Mississippi College Physician Assistant Program Student Portfolio Outline 1. Introduction- (9/28/2012)This is a short section which introduces the portfolio, its purpose and describes the main sections. 2. Self Assessment-(12/21/2012) This an honest appraisal of your state of preparation for the profession when you began the program and should include a statement of philosophy or reason for the student to enter the Physician Assistant Program. 3. Medical knowledge- Medical knowledge includes an understanding of pathophysiology, patient presentation, differential diagnosis, patient management, surgical principles, health promotion, and disease prevention. In this section demonstrate core knowledge about established and evolving biomedical and clinical sciences and the application of this knowledge to patient care. a. Grades from Preclinical Courses (11/9/2012) b. Pre-Clinical and Packrat evaluations (11/9/2012) i. My strengths and weaknesses (11/9/2012) c. OSCEs (7/26/2013) d. Other evaluations (11/29/2013) 4. Interpersonal & communication skills-(7/26/2013) Interpersonal and communication skills encompass verbal, nonverbal, and written exchange of information. In this section you must demonstrate interpersonal and communication skills that result in effective information exchange with patients, their patients’ families, physicians, professional associates, and the health care system. Evidence of this can include comments from preceptor evaluations, examples of graded write-ups, etc. 5. Patient Care- (7/26/2013) Patient care includes age appropriate assessment, evaluation, and management. In this section you must provide evidence of care that is effective, patient-centered, timely, efficient, and equitable for the treatment of health problems and the promotion of wellness. This also includes evidence of the wide range of clinical experiences required for completion of the program. You may also include comments from preceptor evaluations, “thank-you” notes from patients or other related documents. a. Clinical Experiences; A journal of my supervised clinical practice experiences; i. My patients: 1. Patient care across the life span- Provide a brief description of some of the patient experiences you have had that demonstrate your experience with patients across the life span. 2. My experiences in women’s health (including prenatal and gynecologic care) 3. My experiences with conditions requiring surgical management, including pre-operative, intra-operative, and post-operative care. 4. My experiences providing care for behavioral and mental health conditions. ii. The Settings: Provide a brief description of some of the clinical settings in which you have trained. During your clinical phase you must work in the following settings: 1. Outpatient 2. Emergency Department 3. Inpatient 4. Operating Room iii. My Preceptors: Provide a brief description of each of your preceptors. During your clinical phase you must work with preceptors practicing in the following disciplines: 1. Family Medicine 2. Internal Medicine 3. General Surgery 4. Pediatrics 5. OB/GYN 6. Behavioral and Mental Health Care iv. Interprofessional experiences: describe and reflect on your experiences with interprofessional or interdisciplinary teams. 6. Professionalism- (7/26/2013) Professionalism is the expression of positive values and ideals as care is delivered. Foremost, it involves prioritizing the interests of those being served above one’s own. In this section you must demonstrate your record of a high level of responsibility, ethical practice, sensitivity to a diverse patient population, and adherence to legal and regulatory requirements. Evidence of this can include comments from preceptor evaluations, professional evaluations, letters of recommendation, etc. This section should also include a curriculum vitae. a. Demonstrate an understanding of legal and regulatory requirements, as well as the appropriate role of the physician assistant b. Demonstrate appropriate professional relationships with physician supervisors and other health care providers c. Demonstrate respect, compassion, and integrity d. Demonstrate responsiveness to the needs of patients and society e. Demonstrate accountability to patients, society, and the profession f. Show evidence of your commitment to excellence and ongoing professional development g. Demonstrate a commitment to ethical principles pertaining to provision or withholding of clinical care, confidentiality of patient information, informed consent, and business practices h. Show evidence of your sensitivity and responsiveness to patients’ culture, age, gender, and disabilities i. Demonstrate self-reflection, critical curiosity, and initiative. 7. Practice-based learning and improvement- (7/26/2013) Practice-based learning and improvement includes the processes through which clinicians engage in critical analysis of their own practice experience, medical literature, and other information resources for the purpose of self-improvement. In this section you must assess, evaluate, and improve your educational and patient care practices. This can include: a. Self assessment results (Packrat, etc.) b. Reflections and plans for improvement ( 3-5 year plan) c. Analysis of educational experiences and performing practice-based improvement activities using a systematic methodology in concert with other members of the health care delivery team d. Appraisal and integration of evidence from scientific studies related to your patients’ health problems e. Application of information about your own population of patients and the larger population from which your patients are drawn f. Application of knowledge of study designs and statistical methods to the appraisal of clinical studies and other information on diagnostic and therapeutic effectiveness g. Application of information technology to manage information, access online medical information, and support your own education h. Examples of the facilitation of the learning of other students and/or health care professionals i. Evidence that you recognize and appropriately address gender, cultural, cognitive, emotional, and other biases; gaps medical knowledge; and physical limitations in yourself and others. j. Continuing Education/ Certifications, (eg. ACLS, BCLS, PALS) 8. Systems-based practice- (7/26/2013) Systems-based practice encompasses the societal, organizational, and economic environments in which health care is delivered. In this section you must demonstrate an awareness of and responsiveness to the larger system of health care to provide patient care that is of optimal value. Show any evidence of work to improve the larger health care system of which their practices are a part. a. This can include: i. Use of information technology to support patient care decisions and patient education ii. Effective interaction with different types of medical practice and delivery systems iii. Developing an understanding of the funding sources and payment systems that provide coverage for patient care iv. The practice of cost-effective health care and resource allocation that does not compromise quality of care v. Advocating for quality patient care and assist patients in dealing with system complexities vi. Partnering with supervising physicians, health care managers, and other health care providers to assess, coordinate, and improve delivery of health care and patient outcomes vii. Promoting a safe environment for patient care and recognizing and/or correcting systems-based factors that negatively impact patient care. viii. Using information to support patient care decisions and patient education. ix. Applying medical information and clinical data systems to provide more effective, efficient patient care x. Utilizing the systems responsible for the appropriate payment of services. xi. Professional memberships, committees, community activities and outreach. 9. Critical Analysis of Medical Literature (one of the following) (11/1/2013) a. Review (manuscript) of multiple publications on a selected topic or research question. At a minimum, the paper should include the following: i. Abstract (3/22/2013) ii. Review of the Literature (5/3/2013) iii. Methods (6/14/2013) iv. Analysis (8/12/2013) v. Conclusions (8/12/2013) b. Poster presentation of selected topic or research question. At a minimum, the poster should include the following: i. Abstract (3/22/2013) ii. Review of the Literature (5/3/2013) iii. Methods (6/14/2013) iv. Analysis (8/12/2013) v. Conclusions (8/12/2013) 10. Conclusions and Final Reflections (12/1/2013) a. This is a final paragraph or section which summarizes the main points and theses of the portfolio.