PA Policies 09-10

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PA Policies 09-10

  1. 1. STUDENT HANDBOOK FOR PHYSICIAN ASSISTANT STUDENTS ACADEMIC YEAR 2009 – 2010 CLASS OF 2011 Rev. August 2009 The PA Program reserves the right to update the policies in this handbook to reflect the changing nature of healthcare and education during the course of the program.
  2. 2. ii JCHS PHYSICIAN ASSISTANT STUDENT HANDBOOK, 2009-2010
  3. 3. TABLE OF CONTENTS WELCOME.......................................................................................................................1 FACULTY AND STAFF................................................................................................2 HISTORY OF JCHS AND THE PA PROGRAM..................................................................3 ACCREDITATION.......................................................................................................5 MISSION, PURPOSE, VALUES AND GOALS.....................................................................5 EDUCATIONAL OUTCOMES FOR GRADUATES...................................................................6 TECHNICAL STANDARDS............................................................................................8 PA PROGRAM STANDARDS OF PROFESSIONAL CONDUCT.................................................10 STATEMENT OF VALUES OF THE PHYSICIAN ASSISTANT PROFESSION..................................11 OATH FOR PA STUDENTS.......................................................................................12 ATTENDANCE POLICY..............................................................................................12 Preparation..........................................................................................12 Class Attendance................................................................................12 Suspension.........................................................................................13 Vacation..............................................................................................13 Inclement Weather..............................................................................14 Deceleration........................................................................................14 Administrative Withdrawal, Leave of Absence....................................14 DRESS CODE.......................................................................................................14 Acceptable Classroom Attire...............................................................14 Unacceptable Classroom Attire...........................................................14 Clinical Skills Practice.........................................................................14 First-year Clinical Experiences and Clinical Year................................14 Cell Phones and Beepers....................................................................15 Identification........................................................................................15 CURRICULUM DESIGN.............................................................................................15 NON-DISCRIMINATION POLICY...................................................................................16 ADVISORS............................................................................................................17 COMMUNICATION....................................................................................................17 Change in Name, Address, Phone Numbers......................................17 Email Accounts...................................................................................17 Mailboxes............................................................................................17 Fax......................................................................................................17 Blackboard..........................................................................................17 In-House Website................................................................................17 TUITIONS, FEES AND EQUIPMENT..............................................................................17 Acceptance Deposit............................................................................17 Billing Procedure.................................................................................18 PA Program Estimated Expenses.......................................................18 Tuition Refund.....................................................................................19 1098-T Information..............................................................................19 Equipment...........................................................................................19 Personal Computers...........................................................................19 Other Expenses..................................................................................19 Transportation and Housing................................................................20 HEALTH AND REQUIRED DOCUMENTATION....................................................................20 Health History, Physical Exam and Immunizations.............................20 Health Insurance.................................................................................20 iii JCHS PHYSICIAN ASSISTANT STUDENT HANDBOOK, 2009-2010
  4. 4. Student Malpractice Insurance............................................................20 Safety..................................................................................................20 Blood Bourne Pathogens Exposure Procedure...................................21 Protocol...............................................................................................21 Health Care Facilities..........................................................................22 STUDENT DISABILITY DISCRIMINATION COMPLAINT PROCESS............................................22 OUTSIDE EMPLOYMENT...........................................................................................22 STUDENT SUBSTANCE ABUSE POLICY.........................................................................22 TECHNOLOGY........................................................................................................22 Student Technology Use Policies........................................................22 One Jefferson Account Policy.............................................................23 Protection of Accounts........................................................................23 Misuse of Accounts.............................................................................23 Printers and Copiers for Student Use..................................................23 Computers...........................................................................................23 Downloading from the Internet............................................................23 Blackboard..........................................................................................24 IQ.Web................................................................................................24 Use of Educational Materials...............................................................24 RULES RELATED TO PHYSICIAN ASSISTANT FACILITIES...................................................24 PA Classroom.....................................................................................24 Personal Effects..................................................................................24 Safety..................................................................................................24 Security...............................................................................................24 Smoking/Tobacco...............................................................................25 Parking................................................................................................25 TRANSFER AND CREDIT FOR EXPERIENTIAL LEARNING....................................................25 EVALUATION OF STUDENT PERFORMANCE....................................................................25 Didactic Year.......................................................................................25 PACKRAT...........................................................................................25 Test Administration Policy...................................................................26 Irregular Behavior................................................................................27 Test Exam Challenges........................................................................27 Grading Scale.....................................................................................28 JCHS Testing Accommodation Policy.................................................28 Test Review........................................................................................28 Submitting Assignments......................................................................29 Late Assignments................................................................................29 Remediation Policy.............................................................................29 STUDENT PROGRESS..............................................................................................29 Dismissal.............................................................................................29 Probation.............................................................................................29 Disciplinary Procedures.......................................................................30 Comprehensive Didactic Summative Evaluation.................................30 COURSE AND PROGRAM EVALUATION.........................................................................31 GRADUATION........................................................................................................31 STUDENT SOCIETY CONSTITUTION AND BYLAWS............................................................32 CLINICAL YEAR OUTLINE.........................................................................................38 APPENDICES.........................................................................................................44 Appendix A: Carilion Employee Event Form.......................................45 Appendix B: JCHS Honor Code..........................................................47 Appendix C: Examination Question Challenge Form..........................57 Appendix D: Academic Misconduct Form............................................58 Appendix E: Attendance Form............................................................60 Appendix F: Receipt of PA Student Handbook Form..........................61 iv JCHS PHYSICIAN ASSISTANT STUDENT HANDBOOK, 2009-2010
