Physician Assistant Course

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  • 1. Physician Assistant Course Performance and Enabling Objectives (Phase I and Phase II with supporting Reference List)
  • 2. Appendix 2 to Annex C Physician Assistant - MCSP 1
  • 3. Appendix 2 to Annex C Physician Assistant - MCSP PA Course – Phase 1 PO/EO Task Statement PO 001 Conduct a patient assessment EO 001.01 Obtain a health history EO 001.02 Formulate a clinical plan. EO 001.03 Perform a general physical examination Conduct medical screenings to determine administrative medical EO 001.04 category, fitness and employment limitations PO 002 Treat disorders due to physical agents EO 002.01 Treat patients with hypothermia. EO 002.02 Treat Cold injuries EO 002.03 Treat heat disorders EO 002.04 Treat conditions caused by toxic and chemical agents EO 002.05 Treat acute poisoning EO 002.06 Treat poisonous bites and stings EO 002.07 Treat victims of drowning / near drowning EO 002.08 Treat victims of electrical injury EO 002.09 Treat radiation exposure related conditions. EO 002.10 Manage conditions related to occupational environment. EO 002.11 Investigate medically related incidents PO 003 Provide pharmacological therapy EO 003.01 Describe the basic principles of pharmacology EO 003.02 Write a prescription EO 003.03 Order intravenous therapy EO 003.04 Prescribe antimicrobial drugs in the treatment of infectious diseases EO 003.05 Prescribe topical antimicrobials EO 003.06 Prescribe antiviral agents EO 003.07 Prescribe pediculicides and scabicides EO 003.08 Prescribe anti-fungals EO 003.09 Administer antimalarials EO 003.10 Prescribe anthelmintics. EO 003.11 Prescribe analgesics in the treatment of pain EO 003.12 Prescribe systemic and topical corticosteroids EO 003.13 Prescribe non-steroidal anti-inflammatory drugs 2
  • 4. Appendix 2 to Annex C Physician Assistant - MCSP Task Statement PO 003 Provide pharmacological therapy, continued EO 003.14 Prescribe respiratory system pharmaceuticals EO 003.15 Provide medication for systemic symptom control. EO 003.16 Prescribe benzodiazepines and sedatives. EO 003.17 Prescribe antihypertensive agents EO 003.18 Prescribe psychotropic medication. EO 003.19 Use local anesthetics. EO 003.20 Handle medications IAW current regulations EO 003.21 Prescribe antihyperlipidemics. EO 003.22 Administer antiretrovirals. EO 003.23 Prescribe antithrombotic agents EO 003.24 Prescribe pharmaceuticals for neurological disorders. EO 003.25 Prescribe medications for diabetes management. EO 003.26 Prescribe medications for gastrointestinal disorders. EO 003.27 Prescribe medications for management of poisoning. EO 003.28 Prescribe medications during pregnancy and post-partum. EO 003.29 Prescribe medications for paediatric conditions. EO 003.30 Prescribe medications for geriatric patients. EO 003.31 Prescribe medications for substance abuse disorders. PO 004 Perform minor surgical procedures EO 004.01 Describe the factors involved in wound healing. EO 004.02 Assess wounds EO 004.04 Administer local anesthetics. EO 004.05 Perform Minor Surgery EO 004.06 Perform advanced wound care. EO 004.07 Perform biopsies and collect specimens 3
  • 5. Appendix 2 to Annex C Physician Assistant - MCSP Task Statement PO 005 Provide emergency cardiac management EO 005.01 Recognise a cardiac arrhythmia. EO 005.02 Administer ACLS Medications. EO 005.03 Operate Cardiac Life Support equipment in the ACLS setting. EO 005.04 Treat chest pain. EO 005.05 Manage life-threatening cardiac arrhythmias. (Megacode) EO 005.06 Provide advanced airway management - deleted EO 005.07 Provide emergency treatment for Anaphylaxis. -obsolete EO 005.08 Administer mechanical ventilation. PO 006 Provide health protection services EO 006.01 Provide health maintenance education. EO 006.02 Assess facilities with respect to health and safety issues. EO 006.03 Assess operational and field facilities for hygiene and sanitation EO 006.04 Provide advice on food preparation and food storage facilities EO 006.05 Investigate food-borne illness outbreaks. EO 006.06 Analyse water samples EO 006.07 Provide advice on pest control. EO 006.08 Participate in immunisation programs. EO 006.09 Provide advice on occupational health and safety. PO 007 Perform administration Describe the origin, role and professional guidelines of the Physician EO 007.01 Assistant occupation EO 007.02 Behave as a professional in a Health care occupation Apply medico-legal concepts/guidelines to the duties and EO 007.03 responsibilities of the PA. EO 007.04 Process medical documentation and CF medical categories. EO 007.05 Prepare patient summaries and medical records. EO 007.06 Assist with Financial documentation. EO 007.07 Facilitate an aeromedical evacuation. EO 007.08 Perform Northern duties in CFS Alert. EO 007.09 Perform shipboard duties. EO 007.10 Perform critical appraisal of medical literature. 4
