUNCIL ON PHYSICIAN ASSISTANTS.--The Council on Physician Assistants is created within the department. (a) The council shall consist of five members appointed as follows: 1. The chairperson of the Board of Medicine shall appoint three members who are physicians and members of the Board of Medicine. One of the physicians must supervise a physician assistant in the physician's practice. 2. The chairperson of the Board of Osteopathic Medicine shall appoint one member who is a physician and a member of the Board of Osteopathic Medicine. 3. The State Surgeon General or his or her designee shall appoint a fully licensed physician assistant licensed under this chapter or chapter 459. (b) Two of the members appointed to the council must be physicians who supervise physician assistants in their practice. Members shall be appointed to terms of 4 years, except that of the initial appointments, two members shall be appointed to terms of 2 years, two members shall be appointed to terms of 3 years, and one member shall be appointed to a term of 4 years, as established by rule of the boards. Council members may not serve more than two consecutive terms. The council shall annually elect a chairperson from among its members. (c) The council shall: 1. Recommend to the department the licensure of physician assistants. 2. Develop all rules regulating the use of physician assistants by physicians under this chapter and chapter 459, except for rules relating to the formulary developed under paragraph (4)(f). The council shall also develop rules to ensure that the continuity of supervision is maintained in each practice setting. The boards shall consider adopting a proposed rule developed by the council at the regularly scheduled meeting immediately following the submission of the proposed rule by the council. A proposed rule submitted by the council may not be adopted by either board unless both boards have accepted and approved the identical language contained in the proposed rule. The language of all proposed rules submitted by the council must be approved by both boards pursuant to each respective board's guidelines and standards regarding the adoption of proposed rules. If either board rejects the council's proposed rule, that board must specify its objection to the council with particularity and include any recommendations it may have for the modification of the proposed rule. 3. Make recommendations to the boards regarding all matters relating to physician assistants. 4. Address concerns and problems of practicing physician assistants in order to improve safety in 44 the clinical practices of licensed physician assistants. (d) When the council finds that an applicant for licensure has failed to meet, to the council's satisfaction, each of the requirements for licensure set forth in this section, the council may enter an order to: 1. Refuse to certify the applicant for licensure; 2. Approve the applicant for licensure with restrictions on the scope of practice or license; or 3. Approve the applicant for conditional licensure. Such conditions may include placement of the licensee on probation for a period of time and subject to such conditions as the council may specify, including but not limited to, requiring the licensee to undergo treatment, to attend continuing education courses, to work under the direct supervision of a physician licensed in this state, or to take corrective action. (10) INACTIVE AND DELINQUENT STATUS.--A license on inactive or delinquent status may be reactivated only as provided in s. 456.036. (11) PENALTY.--Any person who has not been licensed by the council and approved by the department and who holds himself or herself out as a physician assistant or who uses any other term in indicating or implying that he or she is a physician assistant commits a felony of the third degree, punishable as provided in s. 775.082 or s. 775.084 or by a fine not exceeding $5,000. (12) DENIAL, SUSPENSION, OR REVOCATION OF LICENSURE.--The boards may deny, suspend, or revoke a physician assistant license if a board determines that the physician assistant has violated this chapter. (13) RULES.--The boards shall adopt rules to implement this section, including rules detailing the contents of the application for licensure and notification pursuant to subsection (7) and rules to ensure both the continued competency of physician assistants and the proper utilization of them by physicians or groups of physicians. (14) EXISTING PROGRAMS.--This section does not eliminate or supersede existing laws relating to other paramedical professions or services and is supplemental to all such existing laws relating to the licensure and practice of paramedical professions. (15) LIABILITY.--Each supervising physician using a physician assistant is liable for any acts or omissions of the physician assistant acting under the physician's supervision and control. (16) LEGAL SERVICES.--Legal services shall be provided to the council pursuant to s. 456.009(1). (17) FEES.