  5. 5. - Dear PA Student, Welcome to the Physician Assistant Program at Jefferson College of Health Sciences! We know how hard you worked to get here and how eager you are to get started. The next 2 ½ years will be challenging, demanding and rewarding. You are about to embark on a journey that will prepare you for your future role as a physician assistant. The PA faculty and staff are committed to providing you a professional education in an atmosphere of mutual respect and support. We are excited that you, the Class of 2011, have chosen Jefferson College of Health Sciences for your graduate PA education. This handbook has been developed as a supplement to the JCHS Graduate Handbook to provide information on programmatic academic policies and procedures. As a graduate level PA student you are responsible for reading and complying with all the rules, regulations and policies of the PA Program and Graduate School. On behalf of our excellent faculty and staff, I extend our heartfelt wishes for a successful and rewarding education. Sincerely, Wilton Kennedy, DHSc, PA-C Director and Associate Professor Physician Assistant Program 1 JCHS PHYSICIAN ASSISTANT STUDENT HANDBOOK, 2009-2010
  6. 6. JCHS Physician Assistant Program Office Phone: 540-985-4016 Fax: 540-224-4551 Faculty Wilton Kennedy, DHSc, PA-C Director/Associate Professor J. Randy Howell, MPA, PA-C wkennedy@jchs.edu Service Learning Coordinator/Assistant 540-985-8256 Professor jrhowell@carilion.com Patrick McCarthy, MD 540-985-4016 Academic Medical Director/Assistant Professor Joel Atance, PhD mccarthyclan2@verizon.net Assistant Professor 540-985-4016 Math & Science Department jwatance@jchs.edu Stephen Remine, MD 540-224-4565 Clinical Medical Director sremine@carilion.com Denise Dillingham, MPAS, PA-C Staff Clinical Coordinator/Assistant Professor ddillingham@jchs.edu Kathy Keoughan 540-224-4515 Program Secretary kkeoughan@jchs.edu Patricia Airey, MS, PA-C 540-985-4016 Academic Coordinator/Assistant Professor pairey@jchs.edu Barb Williams, BA 540-985-8376 Clinical Resource Associate CIBAW1@jchs.edu Robert Hadley, PhD, PA-C 540-224-4538 Associate Professor rdhadley@jchs.edu 540-224-4480 Jennifer Chen, MD Assistant Professor jchen@jchs.edu 540-985-4016 Vicki Bierman, MSW, FNP Assistant Professor vhbierman@jchs.edu 540-985-4516 2 JCHS PHYSICIAN ASSISTANT STUDENT HANDBOOK, 2009-2010
  7. 7. History of JCHS and the PA Program Jefferson College of Health Sciences Jefferson College of Health Sciences was founded in 1914 as Jefferson Hospital School of Nursing. Dr. Hugh Trout, Sr. was an early pioneer of health care in the Roanoke Valley. Dr. Trout obtained his M.D. degree from the University of Virginia in 1902. After completing his surgical residency in Baltimore, Maryland, Dr. Trout relocated to Southwest Virginia. In 1907, he founded a small, 40-bed facility located at what is now 1311 Franklin Road. The hospital was named Jefferson Hospital in honor and memory of Thomas Jefferson. Dr. Trout soon found that the need for adequately trained nurses in the area far surpassed those available. In an effort to alleviate the shortage, he established the Jefferson Hospital School of Nursing. The school opened its doors in 1914, with an initial class of 6 students. All six completed the 33-month training program and graduated in 1917. A self-study following the first graduation concluded that the school exceeded the Standard Curriculum for Schools of Nursing, published by the National League for Nursing Education in 1917. The school went on to gain approval by the American College of Surgeons and the American Medical Association in 1923. The American Hospital Association recognized the school in 1926. Around the same time as the development of Jefferson Hospital, Dr. James Newton Lewis and Dr. Sparrell Simmons Gale were initiating their own vision of healthcare for the Roanoke Valley. In 1909, they founded Lewis-Gale Hospital in Downtown Roanoke, and in 1911, the Lewis-Gale School of Nursing was born. The two schools operated independently of each other for many years. Between 1914 and 1965, Jefferson Hospital School of Nursing alone trained 658 new nurses, most of which stayed within the community upon graduation. During Jefferson Hospital's first 50 years, it was expanded three times and grew to a 151-bed facility. In 1953, Jefferson Hospital hired a 26-year old administrator named William Reid. He soon became aware of the booming population and the rising costs of health care in Southwest Virginia. The population of Roanoke had rapidly expanded beyond the capabilities of the Jefferson Hospital facility. In 1960, under his direction, a new hospital facility was commissioned. The project was truly reliant on the community, as citizens donated $3.3 million toward construction costs. Several sites were considered, including ones in Salem and near what is now Tanglewood Mall, before land was purchased near the newly opened Interstate 581 corridor. Groundbreaking occurred in 1963, with the new hospital scheduled to open in 1965. However, construction delays, including the replacement of concrete columns that did not meet building standards, resulted in the opening being delayed until 1967. On August 27, 1967, 10,000 people toured the new Community Hospital of Roanoke Valley. In 1965, it was decided that the Lewis-Gale School of Nursing and the Jefferson Hospital School of Nursing should combine under the direction of the new hospital. This led to the formation of the Community Hospital of Roanoke Valley School of Nursing. The school was under the guidance of Lavina Duncan, RN, formerly of Lewis-Gale, who was named Director of Nursing Services for the new hospital in 1964. William Reid was also a chief figure, as administrator for the school. The Community Hospital of Roanoke Valley School of Nursing had an inaugural class of 50 students, and in 1968 graduated its first class of 29 new nurses. At the time, neither Lewis- Gale nor Community Hospital had facilities to house the School of Nursing. Therefore the hospital leased six floors of the Carlton Terrace Building (now the Reid Center) for use by the school. The school operated in this fashion for approximately 15 years. Then in 1980, a task force investigated the possibility of establishing a hospital-based college that would grant 2-year degrees in nursing and allied health. In 1981 the Community Hospital Board of Trustees made a commitment to such a school, and in 1982 the Community Hospital of Roanoke Valley College of Health Sciences was established. The College of Health Sciences was the first hospital-based college in Virginia. In addition, Community Hospital was one of only seven in the nation to have its College of Health Sciences accredited by the Commission for Higher Education. Dr. Jerome 3 JCHS PHYSICIAN ASSISTANT STUDENT HANDBOOK, 2009-2010
  8. 8. Cohen, who helped establish the college and was serving as Educational Director of the hospital, was named its first Dean on August 23, 1982. Dr. Cohen came to Roanoke after serving as an administrator and Associate Professor in the Connecticut community college system. In 1986, the College obtained accreditation by the Southern Association of Colleges and Schools (SACS) to grant degrees at the Associate Level. In 1989 the College named its first President, Dr. Harry C. Nickens. Dr. Nickens was very active in the local community and had been a leader in Roanoke for over 20 years. He directed the College through the addition of several programs and to a record enrollment of 615 students in 1998. He continued to lead the College until 2001, when he left to become president of the College's foundation. In 1992, William Reid, director of Community Hospital, announced his retirement. In appreciation for his contributions to the College and Hospital system, the Carlton Terrace Building was renamed the Reid Center. William Reid remains an active member of the College Board of Directors to this day. The College continued to expand in 1995 when it was accredited by SACS at the Baccalaureate degree level. In 1999, the College admitted its first international students, showing growth on a global scale. In 2000, the re-affirmation site visit by SACS was completed, rewarding the College with long-term accreditation. In 2003, it was decided that the name of the College should be changed. This was due, in part, to the fact that the Community Hospital of Roanoke Valley no longer existed, having changed its name to Carilion Roanoke Community Hospital. In addition, a new name would give the College a larger presence in the community, while acknowledging its history. In October 2003, the College officially became Jefferson College of Health Sciences, recognizing both its past and future in the Roanoke Valley. In 2005, the College was granted Carnegie Level III status by the Southern Association of Colleges and Schools, which gives Jefferson approval to offer graduate programs. That year, the first group of master's of science in nursing students began their studies. In fall 2008, two more graduate programs opened, the Master of Science in Physician Assistant and the Master of Science in Occupational Therapy. While Jefferson was founded as Jefferson School of Nursing almost a century ago, the College celebrates 25 years of degree-granting status in 2007. A year-long schedule of special events will be held to commemorate and honor the vision of several, the work of many, and the legacy of four great institutions, which have provided the foundation for Jefferson College of Health Sciences. The College continues its mission of providing competent and caring health care professionals who make a difference not only in Southwest Virginia, but across the country as well. Physician Assistant Program In 1996, a 20-member advisory committee began developing a curriculum and finding clinical sites for the first physician assistant program in Virginia. Jefferson’s PA program would break barriers not only for healthcare licensure offered in the Commonwealth but also for how Virginians review primary care. The original teaching team consisted of Doug Southard, PhD, MPH, PA-C, (now JCHS Provost and Dean of Academic Affairs), as program director; Mark Greenawald, MD, as medical director; Rebecca Scott, PhD, PA-C, as academic coordinator (and later as program director); and Sharon Maiewski, PA-C, as clinical coordinator. In addition, over 150 physicians, physician assistants, nurse practitioners and other health-care professionals helped train the first class of 21 students in 1997. In 2008, the program received permission by Southern Association of Colleges and Schools to offer the graduate degree of Master of Science in Physician Assistant. 4 JCHS PHYSICIAN ASSISTANT STUDENT HANDBOOK, 2009-2010
