Physician Assistant Program Didactic Year Student Handbook Mission Statement The Bethel University PA Program’s mission is to create opportunities for members of the learning community to develop to their highest potential as whole persons-intellectually, spiritually, socially, and physically, in a Christian environment. It is the Physician Assistant Program’s mission to create opportunities for the members of the learning community interested in health care to ultimately graduate as competent, caring healthcare professionals who practice medicine within an ethical framework grounded in Christian principles. Chapter One: General Information Introduction Accreditation Definition of a PA History of PA Program Overview Educational Philosophy Office Hours Faculty and Staff Contact Information Organizational Chart Pages 4 - 8 Page 4 Page 4 Page 4 Page 5 Page 5 Page 6 Page 6 Page 7 Page 8 Chapter Two: Safety and Security Safety Issues Occupational Health and Safety Blood Borne Pathogen/Needle stick Injury/Accident Personal Safety Preventative Measures Sexual Harassment Classroom/Building Access Pages 9-11 Page 9 Page 9 Page 9 Page 9 Page 10 Page 10 Page 11 Chapter Three: Academic Policies and Procedures Program Sequence and Advanced Standing Professionalism Student Conduct Academic Standards Remediation and Academic Probation Technical Standards American Disabilities Act Statement PA Professional Competencies Attendance/Tardy Policy Grade Appeal/Academic Grievance Test Question Review Tuition, Fees, Expenses Withdrawal Grades Refunds of Tuition and Fees Delinquent Accounts Progression/Graduation Requirements Course of Study Academic Calendar Academic Computing Helpdesk Electronic Communication/Media Policy Course Preparedness Course Schedules Classroom Conduct Interactions with Guest Lecturers Student Participation in Evaluation of Program Academic Integrity Plagiarism Academic Resources Advisor Definition/Role Faculty Role Advising Schedule Deceleration/Delayed Progression Dismissal General Exam Policies Academic Course Offering Pages 12-28 Page 12 Page 12 Page 13 Page 13 Page 13 Page 14 Page 15 Page 15 Page 18 Page 18 Page 19 Page 19 Page 20 Page 20 Page 20 Page 20 Page 20 Page 21 Page 22 Page 22 Page 22 Page 22 Page 22 Page 22 Page 23 Page 23 Page 24 Page 24 Page 25 Page 25 Page 25 Page 24 Page 26 Page 27 Page 28 Chapter Four: Student Policies and Procedures Non-Academic Grievance Non-Academic Probation Personal Property Health Screenings, Immunizations, Healthcare Substance Abuse Lines of Communication Student Website Pages 30-35 Page 30 Page 30 Page 30 Page 30 Page 31 Page 31 Page 31 2 Work Policy Student Records Dress Code Kitchen Policy Parking Policy Smoking Policy Weather Conditions Policy Fire, Bomb, Etc., Policies & Procedures Eating/Drinking in Classroom Restroom Policy Drug Screen/Background Checks Printing/Copying Code of Ethics Chapter Five: Scholarship Opportunities Scholarship Opportunities Physician Assistant Organizations Oath for PA Students Page 31 Page 32 Page 32 Page 33 Page 33 Page 33 Page 33 Page 33 Page 33 Page 33 Page 34 Page 34 Page 34 Pages 36-38 Page 36 Page 37 Page 38 3 Chapter One: General Information Introduction Students enrolled in the physician assistant program at Bethel University are governed by the policies and procedures dictated by the University. However, PA students may face unique situations that are not addressed in the University catalog. Therefore, the Didactic Year Physician Assistant Program Handbook was created. This is a comprehensive manual; however, it may not address every possible situation. When confronted with something not covered, seek guidance from your mentor/advisor. This first year manual supersedes any other campus publication. Publications that students are reminded to review for policies that may impact you during your enrollment are: The Bethel University Physician Assistant Program (BUPAP) Didactic and Clinical year student handbooks, individual course syllabi, the Bethel University Catalog, and on-line at www.bethelpa.com. You will be issued a username and password to access this site. BUPAP students are issued the Didactic Year Student Handbook during orientation week. Students will be issued the BUPAP Clinical Year Student Handbook during the Clinical Orientation week. Bethel University ensures that all policies and procedures contained within the BUPAP handbooks have been reviewed by institutional administrators, the University legal counsel, and the Bethel University Board of Trustees to assure that its content is consistent with federal and state statutes, rules and regulations prior to publication. Handbooks are reviewed annually for relevancy and application during the annual Faculty Retreat. If you have questions or concerns regarding the application or meaning of any topics covered in this manual, contact your mentor/advisor or if unavailable, follow the “organizational chart” contained in this manual. Accreditation Status and Implications of Accreditation The current Bethel University Physician Assistant Program obtained provisional accreditation from ARC-PA effective March, 2008. Provisional accreditation is granted for a limited defined period of time to a new program that, at the time of the site visit, has demonstrated its preparedness to initiate a program in accordance with the Standards. Provisional accreditation does not ensure any subsequent accreditation status (ARC-PA, Standards, page 8). Graduation from an accredited PA program is the only way to be eligible to sit for the National Certifying Exam (PANCE). For more information regarding the implications of accreditation please visit: www.arc-pa.org . Definition of a Physician Assistant Physician assistants are health care professionals licensed to practice medicine with physician supervision. As part of their comprehensive responsibilities, PAs conduct physical exams, diagnose and treat illnesses, order and interpret tests, counsel on preventive health care, assist in surgery, and write prescriptions. Within the physician/PA relationship, physician assistants exercise autonomy in medical decision making and provide a broad range of diagnostic and therapeutic services. A PA's practice may also include education, research, and administrative services. PAs are trained in intensive education programs accredited by the Accreditation Review Commission on Education for the Physician Assistant (ARC-PA). Because of the close working relationship that PAs have with physicians, PAs are educated in the medical model designed to compliment physician training. Upon graduation, physician assistants take a national certification examination developed by the National Commission on 4 Certification of PAs in conjunction with the National Board of Medical Examiners. To maintain their national certification, PAs must log 100 hours of continuing medical education every two years and sit for a recertification exam every six years. Graduation from an accredited physician assistant program and passage of the national certifying exam are required for state licensure (Source: www.aapa.org). History of the Physician Assistant Profession In the mid-1960s, Physicians and educators recognized there was a shortage and uneven distribution of primary care physicians. To expand the delivery of quality medical care, Dr. Eugene Stead of the Duke University Medical Center in North Carolina put together the first class of PAs in 1965. He selected Navy corpsmen who received considerable medical training during their military service and during the war in Vietnam but who had no comparable civilian employment. He based the curriculum of the PA program in part on his knowledge of the fast-track training of doctors during World War II. Implementation Period (1966 to 1972) - Development and establishment of first formal PA educational programs and PA professional organizations; enactment of model legislation; establishment of accreditation and certification procedures; endorsement and support of professional, private and Federal organizations; and performance of first acceptance, productivity and role definitions studies on PAs. Evaluation and Standardization Period (1973 to 1980) - First AAPA conference held in Texas; first national certifying examination administered; continuing medical education (CME) and recertifying examination requirements established; rapid expansion of baccalaureate PA educational programs stimulated by Federal training contracts; initial workforce studies conducted on PAs; establishment of AAPA House of Delegates; and enactment of PA enabling legislation by most states. Incorporation Period (1981 to 1990) - PA role expansion and increased specialization; positive recognition of PA contributions to the workforce; approval of reimbursement of PA services in certain settings under Medicare Part B; awarding PAs commissioned officer status in uniformed services; passage and revision of legislation including prescriptive privileges in most states. Maturation and Consolidation Period (1991 to 2000) - Health care reform provides new opportunities and risk for PAs; states continue to revise legislation, rules and regulations to reduce barriers to use PAs effectively in variety of health care settings; Veterans Administration Medical Centers, military and other Federal sponsored health care institutions rely heavily on PAs to bolster medical staffs; HMOs recognize vital roles of PAs and NPs in reducing costs; steps are taken to foster and maintain close working relationships with organized medicine; rapid expansion of physician assistant programs and trend towards master's level education. Expansion and Integration Period (2001 to Present) - The number of accredited PA educational programs surpasses 140; the profession celebrates its 35th anniversary; international interest in the PA model of health care delivery grows; record numbers of new PA graduates take the PANCE; and reduced MD resident hours spurs employment and postgraduate learning opportunities for PAs in hospital inpatient settings. (Source: http://www.pahx.org/ ) Program Overview Bethel University is related to the Cumberland Presbyterian Church and is supported by the denomination. In turn, the University provides leadership to the denomination through its graduates. Southern Association of Colleges and Schools (SACS) is the regional accrediting body for the colleges and universities in this geographic region. Bethel University is, and has been accredited by SACS continuously since 1953.The Bethel University Board of Trustees, and the University President, authorized the development of the physician assistant program and requested provisional accreditation through the ARC-PA, which was granted in March, 2008. 5 The Bethel University Physician Assistant Program will confer a Master of Science in Physician Assistant Studies degree upon completion of the 27 month educational program. The program’s curriculum will follow the medical education model with instructional modules to include: problem based learning, traditional lectures, lab practicum, and clinical practice emphasizing evidence based medicine. Integration of computer technology occurs throughout the program. Exposure to patient problems using case studies will begin early in the training to facilitate the development of critical thinking skills. Educational presentations will correlate information from various parts of the curriculum so as to prepare the future PA to think and evaluate a patient in a systematic fashion. The didactic year curriculum follows the NCCPA blueprint in regard to organ systems and task areas. Following the didactic year, the student will spend 15 months in clinical rotations with qualified preceptors learning “hands-on” medicine. The summative review, completed at the end of the clinical year, will evaluate the students’ readiness to graduate by comprehensive knowledge and skills testing. Finally, the student will have the unique opportunity to learn from experts about the “business” of medicine. Educational Philosophy The BUPAP faculty understands the field of medicine is an ever evolving entity. Therefore, our educational philosophy is that we strive to produce students who are life-long learners, adept at thinking critically. The role of the teacher is to serve as a guide for learners, evaluate and present important material systematically, encourage the use of objective criteria, model appropriate behavior, and be effective and accountable. Office Hours Faculty and staff are available during office hours which are posted on the bulletin boards. Students can also schedule appointments outside of office hours if needed. To avoid disruption of work or class, e-mail should be used for communication. Students are not allowed in offices on the second floor or Program Director’s conference room or office without being announced by the program Administrative Assistant or other staff. YOU MUST BE ANNOUNCED REGARDLESS OF SCHEDULED APPOINTMENT TIMES. Staff office hours are: 8:30-12:00pm and 1:00-4:30 pm M-F Faculty: Principal faculty: Will be available during office hours Adjunct faculty: Adjunct faculty will not have pre-established office hours. Anyone wanting to talk with an adjunct faculty member needs to do so immediately after class or set up an appointment. 