Areas of specialty that PAs can work in
Family medicine, internal medicine, women's health, pediatrics, behavioral medicine, surgery, emergency medicine, etc. *Any speciality that a physician can specialize in, really
Factors that lead to a successful malpractice claim.
Duty [to provide care/tx],
breach of duty,
causation [breach of duty caused injury],
& damages [injury resulted in significant damages]
You should be professional as a PA (or PA-S) when:
1. in the classroom
2. on rotations
3. around your patients
3 main insurance companies
Medicare, Medicaid, commercial/private
T/F: PAs were introduced to be independent practitioners
False; they were introduced to function as a team to deliver healthcare to patients
What area of specialty did PAs begin?
Family medicine
You had claims-made insurance from 2010-2015. If you had a patient who filed a claim in 2020, and the incident occurred in 2015, would you be covered?
No, you would not be covered. The claim was filed after the insurance expiration date.
How much of professionalism is accounted for in PANCE?
5%
Medicare Part B covers:
professional services by HCPs, durable medical equipment, med services not covered by part A, & "incident to" services
define teamwork
A guide for mental disorders
DSM-5: Diagnostic & Statistical Manual of Mental Disorders
T/F: Tail coverage is a type of occurrence malpractice insurance that you can obtain for when you take a leave of absence, retire, or switch employers.
False! Its a type of claims-made policy, not occurrence
You see a physician colleague that has been coming in to work late, has been working longer & has had some irrational bouts of anger. You suspect they are impaired from alcohol. Do you report it or not?
COBRA is...
Consolidated Omnibus Reconciliation Act
federal law that allows temporary continuation of coverage for certain employees, retirees, and family members at group rates when coverage is lost to certain qualifying events
What types of professionals do PAs work with?
What are some procedures ED-PAs must do for a patient?
laceration repair, EKG interpretation, pelvic exam, admission to ICU
What source of insurance coverage would cover you for any additional job you work for including moonlighting/part-time and volunteering?
Individual policy
What is the percentage estimated of providers that will develop a substance abuse problem at some point?
8-12%
4 big private insurers
Aetna, Anthem, Cigna, & Unified Health Group
what do respiratory therapists do?
diagnose lung & breathing disorders
recommend treatment methods
analyze breath, tissue, and blood specimens to determine ABG levels
manage ventilators and artificial airway devices
True or False: Internal medicine incorporates patients of all ages.
False; internal medicine is for adult patients only! But can be multiple areas of specialty including cardiology, pulmonology, GE, etc.
What to look for and do when obtaining your group policy
1. whether your name is listed on the policy
2. determine if there's occurrence or claims-made
3. obtain a copy every year
Common types of substance abuse
1. Alcohol (most common)
2. Rx abuse - benzos and opioids
1. Service is NOT in a hospital or SNF (and is in a private clinic/office)
2. Physician does the initial HPI, PE, diagnosis and plan for a new patient
3. Established patient with new diagnosis is evaluated by physician
3. PA takes charge of the follow-up appointment
4. Physician is in same office as PA (direct supervision)
Team characteristics required for PCP Improvement
Trust, mindfulness, heedfulness, respectful interaction, diversity, social & task relatedness, rich & lean communication