  9. 9. There have been 262 students to graduate from the program. 5 JCHS PHYSICIAN ASSISTANT STUDENT HANDBOOK, 2009-2010
  10. 10. Accreditation College Accreditation Jefferson College of Health Sciences is accredited by the Commission on Colleges of the Southern Association of Colleges and Schools to award associate, baccalaureate and masters degrees. Program Accreditation The Physician Assistant Program is accredited by the Accreditation Review Commission on Education for the Physician Assistant (ARC-PA). ARC-PA is the recognized accrediting agency that protects the interests of the public and PA profession by defining the standards for PA education and evaluating PA educational programs within the territorial United States to ensure their compliance with those standards. Only graduates from ARC-PA-accredited programs are eligible to sit for the Physician Assistant National Certifying Examination (PANCE) and become licensed to practice. The program completed the reaccreditation process in 2007 and was awarded a five-year accreditation. Mission, Purpose, Values and Goals Jefferson College of Health Sciences Mission Statement Jefferson College of Health Sciences prepares within a scholarly environment, ethical, knowledgeable, competent and caring healthcare professionals. Purpose and Values Founded in 1914, as Jefferson Hospital School of Nursing, Jefferson College of Health Sciences, located in Roanoke, Va., is a private institution offering baccalaureate and associate degree programs, as well as graduate education, exclusively in healthcare disciplines. The College's history dates from the formation of the Community Hospital of Roanoke Valley School of Nursing, which evolved from the 1965 merger of the Jefferson Hospital School of Nursing, founded in 1914, and the Lewis-Gale School of Nursing, founded in 1911. The College provides educational opportunities for those seeking healthcare careers, lifelong learning, and career enhancement adapted to the healthcare environment. The Jefferson College community values: • excellence and innovation in education; • integration of contemporary technologies; • community-campus partnerships; • diversity of person and thought; • integrity in personal and professional life; • personal, professional and scholarly development; • and a commitment to lifelong learning. Based on these values, we believe: • The college is a partnership of people. Our students, faculty, staff and alumni are our principle assets. • Teaching is our primary mission and we recognize the contribution of scholarly activity to the learning process. • A foundation in general education prepares students intellectually, culturally and ethically for their professional and personal lives. • Scientific and technical knowledge, competencies and proficiencies are required for successful practice and advancement in students’ chosen professions. • Scholarly environment is required for the intellectual, personal, and professional development of student, staff, faculty and alumni. 6 JCHS PHYSICIAN ASSISTANT STUDENT HANDBOOK, 2009-2010
  11. 11. • Broad-based, interdisciplinary education fosters community partnerships, improved health and respect for human diversity and dignity. • Institutional and programmatic accreditation contributes to academic excellence. • Systematic planning and evaluation contributes to sound management of human, physical, and financial resources. Physician Assistant Program - Mission Statement The mission of the Jefferson College of Health Sciences Masters of Science Physician Assistant Program is to prepare graduate-level physician assistants who are well versed in the art and science of medicine for service to their communities, with special attention to reducing disparities in health care. Physician Assistant Program Goals Upon completion of the JCHS Physician Assistant Program, the graduate will be able to: 1. Demonstrate the application of current, evidence-based medical knowledge to provide the most appropriate patient-centered care (Medical Knowledge). 2. Communicate effectively with patients, physicians, and other members of the healthcare team to foster interdisciplinary collaboration (Communication). 3. Demonstrate patient-centered care that is effective, timely, efficient, and equitable for the treatment of health problems and promotes wellness across the lifespan, regardless of individual characteristics (Systems-Based Patient Care). 4. Model the use of bioethical and legal principles pertaining to the delivery of healthcare (Professionalism). 5. Positively impact and advocate for the appropriate provision of healthcare for patients, their families, and communities (Professionalism). 6. Exemplify a commitment to personal growth and development as well as growth and development of the physician assistant profession (Professionalism). 7. Demonstrate scholarship and commitment to lifelong learning through critical analysis, interpretation, and evaluation of current medical research and literature to enhance the delivery of health care (Practice-Based Learning and Improvement). Educational Outcomes for Graduates Graduate Competencies The Physician Assistant Program curriculum at JCHS reflects a philosophy of lifelong learning and patient-centered care. Coursework integrates medical treatment modalities with health promotion, behavioral medicine, and disease prevention to meet the needs of a changing healthcare environment. The Program curriculum is based on the mission statement, curricular outcomes, competencies, and technical standards for the physician assistant profession. The professional documents and requirements (AAPA, PAEA, NCCPA, ARC-PA’s “Competencies for the Physician Assistant” and the “Accreditation Standards for Physician Assistant Education”) provide the foundation for the curriculum. Physician Assistant faculty and clinical preceptors serve as mentors for students, modeling professional ethics and attitudes conducive to healthcare professionals and demonstrating required medical knowledge and skills. The course of study emphasizes case-based learning and a systems approach, linking theory and practice. Students learn to value and practice interdisciplinary teamwork and healthcare delivery to diverse populations. Medical Knowledge The Program provides instruction in the basic medical sciences, including anatomy, physiology, pathophysiology, clinical pharmacology, and the genetic and molecular mechanisms of health and disease. It provides instruction in clinical medicine that covers the major organ systems. In addition, the Program provides supervised clinical practice in emergency medicine, family medicine, general internal medicine, general surgical care - including operative experiences, 7 JCHS PHYSICIAN ASSISTANT STUDENT HANDBOOK, 2009-2010
  12. 12. pediatrics, women’s health, psychiatry, behavioral medicine, and orthopedics. Upon completion of the Program, the graduating student will be able to: • Understand etiologies, risk factors, underlying pathologic processes, and epidemiology, including genetic factors, for medical conditions. • Identify signs and symptoms, and physical exam findings of medical conditions. • Select and interpret appropriate diagnostic and lab studies. • Manage general medical and surgical conditions, including understanding the indications, contraindications, side effects, interactions, and adverse reactions of pharmacologic agents and non pharmacologic treatment modalities. • Identify the appropriate site of care for presenting conditions, including identifying emergency cases and cases requiring referral or admission. • Identify appropriate interventions for prevention of medical conditions. • Identify 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. • Use history and physical findings and diagnostic studies to formulate a problem list, differential diagnosis, diagnosis and patient management plan. • Provide care to patients in all stages of life, including preventative, acute, chronic, rehabilitative, and end-of-life care. • Apply principles of patient self-management in those with chronic diseases, including developing patient-provider partnerships, setting collaborative action plans and goals, and making provisions for appropriate follow-up. • Apply an understanding of human behavior and psychological development to patients’ conditions and situations. Communication Skills The Program provides instruction in interpersonal and communication skills resulting in effective communication and collaboration between patient, families, and other healthcare professionals. Upon completion of the Program, the graduating student will be able to: • Create and sustain a therapeutic and ethically sound relationship with patients. • Present patient information in an articulate and concise manner in oral and written form • Use effective listening, nonverbal, explanatory, questioning, and writing skills to elicit and provide information. • Accurately and adequately document and record information regarding the care process for medical, legal, quality, and financial purposes. • Adapt communication style and messages suitable and appropriate for patients of varying backgrounds and cultures. • Obtain a pertinent history of the disease from the patient’s perspective. • Provide medical care to patients from diverse populations, including use of an interpreter and history taking through a third party. • Work effectively with physicians and other healthcare professionals as a member or leader of a healthcare team or other professional group. Patient-Centered Care The Program provides instruction in the care and management of patients across the lifespan, with a focus on cultural awareness and sensitivity. Upon completion of the Program, the graduating student will be able to: • Work effectively with physicians and other healthcare professionals to provide patient- centered care. • Demonstrate caring and respectful behaviors when interacting with patients and their families. • Make informed decisions about diagnostic and therapeutic interventions based on the patient’s information and preferences. • Develop and carry out patient management plans. 8 JCHS PHYSICIAN ASSISTANT STUDENT HANDBOOK, 2009-2010