6 Faculty and Staff Contact Information President Rev. R. Prosser, DL DD 731-352-4240 prosserb@bethelu.edu Dean of Graduate Studies Dr. Dorothy Black 731-352-3214 blackd@bethelu.edu Program Director Johnna Tanner, PA-C 731-352-4247 ext. 203 tannerj@bethelu.edu Medical Director Joseph Hames, MD 731-352-4247 ext. 207 hamesj@bethelu.edu Academic Director Gwen Ferdinand-Jacob, PA-C 731-352-4247 ext. 211 ferdinand-jacobg@bethelu.edu Clinical Director of Education Pat Cafferty, PA-C 731-352-4247 ext. 206 caffertyp@bethelu.edu Full Time Faculty Brad Dirks, PA-C, M.Ed. Kerri Smith, PA-C John Dana, PA-C 731-352-4247 ext. 213 dirksb@bethelu.edu 731-352-4247 ext. 205 smithk@bethelu.edu 731-352-4247 ext. 208 danaj@bethelu.edu Director of Admissions/Office Manager Sandy Atwill 731-352-4247 ext. 201 atwills@bethelu.edu Program Administrative Assistant Janet Peeler 731-352-4247 ext. 214 peelerj@bethelu.edu Clinical Coordinator Misty Jez 731-352-4247 ext. 208 jezm@bethelu.edu Academic Coordinator Kim Hammonds 731-352-4247 ext. 204 hammondsk@bethelu.edu Assistant Faculty Ryan Forbess, MD 731-352-4247 ext. 211 forbessr@bethelu.edu Adjunct Faculty JC Carey, PA-C J. Turner, PhD P. Brinkman, PA-C 731-352-4247 731-352-4247 731-352-4247 jccarey@charter.net turnerj@bethelu.edu brinkmanp@bethelu.edu • The emergency contact number for the program is (731) 352-5708. If you cannot reach • • someone at this number, dial (731) 352-4247 or (731) 352-7753. The phone number for the computer help desk is (731) 352-4040. For emergencies dial (731) 352-7599 for Bethel University Security. 7 Organizational Charts The principal PA faculty and administrative support staff provide a full range of academic and administrative services. Refer to this chart to follow the proper chain of command. 8 Chapter Two: Safety and Security Safety Issues In the event of any safety, harassment, conflict or other threatening situations, students are advised to use the following procedures. First and foremost, if you feel imminent danger in any situation: clearly communicate your distress/situation via any means possible; remove yourself from the situation and call 9-1-1 Any incident of emergent need must be reported immediately to any staff or faculty personnel present, who will then take appropriate safety measures. If faculty or staff is not present, call 9-1-1. Any incident concerning criminal or suspicious activities must be reported to campus security at 731-415-7599. BUPAP should be made aware as soon as possible of all incidents regardless of whom it was reported. Our Physical Address is: 647 Stonewall St. N, McKenzie, TN 38201 Occupational Health and Safety Occupational health and safety is addressed on an annual basis: first, during orientation week of the matriculating class, and again, during introduction to the clinical year. Instruction will be given in a group environment concerning HIPPA, OSHA, and blood-borne pathogens/universal precautions. In cases where students miss these lectures, individual orientation will be provided. In no case will a student be admitted to the next step in their education until these classes have been completed. Blood Borne Pathogen and Accident Policy Reporting Procedures: Should you sustain a needle stick or exposure to a potentially infectious and/or hazardous substance during a lab or suffer any other injury: If you are in a lab class and receive a needle stick, other exposure, or accident please proceed as follows: contact the course instructor to report the incident. Complete an incident report form and submit it to your advisor. If necessary, you will be taken to the local emergency department or medical clinic for immediate care and subsequent follow-up. An incident report/accidental exposure form must be completed for any accident or incident that occurs. This form is available in the Academic and Clinical office and on our website. You have access to the building and lab resources after hours to practice skills; however, you absolutely are not to practice any skill that would involve sharps and therefore, should not sustain a needle stick injury after hours. However, if you choose to disregard this policy and receive a needle stick injury, you should immediately call the Program Director to receive instructions. NOTE: All students are required to have health and accident insurance. Students should notify the Program Director if the insurance company does not cover the entire cost. We will inquire about possible reimbursement on your behalf; however, this request may be denied. Personal Safety Security is very important on the Bethel University campus. The City of McKenzie has a very low incidence of crime. The rural setting lends itself to a secure environment the community and students enjoy. A well-lit campus, campus security, proximity of college personnel and good communications with local law enforcement officials create a comfortable and safe 9 environment. Copies of the University’s annual security report are available in the office of student development. Please refer to the Bethel University Catalog, and on-line at www.bethelu.edu for instruction while on campus. Students’ security while at the physical location of BUPAP is addressed by: a. If imminent danger is present, call 9-1-1. b. If a non-imminent security issue is identified, notify your immediate supervisor (academic or clinical) or if unavailable, any faculty or staff that is available or contact security at 731-415-7599. c. The BUPAP building is accessible via security doors 24-7. d. Emergency evacuation information is posted throughout the department. e. BUPAP assumes no responsibility for personal property lost or damages during enrollment. Campus Security phone numbers are 352-4200 or 4222. Campus Security cell phone numbers are 415-7598 or 4599. Preventive Measures Bethel University encourages members of the campus community to take responsibility for their actions in order to enhance the safety and security of all. Preventive measures may be taken which will increase personal security, as well as security of their vehicle and personal property. These preventive measures include, but are not limited to the following: 1. Exercise, travel, jog, etc., with a friend or partner. Tell someone where you are going and when you expect to return. Stay in well-lit areas, and do not walk alone at night. Remember there is safety in numbers. 2. Be aware of unusual or suspicious persons or conditions around you. Make it difficult for anyone to take you by surprise. Trust your intuition or “gut” instinct in your observations. It is better to be safe than sorry. 3. Call Bethel Security to report crime or suspicious activity. 4. Have in mind a plan of action in case your safety is threatened; waiting until a situation arises may be too late. 5. Never open the door to strangers (maintenance and security personnel, or employees of the BUPAP, have access to the building and would not have to ask you to let them in). Ask to see their identification. If you are unsure, call Security. 6. Know the evacuation route in case of fire or other emergency. Sexual harassment in education is defined as: any unwelcome behavior of a sexual nature that interferes with a student’s ability to learn, study, work or participate in school activities. Sexual harassment can be peer/peer, by teachers/preceptors or other school employees. While sexual harassment is legally defined as “unwanted” behavior, many experts agree that even consensual sexual interaction between students and teachers constitutes harassment because the power differential creates a dynamic in which “mutual consent” is impossible. (Dzeich et al, 1990) Therefore it is BUPAP’s policy that students are not to enter into an intimate relationship with faculty, staff, or preceptors. Incidents will be investigated and immediate action taken; up to and including dismissal from the program. Harassment is defined as: any conduct, physical, verbal, written or electronic, on or off campus, that has the intent or effect of unreasonably interfering with an individual’s or group’s educational or work performance at Bethel or that creates an intimidating, hostile or offensive educational, work or living environment. BUPAP has a zero tolerance policy regarding any type of harassment issues. Prevention is addressed by identifying situations and their causes, educating students on program policies and zero tolerance of violations. 10 If you have been a victim of sexual harassment, you need to seek assistance and make a report to your faculty advisor, if your harasser is the faculty advisor, then you need to report to the Program Director. You may also seek assistance from Mrs. Sandy Louden (731-352-4095, loudens@bethelu.edu), or Reverend Anne B. Hames (731-352-4066, hamesa@bethelu.edu). Both of these individuals serve as advocates for victims of sexual harassment for Bethel University. If at any point you feel you need further assistance in dealing with a sexual harassment issue, please contact James Stewart, Dean of Students, who serves as the Sexual Harassment Mediator (731-352-4093, stewartj@bethelu.edu). Sexual Harassment Procedures Students should report instances immediately. 1. Official to whom an incident is reported will make a report to the Program Director, or as directed by the diagram in chapter one. 2. The Program Director, or other official, will initiate an investigation into the allegations in accordance with instructions of the Bethel University administration. 3. A decision will be made internally regarding the allegation and the resultant penalties if the charges are validated. 4. BUPAP has a zero tolerance policy regarding any type of harassment. If allegations made against a student of BUPAP are found to be factual (either by internal investigation or by a court of law), the accused will be dismissed from the program with no option to re-apply. Classroom/Building Access Each student will be issued means of access to the BUPAP building. Students are allowed admission to the classroom & resource center 24/7. Students must be sure the building is secured (doors are locked, not propped open, lights off, etc.). In an effort to maintain a secure learning environment the building doors must remain locked between 5pm and 9am. Failure to comply will result in the review of this policy and may result in students losing this privilege. 11 Chapter Three: Academic Policies and Procedures Program Sequence and Advanced Standing Students are expected to complete the designated professional curriculum in the sequence specified. Each semester’s course work is to be considered pre-requisite to the next semester. 1. Students may not enter the program with advanced standing. 2. Students are required to successfully complete, in sequence, all course work as full-time students. 3. There is no opportunity to progress into an advanced semester. 