  • 6. Appendix 2 to Annex C Physician Assistant - MCSP Task Statement PO 008 Provide emergency trauma management EO 008.01 Apply Advanced Trauma Life Support concepts. EO 008.02 Perform primary and secondary assessment. EO 008.03 Perform advanced airway trauma management. EO 008.04 Treat shock in a trauma patient. EO 008.05 Treat burn injuries. EO 008.06 Manage head trauma. EO 008.07 Manage a patient with maxillo-facial trauma. EO 008.08 Manage a patient with spinal and spinal coord trauma. EO 008.09 Manage traumatic injuries of the chest. EO 008.10 Manage pelvic and traumatic abdominal injuries. EO 008.11 Treat traumatic injuries of the extremities. EO 008.12 Treat trauma related infections. EO 008.13 Perform triage and sorting. EO 008.14 Stabilize and transport a trauma patient. EO 008.15 Manage multitrauma patients. EO 008.16 Manage ballistic and blast effect injuries. EO 008.17 Manage combat casualty patient. PO 009 Utilize diagnostic investigation in diagnosis confirmation EO 009.01 Order laboratory studies. EO 009.02 Operate a light microscope. EO 009.03 Perform routine and micro urinalysis. EO 009.04 Perform Gram Stain. EO 009.05 Perform basic hematology counts. EO 009.06 Interpret laboratory results. EO 009.07 Perform tests utilizing prepared diagnostic kits. EO 009.08 Order diagnostic imagery. EO 009.09 Interpret X-Ray findings. 5
  • 7. Appendix 2 to Annex C Physician Assistant - MCSP Task Statement PO 010 Treat communicable diseases EO 010.01 Apply the general principles of microbiology. EO 010.02 Treat diseases caused by bacteria. EO 010.03 Treat viral diseases. EO 010.04 Treat mycoplasma, chlamydia and rickettsial diseases. EO 010.05 Treat sexually transmitted diseases (STDs). Manage conditions caused by human Immunodeficiency virus (HIV) EO 010.06 infection. EO 010.07 Treat food-borne infections. EO 010.08 Treat parasitic infections. EO 010.09 Treat fungal, protozoal and helminthic infections. EO 010.10 Treat infections in the compromised host. PO 011 Provide emergency dental care EO 011.01 Provide emergency dental care EO 011.02 Apply temporary dental fillings. PO 012 Treat head, ears, eyes, nose, and throat complaints Relate the anatomy and physiology of the HEENT to the disease EO 012.01 process. EO 012.02 Assess signs and symptoms of the eyes. EO 012.03 Treat ocular conditions. EO 012.04 Perform detailed eye examination. EO 012.05 Assess signs and symptoms of the ears. EO 012.06 Treat conditions affecting the ears. EO 012.07 Treat conditions affecting the nose and paranasal sinuses. EO 012.08 Treat conditions affecting the throat. Provide initial recognition and referral of neoplasms of the head and EO 012.09 neck. EO 012.10 Perform a physical exam of the head and neck (HEENT). 6
  • 8. Appendix 2 to Annex C Physician Assistant - MCSP Task Statement PO 013 Treat respiratory complaints Relate the anatomy and physiology of the respiratory system to the EO 013.01 disease process. EO 013.02 Assess signs and symptoms of the respiratory system. EO 013.03 Relate diagnostic investigations to respiratory conditions EO 013.04 Treat infections of the respiratory system. EO 013.05 Treat conditions of the pleura and mediastinum. EO 013.05 Treat interstitial diseases and occupational lung diseases EO 013.07 Treat obstructive pulmonary diseases. EO 013.08 Recognize pulmonary vascular diseases. EO 013.09 Recognize urgent pulmonary conditions. EO 013.10 Recognize urgent pulmonary conditions. EO 013.11 Recognize sleep-related respiratory disorders. EO 013.12 Recognize common underwater and altitude related respiratory diti EO 013.13 Perform a respiratory examination. PO 014 Treat Gastrointestinal complaints Relate the anatomy and physiology of the Gastro-intestinal system to EO 014.01 the disease process. EO 014.02 Assess signs and symptoms of the gastro-intestinal system EO 014.03 Relate diagnostic investigations to gastro-intestinal conditions. EO 014.04 Treat conditions of the upper gastrointestinal tract. EO 014.05 Treat conditions of the lower gastrointestinal tract. EO 014.06 Treat conditions of the liver, biliary tract and pancreas. EO 014.07 Treat acute abdominal conditions. EO 014.08 Treat anorectal disorders. EO 014.09 Manage nutritional disorders. EO 014.10 Perform a physical exam of the abdomen. 7
  • 9. Appendix 2 to Annex C Physician Assistant - MCSP Task Statement PO 015 Assist in the management of mental health disorders /problems EO 015.01 Describe the basic principles of Mental Health. EO 015.02 Conduct a psychiatric interview. Organize psychological symptomatology into recognized groupings EO 015.03 using the DSM. Facilitate the management of organic disorders presenting with EO 015.04 behavioural or psychological symptoms and/or signs EO 015.05 Manage Substance-related disorders. EO 015.06 Recognize Psychotic disorders. EO 015.07 Treat Mood disorders. EO 015.08 Treat anxiety disorders. Treat somatoform, factitious disorders and other conditions that may EO 015.09 be the focus of clinical attention. EO 015.10 Manage dissociative disorders. EO 015.11 Manage sexual & gender disorders. EO 015.12 Manage eating disorders. EO 015.13 Manage sleep disorders. EO 015.14 Identify impulse control disorders. EO 015.15 Manage Adjustment disorder. EO 015.16 Manage personality disorders. EO 015.17 Manage psychiatric emergencies. EO 015.18 Manage combat Stress. EO 015.19 Perform suicide Intervention.- deleted EO 015.20 Recognize indicators of Family violence. PO 016 Treat neurological complaints Relate the anatomy and physiology of the nervous system to the EO 016.01 disease process. EO 016.02 Assess signs and symptoms of the nervous system. EO 016.03 Relate diagnostic investigations to neurological conditions EO 016.04 Treat peripheral nervous system disorders. EO 016.05 Treat infections of the nervous system. EO 016.06 Treat spinal cord disorders. EO 016.07 Manage headaches. 8