  13. 13. • Counsel and educate patients and their families about: ♦ Coping with illness and injury. ♦ Adherence to prescribed treatment plans. ♦ Modification of behaviors to more healthful patterns. ♦ Management of chronic medical problems. ♦ End-of life-issues. ♦ Human sexuality. • Competently perform medical and surgical procedures considered germane to primary care. • Provide healthcare services and education aimed at preventing health problems and maintaining healthy, therapeutic lifestyle. • Recognize and treat substance abuse, violent behavior, and abuse in a patient and/or a patient’s family. Professionalism The Program provides instruction on professional issues and medical ethics. Upon completion of the Program, the graduating student will demonstrate the following: • Knowledge of the history of the physician assistant profession and the current trends in the profession. • An understanding of legal and regulatory requirements, as well as the role of the physician assistant. • A professional relationship with physician supervisors and other healthcare providers. • Awareness of limitations, openness to seek and accept constructive criticism and motivation to expand knowledge base. • Respect, compassion, and integrity, along with responsiveness to the needs of patients and society. • Accountability to patients, society, and the profession. • A commitment to ethical principles pertaining to provision or withholding of clinical care, confidentiality of patient information, and informed consent. • Sensitivity and responsiveness to the patient’s culture, age, gender, and disabilities. • An ability to communicate information regarding patients, medical conditions research materials to colleagues and peers. • Knowledge of the legal issues of healthcare and their relation to physician assistant practice. • Knowledge of reimbursement issues, including documentation, coding and billing, and professional liability. Practice-Based Learning and Improvement The Program provides instruction to foster lifelong learning and critical thinking skills. It provides the skills necessary to search, interpret, and evaluate the medical literature in order to maintain a critical, current, and operational knowledge of new medical findings, including application to individualized patient care. Upon completion of the Program, graduating students will be able to: • Demonstrate awareness of with practice-based improvement methodologies. • Locate, appraise, and integrate evidence from scientific studies related to patients’ health problems. • Obtain and apply information about the population of their patients and the larger population from which patients are drawn. • Use information technology to manage information and to access online medical information. Systems-Based Practice The Program provides instruction on providing patient-centered care that uses the most up-to-date methods to deliver medical care in a cost-effective and timely manner. Upon completion of the Program, the graduating student will be able to: 9 JCHS PHYSICIAN ASSISTANT STUDENT HANDBOOK, 2009-2010
  14. 14. • Use information technology to support patient care decisions. • Demonstrate and apply familiarity with different types of medical practice and delivery systems. • Demonstrate knowledge of the funding sources and payment systems that provide coverage for patient care. • Partner with supervising physicians, healthcare managers, and other healthcare providers to assess, coordinate, and improve the delivery of health care and patient outcomes. Technical Standards All students in the Jefferson College of Health Sciences Physician Assistant Program must possess the intellectual ability to learn, integrate, analyze, and synthesize data. They must have functional use of the senses of vision, hearing, equilibrium, and smell, with or without reasonable accommodations. Their exteroceptive (touch, pain, temperature) and proprioceptive (position, pressure, movement, stereognosis, and vibratory) senses must be sufficiently intact to enable them to carry out all activities required for a complete physician assistant education. These standards for admission establish the expectations and abilities considered essential for students to complete and graduate from our Program. These technical standards will be necessary for successful clinical practice. Students must possess these technical standards at the time of matriculation and throughout the program. Students who do not demonstrate these standards during the course of the program are at risk for dismissal. The student must possess and be able to demonstrate the following abilities and skills: 1. Intellectual: A student must have the mental capacity to assimilate and learn a large amount of complex and technical information; be able to conceptualize and solve clinical problems and to synthesize and apply concepts and detailed information from various disciplines in order to formulate diagnostic and therapeutic plans. Students must be able to learn to read and comprehend technical materials, medication and laboratory reports. 2. Observation: The ability to observe well is required for demonstrations and visual presentations, laboratory evidence, and microscopic studies of microorganisms and tissues in normal and pathologic states. A student must be able to observe patients accurately and completely, at a distance and closely. This requires functional vision and somatic sensation, enhanced by a sense of smell. 3. Communication: A student must be able to speak with, hear, and observe patients in order to elicit information, perceive nonverbal communication, and describe changes in mood, activity, and posture. The student must be able to communicate effectively and sensitively in English with patients from different socioeconomic and cultural backgrounds. Students must be able to develop professional rapport, and efficiently and effectively communicate with the healthcare team, orally and in writing. 4. Motor: A student must have motor function to elicit information from patients by palpation, auscultation, and percussion, and to carry out diagnostic maneuvers. He or she must be able to execute movements required to provide general care and emergency treatment. Such skills require coordination of gross and fine muscular movements, equilibrium, and sensation. Students must have sufficient postural control, neuromuscular control and eye-to-hand coordination to use standard medical/surgical instruments and possess sufficient control of the upper extremities to meet the physical requirements for training and performing a safe physical examination procedure. 5. Emotional: A student must have the emotional health to use fully his or her intellectual ability, exercise good judgment, and carry out all responsibilities attendant to the diagnosis and care of patients. The Physician Assistant Program at JCHS is demanding 10 JCHS PHYSICIAN ASSISTANT STUDENT HANDBOOK, 2009-2010
  15. 15. both intellectually and emotionally. Students must display sufficient emotional health to withstand stress, uncertainties and changing circumstances that characterize the rigors of our Program and the reality of life as a dependent practitioner. Physician assistant students must be able to work cooperatively with other students, staff, faculty, and patients. 6. Interpersonal: A student must be able to develop mature, sensitive, and effective relationships with patients and colleagues. The ability to tolerate physical and emotional stress and continue to function effectively is a must. Students must be adaptable, flexible, and able to function in the face of uncertainty during the course of study and with patients. Students must have integrity, the motivation to serve, a high level of compassion, and a consciousness of social values. Students need the interpersonal skills to interact positively with people from all levels of society, ethnic backgrounds, and beliefs. 11 JCHS PHYSICIAN ASSISTANT STUDENT HANDBOOK, 2009-2010
  16. 16. PA Program Standards of Professional Conduct Behavioral attributes associated with success in the Physician Assistant profession are empathy, discipline, honesty, integrity, the ability to work effectively with others on a team, and the ability to address a crisis or emergency in a composed manner. The Standards and Guidelines for an Accredited Educational Program for the Physician Assistant states: The role of the Physician Assistant demands intelligence, sound judgment, intellectual honesty, appropriate interpersonal skills, and the capacity to react to emergencies in a calm and reasoned manner. An attitude of respect for self and others, adherence to the concepts of privilege and confidentiality in communicating with patients, and a commitment to the patient’s welfare, are essential attributes. Adherence to these standards requires that PAs and PA students exhibit a high level of maturity and self-control even in highly stressful situations. You were invited into this Program because the Admissions Committee believes that you possess these qualities. PA students must conduct themselves in a highly professional manner consistent with the responsibilities for patient care entrusted to them during their training. Professional behavior is not easy to define, but unprofessional behavior is readily identifiable. Failure to adhere to the following standards necessitates review by the Student Evaluation and Promotion Committee (SEPC) and may result in corrective action and/or dismissal from the Program. 1. Respect: Students are expected to treat all patients, faculty, staff, guest lecturers, clinical preceptors and fellow students with dignity and respect. Appropriate classroom behavior is expected. Conflicts should be resolved in a diplomatic and reasoned manner. Students should be tolerant of diversity in student and patient populations. PA training involves a close working environment with other students, including physical examination of fellow students and discussion groups that may reveal information of a personal nature. Approach these situations with respect for the privacy, confidentiality, and feelings of fellow students. You can disagree without being disagreeable. 