4. There is no opportunity to change the order of didactic course work. 5. Elective courses are limited to the clinical year. Professionalism Students in the Bethel University Physician Assistant Program are participants in a professional, graduate level training program whose graduates assume significant levels of responsibility as health care providers. Therefore, students are evaluated not only on academic progress and clinical skills but also in the area of professionalism (interpersonal and team skills, reliability, professional demeanor, integrity, judgment and appearance). Instances of misconduct in any of these areas will be brought to the student’s attention and may result in disciplinary action. Health Science professionals are expected to demonstrate the following characteristics of professional behavior in clinical, academic and related settings: Diligence – A professional is expected to: perform his/her tasks promptly and completely with appropriate level of attention to detail and accuracy; acknowledge mistakes; accept and utilize constructive feedback, and take steps to correct errors and be punctual. Presentation and Demeanor – Professional appearance requires personal hygiene and dress that are appropriate. Your attire and grooming must indicate respect for colleagues and patients. Verbal and nonverbal communication is appropriate to the role and situation. Personal Interactions – Professional behavior dictates that you treat others with positive regard, dignity, respect and compassion. You must maintain confidentiality and respect for personal privacy appropriate to the role and situation. Integrity – A professional is forthright and displays honesty in all communication. The professional is completely honest in all documentation and acknowledges errors. Ethical Behavior – A professional upholds ethical standards of the profession and of society. Judgment – A professional evaluates a situation and determines an appropriate course of action recognizing his/her own limitations and seeking help when needed. Some behaviors or patterns may raise concerns as to the student’s suitability to continue in this program of study. Inappropriate behavior for a health profession student may include, but are not limited to: breaching patient confidentiality dishonesty using illegal drugs or abusing controlled substances becoming sexually involved with a patient or preceptor undertaking a procedure or scope of practice beyond that of a student disobeying or showing disrespect for faculty, staff and/or preceptors 12 displaying a judgmental attitude toward patients or revealing a lack of concern or compassion in practice excessive unexcused tardiness or absenteeism Student Conduct The PA student is required to abide by academic, clinical and professional behavior policies as described in the PA Student Handbook’s Technical Standards and the BUPAP Student Handbook. Should a student (didactic or clinical year) be arrested or convicted of a crime prior to the time he/she is prepared to enter the profession, that criminal record may have further implications for the student’s eligibility to practice. Students should be aware of state and federal or professional restrictions barring the practice of individuals with criminal records. All cases involving alleged misconduct by PA students will be considered by the PRD committee. The committee may recommend possible disciplinary action that may range from individual counseling to dismissal from the program. Academic Standards Students in the BUPAP graduate program must maintain at least a B average (80%) in each course during their didactic year in order to progress to the clinical year. Students must act professionally to everyone at all times while maintaining patient and practice confidentiality. Breeches of professional conduct may result in dismissal from the program. Grading System Grades are assigned by the program on the following: a. Individual exams, practicum, check offs, etc. i. You will find specific information in your course syllabi. b. Grading System: i. 4.0 A- Excellent (90-100) ii. 3.0 B - Good (80-89) iii. Any grade below 80% (3.0) received by a student of the Bethel University PA Program is considered a failing grade. Remediation and Academic Probation Students must maintain a class average of 80% or greater at all times, if the running average falls below 84% in any course, the student will be placed on academic probation for the remainder of the semester. This insures early recognition of deficiencies in knowledge and/or skills. If a student earns a grade of less than 78% on any test/exam, they must meet with the primary course instructor to discuss their study habits and receive additional study material and review the exam- this is “remediation” Students will be allowed to remediate 2 times per course per semester or 5 times total before meeting with the promotions/retention/disciplinary committee to discuss their future in the program. During the didactic phase, if a student fails a course, then a comprehensive make-up exam may be offered to allow the student to demonstrate proficiency in the course and correct any deficiencies in knowledge and skills. The final comprehensive exam grade will be averaged as 50% of the total final grade for the course. 13 There is no guarantee that the promotion/retention/disciplinary committee will offer this option. It is at the committee’s discretion based on a review of the student’s overall performance in the program, including academic and professional performance. Technical Standards A candidate for the Physician Assistant Program at Bethel University must have abilities and skills in five categories: observation, communication, sensory/motor, intellectual, and behavioral/social. Reasonable accommodation for persons with documented disabilities will be considered on an individual basis, but a candidate must be able to perform in an independent manner. The use of a trained intermediary is not acceptable in many clinical situations, in that it implies that a candidate’s judgment must be mediated by someone else’s power of selection and observation. Furthermore, it is expected that the student will meet the technical standards throughout the duration of the program of study. It is incumbent on the student to notify the Program immediately if they are unable to meet one of the standards. The following skills are required with or without accommodation. Observation: Candidates must have sufficient sensory capacity to observe in the lecture hall, the laboratory, the outpatient setting, and the patient’s bedside. Sensory skills adequate to perform physical examination are required. Functional vision, hearing, and tactile sensation must be adequate to observe a patient’s condition and to elicit information through procedures regularly required in a physical exam, such as inspection, auscultation and palpation. A candidate must be able to: observe a patient accurately, at a distance, and close at hand, with or without standard medical instrumentation; acquire information from written documents, and visualize information as presented in images from computer screens, paper, film, slides, or video. This includes, but is not limited to, information conveyed through physiologic and pharmacological demonstrations in animals, microbiological cultures and microscopic images of microorganisms and tissues in normal and pathologic states. In any case where a candidate’s ability to observe or acquire information through these sensory modalities is compromised, the candidate must demonstrate alternate means and/or abilities to acquire and demonstrate the essential information conveyed in this fashion. If the alternatives are acceptable, it is expected that obtaining and using such alternate means and/or abilities shall be the responsibility of the student. Communication: Candidates must be able to communicate effectively in both academic and health care settings. A candidate must be able to speak, to hear, and to observe patients by sight in order to elicit information; describe changes in mood, activity and posture; and perceive nonverbal communication. Candidates must show evidence of effective written and verbal communication skills. Sensory & Motor: The ability to participate in basic diagnostic and therapeutic maneuvers and procedures (e. g. palpation, auscultation) is required. Candidates must have sufficient motor function to execute movements reasonably required to provide care to patients. Candidates must be able to negotiate patient care environments, and must be able to move between settings, such as clinic, classroom buildings, and the hospital. Physical stamina sufficient to complete the rigorous course of didactic and clinical study is required. Long periods of sitting, standing, or moving are required in the classroom, laboratory, and clinical areas. Intellectual: Candidates must be able to measure, calculate, reason, analyze, and synthesize. Problem solving, one of the critical skills demanded of Physician Assistants, requires all of these intellectual abilities. In addition, candidates should be able to comprehend threedimensional relationships, and understand medical literature. In order to complete the PA 14 degree, candidates must be able to demonstrate mastery of these skills, and the ability to use them in a timely and often critical fashion in medical problem solving and patient care. Behavioral and Social Attributes: Candidates must possess the emotional health required for full utilization of their intellectual abilities, the exercise of good judgment, and the prompt completion of all academic and patient care responsibilities. The development of mature, sensitive and effective relationships with patients and other members of the health care team are essential. The ability to effectively function in the face of uncertainties that are inherent in clinical practice, along with flexibility, compassion, integrity, motivation, interpersonal skills, and concern for all, is required. Any student with accessibility needs should contact Sandy Louden. She can be reached at 731-352-4095 or at loudens@bethelu.edu. American Disabilities Act Statement Bethel University is committed to equal opportunity in education for all students, including those with documented disabilities. If you have a diagnosed disability, or if you believe that you have a disability that might require reasonable accommodation in this program, please contact Sandy Louden. Bethel University policy states that it is the responsibility of students to contact instructors to discuss appropriate accommodations to ensure equity in grading, experiences and assignments. Furthermore, the PA Program policy is that you will report a medically documented learning disability to the Program Director during orientation week. PA Professional Competencies The clinical role of PAs includes primary and specialty care in medical and surgical practice settings. Professional competencies for Physician Assistants include the effective and appropriate application of medical knowledge, interpersonal and communication skills, patient care, professionalism, practice-based learning and improvement, systems-based practice, as well as an unwavering commitment to continual learning, professional growth, and the physician-PA team, for the benefit of patients and the larger community being served. These competencies are demonstrated within the scope of practice, whether medical or surgical, for each individual Physician Assistant as that scope is defined by the supervising physician and appropriate to the practice setting. The PA profession defines the specific knowledge, skills, and attitudes required and provide educational experiences as needed in order for Physician Assistants to acquire and demonstrate these competencies. The PA student will complete a competencies selfassessment at the end of the didactic year and clinical year. Medical Knowledge: Medical knowledge includes an understanding of pathophysiology, patient presentation, differential diagnosis, patient management, surgical principles, health promotion, and disease prevention. Physician Assistants must demonstrate core knowledge about established and evolving biomedical and clinical sciences and the application of this knowledge to patient care in their