--The department shall allocate the fees collected under this section to the council. History.--ss. 1, 8, ch. 79-302; s. 301, ch. 81-259; ss. 2, 3, ch. 81-318; s. 8, ch. 84-543; s. 8, ch. 84553; ss. 20, 25, 26, ch. 86-245; s. 29, ch. 88-1; s. 15, ch. 88-277; s. 3, ch. 88-361; s. 26, ch. 89-162; s. 2, ch. 90-60; ss. 33, 34, ch. 90-134; s. 2, ch. 91-22; s. 43, ch. 91-201; s. 4, ch. 91-429; s. 1, ch. 92-22; s. 108, ch. 94-218; s. 1, ch. 95-231; s. 1, ch. 96-197; s. 223, ch. 97-101; s. 1094, ch. 97-103; s. 27, ch. 97-264; s. 6, ch. 98-49; s. 49, ch. 98-166; s. 155, ch. 99-251; s. 1, ch. 99-370; s. 100, ch. 99-397; s. 107, ch. 2000-160; ss. 27, 42, ch. 2000-318; s. 1, ch. 2001-100; ss. 23, 55, ch. 2001-277; s. 75, ch. 2002-1; s. 76, ch. 2004-5; s. 15, ch. 2004-41; s. 1, ch. 2007-155; s. 75, ch. 2008-6; s. 1, ch. 2008-86. 45 Appendix 1a 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. 2. To develop a plan that will increase the number of leading-edge technology in all program laboratory and classrooms by year 2010. Outcomes: 46 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. 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. 47 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. 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. 48 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 49 Appendix 2: Letter of Intent/ Summary to Institutions 50 51 52 53 54 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). 55 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. MDC Page 56 o 56 7/1/2016 Appendix 3 Letters of Support 57 58 59 60 61 62 63 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 64 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 65 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. • MDC and Barry University are currently in negotiations to establish an Articulation Agreement for transfer from graduates of the BAS-HS, PA to the Masters of Clinical Medical Science (Information regarding support from post-secondary institutions can be found in the Proposal narrative Page 17 and Appendices 17, 18). 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. 66 • Inclusion of the specific compiled information for the various components of the BASHS proposal was discussed. 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. • Note: As of November 2008, there are currently 2 MDC AS-PA program graduates enrolled in Nova’s BHS program. The MDC graduates obtained PA licensure prior to enrollment in the NOVA BHS program which does not grant PA licensure. 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. As noted in Table 13, currently there are 141 accredited PA programs in the US with approximately 90 offered 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. 67 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. 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. 68 APPENDIX 7 NOVA Southeastern University Articulation Agreement 69 70 71 72 73 74 75 APPENDIX 8 Bachelor of Applied Science in Health Science with an Option in Physician Assistant Studies Advising Sheet Note: General Education requirements are highlighted in yellow. 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 2086 Human Anatomy/Physiology 1 BSC 2086L 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 76 YEAR THREE Semester 1 (Fall) PAS 1820 PAS 2841L PAS 2842L PAS 2866L Introduction to Medicine 2 Geriatrics Psychiatry Family Medicine SEMESTER TOTALS (5 credits) (2 credits) (2 credits) (4 credits) 13 credits Semester 2 (Spring) PAS 1824 PAS 2840L PAS 2860L PAS 2870L PAS 2876L 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 77 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. 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 78 34. 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. Citrus Health Network, Inc. (=Northwest Dade Center, Inc.) 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 79 76. Dr. Ana Duarte/Children’s Skin Center 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 80 118. 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. Dr. Julio Tallet, MD PA 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 81 160. 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. Fair Havens Center HIM 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 82 202. 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. Homebirth Services MW 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 83 244. 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. Martin Luther King Jr. Clinica Campesina 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 84 286. 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. Ms. Yaqueline Arjona, ARNP MA 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 85 328. 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. Plantation Animal Hospital VT 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 86 370. 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. Spirit of Life Midwifery MW 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 87 412. 413. 414. 415. 416. 417. 