2. Communication: Effective communication is essential in your role as a student and as a medical provider. While enrolled here, you should follow these communication guidelines: a. Respond to fellow students readily and tactfully. b. Recognize proper verbal and nonverbal communication. c. React in a positive manner to feedback and criticism. 3. Flexibility: PA training involves instruction from practicing clinicians with unpredictable schedules. At times, schedules for lectures or clinical sessions may be adjusted with short notice. The advantage of using practicing clinicians outweighs this inconvenience, and students should be flexible and tolerant of changes. 4. Integrity: You are expected to follow all policies in the Code for Student Conduct section of the JCHS Student Handbook; pay special attention to policies pertaining to academic honesty. PA students are also expected to display the highest ethical standards commensurate with work as a healthcare professional. 5. Identification: PA students must always identify themselves as Physician Assistant Students to patients and site staff. Never present yourself as a physician, a resident, a medical student, or a graduate physician assistant. You MUST always wear a short clinical jacket while at clinical sites, unless instructed not to do so by the site or the Program. Always wear your official name badge while in class and at clinical sites. While in the PA Program, students may not use previously earned titles (e.g., RN, DC, PhD) for identification. 6. Confidentiality: Respect the confidentiality of patients and fellow students; you are not permitted to discuss any patients by name outside the clinical encounter. Any discussion regarding a patient’s diagnosis, care, and condition should be conducted with discretion and preferably in private. For academic presentations and history and physical assignments, 12 JCHS PHYSICIAN ASSISTANT STUDENT HANDBOOK, 2009-2010
  17. 17. identify a patient by initials or chart numbers. Failure to adhere will result in dismissal from the Program per Carilion policy. The above list is by no means exhaustive. Each PA class will negotiate additional attributes as a part of its class constitution. This document will serve as a professional and behavioral contract for the class. 13 JCHS PHYSICIAN ASSISTANT STUDENT HANDBOOK, 2009-2010
  18. 18. American Academy of Physician Assistants Guidelines for Ethical Conduct for the Physician Assistant Profession The "Statement of Values" defines the fundamental values that the PA profession strives to uphold. The guidelines were written with the understanding that no document can encompass all actual and potential ethical responsibilities, and PAs should not regard them as comprehensive. Statement of Values of the Physician Assistant Profession •Physician assistants hold as their primary responsibility the health, safety, welfare, and dignity of all human beings. •Physician assistants uphold the tenets of patient autonomy, beneficence, nonmaleficence, and justice. •Physician assistants recognize and promote the value of diversity. •Physician assistants treat equally all persons who seek their care. •Physician assistants hold in confidence the information shared in the course of practicing medicine. •Physician assistants assess their personal capabilities and limitations, striving always to improve their medical practice. •Physician assistants actively seek to expand their knowledge and skills, keeping abreast of advances in medicine. •Physician assistants work with other members of the health care team to provide compassionate and effective care of patients. •Physician assistants use their knowledge and experience to contribute to an improved community. •Physician assistants respect their professional relationship with physicians. •Physician assistants share and expand knowledge within the profession. 14 JCHS PHYSICIAN ASSISTANT STUDENT HANDBOOK, 2009-2010
  19. 19. Oath for PA Students 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-maleficence, 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. Student Academy of the American Academy of Physician Assistants 950 North Washington Street, Alexandria, VA 22314 703-836-2272 Last Revised: 10/23/06 Attendance Policy Preparation Students are required to come to class, lab sessions, and clinical experiences fully prepared. Students are expected to have the knowledge of prerequisite course materials. When necessary, students are expected to review and update areas previously studied. Students also are responsible for completing all pre-class and pre-clinical assignments. Class Attendance Attendance to class, lab, clinical experiences and class functions is mandatory. Students are responsible for knowing all course content and skills taught during class and laboratory sessions. Although much of medical knowledge can be acquired from a textbook, problem solving, clinical reasoning, and interaction with fellow students and instructors play important roles in a clinical and professional education program. 15 JCHS PHYSICIAN ASSISTANT STUDENT HANDBOOK, 2009-2010
  20. 20. When a student must miss a class or laboratory session, the student should inform the Academic Coordinator and the Program secretary by email or phone before the absence and make up all work missed during the absence. When absent for more than one day for a family emergency or a prolonged illness, consult the Academic Coordinator and the instructors of the classes missed as soon as possible. Faculty members will work with a student to help make up missed work whenever possible. All communication with faculty and staff is held in strict confidence. Students with unexcused absences or who are habitually late will be referred to the Student Evaluation and Promotion Committee (see pg. 30) for review. Excused absences are absences that have been arranged ahead of time, an acute illness, or an emergency. Documentation and procedures for informing the faculty and staff of an absence are as follows: For a student who knows in advance that they will be missing a class, you should do the following: • Download the “Attendance form” from Blackboard (Student Society and Clinical Medicine site). • Complete the form and submit to Kathy Keoughan in the PA office. She will forward this request to Dr. Chen. • If there are special circumstances regarding your planned or unplanned absence, please indicate that on the form. • This should be done as far in advance as possible. • Two absences will be allowed per semester. After the second absence, each absence will result in a 5% reduction in the final grade of the course and may result in a referral to the Student Evaluation and Promotion Committee as is the current policy. For students who have missed a class due to illness or other circumstances, the policy is similar: • Download and complete the attendance form and submit to Kathy as above and continue to inform Kathy/faculty. • Faculty will complete the attendance form and have the student initial it. • Faculty will note the absence and file in your program file. • The same policy for absences applies as above. If you have special circumstances, please note that on the form. For any questions regarding the above policy, please direct them to the Academic Coordinator. Students on clinical rotations will have an attendance policy that is different. Please consult the Clinical Year Manual. Suspension If in the judgment of the faculty member, a situation has occurred or is about to occur that would jeopardize in some fashion the student, patients, other students, the program or its affiliates, the Program Director may immediately suspend a student from any PA course for a period no longer than 48 hours (excluding weekends). The Program Director may extend that suspension until appropriate investigation and resolution can be reached. If the Program Director, in consultation with the clinical affiliate, determines that the student is unable to participate in the clinical phase of the program without endangering the safety of patients, staff or others, the student’s case will be referred to the PA Program faculty or SEPC for further recommendations which may include dismissal from the program. 16 JCHS PHYSICIAN ASSISTANT STUDENT HANDBOOK, 2009-2010
  21. 21. Vacation Students follow the PA Didactic College schedule for holidays and vacations during the didactic phase. Plan your vacations accordingly. During the clinical phase, students are scheduled for 12 one-month rotations. 17 JCHS PHYSICIAN ASSISTANT STUDENT HANDBOOK, 2009-2010
  22. 22. Inclement Weather During the didactic year, the Program follows the inclement weather policy stated in the JCHS Student Handbook. The College may delay or cancel classes due to inclement weather or other conditions. Any announcement canceling classes or delaying the beginning of classes will be made before 6:30 a.m., if possible. Tune into a local radio or television station, call the College’s main number at 540-985-8483 or check the college website for information about delayed or canceled classes. If the College is closed, there will be no PA classes. If classes are delayed, PA classes will begin at the time the College opens. Please exercise good judgment when driving during inclement weather. We do not want any students putting themselves in harm’s way whether the College is open or not. Deceleration There is no deceleration policy during the didactic year; some exceptions may be made during the clinical year. Administrative Withdrawal, Leave of Absence Refer to JCHS Graduate Handbook. Dress Code Personal appearance must be compatible with that of a health care professional. This is a professional program and students are expected to dress accordingly. Physician Assistant students must always appear acceptable to patients, preceptors, guest lecturers, and other professionals. The following guidelines are designed to maintain a professional image throughout your tenure at the JCHS PA Program. Violations of the dress code will be referred to the Program Director or to SEPC. Acceptable Classroom Attire Business/smart casual. All clothing must be clean and wrinkle-free with no holes or frays. Khakis and golf shirts are acceptable. Shoes must be worn at all times. Open-toed shoes are acceptable, except during Anatomy lab and clinical experiences. Jeans are permitted on Fridays. In general, always dress neatly and modestly. Unacceptable Classroom Attire Sweatpants, workout clothes, jogging suits, leggings, Lycra tights, flip-flops, beach sandals, tank tops, mini-skirts, untucked shirttails, crop tops, midriff tops, or low-cut tops are unacceptable classroom attire. Undergarments, cleavage, and midriffs must never be visible. No sweatshirts, t-shirts, or other clothing with inappropriate wording, designs, or graphics may be worn. No hats or caps may be worn at any time. Visible tattoos are strongly discouraged. No visible body piercing except ears is allowed. The instructor for a class reserves the right to change the dress code for his/her course in consultation with the Program Director. The Program Director, in consultation with faculty, staff and students, may call for occasional dress-up or dress-down days. Clinical Skills Practice During the first year, students will practice physical examinations on each other. Students may wear scrubs, shorts, t-shirts, flip-flops; women may wear sports bras or tank tops to the Clinical Skills Lab. Students without proper attire will not be allowed in the Clinical Skills Lab. First-Year Clinical Experiences and the Clinical Year Professional dress is expected during the first-year clinical experiences, second-year rotations, End-of-Rotation (EOR), and other off-campus events, such as health fairs and continuing education activities. 18 JCHS PHYSICIAN ASSISTANT STUDENT HANDBOOK, 2009-2010