  • 10. Appendix 2 to Annex C Physician Assistant - MCSP Task Statement PO 016 Treat neurological complaints, continued EO 016.08 Treat seizure disorders. EO 016.09 Treat movement disorders. EO 016.10 Treat behavioural neurology. EO 016.11 Treat urgent conditions. EO 016.12 Recognise tumors. EO 016.13 Perform a physical exam of the nervous system. PO 017 Treat musculoskeletal complaints Relate the anatomy and physiology of the musculoskeletal system to EO 017.01 the disease process EO 017.02 Assess signs and symptoms of the MSK system. EO 017.03 Relate diagnostic investigations to MSK conditions. EO 017.04 Treat connective tissue disorders. EO 017.05 Treat fractures and dislocations. EO 017.06 Treat neck & shoulder conditions. EO 017.07 Treat thoracic and lumbar spine conditions. EO 017.08 Treat pelvis, hip and thigh region conditions. EO 017.09 Treat knee region conditions. EO 017.10 Treat leg, ankle and foot region conditions. EO 017.11 Treat arm, elbow and wrist region conditions. EO 017.12 Recognize tumours of the MSK. EO 017.13 Perform a physical exam of the MSK. PO 018 Treat genito-urinary and male reproductive complaints Relate the anatomy and physiology of the genito-urinary and male EO 018.01 reproductive systems to the disease process. EO 018.02 Apply basic principles of chemistry and biochemistry. Assess signs and symptoms of the genito-urinary and male EO 018.03 reproductive system. Relate diagnostic investigations to genito-urinary and male EO 018.04 reproductive conditions. EO 018.05 Manage electrolyte disorders. EO 018.06 Treat male urologic conditions. 9
  • 11. Appendix 2 to Annex C Physician Assistant - MCSP Task Statement PO 018 Treat genito-urinary and male reproductive complaints, continued EO 018.07 Treat kidney and ureter disorders. EO 018.08 Treat disorders of the prostate, penis, urethra and scrotum. EO 018.09 Recognise tumours and neoplasm of the genito-urinary system. EO 018.10 Perform a male Genitalia and rectal examination. PO 019 Treat obstetrical/gynaecological complaints Relate the anatomy and physiology of the female genitalia and EO 019.01 reproductive system to the disease process. Assess signs and symptoms of the female genitourinary and EO 019.02 reproductive system. EO 019.03 Perform a gynecological examination. Relate diagnostic investigations to female reproductive / EO 019.04 gynecological conditions. EO 019.05 Treat female urologic conditions. EO 019.06 Treat common conditions of the vulva, vagina and external genitalia. EO 019.07 Manage conditions of the uterus and ovaries. Manage gynecological conditions presenting as menstrual EO 019.08 irregularities and abnormal uterine bleeding. EO 019.09 Recognise gynecological neoplasms. EO 019.10 Manage urgent gynecological conditions. EO 019.11 Perform a physical exam of the breast and axillae. EO 019.12 Manage conditions of the breast. EO 019.13 Provide family planning services. EO 019.14 Manage infertility problems. EO 019.15 Manage female puberty problems. EO 019.16 Manage sexual assault. EO 019.17 Provide prenatal care. EO 019.18 Manage complications of pregnancy. EO 019.19 Manage labor and delivery. EO 019.20 Manage postpartum care. 10
  • 12. Appendix 2 to Annex C Physician Assistant - MCSP Task Statement PO 020 Treat cardiovascular disorders Relate the anatomy and physiology of the heart and circulatory EO 020.01 system to the disease process. EO 020.02 Assess signs and symptoms of the cardiovascular system. EO 020.03 Relate diagnostic investigations to cardiovascular conditions. EO 020.04 Interpret a 12-lead electrocardiogram. EO 020.05 Treat conditions of the pericardium and myocardium. EO 020.05 Treat valvular heart disease. EO 020.07 Treat ischemic heart disease. EO 020.08 Treat cardiac failure. EO 020.09 Treat arterial diseases. EO 020.10 Treat systemic hypertensive disease. EO 020.11 Treat venous and lymphatic disease. EO 020.12 Perform a physical exam of the CVS. EO 020.13 Recognise a cardiac arrhythmia. PO 021 Treat dermatological disorders Relate the anatomy and physiology of the integumentary system to EO 021.01 the disease process. EO 021.02 Assess signs and symptoms of the integumentary system EO 021.03 Perform a physical exam of the integumentary system. EO 021.04 Relate diagnostic investigations to dermatology conditions EO 021.05 Apply modalities of topical dermatological therapy. EO 021.06 Treat benign and malignant conditions of the skin EO 021.07 Treat conditions of the hair and nails. EO 021.08 Treat infections of the integumentary system EO 021.09 Treat dermatitis and inflammatory reaction conditions. EO 021.10 Treat acneiform disorders. EO 021.11 Manage urgent dermatological conditions. EO 021.12 Provide foot and hand care. 11