418. 419. 420. 421. 422. 423. 424. 425. 426. 427. 428. Victoria Nursing and Rehabilitation, Inc. CCE 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 88 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 89 APPENDIX 11 90 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.” 91 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. 2. 3. 4. 5. Program goals and rationale Outcomes assessment Program resources and support Program strengths/opportunities for improvement 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 92 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 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 94 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. A.A.S, A.S. and associated C.C.C.(s) ACADEMIC PROGRAM REVIEW ANNUAL REPORT 95 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 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 96 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. 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. 97 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 98 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. 99 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 100 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% 101 Appendix 15 ARC-PA Standards 102 Appendix 16 Foreign Health Care Professionals 103 PROPOSED DRAFT Appendix 17 ARTICULATION AGREEMENT BETWEEN NOVA SOUTHEASTERN UNIVERSITY AND MIAMI DADE COLLEGE PA PROGRAM DATE GOES HERE WHEREAS, Miami Dade College (MDC) does not offer a masters degree to their Physician Assistant (PA) students who have been awarded a bachelor’s degree prior to entering MDC PA Program or to graduates of the MDC PA Program who possess a bachelor’s degree; and WHEREAS, Nova Southeastern University (NSU) offers by distance learning online master of health science (M.H.Sc.) program, and is accredited by the Southern Association of Colleges and Schools: and WHEREAS, NSU and MDC wish to provide MDC PA students who have a bachelor’s degree and graduates of the MDC PA program who possess a bachelor’s degree the opportunity to obtain their M.H.Sc. NOW, THEREFORE, in consideration of the mutual covenants herein, and for other good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged, the parties agree as follows: 1. Program overview NSU and MDC are collaborating to provide access to M.H.Sc. for MDC PA students who have been awarded a bachelor’s degree prior to matriculation into the MDC PA program and graduates that have completed their bachelor’s degree. 2. Application Procedures MDC PA program students with a bachelors and graduates with a bachelor’s degree may apply to NSU’s M.H.Sc. program. The application process will be the same as it is for all other applicants with all the application fees applicable. 3. Course of Study MDC PA program students with a bachelor’s degree and MDC PA program graduates who possess a bachelors degree will have the ability to complete the track within the M.H.Sc. that they desire. All requirements for graduation apply to students under this addendum. 4. Award upon Successful Completion NSU will grant the MHSc degree upon successful completion of the Master of Health Science Program. 5. Advanced Standing Students or graduates of the Miami Dade College PA Program accepted into the NSU MHSc program will be granted advanced standing with a total of 3 credit hours accepted toward the master’s degree, provided they have completed the following training ACLS, BCLS and PALS will be awarded the following MHS 5103 Principles of Advanced Life Support – 3 credits. No other course work from the MDC PA program 104 PROPOSED DRAFT will be considered for transfer credit, however if the applicant has attended another graduate program and not awarded a degree for coursework transfer credit may be entertained on a case by case basis in accordance with published policies in the MHSc program brochure. Transfer credit must be from a regionally accredited graduate institution. A maximum of 6 credits with a grade of B or higher will be considered for transfer. 6. Curriculum Students at Miami Dade College PA Program admitted under this agreement would then complete the remaining 33 credits at NSU with a 12% discount of the then prevailing tuition rate. Courses to be successfully completed in the NSU MHSc program presently are: MHS 5001: APA Writing Seminar (2 credits) MHS 5205: Writing for Medical Publication (3 credits) MHS 5521: Ethical Issues in Healthcare (3 credits) MHS 5501: Epidemiology and Biostatistics (3 credits) MHS 5510: Research Methods (3 credits) MHS 5530: Principles & Practice of Healthcare Management (3 credits) MHS 5107: Internship (5 credits) MHS 5207: Practicum (5 credits) Two Electives (6 credits) NSU reserves the right to change the courses to be completed toward the MHSc degree. Specific tracks may require a different mix of courses, what is listed on the MHS web site for the individual tracks will be held valid by this agreement. 