Department of Physician Assistant Studies Learning. Caring. Serving. Leading. PAS 670: Continuing Competency and Learning Development 5 2 Semester Hours Course Director: Diane Duffy, MD Tracey Tonsor, PA-C Office FC 205 FC 207 Office Hours TBD TBD Phone X6848 X6852 E-mail dduffy2@elon.edu ttonsor@elon.edu Course Description: Continued Learning and Competency Development five is designed to augment the student’s clinical experiences by reinforcing acquisition of medical knowledge, supporting development of interpersonal communication skills, distinguishing traits that promote professional excellence, implementing improvements in practice performance by applying critically appraised medical literature, and recognizing the impact of systems-based processes on individual patient care. Topics will be presented in a sequence that prepares students to transition from their student role to that of an autonomous member of a physician/physician assistant team. Course Goals: The educational goals of the Continuing Competency and Learning Development course include: 1. To develop a repertoire of methods of knowledge acquisition from which to maintain and build on the medical knowledge base developed during the didactic year. 2. To develop proficiency in written, oral, and electronic communication in the medical care setting. 3. To integrate clinical experiences with established medical knowledge base and knowledge gained from practice-based learning to provide high-quality, patient-centered care. Learning Outcomes: Upon completion of this course the clinical phase PA students will: 1. Have augmented and consolidated medical knowledge, recognizing areas in which further study is needed and becoming adept at accessing and evaluating different sources of medical information. 2. Develop and refine communication skills needed for successful clinical practice. 3. Demonstrate the professional communication skills required to guide an audience of their peers through an in-depth review of a clinically relevant topic. 4. Demonstrate an understanding of the payment and funding sources of the healthcare system in the United States and their impact on individual patients’ access to and utilization of the healthcare system. Revised 12/10/13 5. Explore areas of ethical decision making in medicine to develop an understanding of the complex issues that impact patient care and to build a skill set for managing and responding to ethical dilemmas in practice. 6. Demonstrate an awareness of and ability to help promote improved systems-based practice. Teaching Methodologies: The content of this module will be presented through a variety of methods including distance education, lecture, small group case studies and discussion. Accommodations: Students requiring academic accommodations must follow the “Academic Support” policy in the Elon University DPAS Student Handbook. Academic Honesty: All Elon PA students acknowledged their commitment to abide by the Elon Honor Code by signing the Honor Pledge during orientation. Students will sign an Honor Pledge (electronically or manually) each time an assignment is turned in or an examination is started to reaffirm their complete understanding of the Honor Code of Elon University and their affirmation that their work abides by that Code. Required Textbooks: All first-year required textbooks. Other Resources: 1. *Moodle: Please check the course site frequently for new announcements, updated schedules, lecture notes, assignments and other course communication. 2. Practicing physician assistants, physicians, allied health care providers and laboratory teaching aids. Grade Scale and Grade Points Percentage 89.50-100 85.50-89.49 79.50-85.49 75.50-79.49 69.50-75.49 Below 69.50 Letter Grade A B+ B C+ C U Grade points 4.0 3.3 3.0 2.3 2.0 0 There is no rounding of grades. Note: For further information regarding academic standing in the Department of Physician Assistant Studies, please see the Student Handbook. Revised 12/10/13 Grading Criteria: 1. Demonstrate satisfactory performance in the interpersonal and professional communication skills, patient care and practice-based learning and improvement competencies through successful completion of the assigned readings and clinical write-ups. 2. Demonstrate acquisition of a strong basic science and medical science knowledge base as demonstrated on the multiple choice examinations. 3. Demonstrate acquisition of the skills required to facilitate the education of peers by successfully completing an oral presentation of a clinically relevant topic. Assessment Activities: Multiple choice exams (45%), clinical write-ups (35%), and oral case presentation (20%). Instructional Objectives: 1. Demonstrate acquisition of a deep and broad medical knowledge base in each of the following systems: behavioral medicine, urology, sexually transmitted infections, pulmonary, oncology, obstetrics and gynecology, nutrition, neurology, nephrology, musculoskeletal system, infectious disease, human sexuality, hematology, HEENT, gastroenterology, cardiology, and endocrinology. 2. Prepare necessary documentation or presentation to demonstrate ability to effectively communicate with patients or other members of a health care team including the following (must complete 4 of the 8 for CLCD5 and the remaining 4 for CLCD6): a. SOAP note with written prescription b. Procedure note c. Well child exam d. Prenatal visit note e. Admission history and physical f. Pre-operative progress note g. Discharge summary h. Prepare the documentation necessary to obtain authorization from an insurance company for a procedure or diagnostic study 3. Prepare a clinical case oral presentation. 4. Complete assigned reading for augmentation of medical knowledge component and take multiple choice examinations as scheduled. 5. Determine appropriate billing and coding for patient visits based on level of care and standard coding practices. 6. Describe the key considerations and priorities that inform clinical decision-making strategies based on the core principles of Western Bioethics. 7. Describe the process for identifying and referring a fellow colleague who may be impaired or practicing medicine below the acceptable standard of care. Revised 12/10/13 8. Understand the role of a physician assistant in the medical team model of health care including working with supervising physician to develop a mutually agreed upon scope of practice for the physician assistant. Below are the dates in which the multiple choice examinations will be held, and what topics will be included on those examinations. The reading list for these topics can be found in Moodle. Date of Exam January 24, 2014 March 7, 2014 April 25, 2014 June 20, 2014 Topics Included Infectious Disease/Dermatology Genitourinary/Reproductive Neurology/Psychiatry Endocrine/GI Revised 12/10/13