  • 13. Appendix 2 to Annex C Physician Assistant - MCSP Task Statement PO 022 Treat endocrine disorders Relate the anatomy and physiology of the Endocrine system to the EO 022.01 disease process. EO 022.02 Relate diagnostic investigations to endocrine conditions. EO 022.03 Manage disorders of the pituitary gland. EO 022.04 Manage conditions of the thyroid gland. EO 022.05 Manage conditions of the parathyroid gland EO 022.06 Manage conditions of impaired glucose metabolism. EO 022.07 Manage conditions of the adrenal gland. EO 022.08 Manage dyslipidemias. EO 022.09 Recognize multiple endocrine neoplasia. EO 022.10 Manage obesity. PO 023 Treat immunological and haematological disorders Relate Anatomy and Physiology to Immunological and EO 023.01 Haematological Disorders. EO 023.02 Describe the classification of diseases. EO 023.03 Relate diagnostic investigations to haematological disorders. EO 023.04 Understand disorders related to the immune system. EO 023.05 Understand the body's response to injury, inflammation and repair. EO 023.06 Treat haematological diseases. EO 023.07 Treat hemostasis and coagulation disorders. EO 023.08 Manage conditions of the spleen. EO 023.09 Recognize neoplastic diseases. Assist in the administration and provision of blood products and EO 023.10 transfusions 12
  • 14. Appendix 2 to Annex C Physician Assistant - MCSP Task Statement PO 024 Treat Paediatric patients EO 024.01 Complete a comprehensive paediatric health assessment. EO 024.02 Provide well baby/child care services. EO 024.03 Treat eye conditions in paediatric patients. EO 024.04 Treat ear, nose and throat conditions. EO 024.05 Treat respiratory system disorders. EO 024.06 Manage cardiovascular conditions in paediatric patients. EO 024.07 Treat paediatric gastrointestinal conditions. EO 024.08 Treat paediatric genitourinary conditions. EO 024.09 Treat paediatric skin conditions. EO 024.10 Manage paediatric neurological conditions. EO 024.11 Treat paediatric orthopaedic and musculoskeletal conditions. EO 024.12 Manage paediatric haematological conditions. EO 024.13 Treat paediatric infectious disease. EO 024.14 Manage paediatric endocrine/metabolic conditions. Recognize and manage paediatric developmental and behavioural EO 024.15 disorders. EO 024.16 Recognize common congenital syndromes. Manage paediatric emergency conditions. See EO 008.01,02,04,05 EO 024.17 and 024.02 EO 024.18 Manage care of the newborn. EO 024.19 Manage problems in adolescent patients. EO 024.20 Provide initial management for suspected child abuse. PO 025 Treat Geriatric patients EO 025.01 Relate physiologic changes to the aging process. Perform a comprehensive functional and physical assessment of the EO 025.02 elderly patient. EO 025.03 Manage nutritional issues in the elderly. EO 025.04 Manage sexual concerns in the elderly. EO 025.05 Treat common conditions in the elderly. EO 025.06 Manage syndromes of altered mental status. EO 025.07 Advise on geriatric health promotion and disease prevention. 13
  • 15. Appendix 2 to Annex C Physician Assistant - MCSP PHYSICIAN ASSISTANT PERFORMANCE OBJECTIVES Phase 1 PO 001 Conduct Patient Assessments PO 002 Treat disorders Due To Physical Agents PO 003 Provide pharmacological therapy PO 004 Perform minor surgical procedures PO 005 Provide emergency cardiac management PO 006 Provide health protection services PO 007 Perform administration PO 008 Perform emergency trauma management PO 009 Utilise diagnostic investigations in diagnosis confirmation PO 010 Treat communicable diseases PO 011 Perform emergency dental care PO 012 Treat head, ears, eyes, nose, and throat complaints (HEENT) PO 013 Treat respiratory complaints PO 014 Treat Gastrointestinal complaints PO 015 Assist in the management of mental health disorders/problems PO 016 Treat neurological complaints PO 017 Treat musculoskeletal complaints PO 018 Treat genitourinary and male reproductive complaints PO 019 Treat obstetrical/gynaecological complaints PO 020 Treat cardiovascular disorders PO 021 Treat dermatological disorders PO 022 Treat endocrine disorders PO 023 Treat immunological and haematological disorders PO 024 Treat Paediatric patients PO 025 Treat geriatric patients Phase 2 General Surgery/Urology Rotation OR/ Anaesthesia Rotation Obstetric/Gynaecology Rotation Orthopaedics/Sport medicine Rotation Psychiatry Rotation Internal Medicine Rotation ENT Rotation Paediatric Rotation Geriatric Rotation Emergency Medicine Rotation Family Practice Rotation Trauma Rotation Clinical Elective Rotation 14
  • 16. Appendix 2 to Annex C Physician Assistant - MCSP Phase Two – Canadian Physician Assistant Program (CPAP) General Surgery/Urology Rotation (5 weeks) A five-week rotation delivered in a teaching hospital setting with direct and indirect supervision. The rotation is divided into 3 weeks spent on the General Surgery service and 2 weeks on the Urology service. Students will be involved with all aspects of surgical care from initial pre operative screening; surgical procedures in the operating room, in- hospital recovery to postoperative follow up. Following this rotation they will be expected to have a thorough understanding of the course of a surgical illness, general operating room procedures and the skills involved with the care and management of a surgical patient. OR/Anesthesia Rotation (2 weeks) A two-week rotation delivered