7. Enrollment Miami Dade College PA students with a bachelors degree are permitted to apply for admission and if accepted, take courses in the MHSc program during their senior final PA program year at Miami Dade College, provided those students are in good academic standing in the Miami Dade Program as documented in writing by the program director or official designee of the Miami Dade College PA Program. Admission and enrollment are not reserved for current Miami Dade College PA Program students only. Graduates of the Miami Dade College PA Program (with a bachelor’s degree) are also permitted admission and enrollment. Graduation with the MHSc is contingent upon: graduation from the Miami Dade College PA Program and, being of good moral character as assessed by the program director, satisfactorily completing the program of 36 hours (minimum) of study required for the degree with an average grade on B- or a GPA of 2.7 on a 4.0 scale, successfully complete the M.H.Sc. internship and practicum. 8. Specific Admission Requirements MDC PA program students and graduates must have a bachelor’s degree awarded from a regionally accredited institution with a minimum GPA of 2.5. Complete an NSU-MHSc application form with prevailing application fee, currently $50, and official transcripts from previous post secondary study, 105 PROPOSED DRAFT Provide evidence of overall GPA of 2.5/ C or higher for all professional and clinical work at the college/university awarding the bachelor’s degree as evidenced by official transcripts, Official college, certificate and/or diploma-based transcripts from all undergraduate and graduate institutions attended, sent directly from the institutions, Submit two “Evaluation Forms” from the director, and/ or delegated faculty or administrator from the MIAMI DADE COLLEGE PA program, attesting to the student’s qualifications and standing in the program as either current student with a bachelor’s degree or successful graduate with a bachelor’s degree. This form is supplied in the application package for the program, Student must possess and be able to demonstrate basic computer and word processing skills. NSU reserves the right to alter, change or modify these admission requirements. 9. Total Costs MHSc at NSU • MHS regular tuition: $ 285 per credit hour as of 07/01/08. Tuition under this agreement is discounted by 12% and will be $251 per credit hour. Graduates of the MDC PA program already enrolled in the MHSc prior to this agreement will be eligible for this discounted tuition once the agreement is in effect for courses from that point forward. • Books: ~ $500. * Student fee: $750 per year 10. Program Contact Information MIAMI DADE COLLEGE Physician Assistant Program Program Director 950 NW 20th Street Miami, FL 33127 http://www.mdc.edu/MEDICAL/academic_programs/physician_assistant/physician.htm Nova Southeastern University Program Director Master of Health Science Program Nova Southeastern University Department of Health Science 3200 South University Drive, #1219 Ft Lauderdale, FL 33328 Email: dyda@nova.edu http://www.nova.edu/mhs 11. Compliance with Policies and Procedures Students admitted to the MHSc program are to comply with (i) MIAMI DADE COLLEGE academic and non-academic policies and procedures in all matters related to the pursuit of their PA degree and their being students at MIAMI DADE COLLEGE and (ii) NSU’s academic and non-academic policies and procedures in all matters related to their enrollment and participation in the MHSc Program and their being students at NSU. 106 PROPOSED DRAFT 12. Authority and Oversight Subject to the terms of this Agreement, the MIAMI DADE COLLEGE PA program will have oversight of and authority over all matters related to the undergraduate, entry-level physician assistant training portions and requirements for their PA degree completion. Subject to the terms of this Agreement, NSU shall have oversight of and authority over all matters related to the graduate MHSc portions and requirements for MHSc degree completion. 13. Registration and Payments Students will register, be billed and pay tuition and fees at MIAMI DADE COLLEGE for those courses taken at MIAMI DADE COLLEGE, and will register, be billed and pay tuition and fees at NSU for those courses taken at NSU. 14. Financial Aid Students may apply to NSU for graduate financial aid pursuant to NSU policies and procedures. Each student is responsible for making arrangements for financial aid if necessary, and satisfies all financial considerations at the respective institutions. 15. Reporting of Grades. As successful completion of the MIAMI DADE COLLEGE PA program is necessary for students covered under this Agreement, the Registrar at MIAMI DADE COLLEGE will report grades and PA degree completion to NSU in a timely manner to meet NSU MHSc requirements. The Registrar at NSU will forward a report of grades earned at NSU to MIAMI DADE COLLEGE for courses taken at NSU in the MHSc program only upon written request and permission by the MIAMI DADE COLLEGE student to forward such information in the form of written transcripts. 