area of practice. In addition, Physician Assistants are expected to demonstrate an investigatory and analytic thinking approach to clinical situations. Physician Assistants are expected to: • understand etiologies, risk factors, underlying pathologic process, and epidemiology for medical conditions • identify signs and symptoms of medical conditions • select and interpret appropriate diagnostic or lab studies 15 • manage general medical and surgical conditions to include understanding the indications, • • • • • • contraindications, side effects, interactions and adverse reactions of pharmacologic agents and other relevant treatment modalities identify the appropriate site of care for presenting conditions, including identifying emergent cases and those requiring referral or admission identify appropriate interventions for prevention of conditions identify the appropriate methods to detect conditions in an asymptomatic individual differentiate between the normal and the abnormal in anatomic, physiological, laboratory findings and other diagnostic data appropriately use history and physical findings and diagnostic studies to formulate a differential diagnosis provide appropriate care to patients with chronic conditions Interpersonal & Communication Skills: Interpersonal and communication skills encompass verbal, nonverbal and written exchange of information. Physician Assistants 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. Physician Assistants are expected to: • create and sustain a therapeutic and ethically sound relationship with patients • use effective listening, nonverbal, explanatory, questioning, and writing skills to elicit • • • • • and provide information appropriately adapt communication styles and messages to the context of the individual patient interaction work effectively with physicians and other health care professionals as a member or leader of a health care team or other professional groups apply an understanding of human behavior demonstrate emotional resilience and stability, adaptability, flexibility and tolerance of ambiguity and anxiety accurately and adequately document and record information regarding the care process for medical, legal, quality and financial purposes Patient Care: Patient care includes age-appropriate assessment, evaluation and management. Physician Assistants must demonstrate care that is effective, patient-centered, timely, efficient and equitable for the treatment of health problems and the promotion of wellness. Physician Assistants are expected to: • work effectively with physicians and other health care professionals to provide patient centered care families • gather essential and accurate information about their patients • make informed decisions about diagnostic and therapeutic interventions based on patient information and preferences, up-to-date scientific evidence, and clinical judgment • develop and carry out patient management plans • counsel and educate patients and their families • competently perform medical and surgical procedures considered essential in the area of practice • provide health care services and education aimed at preventing health problems or maintaining health 16 Practice-based Learning and Improvement: 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. Physician Assistants must be able to assess, evaluate and improve their patient care practices. Physician Assistants are expected to: • analyze practice experience and perform practice-based improvement activities using a systematic methodology in concert with other members of the health care delivery team • locate, appraise, and integrate evidence from scientific studies related to their patients’ • • • • • health problems obtain and apply information about their own population of patients and the larger population from which their patients are drawn apply knowledge of study designs and statistical methods to the appraisal of clinical studies and other information on diagnostic and therapeutic effectiveness apply information technology to manage information, access on-line medical information, and support their own education facilitate the learning of students and/or other health care professionals recognize and appropriately address gender, cultural, cognitive, emotional and other biases; gaps in medical knowledge; and physical limitations in themselves and others Systems-based Practice: Systems-based practice encompasses the societal, organizational and economic environments in which health care is delivered. Physician Assistants must demonstrate an awareness of and responsiveness to the larger system of health care to provide patient care that is of optimal value. PAs should work to improve the larger health care system of which their practices are a part. Physician Assistants are expected to: • use information technology to support patient care decisions and patient education • effectively interact with different types of medical practice and delivery systems • understand the funding sources and payment systems that provide coverage for patient care • practice cost-effective health care and resource allocation that does not compromise • • • quality of care advocate for quality patient care and assist patients in dealing with system complexities partner with supervising physicians, health care managers and other health care providers to assess, coordinate, and improve the delivery of health care and patient outcomes accept responsibility for promoting a safe environment for patient care and recognizing and correcting systems-based factors that negatively impact patient care • apply medical information and clinical data systems to provide more effective, efficient • patient care use the systems responsible for the appropriate payment of services Attendance Policy 1. Classroom attendance is required except for emergencies. a. Only in cases of family emergency, personal illness, or injury, will you be excused. b. Absences due to illness of two consecutive days or longer will require medical clearance to excuse the absence and return to the program. 17 c. Medical clearance must be completed by a licensed physician, PA or NP and submitted to the Program Administrative Assistant. This cannot be issued by a family/faculty member. d. The final determination of “true emergency” will be at the discretion of the Program Director and/or the Medical Director. e. Being absent on the day of a test is an unexcused absence and you will receive a grade of zero unless you can provide documentation that explains why the absence should be excused. (Physician’s note) 2. The Student MUST notify the Program Administrative Assistant the night before or by 8:45 the day of the absence by calling 731-352-4247 ext. 214 and leaving a message. The student must do this for every day that they are absent. Sending a message through a classmate is NOT acceptable. 3. The penalty for excessive absences will be determined by the Program Director and the retention committee. a. The responsibility for notifying the Program Director of anticipated absences, reasons for emergency absences, and how all assignments will be completed, rests entirely on the student. b. PA Program faculty is not expected to give make-up exams for unauthorized absences. c. Unexcused absences will not be tolerated and may result in a disciplinary action and a failing grade. d. Business appointments, routine dental and medical appointments, weddings, graduations, and other social events are NOT valid reasons for absenteeism. Pregnancy A student who is pregnant at the time of matriculation or becomes pregnant at any time before graduation is required to inform the Program Director. A statement from the obstetrician regarding her ability to continue in the PA program is required. If an issue arises, the program will review each case individually. Missed course requirements due to pregnancy will be treated as any other absence. Tardy Policy You are allowed one tardy per semester; being tardy a second time will result in a 2 point penalty on the next exam in that class. A third tardy will result in a meeting with the promotions/retention/disciplinary committee. • When you arrive tardy, you must first report to the Program Administrative Assistant and sign a tardy slip and take it to class. You are expected to present the tardy slip to the primary instructor during the first break to be placed in your academic file. This includes morning and afternoon tardiness. If the Administrative Assistant is unavailable, get another staff member to help you. Grade Appeal/Academic Grievance 1. To appeal a test, project or final grade you must do so in writing to the primary course director, stating the reasons for differing with the assigned grade. 2. The course director will take the appeal to the PA Academic Committee for a final decision on the grade. 3. The Academic Committee will respond as soon as a review of the grade has been made. 4. If the student continues to appeal the grade he/she may appeal to the Dean of Graduate Studies who may send this to an appointed committee for review and recommendation. 18 Test Question Review All test scores will be reported after test item analysis is complete. Questions that are missed by 85% of the class will be reviewed by the instructor and may be removed from the test or allowed to stand based on a review by instructor of the testable material. All tests may be reviewed, after they have been completed by the entire class, either as individual exam review by the student or as a group test review. Tuition, Fees, and Expenses Tuition and fees are determined on a yearly basis by the University’s Board of Trustees. The University reserves the right to change tuition and fees at any time without prior notice. Tuition Tuition is based on full-time studies and covers our 27 month program. Tuition is $61,250.00 or $8,750.00 per semester. (Note: our program consists of 7 semesters.) Fees and Expenses $70 graduation fee $4,000 for lab coats, books, scrubs, computer screen protectors, etc. Health Insurance It is mandatory all students have health insurance while enrolled in our program. This health insurance must be maintained through the entirety of our program. You must provide proof of medical insurance coverage before enrollment, and you must be able to provide proof that you are maintaining that insurance at any time you are asked during your enrollment in the program. Additional expenses that may occur during enrollment in the BUPAP 27-month program are the responsibility of the student. This may include but is not limited to traveling to assigned clinical sites, lodging, meals, etc. At this time, BUPAP does not provide housing for students during clinical rotations. There may be reduced cost housing available at some, but not all sites. Rotations will typically be anywhere within 150 miles of Bethel University and the student is expected to incur the expense of travel to and from the rotation site, lunch and/or housing. Please plan for these additional expenses ahead of time. Policies and Procedures for Student Withdrawal Withdrawal Policies and Procedures If a student wishes to withdraw during the didactic phase of the BUPAP, the student must complete the following formal withdrawal process to avoid unwarranted failing grades and unwanted financial obligation. A student cannot withdraw after the fifth week of any semester. Exceptions will be considered and final determination made by the Program Director. Failure to complete any step of the procedure may result in failing grades and/or financial obligations. 1. 2. 3. 4. 5. 6. Discuss the situation with your mentor/advisor. Submit a written request to the Program Director. Secure a withdrawal form from the registrar’s office and complete it. Secure all required signatures. Deliver the completed form to the registrar’s office. There is a $5.00 fee for withdrawal. Note: Withdrawal during the didactic phase of the program will result in the student having to re-apply to the program for the next matriculating class. There is no guarantee that you will receive an interview or have a seat reserved for you in the next class. 