in a teaching hospital setting with direct clinical supervision. During this rotation, students will become proficient in performing pre-op assessments, IV insertions, airway management including intubations and recovery room care. Following this rotation the student will be expected to have a thorough understanding of pre- anesthetic exam/tests, patient briefing, surgical consent, principles of administering anesthetics, advanced airway management, fluid replacement, allergic reactions, shock and wound care. Obstetrics/Gynecology Rotation (4 weeks) A four-week rotation delivered in a smaller secondary hospital setting with direct and indirect supervision. The rotation is divided into 2 weeks Gynecological clinic and 2 weeks Obstetrics. During this rotation, students will become proficient in performing pelvic examinations, history taking, prenatal and postnatal care, and dealing with common obstetrical and gynecological problems. While on the obstetric service, students will manage all facets of pregnancy, labor, and delivery. This will include obstetrical histories and physical examinations, following the patients through labor, delivery, and the early postpartum period. While on the gynecological service, students will learn to perform gynecological orientated histories and examinations, be exposed to methods and programs related to cancer detection, sexually transmitted diseases, and contraception. 15
  • 17. Appendix 2 to Annex C Physician Assistant - MCSP Orthopedics/Sports Medicine Rotation (4 weeks) A four-week rotation delivered in a teaching hospital setting with direct and indirect supervision. Two weeks will be spent in a Sports Medicine Clinic and two weeks on an Orthopedic service with time divided between fracture clinic, joining with the resident who is first call to the emergency room, and lastly, operating room assist. During this rotation, students will become proficient in history taking, physical examinations, formulating working diagnoses, and management plans for orthopedic patients and the skills to apply a variety of splints, traction, and casts. Following this rotation the student will be expected to have a thorough understanding of specialized orthopedic history and physical examination techniques, delivery of emergency care to patients suffering from acute trauma, care of the pre-and postoperative orthopedics patient, and the pathophysiology and complications of bone and joint injury. Psychiatry Rotation (4 weeks) A four-week rotation delivered in a teaching hospital setting with direct and indirect supervision. Students will be part of the Psychiatry service with on floor coverage and emergency room on call responsibilities. During this rotation, students will learn how to recognize and provide emergency treatment for suicidal states, alcoholism, psychoses, neuroses, and other emotional and thought disorders. At the end of this rotation, students will have a thorough understanding of initial patient evaluations and psychiatric interviewing. They will be proficient in assessing mental status, developing a working diagnosis, treatment, and prognosis, providing a medical managements plan and referring to a physician or community agency. Internal Medicine Rotation (4 weeks) A four-week rotation delivered in a teaching hospital setting with direct and indirect supervision as appropriate. Students will be part of an internal medicine service with at least 1 week spent on cardiology service and the other three being on general internal medicine service, respiratory or gastro-intestinal. During this rotation, students will become proficient in taking histories, performing physical examinations, formulating working diagnoses, and developing plans of management for internal medicine conditions. Following this rotation the student will be expected to have a thorough understanding of the indications, limitations, and methods of performing the necessary diagnostic procedures and therapeutic measures used in the treatment of general medicine disorders. 16
  • 18. Appendix 2 to Annex C Physician Assistant - MCSP ENT Rotation (2 weeks) A two-week rotation delivered in an office based setting under direct supervision of an ENT specialist. During this rotation, students will become proficient in history and physical examinations, formulating working diagnoses, and developing plans of management for various ENT conditions. Following this rotation the student will be expected to have a thorough understanding of emergency problems and their initial management, be able to follow the course of otorhinolaryngologic disease processes, and evaluate the response to treatment. Students will also learn and perform tracheotomy care, assist with the management of the pre and post-operative patient and perform special audiometric tests. Pediatrics Rotation (5 weeks) A five-weeks rotation delivered in a teaching hospital’s pediatric emergency room (i.e. Sick Kids Toronto) with direct and indirect supervision. During this rotation, students will become proficient in taking histories, performing physical examinations, formulating working diagnoses, and developing plans of management of various pediatric conditions. Students will learn to