16. Access to Campus Privileges MIAMI DADE COLLEGE PA Program students/graduates admitted to NSU through the MHSc program will have access to NSU campus privileges during their enrollment at NSU in the same manner as other graduate students in other NSU graduate programs. 17. Changes to Prerequisites and Curriculum. NSU will promptly communicate to MIAMI DADE COLLEGE any changes in prerequisites for admission into its MHSc program. These changes will not be retroactive for students already enrolled in the program. MIAMI DADE COLLEGE will promptly communicate to NSU any changes in its core curriculum or related undergraduate majors which could impact this Agreement, except that no such changes by MIAMI DADE COLLEGE shall be binding upon NSU with respect to NSU’s prerequisites and other requirements for admission into the MHSc Program. MIAMI DADE COLLEGE acknowledges that any change to the MIAMI DADE COLLEGE courses listed in Section 4 herein may affect advanced standing credits to be granted by NSU. 18. Liability. With respect to this Agreement, each party shall be liable for its own acts or omissions, and those of its agents and employees. 19. Publicity. MIAMI DADE COLLEGE shall publicize this Agreement to its faculty, staff, students, and graduates, and shall provide proof of such publicity to NSU. 107 PROPOSED DRAFT 20. Term. The term of this Agreement shall commence (To be determined) and expire on September 30, 2010. This Agreement shall automatically renew unless terminated consistent with the termination requirement in Section 21 below. 21. Termination. Either party may terminate this Agreement without cause upon six (6) months prior written notice to the other party. If either party is in default under this Agreement and fails to cure the same within thirty (30) days of receipt of written notice specifying the default, then the non-defaulting party may terminate this Agreement by written notice to the breaching party. Furthermore, either party may terminate this Agreement, by written notice, if the other party loses accreditation by its respective accrediting bodies, including, with respect to MIAMI DADE COLLEGE, the Accreditation and Review Committee for Physician Assistants. In the event of any such termination, this Agreement shall remain effective with respect to all students at (or graduates of) MIAMI DADE COLLEGE who have been admitted to the MHSc Program through their completion of the MHSc program. 22. Relationship. The relationship of the parties is that of independent contractors. Nothing contained herein shall create or be deemed to create an employer-employee, principal-agent, joint venture or partnership relationship. 23. Entire Agreement and Modification. This Agreement contains all of the understandings of the parties concerning the matters covered herein, and may only be altered, amended or modified by a writing duly executed by the parties. 24. Law Governing, Jurisdiction and Venue With respect to any action instituted by one party against the other relating to this Agreement, the parties accept the jurisdiction of the state and federal courts in Florida, and agree that venue for any such action shall lie in either Broward County, FL. The laws of the state where any action is instituted pursuant to this paragraph shall govern. 25. Assignment. Neither party may assign its interest in this Agreement without the prior written consent of the other party. 26. Accrediting Bodies The validity of this agreement shall be contingent upon its compliance with the requirements of the accrediting bodies of each of the parties. 27. Notices. All notices required or permitted to be given under this Agreement shall be in writing, and shall be deemed effective upon receipt by the parties, at the following addresses: 108 PROPOSED DRAFT Miami Dade College PA Program Program Director 950 NW 20th Street Miami, FL 33127 Nova Southeastern University Master of Health Science Program Program Director Nova Southeastern University Department of Health Sciences 3200 South University Drive Ft. Lauderdale, FL 33328-2018 Each party reserves the right to change the address at which notice to be given by providing written notice of such change to the other party. 109 Appendix 18 Discussions with Barry University and The University of Florida From: Gutierrez, Pete Sent: Thursday, November 06, 2008 10:38 AM To: 'dparkhurst@mail.barry.edu' Subject: Possible agreement for Master Degree Dr. D. Parkhurst, It was a pleasure speaking with you this morning regarding our Physician Assistant program. As you know Miami Dade College is preparing to start a Bachelor of Applied Science Degree for our students in 2010. We would love to partner with your institution in order to bridge the gap to a Master’s Degree Program for our students. I look forward meeting with you on Wednesday November 12, 2008 to further discuss an affiliation agreement. Sincerely, Pete A. Gutierrez MD, MMS, PA-C Physician Assistant Program Director Miami Dade College Phone 