19 Withdrawal Grades If a student withdraws before mid-term, the student grade will be reported to the registrar as a withdrawal. If midterm has passed, the student grade will be reported to the registrar as withdrawal pass or withdrawal fail. No student can withdraw from any class in which an “F” has been received due to a violation of any policy. Policies and Procedures for Refunds of Tuition and Fees If a student withdraws from the program, and subsequently receives a withdraw pass/fail, no refund will be offered. If a student is dismissed from the program, no refund will be issued. Bethel University Tuition Refund Policy Withdrawal during first week of semester……………………..100% of tuition refunded Withdrawal during second week of semester…………………80% of tuition refunded Withdrawal during third week of semester…………………….60% of tuition refunded Withdrawal during fourth & fifth weeks….............................. 50% of tuition refunded NO REFUND AFTER THE FIFTH WEEK Delinquent Accounts Students are required to pay all tuition and fees at the beginning of each term. Registration is not complete until all fees are paid. In addition, students are responsible for any damages to university property. Students may not register for another semester, graduate, or receive a transcript, until all debts to the college have been paid. Delinquent accounts are subject to late fees and external collection agency involvement. If external collection efforts are utilized, the student is responsible for all collection costs, attorney fees, and any other charges necessary for the collection of all debts owed the University. Progression and Graduation Requirements To qualify for progression and graduation with the Master of Science in Physician Assistant Studies (MSPAS) degree, students must: 1. Follow the approved course of study, satisfactorily completing all courses. 2. Complete all courses with a cumulative GPA of at least 3.00 with no course or rotation grade below 80%. 3. Demonstrate proficiency in all PA competencies. 4. Settle all financial accounts with the University. 5. Successfully complete the Senior Summative Evaluation upon completion of the clinical year. Course of Study * available on program web site * 2011-2013 Cohort 2011 Academic Calendar Spring 2011 – Semester 1 20 January 4th January 17th March 7th - 11th April 22nd April 23rd – 29th First Day of Class MLK, Jr. Day Spring Break Good Friday Semester Break Summer 2011 – Semester 2 May 2nd May 30th July 4th – 8th August 19th August 20th – 26th First Day of Class Memorial Day Summer Break Last Day of Class Semester Break Fall 2011 – Semester 3 August 29th September 5th October 3rd – 7th November 23rd – 25th December 23rd December 24th – January 2nd First Day of Class Labor Day Fall Fest – Gatlinburg, TN Thanksgiving Break Last Day of Class Semester Break Academic Computing Helpdesk Location: Campbell Hall, Room 108 Hours: M-F, 8:00 a.m.-4:30 p.m., closed 12-1 daily Phone: 731-352-4040, email: helpdesk@bethelu.edu Academic Computing will provide technical support (Helpdesk) and training to all students, faculty, and staff using the computing systems at Bethel University. Academic computing will also provide technology-enriched learning by offering educational services adequate to allow 21 students to achieve their educational goals. The Helpdesk staff will provide all technical support to students. • • • • • • • • • Electronic Communication/Media Policy All electronic communication devices must be turned off during class (includes: IPods, MP3 players, etc.). IM, texting, email, etc., must be turned off during class. Non-class related surfing of the internet, playing games, etc., is not allowed during class. Headsets or ear buds are not to be worn during class. Violations will be handled accordingly by the Academic Director and Program Directorrepeated failure to comply with this policy may result in loss of computer/electronic device privileges in the classroom or dismissal from the program. Course Preparedness Students should have the following available for class on a daily basis: laptop, physical exam equipment, consultation coat, textbooks, other curriculum supplies, and completed assignments. Students must come to class prepared to answer questions in regard to reading or homework assignments. Desks will be cleared during exams except for laptop, a blank sheet of paper, and a pen or pencil. You must check course web sites daily for announcements, power points, handouts, etc. • Course Schedules Class is never dismissed without being formally announced by the program. Class times/schedule is posted on www.bethelpa.com. Changes in classes will be announced via email, www.bethelpa.com, and when possible in the classroom. Schedule is subject to change at any time. • • • • • Classroom Conduct Maintain professionalism. Respect your fellow students, faculty, visitors, and staff. Disrupting class (tardiness, talking, joking around, etc.) is not tolerated. Students must maintain a clean desk area. Students are required to participate in group discussions and activities as assigned. • • • Interactions with Guest Lecturers Guest lecturers are providing their time and expertise to enhance your education. It is an unfair and unprofessional abuse of their kindness to approach them with personal or family related medical questions. Giving advice, for the provider, based on such a discussion without a patient-provider relationship is risky and inappropriate. Many of the lecturers will want to help but likely won’t be able to say much. Also, frequently being approached by students may deter them from returning to lecture. If this behavior occurs and is observed by a faculty member, they are advised to do the following: 1. Offer a verbal warning on first occurrence. 2. Provide a written warning on the second occurrence. 3. On third occasion, send the student to the Program director for disciplinary action, including potential dismissal for unprofessional behavior. Student Participation in Evaluation of Program 22 The PA Program is committed to delivering a curriculum that will prepare the student to deliver optimal health care in an ever changing environment. In our commitment to the process of continuous quality improvement, students are involved in course evaluations, supervised clinical practice evaluations, and faculty evaluations at the closure of each semester. As a future health care provider, the evaluation process will be a part of every continuing medical education course in which the practitioner participates to maintain their Physician Assistant license. Students are required to complete these evaluations for didactic courses and Supervised Clinical Practice experiences. Academic Integrity Academic honesty is an essential condition for the health of the BUPAP and is vital to the achievement of its intended objectives. Consequently, any effort on the part of a student to submit work that is not his or her own in fulfillment of course or examination requirements will not be tolerated. BUPAP has a zero tolerance policy regarding academic dishonesty. The first offense of academic dishonesty will result in a grade of “zero” for that assignment. The student will be placed on academic probation for the duration of the program. Any subsequent occurrence of academic dishonesty, in any course of the BUPAP, will result in dismissal from the program. Specifically, academic dishonesty includes, but is not limited to; looking at or copying another student’s work, using crib notes or cheat sheets during assessments, duplicating answer sheets during or after assessments, altering testing materials after the completion of an exam, or leaving the testing area without permission during a test. In addition, the presence of a student in a restricted area without prior permission may be considered academic dishonesty. Due to the increased usage and availability of electronic media, BUPAP administers most assessments online. The following procedures outline both acceptable and unacceptable behavior while tests are being given: Cell Phones, I-pods, tape recorders, Palm pilots (handheld devices), cameras, e-mail programs, listening devices, or any other device which can be used to save, send or communicate information must be off during testing. Prior to starting any test, students should have the desk clear of all material not directly related to taking the test. Allowed items are limited to a laptop, a blank piece of paper, and a writing utensil, unless otherwise instructed. Laptops are allowed on a student’s desk during testing. However, while taking any form of assessment, all other programs must be completely closed regardless of content. Furthermore, online exam materials must be displayed on “full screen” so that no other icons, toolbars, or commands are visible to the student during testing. There will be no “accidents” during the testing procedure, where another program is revealed. Any deviation from this instruction will be considered cheating. Upon conclusion of tests, students are to exit testing software, close their laptops, and leave the classroom, not to return until every student has completed the test. Conversations, questions, discussions, or any other means of communicating with other students is not allowed during testing. Students are NOT to reproduce the content of any test by any means. This includes the “Print Screen” button. If a student has questions regarding a particular question they should write the question number on a blank piece of paper. Their test and answers will be accessed by faculty and staff for review purposes after testing is complete. 23 No notes are to be taken during exams. Plagiarism Plagiarism is defined as presenting someone else’s work, including the work of other students, as one’s own. Any ideas or materials taken from another source for either written or oral use must be fully acknowledged, unless the information is common knowledge. What is considered “common knowledge” may differ from course to course. A student must not adopt or reproduce ideas, opinions, theories, formulas, graphics, or pictures of another person without acknowledgment. A student must give credit to the originality of others and acknowledge indebtedness whenever: 1. Directly quoting another person’s actual words, whether oral or written. 2. Using another person’s ideas, opinions, or theories. 3. Paraphrasing the words, ideas, opinions, or theories of others, whether oral or written. 4. Borrowing facts, statistics, or illustrative material. 