manage various acute and chronic childhood illnesses and evaluate normal variations of growth and development. Following this rotation the student will be expected to have a thorough understanding of newborn nursery care, immunizations, feeding problems, and how to assess and manage common diseases affecting the pediatric population. Geriatric Rotation (2 weeks) A two-week rotation delivered in an office based or teaching hospital setting with direct clinical supervision. This will involve coverage of area nursing homes with family doctor or geriatric specialist. During this rotation, students will become proficient in taking histories, performing physical examinations, formulating working diagnoses, and developing plans of management of various conditions in the elderly patient. Following this rotation the student will be expected to have a thorough understanding of disease processes, treatment regimes, various acute and chronic illnesses, and issues pertaining specifically to the elderly patient. Emergency Medicine Rotation (4 weeks) A four-week rotation delivered in an emergency room in a teaching hospital setting. Under appropriate supervision, the student will assess, identify a differential diagnosis, order appropriate diagnostic investigation, give basic interpretation of the results, and provide initial treatment and early physician or specialist referral as necessary. Management of trauma, drug overdose, and cardiac life support will be emphasized. Following this rotation the students will have had the opportunity to deal with a variety of medical emergencies, common illnesses and injuries seen in an emergency care setting and have a thorough understanding of how to collect and integrate information regarding the emergency patient. 17
  • 19. Appendix 2 to Annex C Physician Assistant - MCSP Family Practice Rotation (5 weeks) A five-week rotation delivered in an office based family practice setting (with or without a teaching hospital setting) with one on one preceptorship at all times. During this rotation, students will become proficient in taking histories, performing physical examinations, formulating working diagnoses, and developing plans of management of various conditions commonly seen in the family practice setting. The student will work with the physician in the office, the hospital, and all other areas where the physician works. The student will learn about management procedures in a private practice and will help the physician by providing services within his/her individual background and clinical training. Following this rotation the student will be expected to have a thorough understanding of all aspects of practicing medicine unique to the community setting. Trauma Rotation (4 weeks) A four-week rotation delivered at the Canadian Forces Trauma Training Centre (CFTTC) West at Vancouver General Hospital, under direct and indirect supervision. Students are assigned to the hospital’s trauma service team and participate in Burn unit and ICU rounds as appropriate. While there, they partake in an Advance Trauma Life Support Course with an Animal Lab portion included. Following this rotation the student will be expected to have a thorough understanding of the principles of traumatology and how to effectively manage the multi trauma patient. Clinical Elective Rotation (2 weeks) This time would be designated to occur in any of the above areas if the student did poorly in one of the rotations, missed periods due to illness or family emergencies, or if the individual expressed an interest in spending more time in a particular area of training. Note: Dermatology and ophthalmology conditions will be covered during the 5-week family practice rotation and 4-week emergency room rotation. Students will assess and manage both dermatology and ophthalmology conditions encountered primarily in the outpatient setting. During these rotations, they will become familiar with the diagnostic procedures and therapeutic regimen, their indications, availability, reliability, and limitations in the treatment in relation to both dermatological and ophthalmologic diseases. 18
  • 20. Appendix 2 to Annex C Physician Assistant - MCSP PA Main Reference List Code NDID/Control # Title Quantity Required Student Inst Class A1 A-MD-175-001/AG- CFP-175-Canadian 1 1* 001 Forces Medical Orders, Vol. 1,2 and 3 A2 A-MD-007-106/JD- Federal Drug Act. 1* 001 Narcotic Control Act and Regulation Food and Drug Act and Regulation Part 3 and 4 A3 A-SJ-100-001/AS- Security Orders-DND 1* 001 Vol 1 A4 Surgeon General 1 1* Medical Directives A5 A-AB-100-000/AA- Canadian Forces 1 1 1* 000 Administrative Orders Extracts 1 set in 2 volumes A6 A-MD-154-000/FP- CFP-154-Medical 1 1 000 Standards for the Canadian Forces (New) A7 A-MD-007-009/ID- International 1 1* 001 & Classification of Disease A-MD-007-010/ID- (ICD) Current edition 001 A10 A-AA-100-000/AA- Queen’s Regulations 1 1* 000 and Orders Vol 1,2 & 3 A-AA-100-002/AA- 000 A-AA-100-003/AA- 000 A-16 B-GL-313-001/FP- CFP 313-Medical 1 1* 001 Volume I, Medical Services in Battle A17 A-MD-213-001/FP- CFP 213 – Canadian 1 1* 001 Forces Health Manual A22 CFACM 12-2000 Aero Medical Evacuation 1 1* Interim A25 B-GG-380-000/FP- CFP 380 – Diving in the 1 1* 002 CF, Vol 2, Compressed Air Breathing Apparatus A33 A-GG-040-001/AG- DND General Safety 1 1* 001 Program Vol 1, Policy and PROG 19