305-237-4261 110 Summary of November 12, 2008 Meeting with Dr. Pete Gutierrez, MDC PA Program Director and Dr. Doreen Parkhurst, FASCEP Program Director, and Dr. Chet Evans of Barry University On Wednesday November 12, 2008 Dr. Gutierrez met with Doreen C. Parkhurst MD, FASCEP Program Director Physician Assistant at Barry University, and Chet Evans, D.P.M; F.A.C.F.A.S. At this meeting, the possibility of a future articulation agreement between Miami Dade College and Barry University to grant MDC BAS-HS/PA graduates enrollment into the Barry University Master of Clinical Medical Sciences program. Further discussion entailed the possibility of an affiliation with the School of Public Health as an alternative route. A second meeting will be set up after January 2009, in order to finalize the language of the agreement. Sincerely, Pete A. Gutierrez MD, MMS, PA-C Program Director Miami Dade College, Physician Assistant Program 111 EMAIL TO THE UNIVERSITY OF FLORIDA REGARDING MASTER’S PROGRAM AGREEMENT From: Gutierrez, Pete Sent: Thursday, November 20, 2008 10:00 AM To: 'waynedbottom@medicine.ufl.edu' Subject: Master's Program Agreement Wayne D. Bottom PA-C, MPH Director Physician Assistant Program University of Florida Wayne, thank you for speaking with me today about a possible working agreement for my graduates to complete a Master’s program at your Institution and I understand your reason and look forward having a close relationship with you and your program. Thank you also for wishing us success in our attempt to develop and start our Bachelor of Applied Science in Physician Assistant Studies in the year 2010. As always it is a pleasure speaking with you. Sincerely, Pete Gutierrez MD, MMS, PA-C Program Director Miami Dade College Physician Assistant Program 305-237-4261 112 EMAIL SUMMARY REGARDING DISCUSSIONS WITH THE UNIVERSITY OF FLORIDA From: Gutierrez, Pete Sent: Thursday, November 20, 2008 9:32 AM To: Dr. Mollie F. DeHart District Director, Academic Programs Subject: BAS-HS, PA Studies Mollie, First thanks for all your help in this endeavor. I contacted The University of Florida Wayne D. Bottom PA-C, MPH Program Director of the Physician Assistant Program at the University of Florida on November 20, 2008. Mr. Bottom, whom I had known for years, related his approval of Miami Dade College application for the BAS-HS degree since he believes that all PA Programs should be at a minimum of a Baccalaureate Degree. We discussed the possibility of a working agreement with the University of Florida in order to secure a secondary track for our students to apply and enter his program to obtained a Master's Degree in Physician Assistant Studies, however at this time because of the nature of his program he would need to present it to his faculty for approval. We will continue to speak on this matter in the near future. If you need any further information, please let me know. Sincerely, Pete Gutierrez MD, MMS, PA-C 113 APPENDIX 19 A A P P E Email Summarizing Discussion with Physician Assistant Accrediting Agency From: "Miller, Carol" <cmiller1@mdc.edu Save Address Reminder To: "DeHart, Mollie" <mdehart@mdc.edu>, <marthas_bryan@bellsouth.net> Cc: "Kaplan, Anita" <akaplan@mdc.edu> Subject: Date: Block Sender BAS proposal Wednesday, November 12, 2008 5:10:25 PM [View Source] High Priority Good afternoon: I want to take this opportunity to summarize today’s discussions regarding the BAS proposal. 1. I have spoken with Pete Gutierrez and he has indicated that the revised budget was sent to MJ last week. I have not seen it and requested that he send a copy to me (and Dr. Kaplan). 2. This morning Dr. Kaplan and I had the opportunity to speak directly with John McCarty, Executive Director of the ARC-PA. During this conversation he indicated that his accreditation agency focuses on the curriculum content, faculty credentials and clinical placements offered, not the name or level of degree conferred to program completers. He further stated that the name of the degree earned by P.A. students graduating from accredited P.A. programs varies widely across the United States. 3. Based on the additional clarification received when speaking with John McCarty, it should be confirmed that the request in the BAS proposal for CIP 51.0000 is correct. The Medical Center Campus is seeking approval for Health Services/Allied Health/Health Sciences, with the understanding that an additional track may need to be requested. (As an aside, it would be helpful to have clarified for the future if approval for this proposal would result in only P.A. students matriculating and whether interested students from other Health Science programs would require additional approvals from the state.) We appreciate everyone’s efforts in completing this proposal and I stand ready to continue assisting with the approval process for this program. Carol Dr. Carol J. Miller Interim Dean for Academic Affairs Medical Center Campus Miami Dade College 950 NW 20 Street Miami, FL 33127 305-237-4445 cmiller1@mdc.edu 114