5. Offering materials assembled or collected by others in the form of projects or collections without acknowledgment. Academic Resources Students will have 24 hour, seven day a week access to the BUPAP resource center/classroom. This access will be guaranteed via security entrance issued during orientation week. Burroughs’s Learning Center (Library) Location: Behind Campbell Hall, Next to Log Cabin Hours: Monday – Thursday: 8am - Midnight; Friday: 8am - 5pm; Saturday: 10am – 6pm Sunday – CLOSED Jill Whitfill, B.A., M.S Undergraduate Education and Medical Sciences Librarian 731-352-4083, email: whitfillj@bethelu.edu The library welcomes the opportunity to assist students. The library provides reference works, periodicals, and books in print and electronic form. Burroughs Learning Center also provides computer stations, and laptop friendly locations, printers and a quiet place to study and work. The Bethel University library is a member of an inter-library loan program with access to large databases and library research engines. The databases include StatRef which brings the leading medical resources together in one integrated online service to help our students efficiently find the latest medical information, research medical topics. This will assist them in making better treatment decisions. This database includes the top journals: JAMA, NEJM, Lancet, Annals of Internal Medicine, Pediatrics and BMJ as well as The Clinics. Full text is available online. Today the internet is the window to the universe and maximal integration of web resources into medical practice is a necessity. The internet has an unlimited supply of peer reviewed information available. BUPAP students will have access via Stat!Ref and Access Medicine, in addition to all of the other Bethel University library resources. There is a medical library housed in the PA building, this library includes a variety of full medical text to be utilized at the PA Program. For more information on the Burroughs’s Learning Center, go to www.bethelu.edu/library. Advisor Definition/Role 24 An advisor is a principal faculty member who is assigned to a student during orientation week and is available to that student during the didactic and clinical phases of the program according to published office/available hours. Advisors are available for counseling, assistance, and facilitating a productive learning environment. They offer advice on academics and professional concerns and will be involved in the remediation process. They are available to communicate with the student and monitor specific areas of experience/education needed by the student to meet the educational goals of the program and to facilitate the development of the individual from the student to the professional PA. Assistance is individualized as much as possible to meet the needs of the individual student. Faculty Role The responsibility of the program faculty is to ensure a quality educational experience for each Physician Assistant student. The PA Program faculty is administratively responsible for implementing, coordinating, and evaluating the entire program curriculum. In addition the faculty serves on University committees, conduct scholarly research and see patients in a variety of clinical settings. The faculty also participates in the national organization for PA educational programs (PAEA), as well as the American Academy of Physician Assistants (AAPA) and its local and state chapters. Every faculty member is cognizant of the sacrifices necessary to achieve success as a PA student and can personally relate to the experience. As students progress in their education, they may need to talk about issues related to being a student at Bethel. Please feel free to contact any of the faculty, as each is here to help. Students should view the faculty as a resource during their time at the BUPAP. Advising Schedule Each advisor will meet on a regular basis with their advisee; however, students are strongly encouraged to meet with their advisors more frequently as issues arise. The advisor will utilize the progress report prepared by the Academic Coordinator to guide monthly advising. The progress report contains a summary of grades, professional issues, attendance and committee meeting notes. An advisor will report incidents, conflicts, and harassments; and provide individual assistance, as necessary. Your advisor is your guide through the educational process and should be made aware of all situations which may influence your training. Advisors are available to assist students in understanding and abiding by program policies and procedures. While the program cannot solve every problem, the student should seek guidance from their advisor if needed. The student should consider that similar problems may have been encountered by program faculty in the past. The PA program wants to support and assist students in program success. Confidentiality of all problems is maintained, except when there is threat of harm to the student or another individual. Deceleration/Delayed Progression The definition of delayed progression/deceleration is: to be removed from the program and resume studies at the next matriculation date. Deceleration will be authorized for a valid medical issue verified by a licensed health care provider or military service requirements. The student must be in good standing with the program at the time of the request. The student may be required to retake courses that they have already been passed in order to maintain knowledge and skills. The student should note that deceleration will result in delayed graduation and additional tuition. Occasionally, students may be offered delayed progression/deceleration as an alternative to dismissal, if the Program feels it is in the student’s best interest to take time to handle personal issues and return to the program at the next matriculation date. The student may be required to retake certain courses that they have already passed in 25 order to maintain knowledge and skills. The student should note that deceleration will result in delayed graduation and additional tuition. If a student requests a deceleration for any reason, the program director and the principal faculty will determine the validity of the request. The student may be required to retake certain courses that they have already passed in order to maintain knowledge and skills. The student should note that deceleration will result in delayed graduation and additional tuition. If remediation efforts are unsuccessful and a student fails a course, then the student will meet with the promotion/disciplinary/retention committee to determine their future in the program. The recommendations from the committee may include dismissal from the program with or without the option to reapply, continued remediation efforts (comprehensive final exam) or deceleration. Deceleration would consist of completing the course when it is next scheduled. The student would not be allowed to register for any new courses until the failed course is repeated. The student may be required to retake certain courses that they have already passed in order to maintain knowledge and skills. The student should note that deceleration will result in delayed graduation and additional tuition. Students in the BUPA graduate program must pass each course during their didactic year in order to progress to the clinical year. This policy in no way guarantees the option of deceleration if a course is failed; it is one option that will be considered by the promotion/retention/disciplinary committee. Dismissal Reasons for dismissal from the program include, but are not limited to: A second occurrence of academic dishonesty, in any course of the BUPA program, will result in dismissal from the program. (See academic dishonesty policy for specific examples of what is considered academic dishonesty). Students will be allowed to remediate 2 times per course per semester or 5 times total before meeting with the promotions/retention/disciplinary committee to discuss your future in the program. That discussion may include the option of dismissal from the program. Failure of a course or rotation may result in dismissal from the program. Regardless of the student’s calculated grade for a particular course, if the faculty or staff have identified serious deficits in any area of the student’s performance, including professionalism, the promotion/retention/disciplinary committee, after investigation, may take action ranging from counseling the student, to a recommendation for dismissal. Students encountering these types of problems may be placed on nonacademic probation for the remainder of the semester. Violation of the substance abuse policy may result in any sanction deemed appropriate by the University, including, but not limited to, required participation in a drug or alcohol treatment or rehabilitation program, suspension, or expulsion/dismissal. BUPAP has a zero tolerance policy regarding any type of harassment. If allegations made against a student of BUPAP are found to be factual (either by internal investigation or by a court of law), the accused will be dismissed from the program with no option to re-apply. 26 Any student who violates patient privacy by word or deed (including posting on any social media site patient information or descriptions of clinical events) will be dismissed from the program with no option to reapply. Students who violate the work policy are subject to dismissal from the program. General Examination Policies Course Completion All required course components, both graded and non-graded, must be satisfactorily completed before the final course grade is issued. Absence from Examinations Each student is personally responsible for the consequences of their absence from an examination. Generally, only an acute illness may be considered an acceptable reason for absence from an examination. Any absence from an examination due to illness must be documented in writing by the student’s health care practitioner. Failure by a student to provide to the Program Administrative Assistant, upon the day of the student’s return, written documentation of an illness which is acceptable to the program faculty will result in an examination score of zero (0) being recorded for that student. An absence, without prior notification (Refer to the general “Attendance” section of this handbook for related information) to the Administrative Assistant, is unexcused, and will result in a score of zero (0) for the missed exam. Tardiness to Examinations Students arriving more than five (5) minutes late to an examination will not be admitted to sit for that examination, and must contact the course director during the first break. A student who believes that he or she has valid circumstances for being late must present an explanation to the course director who has the discretion to excuse the lateness and reschedule a makeup examination. Administration of Examinations The PA Program has a standardized procedure for the administration of examinations: Only one blank sheet of paper, pencils, pens, erasers, or other test-related materials specifically authorized by the instructor, is permitted. All books, papers, book bags, purses, electronic items, etc. must be removed from the desk top during testing. All materials on the floor must be upside down so they cannot be read. All books on the floor must be closed. Students should signify the need for assistance during an examination by raising their hand. Students should continue working on the examination until the instructor arrives. Students are not allowed to be out of their seat or leave the classroom during an exam. Do not re-enter the classroom for any reason after you have finished the exam. The beginning and ending times of the examination will be announced when the instructor begins the examination. No additional time will be given to students that are permitted to test after arriving late (See tardy section under attendance policy in this handbook.). Re-examinations 27 Examinations are given only once, with the exception of specifically designated tests, such as some practical and oral exams. Such exceptions are indicated in the course syllabi. Makeup Examinations Examinations for students with officially excused absences will be equivalent examinations over the same range of subject material as covered by the original examination. Students given make-up examinations will take them when scheduled by the instructor. Students absent from the scheduled make-up exams will receive scores of zero (0) for those exams. Make-up examinations are not administered for unexcused absences or tardiness. Examination Security All examinations are the property of the Program. Copying of examinations and related materials for any reason will be regarded as cheating, as well as theft, and disciplinary action will be instituted against the offenders. Any other student receiving, viewing, or duplicating such stolen examination materials, will be treated as accomplices to cheating, and will also be subject to disciplinary actions. Academic Course Offering SPRING SUMMER COURSE CREDIT HOURS CLINICAL MEDICINE I 8 PHARMACOLOGY I 3 ANATOMY,PHYSIOLOGY & PATHOPHYSIOLOGY I 3 PHYSICAL DIAGNOSIS I 3 CLINICAL SKILLS I 3 DIAGNOSTICS I 2 MEDICAL TERMINOLOGY 1 THE PA PROFESSION 2 GENETICS 2 Total for Semester 27 COURSE CREDIT HOURS CLINICAL MEDICINE II 8 PHARMACOLOGY II 3 ANATOMY,PHYSIOLOGY & PATHOPHYSIOLOGY II 3 28 FALL PHYSICAL DIAGNOSIS II 3 CLINICAL SKILLS II 3 DIAGNOSTICS II 2 EKG INTERPRETATION 1 BEHAVIORAL SCIENCE 1 GERIATRIC MEDICINE 2 EVIDENCE BASED MEDICINE LECTURE SERIES* * Total for Semester 26 COURSE CREDIT HOURS CLINICAL MEDICINE III 8 PHARMACOLOGY III 3 ANATOMY,PHYSIOLOGY & PATHOPHYSIOLOGY III 3 PHYSICAL DIAGNOSIS III 3 CLINICAL SKILLS III 3 DIAGNOSTICS