  • 21. Appendix 2 to Annex C Physician Assistant - MCSP Code NDID/Control # Title Quantity Required Student Inst Class A61 A-MD-007-169/JD- International Travel and 1 1* 001 Health. Current edition A69 B-GG-380-000/FP- Diving Manual, Vol 5, 1 1* 005 Hyperbaric Chamber Ops A77 Alcohol Misuse – Guide 1 1* for Supervisors in the CF. B1 A116 A-EN-010/FP-001 Integrated Pest 1 Management Manual B1 State of Alaska and Cold 1 1* Water Near Drowning Guidelines. EMT-1. 1988. Alaska Health Dept. B2 A-MED-P7-(A) (B) NATO Handbook on the 1 1* Concept of Medical Support in NBC Environment B3 A-MED-P-6 NATO Handbook on the 1 1* Medical Aspects of NBC Defensive Operation B5 Canadian Immunization 1 1 Guide B7 Stanag 2879 (Stanag 2879) Principles 1 of Medical policy in the Management of a Mass Casualty Situation B9 Canadian Guidelines for 1 the Treatment of Sexually Transmitted Disease in Neonate Children, Adolescents and Adults (STD) Health Canada, Vol 14S2, Vol 15S1; 1988 ; 1989 C2 Current Medical Diagnosis, 1 1 Krupp, MA, Chatton, MJ, Tierney, LM Lange Medical Publication; Current edition 20
  • 22. Appendix 2 to Annex C Physician Assistant - MCSP Code NDID/Control # Title Quantity Required Student Inst Class C4 A-MD-007-005/JD- Compendium of 1 1 001 Pharmaceutical and Specialties, (CPS) Canadian Pharmaceutical Association, Current Edition C6 Manufacturer’s 1 Instructions for each piece of equipment C7 A-MD-007-028/PT- Control of 1 1 001 Communicable Disease Manual, Current Edition. Benenson, A. American Public Health Assoc. Washington, DC C10 Textbook of Medical 1 1* Surgical Nursing, Current Edition. Brunner, L & Suddarth, D. Toronto: J.B. Lippincott; 1984 C11 Disaster 1 1* Nursing/Planning Assessment and Intervention. Toronto: An Aspen Publication C12 Handling of Waste 1 1* Materials within Health Care Facilities. Canadian Standards Assoc. Rexdale, Ont; 1988 C13 Basic and Clinical 1 1 Pharmacology, Current Edition. Katzung, BG. Appleton and Lange C14 Pre-Hospital Trauma 1 1 Life Support Education, Current Edition. McSwain (ED) Akron, Ohio; Direction Inc. National Assoc. of Emergency medical Technicians, 1990 21
  • 23. Appendix 2 to Annex C Physician Assistant - MCSP Code NDID/Control # Title Quantity Required Student Inst Class C15 A-MD-007-002/ID- Harrison’s Principles of 1 1* 001 Internal Medicine. Current Edition. Braunwald, W & Issel, Bacher; Petersdor, F. C18 A-MD-007-003/JD- Bates - A Guide to 1 1 001 Physical Examination. Current Edition. Bates, B. J.B. Lippincott C19 Clinical Diagnosis and 1 1* Management by Laboratory Methods. Current Edition. Henry, J.B. Toronto. W.B. Saunders 1984 C20 A-MD-007-003/ID- The Merck Manual. 1 1 001 Current Edition. Merck, Sharp & Dome Research. W.B. Saunders. Toronto C21 Current Emergency 1 5 Diagnosis and Treatment C23 Physical Examination of 1 1 the Spine and Extremities. Hoppenfeld, S. Toronto. Appleton Century Crofts. Prentice Hall Canada Inc C24 Advanced Cardiac Life 1 1 Support. Current Edition. American Heart Assoc. Heart & Stroke Assoc. of Canada. 1994 C26 Rapid Interpretation of 1 1 EKG’s. Current Edition. Dubin, D. Cover Publishing Co. Tampa Florida 1989 C27 Mosby’s Medical 1 Nursing and Allied Health Dictionary C28 Family Practice Review: 1 A Problem Oriented Approach 22
  • 24. Appendix 2 to Annex C Physician Assistant - MCSP Code NDID/Control # Title Quantity Required Student Inst Class C32 Physicians Handbook for 1 1* the Medical management of Alcohol and Drug Related Problems. Toronto: Addiction Research Foundation: 1988 C37 Advanced Trauma Life 1 Support Manual C38 Taber’s Cyclopedic 1 1 Medical Dictionary C39 Advanced Burn Life 1 Support C42 7610-21-12-2210 The Concise Oxford 1 1 Dictionary. Clarendon Press-Oxford C49 Principles of Anatomy 1 1 and Physiology. Current Edition. Toronto: Tortora, G & Grabowski, 1993 C50 Taping. Current Edition. 1 5 B.C. Sport Aid Program C51 Trauma Management for 1 2 Civilian and Military Physicians. Current Edition. Toronto: W.B. Saunders; 1986. Weiner, S & Barrett C52 Practical Fracture 1 2 Treatment. McCrae, R ; Current Edition, Toronto; Churchill Livingston Inc. C53 Techniques in Surgical 1 2 Casting and Splinting, Lea and Febiger C54 Operating Room 1 Techniques. Current Edition, Mosby C57 Fundamental Skills in 1 2 Surgery, Current Edition. Nealon, T. Toronto; W.B. Saunders Co. 23
  • 25. Appendix 2 to Annex C Physician Assistant - MCSP Code NDID/Control # Title Quantity Required Student Inst Class C58 Wound Closure Manual, 1 5 Ethicon of Johnson & Johnson co. Peterborough, Ont, 1985 C61 The Eye in General 1 5 Practice, Current Edition. New York; Jackson, C & Findlay, R. Churchill-Livingston; 1985 C63 Disaster Planning for 1 2 Health Care Facilities. Ottawa; Canadian Hospital Association, 1988, Hanna, J. C65 Office Surgery for Family 1 2 Physicians. Markham: Butterworth Publishers; 1985. Poiriers, W. & Thomas C66 Outline of Fractures, 1 1 Current Edition. Adams, J & Hamblen, Toronto: Churchill Livingston. 1992 C67 Outline of Orthopedics, 1 1 Current Edition. Adams, J & Hamblen, Toronto: Churchill-Livingston; 1990 C68 Current Surgical 1 1 Diagnosis and Treatment, Way, L; Current Edition. California: Appleton & Lange, 1988 C69 Color Atlas and 1 1 Synopsis of Clinical Dermatology. Scarborough: Fitzpatrick, T; Palano, m; Suurmond, D & Johnson, R; McGraw Hill 24