  23. 23. • While on a clinical site, students must wear a well-kept short white lab coat with identification badge. • An odor-free and clean, neat appearance is required. • Hair must be neat and clean. Facial hair is acceptable if it is neat and trimmed. • Nails must be clean and well trimmed. Nail polish cannot be worn during any surgical rotation. Artificial nails are not allowed. Makeup and jewelry should not be worn in excess. • No perfume or cologne should be worn in the classroom, during clinical experiences, or on rotations. • Students dressed inappropriately will be excused from classes or clinical training and asked to report to the Program Director. • A clinical site may impose additional requirements. If the site has established its own dress policy, its policy supersedes that of the PA Program. Students dressed inappropriately will be excused from classes or clinical rotations and asked to report to the Program Director. Repeated violations of the dress code are subject to disciplinary action and referred to SEPC. Cell Phones and Beepers Cell phones and beepers are permitted in class as long as the ringer is off or in vibrate mode. Cell phone use and texting are not allowed during class. Some instructors do not allow cell phones or beepers in the classroom at all. Identification Physician Assistant students must be readily identifiable at all times whether in class or on clinical rotations. A College ID badge must be worn to gain access to the Reid Center. Since the PA classroom is now in Carilion Roanoke Community Hospital it is of utmost importance that an ID badge been worn at all times. A Physician Assistant student must always introduce himself/ herself to a health care professional or patient as a Physician Assistant student with clarity. Curriculum Design The curriculum design is based on the concepts of adult-centered learning and professional education, which focuses on the mastery of knowledge, skills and attitudes required by the graduate to practice effectively as a physician assistant. The curriculum, offered in didactic and clinical components, is an approach which moves from basic to more advanced skills. The curriculum design assumes students will develop the necessary skills to be self-directed learners and apply effectively what they learn in the clinical setting. PREFIX COURSE TITLE CREDITS Semester 1 PHA 501 Clinical Medicine I 4 PHA 511 Clinical Pathophysiology & Lab I 3 PHA 525 / 525L Clinical Skills I 4 BIO 509 / 509L Clinical Anatomy I 2 PHA 533 Behavioral Medicine 2 PHA 541 Clinical Pharmacotherapeutics I 2 PHA 561 Professional Seminar I 1 Total Credits: 18 Semester 2 PHA 502 Clinical Medicine II 5 PHA 512 Clinical Pathophysiology & Lab II 3 19 JCHS PHYSICIAN ASSISTANT STUDENT HANDBOOK, 2009-2010
  24. 24. PHA 526 / 526L Clinical Skills II 4 BIO 510 / 510L Clinical Anatomy II 2 PHA 542 Clinical Pharmacotherapeutics II 2 IPE 509 Research & Evidence-based Practice 3 Total Credits: 19 Semester 3 PHA 503 Clinical Medicine III 3 PHA 527 / 527L Clinical Skills III 2 BIO 511 / 511L Clinical Anatomy III 2 PHA 545 Clinical Pharmacotherapeutics III 1 PHA 551 Introduction to Masters Project I 1 PHA 513 Clinical Pathophysiology & Lab IIl 2 Total Credits: 11 Semester 4 PHA 504 Clinical Medicine IV 4 PHA 528 / 528L Clinical Skills IV 2 PHA 552 Introduction to Masters Project II 1 IPE 507 Ethical & Legal Practice in Healthcare 3 PHA 601 Internal Medicine Rotation I 3 PHA 602 Internal Medicine Rotation II 3 Total Credits: 16 Semester 5 PHA 603 Primary Care Rotation I 3 PHA 604 Primary Care Rotation II 3 PHA 605 Pediatrics Rotation 3 PHA 606 Women’s Health Rotation 3 PHA 607 General Orthopedic Rotation 3 PHA 553 Introduction to Masters Project III 1 Total Credits: 16 Semester 6 PHA 608 General Surgery Rotation 3 PHA 609 Psychiatry Rotation 3 PHA 611 Emergency Medicine Rotation 3 PHA 554 Introduction to Masters Project IV 1 Total Credits: 10 Semester 7 PHA 612 Elective Rotation 3 PHA 613 Elective Rotation 3 PHA 621 Masters Capstone 4 Total Credits: 10 Total Credits: 100 Credits from Non-PA Courses: 12 Credits from PA Courses: 88 Non-Discrimination Policy Jefferson College of Health Sciences does not discriminate against employees, students, or applicants on the basis of race, color, sex, sexual orientation, disability, age, veteran status, national origin, religion, or political affiliation in accordance with the requirements of Title VI of the Civil Rights Act, Title IX of the Educational Amendments of 1972, Section 504 of the Rehabilitation Act of 1973, the Americans with Disabilities Act of 1990, and all other applicable rules and regulations. Anyone having questions concerning any of those regulations, should contact the Equal Opportunity/Affirmative Action Office: 20 JCHS PHYSICIAN ASSISTANT STUDENT HANDBOOK, 2009-2010
  25. 25. Ms. Anna Millirons, Dean of Administrative Services (Phone: 540-985-8530) Jefferson College of Health Sciences 920 S. Jefferson Street PO Box 13186 Roanoke, VA 24031-3186 Individuals with disabilities desiring accommodations in the application process should contact the Center for Academic Success at 540-985-8449 or the Dean for Student Services at 540-985-8501. Advisors Each student is assigned a faculty advisor at the beginning of the first year. The role of the advisor is to meet with the student on a regular basis, to assist the student directly if possible, or refer to an appropriate College resource when student issues arise that are either academic or nonacademic. Each student will meet with their faculty advisor each semester. Additional meetings may be scheduled as the need arises. In addition to meeting with students to review academic performance and issues, advisors will also assess the students on professional behaviors. Students are also encouraged to meet with other faculty members informally for course-specific advising. Communication Change in Name, Address, Phone Numbers Report any change in name, address, and telephone numbers to the Registrar’s Office and Program secretary in writing or via email immediately. Email Accounts Students are assigned an email account by the College and are responsible for checking College email daily for important messages from faculty, staff, administration, and other students. No program email will be sent to non-college accounts and students should email faculty only through college accounts. Students on clinical rotations should continue to check their email daily. Students should respond to emails promptly. Mailboxes Each student is assigned a mailbox in room 205, the PA mailroom. Check your mailbox daily for program-related materials. Fax The program has a dedicated fax machine. The number is 540-224-4551. The fax machine is not available for personal use. If a students needs to use the fax machine for JCHS PA-related business, see the Program secretary. Blackboard A significant amount of communication with students is handled through Blackboard, the web- based software program utilized by the College. Syllabi, objectives and course materials are available to students through the program. In-House Website The program has its own website (www.ruralhealth.jchs.edu/pa/). Check the site for the PA calendar and announcements. 21 JCHS PHYSICIAN ASSISTANT STUDENT HANDBOOK, 2009-2010
  26. 26. Tuition, Fees and Equipment See the JCHS Catalog for complete list of fees. The tuition for the PA Program is announced prior to the start of each academic year and is subject to change without notice. Acceptance Deposit The $500 deposit serves as a confirmation of your intent to enroll and is applied to the cost of attendance upon enrollment. Billing Procedure Each student will receive an invoice of charges for each semester or summer session: • Payment of College expenses is the responsibility of the student. All charges are due on the date stated on the invoice for returning students. All tuition, fees and residence hall charges must be paid prior to class attendance. • The student must clear his or her account by the due date stated on the invoice in order to maintain valid registration. • Students receiving financial aid will receive an award letter from the Office of Financial Aid. If charges exceed the financial aid award, payment is expected prior to the due date stated on the invoice. If the financial aid award exceeds the charges, the student will receive a refund for the excess amount. • Refunds, which are processed after the last day to add/drop courses, will be mailed unless otherwise requested by the student. PA Program Estimated Expenses - 2009-2011 Year 1 Year 2 Year 3 Total August 2009- August 2010- August Tuition July 2010 July 2011 2011- December 2011 Tuition $26,880 $23,520* $5,600* $56,000* ($560*/credit) * based on 2009-2010 tuition rate. This amount is subject to change. Please Note: The Didactic Phase (Classroom) starts in August and goes into the second Academic Year and ends in October of the following year. The Clinical Phase (Rotations) begins in November of the second Academic Year and ends in December of the third Academic Year Other Didactic Year Clinical Year Total Other Expenses (Estimated) August 2008- November 2009- Expenses October 2009 December 2010 Books, Medical $4,019 $880 $4,899 Equipment & Supplies, Laptop Computer & Printer Professional Dues $125 - $125 Travel for PA Lobby $150 - $150 Day Transportation for $500* $7,150* $7,650 Clinical Experiences & Rotations * based on current gas rates, subject to change. Total $4,794 $8,030 $12,824 22 JCHS PHYSICIAN ASSISTANT STUDENT HANDBOOK, 2009-2010