III 2 RADIOLOGY 1 CRITICAL THINKING 2 PEDIATRIC MEDICINE 2 Total for Semester 27 * Grades included in Summative Review Chapter Four: Student Policies and Procedures Non-Academic Grievance Reporting: In the event of non-academic, personnel, program or student grievance, the student should first informally discuss the matter in question with the person most directly 29 involved. If the student feels the matter in question has not been resolved, the student should discuss the issue with their advisor. Action: The advisor to whom the incident is reported will document the incident using the student grievance form. Process: The report will be reviewed by the appropriate committee and will make recommendations as to action required. Administration: The administration will institute/apply the recommendation. Appeal: Any individual has the right to appeal the decision to the Program Director. If further appeal is desired by the student they may then appeal to the Dean of the Graduate College. There is no assurance that such an appeal will be approved. Non-Academic Probation Regardless of the student’s calculated grade for a particular course, if the faculty or staff have identified serious deficits in any area of the student’s performance, including professionalism, the disciplinary, promotion and retention committee, after investigation, may take action ranging from counseling the student, to a recommendation for dismissal. Students encountering these types of problems may be placed on non- academic probation for the remainder of the semester. Personal Property BUPAP assumes no responsibility for personal property loss or damages during the students enrollment in the program. Lockers are available and will be assigned. A lock may be purchased. No stickers or permanent markings should be placed on the lockers. • • • • • • • • Health Screening, Immunization, and Regular Healthcare Student healthcare services are currently provided by the University for undergraduate students only. Graduate students and employees can access the student health clinic for a fee. The PA program supplies the clinic personnel for the student health clinic. According to ARC-PA “D” standards - principal faculty are not allowed to provide health care services for our students. BUPAP has entered into an arrangement with the McKenzie Medical Center (MMC) to provide an equivalent student health service to our students. When presenting to MMC, the student should show their PA-S ID and will pay a $25 fee to be seen for clearly minor complaints. This is identical to the services provided by the BU student health clinic. If the complaint is more intensive, then the student will have the option of becoming a MMC patient or being referred to another clinic, at which time their personal insurance will be billed for services, again, this is identical to the care provided at the BU student health clinic. Medical emergencies are handled through the nearest emergency department. This is a small community. The student will encounter principal faculty members employed in local emergency rooms. Use your best judgment in determining which emergency department to go based on severity of symptoms. All students are required to have immunizations that are current and consistent with CDC regulations for healthcare students. No immunizations or health screenings may be conducted by program personnel. All students are required to maintain health insurance for the duration of the program. Substance Abuse Alcohol and Drugs 30 The University expects its students to obey the law. Therefore, a violation of alcohol or drug laws, while admitted to the University, wherever this may occur, is a breach of the University’s policies. Further, it is a violation of the University’s expectations for a student to drink, possess, or be impaired by drinking alcoholic beverages, or to possess, use, or be under the influence of, illegal drugs, on campus, or at any event sponsored by the University or by a University approved student organization. Violation of this policy may result in any sanction deemed appropriate by the University, including, but not limited to, required participation in a drug or alcohol treatment or rehabilitation program, suspension, or expulsion. Lines of Communication E-Mail Program correspondence is primarily conveyed by electronic mail. Students are required to check their e-mail on a daily basis. If you have any difficulty accessing your account, please notify the Program faculty/staff as soon as possible. All students must use their Bethel University email address that will be assigned to them during orientation week. There are no exceptions to this rule! Lack of internet availability at your home or apartment is not a reason to violate this policy. Bethel PA Student Website This is the private, password protected site, which is available to students. It’s located at www.bethelpa.com. Announcements, class assignments and other means of contact will be posted and updated here. Students are required to check this website on a daily basis. Appointments Faculty members, advisors, and staff will gladly accept appointments to meet with students. Students may contact them through e-mail or by office number. If no one is available, please leave a message for a return call. Class Meetings The Program Director and the Academic Director will meet with the class on a regular basis. This promotes good communication between the Program administration and the students, provides a forum for discussion, and is an appropriate time to share significant thoughts about the Program. Current Address and Telephone It is essential that each student keep both the Program and the University advised of his or her current mailing address, and telephone number, so important mailings or messages can be delivered in a timely fashion. Change of address forms are available in the Registrar’s Office. If you change your address, you must notify both the Registrar’s Office and the PA Program. Difficulties arising from a student’s failure to keep the program informed of this information are the responsibility of the student, and he or she bears the sole responsibility for failing to provide current address and telephone information. Student Work Policy Students enrolled in the MSPAS Program are not prohibited, but are strongly discouraged from working during the didactic year due to the intense and rigorous nature of the program. Students are not required to work for the program. If you choose to work and are unable to fulfill program requirements due to a work conflict you will be dismissed from the program. 31 Students enrolled in the BUPAP are prohibited from working during the clinical year due to the intense and rigorous nature of the program. Students are not required to work for the program. Students are not to receive or accept compensation for any work performed within the preceptor’s clinical site or practice. Students may only render services as part of the clinical phase of their education. If you choose to disregard the work policy and are unable to attend scheduled clinical rotations due to a work conflict you will be dismissed from the program. Student Records Upon enrollment, each PA student is assigned a Bethel University email account, a bethelpa web site password, a user id, and their own page on the bethelpa web site. Students of the PA program, and Bethel University employees, according to security clearance, will be able to communicate and view individual grades, test results, assignments, etc., through these media. Technological security measures are utilized to ensure confidentiality. Passwords are to be protected, and under no circumstances are those passwords to be shared. Any violation of this may result in dismissal from the program. Records for each student enrolled in the PA program are maintained by the program in secured locations indefinitely. The transcripts are retained by the registrar permanently. A copy of all requested health records (immunization and Tb skin test results) will be maintained in a separate file within the student records. Confidentiality of the health record is assured by those documents being kept in a double lock environment with limited security access. Only designated program faculty and staff have access to these records. The Family Educational Rights and Privacy Act (FERPA) afford students the right to consent to disclosure (release) of personally identifiable information with respect to their educational records. Bethel University designates the following categories of student record information as public or directory information: student’s name, address, telephone number, date and place of birth, previous school(s) or college(s), dates of attendance, class, major field of study, awards, honors, degree(s), expected date of completion, full or part time enrollment status, past and present participation in officially recognized activities and sports, and weight and height of athletes. Students of the BUPAP are required to sign a release of information form that allows the program to release the results of the student’s certified background check, drug screen, immunizations record, and Tb skin test to any clinical facility utilized as a training facility by the program. Student records are accessible only by authorized program personnel. Students may view their own records only with appropriate supervision. Students are not allowed to view the records of another student under any circumstances. Dress Code Lab Coat/Name Tag/Certified Background Check ID: While at clinical sites you should wear a short white lab coat with the Program patch on the pocket and name tag identifying you as a Physician Assistant student from The Bethel University PA Program. If the nametag breaks or is lost, please call the Program to order a new one. Attach your certified background check badge to your name badge so that it is clearly visible. Monday - Wednesday: Dress in a professional manner. Examples of inappropriate dress include but are not limited to: jeans, shorts, cutoffs, t-shirts, tube tops, halter tops and “recreational clothing”. Nor, should you wear clothing that exposes large areas of your chest, cleavage, abdomen, midriff or back. 32 Thursday: This is the day that clinical skills and physical exams are practiced. The student is allowed to wear matching scub shirt and pants on this day only. Friday: Casual attire is permitted on Friday’s during the didactic year. Jeans and a collared shirt are considered acceptable casual attire. Shoes: Please use good judgment in the type of shoes you wear. Comfort is key, but sneakers and rubber clogs should be reserved for the O.R. or emergency department. Sandals and flip flops must not be worn. Hair/Jewelry/Fingernails: You should avoid wearing perfumes or colognes, as they may cause untoward reactions in your patients. Jewelry should be kept to a minimum. No body piercing should be visible with the exception of pierced ears. Artificial/Acrylic nails are not allowed in medical institutions. Kitchen Policy The use of the kitchen is made available to the students of BUPAP and is considered to be a privilege. Abuse of this will result in kitchen access being restricted. It is up to the individual class to ensure that fellow students comply with the policies posted in the kitchen. Parking Policy Back wall and front wall of the building are reserved for faculty/staff and handicapped parking. Violators can be issued a citation and/or towed at owner’s expense. Smoking Policy Smoking is not allowed indoors at Bethel University. You will find a smoke station located away from the building. PLEASE USE IT!! • • • • • • • Weather Conditions Policy Announcements of class closings will be made by the Program Director on the website. Students may choose to set up a phone tree in the beginning of the semester to notify each other of class closing. Additionally, the University staff will have a voice mail greeting with closing announced. Unless conditions are extreme, classes will be held. Students are advised to use caution and common sense in deciding whether or not to attend. Such absences will be excused