  • 26. Appendix 2 to Annex C Physician Assistant - MCSP Code NDID/Control # Title Quantity Required Student Inst Class C74 Understanding Heart 1 1* Sounds and Murmurs. Current Edition. (Book & Cassettes) Toronto; WB Saunders; 1984 C75 Understanding Lung 1 1* Sounds. (Book & Cassettes) Lehrer,, Toronto: WB Saunders; 1984 C76 Modern Urine Chemistry 1 C78 Differential Diagnosis of 1 Common Complaints. Toronto; WB Saunders; 1986. Seller C79 Hypothermia Death By 1 1 Exposure. Forgey, W; Merrillville: ICS Books; 1985 C81 Nouveau Larousse 1 5 Medical Domart & Bourneuf; (F) C82 Boyd’s Introduction to 1 1 the Study of Disease. Huntington & Sheldon; Philadelphia: Lea & Febriger; 1988 C89 Core Otolaryngology. 1 5 Kaufman, Lippincott C104 Patients’ Rights, Ethical 1 1* and Legal Issues. McGraw Hill, 1982 C105 Canadian Medical Law. 1 Carswell C112 Legal Liability & the 1 Nursing Process. Philpott. C162 5 Minute Consult (2000) 1 1 H. Winter Griffith; Dambro, Mark B. C164 The Physician Assistant 1 Medical handbook. WB Saunders 25
  • 27. Appendix 2 to Annex C Physician Assistant - MCSP Code NDID/Control # Title Quantity Required Student Inst Class C166 Ethical & Legal Issues in 1 Canadian Nursing. Keeting & Smith C224 Microbiology. 4th ed., 1 1 1999. Prescott, Harley, Klein. McGraw Hills C269 DSM-IV- Mental Trouble 1 1 Diagnosis of Statistic Manual. Masson C270 Essentials of 1 1 Haematology C271 Clinical Microbiology 1 1 1* Made Ridiculously Simple C272 Clinical Physiology 1 1* Made Ridiculously Simple. C274 Clinical Radiology Made 1 1* Ridiculously Simple C275 Accident Emergency 1 Radiology. Raby, Berman C276 Quand, Pourquoi, 1 Comment Prescrire Imagerie Médicale C277 MCQQ 2001 – Toronto 1 1 Notes C278 Gynécologie (Memento) 1 C279 Pediatric tome 1 1* C280 Manual of Sports 1 Medicine, Lippincott- Raven C281 Examen de laboratoire 1* pour le praticien C282 Interpretation of 1 1 Diagnostic Tests C283 Guidelines 2000 for CPR 1 C284 Handbook for 1 emergency C.V. Care C288 Clinical Procedures for 1 1 Physician Assistant. 2002. Richard & David 26
  • 28. Appendix 2 to Annex C Physician Assistant - MCSP Code NDID/Control # Title Quantity Required Student Inst Class C289 Essentials of Obstetrics 1 1 and Gynecology. 3rd ed. WB. Saunders C290 Nelson Essentials of 1 1 Pediatrics, 4th ed. WB Saunders C291 Primary Care for 1 1 Physician Assistants, Clinical Practice Guidelines. 2nd ed. Rodney Moser, 2001 C292 Ophthalmology for the 1 1 Primary Care Physician. Mosby C293 Anatomy & Physiology 1 1 Supplement. Martini, Current Edition C294 Issues in Health Care 1 1 Ethics. Flynn C295 Clinical Pharmacology 1 1 Made Ridiculously Simple C296 Clinical Neuroanatomy 1 1 Made Ridiculously Simple C297 Primary Care Geriatrics 1 1 C298 Principles of 1 1 Biochemistry Made Ridiculously Simple C299 Understanding 12-Lead 1 5 EKG’s C300 Brady – Advanced Airway 1 5 Management. Charles E. Stewart Management. Charles E. C301 Health Professional`s 1 1 Drug Guide 2003 C302 Principles of Biomedical 1 1 Ethics. Beauchamp, Childress C303 Synopsis of Psychiatry. 1 1 Kaplan & Sadock’s. 27
  • 29. Appendix 2 to Annex C Physician Assistant - MCSP Code NDID/Control # Title Quantity Required Student Inst Class Current Edition C304 Canadian Mental Health 1 1 Law and Policy. John Gray C305 On Call Obstetrics and 1 Gynecology. Chin, H., Saunders, Phil. 1997 C306 The Hospital for Sick 1 1 Children’s Handbook of Pediatrics. 9th Edition Dipchand, Mosby C307 Pediatrics, A Primary 1 Care Approach. Berkowitz, Saunders, Phil. 1996 C308 FNIHB Pediatric Clinical 1 Practice Guidelines for Nurses in Primary Care. Health Canada, July 2001 C309 APLS Pediatric 1 Emergency medicine Course Manual, 3rd ed. 1998 C310 5 Minute Pediatric 1 4 Consult. Williams and Wilkins, Baltimore, 1997 C311 Pediatric Advanced Life 1 Support (PALS) Study Guide Toronto 1996 C312 The Merck Manual of 1 Geriatrics, 3rd ed. C313 The Canadian Guide to 1 Clinical Preventive Health Care. Health Canada, 1994 C314 Chemistry and the Living 1 1 Organism. 6th ed. and study guide Bloomfield and Stephens (1996) C315 Clinical Chemistry Made 1 Ridiculously Simple C316 Illustrated Guide to 1 4 Taping Techniques 28
  • 30. Appendix 2 to Annex C Physician Assistant - MCSP Code NDID/Control # Title Quantity Required Student Inst Class C317 Handbook of Plaster 1 Techniques. Smith and Nephew C318 Pearls of Diving 1 1 Medicine. Mohammadi, DCIEM C319 Understanding Nursing 1 Research. Saunders C320 Research Methods. 1 Saunders C321 Physician Assistant: a 1 Guide to Clinical Practice, 2nd ed. Saunders C322 Community Health 1 Nursing, Processes and Practice for Providing Health Care C323 Health Canada-Health 1* Promotion Implementing the Population Health Approach C324 Center for Health 1 Promotion. University of Toronto. Internet based lecture C325 Synopsis of Treatments 1 of Psychiatric Disorders, 2nd ed. C326 Emergency Orthopedics 1 29
  • 31. Appendix 2 to Annex C Physician Assistant - MCSP - - 1