  27. 27. The Didactic Phase (Classroom) starts in August and goes into the second Academic Year and ends in October. The Clinical Phase (Rotations) begins in November of the second Academic Year and ends in December of the third Academic Year. Variable costs • Living expenses: These vary according to the student’s personal needs and tastes. There is some housing available at the College; the cost is $2,350 for Fall and Spring semester and $1,300 for Summer semester; plus an additional $1,155 per semester for the meal plan. • Health Insurance: All students are required to have health insurance; this cost varies according to the type of plan the student has. • Conference travel: Optional attendance at the National Conference is estimated to cost $1,500. • PDA: with software costs is $500.00. 23 JCHS PHYSICIAN ASSISTANT STUDENT HANDBOOK, 2009-2010
  28. 28. Tuition Refund Withdrawal Date Refund Before the first day of class 100% with no administrative fee On or after the first day of class and on or before last date to drop 100%, less $100 administrative fee with a refund After last day to drop No refund 1098-T Information A 1098-T will be mailed to students in January. The 1098-T informs the student of the possibility of a tax credit. The amount of eligible charges, along with scholarships and grants are provided on each 1098-T. It is the student's responsibility to determine eligibility for the tax credit. Students with questions regarding payment processes should contact the Bursar’s office (Reid Center room 406) at 540-985-8272. Equipment First-year students are required to obtain the medical equipment listed in their post-matriculation materials. During orientation, the Program brings vendors on campus to demonstrate various brands of equipment. Vendors may give the students a group discount, but you are not obligated to purchase from these vendors. Estimated cost is $800-1,000, depending on type, brand, and quality. The College assumes no financial responsibility for this equipment. Required medical equipment includes a stethoscope, blood pressure cuff, oto-ophthalmoscope, reflex hammer, C-28 tuning fork and C-512 tuning fork, tape measure, penlight, pocket eye chart and scissors for class and during your rotations. The following are items that a well-dressed PA student has available at all times: short jacket with many pockets stethoscope penlight(s) oto- & ophthalmoscope pneumatic bulb gloves disposable ear specula reflex hammer measuring tape tuning forks pocket eye chart safety pins tongue depressors pens & pencils ECG calipers bandage scissors various guides cotton tipped swabs bottle with strong-smelling substances sterile lubricant packs scrubs Personal Computers Each student is required to purchase a laptop computer. A purchase plan through Dell computers is available through the College. The PA curriculum uses computers to deliver academic material during classes, especially through the Program’s website and Blackboard, to create a medical resource database, to access material on the Internet, to administer exams, and to transfer information during clinical rotations. Students are responsible for purchasing and maintaining their computer. Other Expenses Students are responsible for paying for books, travel, parking, housing, living expenses, and meals, whether they are at the College or at a clinical site. There may be additional fees related to clinical experiences, such as the fee for a background check before starting clinical rotations. Additional fees may include: Background check prior to clinical year $60-$100 Captain Sean Grimes PA Student Society $20/semester VAPA (Virginia Academy of Physician Assistants $10/year AAPA (American Academy of Physician Assistants) $75/2 years 24 JCHS PHYSICIAN ASSISTANT STUDENT HANDBOOK, 2009-2010
  29. 29. Transportation and Housing The clinical year of the Program consists of clinical sites at hospitals and other healthcare facilities primarily throughout Southwest Virginia. Students will provide transportation to clinical sites and classroom activities. Students are responsible for housing during all phases of the Program. The Program will attempt to assist with identifying housing when a student is assigned to a remote clinical site, but this cannot be guaranteed. Health and Required Documentation Health History, Physical Exam and Immunizations Entering students must complete the Required College Health Information and Forms packet that is mailed prior to the fall semester. This packet includes: • Report of Medical History • Physical Exam Form • Immunization Record – Failure to secure adequate immunizations will prohibit students from participating in required clinical rotations. Proof of these immunizations or titers must be provided (Contact Student Services for more information): ♦ Tetanus-Diphtheria ♦ MMR ♦ Tuberculosis (PPD) - Annually ♦ Polio ♦ Hepatitis B ♦ Varicella ♦ Bacterial meningitis (Required of students in Residence Hall) • Statement of Continued Health Responsibility • Emergency Contact Information • Health Insurance Information • Drug Testing Information • Meningitis Letter and Waiver of Immunization against Meningococcal Disease • Proof of CPR Certification – Each student is required to complete and maintain CPR certification throughout enrollment. CPR certification must include two-man, child and infant CPR commonly referred to as Healthcare Provider CPR. Carilion Health System, Red Cross and the American Hearth Association offer courses and re-certification in these three techniques. Certification that does not include all three techniques will not be acceptable. • Background Check • Carilion Clinic Student Orientation Independent Study A student will have a “hold” placed on their account blocking ability to register for classes and/or to attend a clinical experience if he or she has not completed and turned in all of the required documentation. Each student will have a confidential health record maintained in the office of the Dean for Student Services. Health Insurance PA students are required to maintain health insurance throughout your training. Student Malpractice Insurance The College maintains malpractice insurance that covers PA students on clinical experiences and rotations. However, students are not recognized as covered if they are in a practice setting that has not been arranged by or through the Program. 25 JCHS PHYSICIAN ASSISTANT STUDENT HANDBOOK, 2009-2010
  30. 30. Safety Observe standard precautions during laboratory and clinical skills training and during all patient contacts during the didactic and clinical year. Students are required to report any needle stick or other mucocutaneous exposure immediately to both the facility where it occurred and the PA Program, using appropriate incident reporting forms. The student should then follow the protocol of the institution in which the incident occurred. Students are not covered under Workman’s Compensation; they must have their own health insurance. Blood Borne Pathogens Exposure Procedure An exposure is an injury (cut, stick, or scrape) with a contaminated instrument (needles, blades, or other sharps), OR mucous membrane (eyes, inside mouth or nose) contact with blood or bloody body fluids, OR bloody/body fluid contact of an OPEN wound or NON-INTACT skin. Protocol What Is An Accidental Exposure? An exposure is (1) an injury (cut, stick, or scrape) with a contaminated instrument (needle, blade or other sharp), OR (2) mucous membrane (eyes, inside mouth or nose) contact with blood or bloody body fluids, OR (3) blood or body fluid contact of an OPEN wound or NON-INTACT skin. If you have an exposure to blood or body fluids, you should:  Wash area thoroughly with soap and water (if eye splash, rinse with saline).  Report to your instructor/preceptor immediately.  Report immediately to the nearest Emergency Room, Carilion Urgent Care, Employee Health Office or Carilion Occupational Medicine during business hours. o CRCH, 1st floor—Monday-Friday, 7:30 AM-4 PM (540-224-4411) o CRMH, 5 South—Monday-Friday, 7:30 AM-4 PM (540-981-7813) o Occupational Medicine, 1st Floor CRCH—Monday-Friday, 8 AM- 4:30 PM (540-985-8529)  During off hours, weekends, and holidays, proceed to the nearest Carilion Emergency Department and advise them you have had an exposure to blood or body fluids to facilitate quick response. Follow up with Employee Health, Occupational Medicine and your College Program Director the next business day to ensure appropriate care.  Students in non-Carilion facilities should follow the steps above and complete the forms required by the institution where the incident occurred.  Complete and Event Report (see appendix A). As a student on rotation, you are considered an employee. These forms are available from the College Physical Plant/ Safety Officer in the Student Affairs Suite, Fourth Floor, CRCH or the Dean of Administrative Services in the Administrative Suite, Third Floor, CRCH, or the Security Lobby Desk.  Be sure the Program gets copies of everything, including any follow-up work done. The Program office keeps a copy and gives a copy to the College Safety Officer. The College is not responsible for any bills created by an accidental exposure incident. We require students to have medical insurance in case this occurs. These guideline apply to both didactic and clinical training. Health Care Facilities Students with health problems are referred to Carilion facilities or the CRMH Emergency Department. Students may also choose where they wish to be seen under their own insurance policy. Two Carilion Family Medicine offices are listed below that may provide health care services for you. When making an appointment at either of these offices, tell the office staff that you are a JCHS student and this may facilitate a quicker appointment: 26 JCHS PHYSICIAN ASSISTANT STUDENT HANDBOOK, 2009-2010