in accordance with the attendance policy. The PA program does not follow the CLA policy for closings. Fire, Bomb, Threat, Tornado Policy & Procedure Four fire extinguishers are located in the PA building. The procedures for what to do in case of an emergency are posted near the exit doors on the first and second floors of the building. Eating/Drinking in Classroom Policy Eating and drinking in the classroom is permitted as long as it is not distracting to other students and/or faculty. Please do not leave cans, candy wrappers, potato chips bags, etc. on your desk. Restroom Policy The restrooms are cleaned twice a week by housekeeping. Please help to maintain a clean appearance in the interim. If you are in need of toilet paper, paper towels, or soap, or if there are maintenance issues, please contact the program secretary. Drug Screens/Background Checks 33 Each student is responsible for getting a drug screen and a background check before enrolling in the PA Program. You must use CertifiedBackground.com for both. The results are sent directly to the program. A second drug screen and Tb skin test will be completed at the end of the didactic year and the student responsible for the cost incurred. Printing/Copying Please have all printing and/or copying done before class starts. There is a copier leased to the BUPAP student society in the classroom. You may use it for your copying needs. If you do not own a printer or copier, they are available in the library on campus and in the classroom at the PA Program. Program staff is not allowed to print/copy or fax items for the students. Code of Ethics The American Academy of Physician Assistants recognizes its responsibility to aid the profession in maintaining high standards in the provision of quality and accessible health care services. The following principles delineate the standards governing the conduct of physician assistants in their professional interactions with patients, colleagues, other health professionals and the general public. Realizing that no code can encompass all ethical responsibilities of the physician assistant, this enumeration of obligations in the Code of Ethics is not comprehensive and does not constitute a denial of the existence of other obligations, equally imperative, though not specifically mentioned. Physician Assistants shall be committed to providing competent medical care, assuming as their primary responsibility the health, safety, welfare and dignity of all humans. Physician Assistants shall extend to each patient the full measure of their ability as dedicated, empathetic health care providers and shall assume responsibility for the skilful and proficient transactions of their professional duties. Physician Assistants shall deliver needed health care services to health consumers without regard to sex, age, race, creed, socio-economic and political status. Physician Assistants shall adhere to all state and federal laws governing informed consent concerning the patient's health care. Physician Assistants shall seek consultation with their supervising physician, other health providers, or qualified professionals having special skills, knowledge or experience whenever the welfare of the patient will be safe-guarded or advanced by such consultation. Supervision should include ongoing communication between the physician and the physician assistant regarding the care of all patients. Physician Assistants shall take personal responsibility for being familiar with and adhering to all federal/state laws applicable to the practice of their profession. Physician Assistants shall provide only those services for which they are qualified via education and/or experiences and by pertinent legal regulatory process. Physician Assistants shall not misrepresent in any manner, either directly or indirectly, their skills, training, professional credentials, identity or services. Physician Assistants shall uphold the doctrine of confidentiality regarding privilege patient information, unless required to release such information by law or such information becomes 34 necessary to protect the welfare of the patient or the community. Physician Assistants shall strive to maintain and increase the quality of individual health care service through individual study and continuing education. Physician Assistants shall have the duty to respect the law, to uphold the dignity of the physician assistant profession and to accept its ethical principles. The physician assistant shall not participate in or conceal any activity that will bring discredit or dishonour to the physician assistant profession and shall expose, without fear or favour, any illegal or unethical conduct in the medical profession. Physician Assistants, ever cognizant of the needs of the community, shall use the knowledge and experience acquired as professionals to contribute to an improved community. Physician Assistants shall place service before material gain and must carefully guard against conflicts of professional interest. Physician Assistants shall strive to maintain a spirit of cooperation with their professional organizations and the general public. Chapter Five: Scholarships 35 Scholarship Opportunities Tennessee Physician Assistant Foundation Nell and Pat Kilpatrick Memorial Scholarship The Tennessee Physician Assistant foundation will award a minimum of one scholarship yearly in the amount of $500.00, with the discretion to award more based on the level of charitable contributions from the previous 12 months. The Tennessee Physician Assistant Foundation awards scholarships to 1st or 2nd year physician assistant students. Students interested in learning more about this scholarship should contact the Program Director The Society of Army Physician Assistants (SAPA) Captain Sean P. Grimes Physician Assistant Educational Scholarship Award This scholarships intent is to award financial assistance to an individual who is seeking initial training as a physician assistant or to a PA seeking a baccalaureate, masters or doctoral degree. The amount of award is $3,000.00 annually for the first ten years provided funds are available; then the amount may be reevaluated at the discretion of SAPA BOD. Any army veteran, army active duty solider, any army national guard solider, and any army reservist solider is eligible to apply for this scholarship. Students interested in learning more about this scholarship should contact the Program Director Physician Assistant Foundation The PA Foundation (PAF) is a charitable organization that operates exclusively for educational, scientific, literary, and research purposes. The PAF has developed several programs that can assist students as they strive to reach their goals in school and in their professional practice. In total, the Physician Assistant Foundation has awarded over $1.4 million to deserving PA students across the country. Scholarships are awarded on the basis of financial need, academic achievement, extracurricular activities, and future goals as a PA. The deadline to apply is January 15. Students interested in learning more about this scholarship should contact the Program Director Tennessee Rural Health Loan Forgiveness The Tennessee Rural Health Loan Forgiveness Program is established as part of the system of lottery-funded scholarships and is administered by the Tennessee Student Assistance Corporation. Recipients must agree to maintain satisfactory progress in the program of study, complete the medical or dental program within the allocated five (5) years and practice medicine or dentistry in a health resource shortage area after becoming a Tennessee licensed physician, osteopathic physician, physician assistant, dentist, or after receiving a Tennessee certificate of fitness as a nurse practitioner, for one (1) year for each year of funding provided by a Tennessee Rural Health Loan Forgiveness award. Students must be a citizen of Tennessee and be a resident of Tennessee for one (1) year immediately preceding the date of application. Students interested in learning more about this scholarship should contact the Program Director National Health Service Corp. (NHSC) The NHSC is dedicated to improving the health of the Nation’s underserved. NHSC clinicians practice in a broad range of community-based systems of care operating in rural and urban federally designated health professional shortage areas. The Scholarship Program is highly competitive. Applicants who are selected to participate receive payment of tuition and fees, books, supplies, and equipment for up to 4 years of education and a monthly stipend. For each year of support you receive, you will be required to serve 1 year in an approved practice site, located in a federally designated health professional shortage area of greatest need. There is a minimum service commitment of 2 years, which must begin upon completion of your 36 health professions training. The Loan Repayment Program is highly competitive. Applicants who are selected to participate agree to provide full-time primary care services in an approved practice site, located in a federally designated health professional shortage area. For the 2 year minimum service commitment, the NHSC will pay up to $50,000.00 based on the participant’s qualifying educational loans. Opportunities to continue participating in the program beyond 2 years may be available. Students interested in learning more about the programs offered by the NHSC should contact either the Program Director or the Clinical Director of Coordination. Physician Assistant Organizations American Academy of Physician Assistants (AAPA) The American Academy of Physician Assistants (AAPA) is the only national organization that represents Physician Assistants (Pas) in all specialties and all employment settings. Its membership also includes Physician Assistant students and supporters of the profession. (AAPA website is www.aapa.org) Student Academy of the American Academy of Physician Assistants (SAAAPA) Student Academy of the American Academy of Physician Assistants (SAAAPA) is the national organization for students enrolled in Physician Assistant programs. The SAAAPA has an elected board and participates in many capacities including subcommittees within the AAPA. The SAAAPA can provide information on many topics including: financial aid, survival tips, clinical pearls, hot topics, etc. (SAAAPA website: www.saaapa.aapa.org). Tennessee Academy of Physician Assistants (TAPA) Physician Assistants in the State of Tennessee are represented by the Tennessee Academy of Physician Assistants (TAPA). TAPA represents the concerns of Tennessee PA’s locally, statewide and nationally. Student participation is encouraged and welcomed. (TAPA website: www.tnpa.com). Oath for PA Students 37 I pledge to perform the following duties with honesty, integrity and dedication, remembering always that my primary responsibility is to the health, safety, welfare and dignity of all human beings. I recognize and promote the value of diversity and I will treat equally all persons who seek my care. I will uphold the tenets of patient autonomy, beneficence, non-malfeasance, justice and the principle of informed consent. I will hold in confidence the information shared with me in the course of practicing medicine, except where I am authorized to impart such knowledge. I will be diligent in understanding both my personal capabilities and my limitations, striving always to improve my practice of medicine. I will actively seek to expand my intellectual knowledge and skills, keeping abreast of advances in medical art and science. I will work with other members of the health care team to assure compassionate and effective care of patients. I will uphold and enhance community values and use the knowledge and experience acquired as a PA to contribute to an improved community. I will respect my professional relationship with the physician and act always with the guidance and supervision provided by that physician, except where to do so would cause harm. I recognize my duty to perpetuate knowledge within the profession. These duties are pledged with sincerity and on my honor. Source: www.paeaonline.org 38