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Physician Assistant

Graduate Competencies

Functions and Tasks that Graduates are expected to perform and technical procedures taught during the RIT Physician Assistant Program

2013-2014 Outcomes & Competencies

Graduates will demonstrate proficiency at performing the following skills, tasks and procedures when working with male and female patients of all ages and socioeconomic backgrounds with varying degrees of medical acuity, in a wide variety of medical settings including office-based practices, inpatient facilities and long-term care settings in urban, suburban and rural communities:

  1. Demonstrate ability to properly triage patients with potentially life-threatening injuries or illnesses and the ability to initiate appropriate care
  2. Demonstrate good interpersonal communication skills and the ability to develop an appropriate and professional rapport with patients, families and other healthcare workers
  3. Obtain a comprehensive history, eliciting information pertinent to the development of a diagnosis. Each history will contain the following elements:
    • Chief complaint
    • History of present illness
    • Past medical history
    • Family history
    • Social history
    • Review of systems
  4. Perform a comprehensive physical examination
  5. Obtain a problem focused history when appropriate
  6. Perform a problem focused physical examination when appropriate
  7. Differentiate between normal and abnormal physical exam findings
  8. Order and interpret appropriate laboratory and diagnostic studies
  9. Critically analyze history, physical examination and diagnostic study findings to formulate an accurate assessment and demonstrate medical decision making skills in the formulation of a treatment plan
  10. Organize and document all patient data in written form to ensure the establishment of an accurate record compliant with all medical/legal standards
  11. Deliver concise oral presentations (using either bullet or formal format) which accurately summarize pertinent patient data
  12. Discuss the risks, benefits, costs and economic implications associated with various diagnostic studies, treatment referrals and medication choices
  13. Discuss and demonstrate profiency in the use of evidence based medicine in medical decision making
  14. Determine when additional intervention is needed and facilitate medical referrals and/or access to allied health providers (i.e. physician specialist, physical therapy, social work, hospice care, psychotherapy, etc.)
  15. Educate and instruct the patient regarding symptoms, physical examination findings, assessment and treatment plan recommendations, including verification that the patient clearly understands all discharge instructions
  16. Counsel patients regarding normal development and aging patterns as well as health maintenance, disease prevention, screening techniques, immunizations, and the risks/benefits of various lifestyle choices
  17. Demonstrate knowledge of NY State guidelines regarding the recognition and prevention of child abuse and the physician assistant's role as a mandated reporter
  18. Maintain CPR certification during the clinic component of the student's education
  19. Demonstrate professional integrity, honesty, dependability, respect for self and others, compassion, and an ability to protect patient confidentiality and trust at all times
  20. Demonstrate commitment to the ideals of life-long learning, professional excellence, teamwork, tolerance for diversity and community service.
  21. Perform the following medical procedures with proper supervision:
    • Perform a pelvic exam including proper speculum, PAP smear and culture technique
    • Demonstrate digital rectal exam and the ability to test stool for occult blood using guaiac cards
    • Demonstrate proper breast exam technique and the ability to instruct the patient regarding regular monthly self-breast exam
    • Demonstrate proper testicular exam technique and the ability to instruct the patient regarding regular monthly self-testicular exam
    • Test visual acuity using a Snellen chart
    • Perform a venipuncture
    • Perform an arterial puncture
    • Start an IV
    • Obtain stool, urine, sputum, throat or wound drainage specimen for culture
    • Perform a gram stain and interpret smear
    • Perform injections including subcutaneous, intradermal, intravenous and intramuscular
    • Interpret intradermal skin test
    • Insert a nasogastric tube
    • Obtain and interpret an electrocardiogram
    • Perform and analyze spirometry readings
    • Demonstrate proper technique for a lumbar puncture
    • Perform a chemical and microscopic urinalysis
    • Insert and remove a Foley catheter
    • Demonstrate proper technique for a thoracentesis
    • Demonstrate proper technique for a paracentesis
    • Demonstrate the ability to utilize OSHA recommended Universal Precaution
    • Demonstrate the ability to use aseptic technique and the ability to establish a sterile field
    • Demonstrate proper wound care including skin closure using various suturing technique
    • Apply casts and splints using proper materials and techniques
    • Demonstrate the ability to determine when supplemental oxygen is required by a patient and the factors which must be considered when determining the best delivery method and rate of flow
    • Demonstrate competency in the interpretation of plain radiographs of the chest, abdomen, spine and extremities
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