  31. 31. Carilion Roanoke – Salem Family Practice For appointment call: 540-562-5700 1314 Peters Creek Road, Roanoke, VA 24017 Directions: Take Jefferson Ave. to Elm Avenue. Take I-581 North for approximately 5.5 miles. Take Peters Creek Rd. exit 2-S. Follow Peters Creek Road approximately 2.5 miles. The office is located next to Parker’s Seafood. 27 JCHS PHYSICIAN ASSISTANT STUDENT HANDBOOK, 2009-2010
  32. 32. • Carilion Family Medicine – Southeast For appointment call: 540-427-9200 2145 Mt. Pleasant Blvd. SE, Roanoke, VA 24014 Directions: Take Jefferson Avenue south (toward CRMH). Turn left onto Walnut Avenue. Take an immediate left (after crossing bridge) onto Piedmont St., SE. Take the first right onto Riverland Road (this become Mt. Pleasant Blvd.), go approximately 1.5 miles. Carilion Family Medicine is across from Food Lion. Student Disability Discrimination Complaint Process See the JCHS Catalog. Outside Employment The Physician Assistant Program is an extremely challenging and time-intensive educational experience. Successful completion requires that you give Program-related activities the highest priority. The Program strongly discourages outside employment for a student enrolled in the PA Program. Students should make every attempt to secure adequate financial assistance before entering the Program. Financial difficulties are not grounds for special academic consideration. Outside employment is not an acceptable excuse for violation of the attendance policy, nor should employment interfere with a satisfactory level of student performance in program activities. If outside employment interferes with performance, the student may be referred to SEPC. A potential conflict of interest may occur when a clinical training site is also the student’s place of employment. In such cases, the student may be reassigned. In no case will a student’s training overlap with employment, and in no case will a student be permitted to substitute for a bona fide employee during his or her clinical training. It is imperative that the program be able to contact a student at all times, a copy of the student’s work schedule and a phone number when he or she can be reach must be filed with the Program secretary. A Physician Assistant student will not work for the program at any time during enrollment in the program. Student Substance Abuse Policy As an institution of higher learning in the health sciences, the College is dedicated to leading the way in the implementation of an effective program to prevent substance abuse. The College’s policy is established in compliance with the Drug-Free Schools and Communities Act Amendments of 1989 (P.L. 101-226), as amended by Public Law 100-297, and the Improving America’s School Act of 1994, (P.L. 103-382). The phrase “drugs and alcohol” includes any substance that is subject to abuse. The abuse of alcohol, drugs or other substances by College students is unacceptable. Substance abuse can be evidenced in many ways but most frequently involves a lack of self-control that results in disruptive behavior or an individual harming him/herself or others. Students, who appear to be abusers, as identified by College officials, have two choices: they may either be assessed and, if recommended, participate in subsequent treatment; or they may be dismissed from the institution. (See the JCHS Student Handbook for complete Alcohol and Drug Policies.) Technology Student Technology Use Policies 28 JCHS PHYSICIAN ASSISTANT STUDENT HANDBOOK, 2009-2010
  33. 33. Student technology use policies ensure that all students have access to important technology resources and electronically delivered communication. Jefferson College of Health Sciences reserves the right to limit, restrict or extend computing privileges and access to its technology resources. All College technology resources are to be used in a responsible, efficient, ethical and legal manner. Failure to adhere to these policies may result in suspension or revocation of access and/or accounts. Questions or comments about these policies should be directed to the Dean for Technology Services. One Jefferson Account Policy The College will issue a One Jefferson account to all accepted students at no cost. This account provides a username and password and the same naming structure for this account is utilized to access student email, IQ.Web (the student information system) and Blackboard (the course management system). Students are expected to utilize all three systems during their enrollment at Jefferson College of Health Sciences and are responsible for content and information provided through these systems. Protection of Accounts Accounts for access to technology resources must be protected by the student by changing the initial password to a unique password known only to the individual student. Technology staff cannot see individual passwords, but do have access to reset accounts as necessary. Students forgetting account passwords may request they be reset by contacting Distance Learning and Instructional Technology staff. Students are responsible for appropriately logging out of all accounts to prevent unauthorized access. Misuse of Accounts Examples of misuse of accounts include, but are not limited to: • Permitting other persons to use their usernames, passwords, accounts or disclosing usernames, passwords or account information to any third party. • Logging on to someone else's account. • Changing or deleting another user's account. • Attempting to gain unauthorized access (hacking) to the files or computer systems of any other person or organization. • Using any account for commercial purposes or personal gain. Misuse of technology accounts may result in disciplinary action and/or criminal prosecution. Printers and Copiers for Student Use There are two computer labs located on the College campus. The JCHS Library on the 6th floor has 16 computers. These computers are available for use during library hours. The Educational Technology Center (ETC) on the 5th floor in room 520 has 12 computers available for use. Ten of the computers are available for use 24 hours a day, seven days a week. In addition, another computer with Adobe Suite Software, scanner and CD burner is available during ETC staffed hours. Check with the Distance Learning and Instructional Technology office for hours. A copier is available in the JCHS Library at a cost of 10¢ per page. Printing is free, bring your own paper. For Program, educational or business purposes, please see the Program Secretary for copies. All copies must conform to the U.S. copyright laws and restrictions relative to fair use. Computers Class time cannot be used to surf the Internet (Facebook, etc.), email, or instant message. Instructors will ask you to turn off your computer if you are surfing the Internet during lectures. Students who use 29 JCHS PHYSICIAN ASSISTANT STUDENT HANDBOOK, 2009-2010
  34. 34. their computers for personal reasons during class risk losing the privilege to use them. Refrain from placing any unprofessional images as screen savers or backgrounds on your laptop. Downloading from the Internet Use utmost care in downloading files from the Internet. Be aware that anything you download onto your PC can have adverse effects on the ability of the PC to function correctly. Seemingly “safe” things such as emails, animations, screen savers, games, and music can cause irreversible damage to your system software. At a minimum, these will use system resources that will slow down the overall performance of your PC. Scan all files with an updated anti-virus program prior to installation or execution. Peer-to-peer file-sharing networks are frequently illegal and are discouraged. Never believe anything you see in a pop-up window. Never install anything advertised in a pop-up window. Blackboard A significant amount of communication with students is handled through Blackboard, the web- based software program utilized by the College. Syllabi, objectives and course materials are available to students through the program. IQ.Web (This will be changing soon) Developed by SunGard Higher Education, IQ.Web is an Internet software system designed to provide students, faculty, administrators and other members of an educational institution's learning community with "anytime, anywhere" access to information services. The student role of IQ.Web allows active students to develop an academic plan, register and pay for classes, review transcripts, grades, review health record and interact with faculty, advisors and other students. Use of Educational Materials Lecturers may provide PowerPoint presentations and other educational materials to students. These materials are for educational purposes only and must not be reproduced or shared with persons outside the Program. Inappropriate use could be considered infringement of copyright law. Rules Related to the Physician Assistant Program Facilities PA Classroom This classroom is for you. It is incumbent on everyone to keep the classroom neat and clean. Many guests will be in the classroom for lectures and presentations. There will be patients coming in and out of the hospital where the classroom is located. HIPAA training will cover the issues of patient confidentiality. Please abide by these regulations. The classroom will be available from 7:00 a.m. to 6:00 p.m. Under no circumstances are non- students permitted to be in the classroom. Textbooks will be kept in the JCHS LIBRARY for your use. Please do not remove them. A refrigerator and microwave is available for your use. There will be a supply of drinks and snacks for guest lecturers that are not for general consumption. Open drink containers are not allowed in the classroom. Although Carilion provides a cleaning service, it is important that each student take a role in ensuring that trash is placed in appropriate containers and areas are straightened after use. Each class is responsible for creating and maintaining a cleaning schedule for the student lounge. Please ensure all leftovers are removed from the refrigerator in a timely manner. The microwave and other appliances must be kept clean and all dishes be washed and out of the sink area daily. General guidelines for the Clinical Skills Lab will be addressed in class. A cafeteria is located on the 4th floor where students can congregate for lunch. 30 JCHS PHYSICIAN ASSISTANT STUDENT HANDBOOK, 2009-2010

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