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Physician Assistant
        Education Association
               (PAEA)


300 N. Washington Street
Alexandria, VA 22314
(7...
Mission
PAEA’s mission is to
• Pursue excellence
• Foster faculty development
• Advance the body of knowledge that
  defin...
Historical Growth
• The Association was founded in 1972 as
  the Association of Physician Assistant
  Programs (APAP). The...
New PA Programs
                     40
                     35
Number of Programs




                     30
           ...
Physician Assistant Education
• Professional competency-based education
• Majority of matriculants have a bachelor’s
  deg...
Accreditation Standards
• The new Accreditation Standards for PA
  Education, in effect as of September 2006,
  include th...
Status of Genetics Curricula in PA
   Programs Nationwide 2007

           PAEA Survey

      Constance Goldgar, MS, PA-C
...
Background
• Advances in genetics are leading to new
  demands on practicing PAs
• This has implications for the education...
Survey Objectives
• To gather data that will potentially assist in the
  development of specific genetics competencies,
  ...
Methodology

• A link to a Web-based survey was e-
  mailed to 134 program directors
• 18 questions – mostly multiple choi...
Results
Programs with stated core and learning objectives
for genetics/genomics
                                Yes               ...
Number of contact hours dedicated to
genetics:
       Contact hours   # Programs
             0              1
           ...
How we are teaching genetics and the
  molecular basis of disease:
    Part of another course or courses                  ...
Courses into which genetics is integrated:
        Other                                        48%

Organ systems        ...
How we provide genetics instruction:

 Lecture-based courses                                            97%

   Case-based...
Who is responsible for teaching genetics?

• PA program faculty have the majority of
  teaching responsibility – 72% of
  ...
Genetics concepts: What are we teaching?
   Concept                              In formal   Woven into   Not
            ...
What are we teaching? (cont.)
 Concept                            In formal   Woven into   Not taught
                    ...
Looking to the future


• 81 percent of programs perceived a need
  to enhance their genetics curricula.
• 62 percent of p...
Potential barriers
                                           Very          Quite       Not very      Not at all
         ...
Genetics resources regarded as
helpful for curriculum development:
                                                       ...
Opportunities
• Position PA educators as leaders in teaching of
  genetics in medical education
  – Monitor and report inn...
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Physician Assistant Education Association (PAEA)

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Transcript of "Physician Assistant Education Association (PAEA)"

  1. 1. Physician Assistant Education Association (PAEA) 300 N. Washington Street Alexandria, VA 22314 (703) 548-5538 www.PAEAonline.org
  2. 2. Mission PAEA’s mission is to • Pursue excellence • Foster faculty development • Advance the body of knowledge that defines quality education and patient- centered care, and • Promote diversity in all aspects of physician assistant education
  3. 3. Historical Growth • The Association was founded in 1972 as the Association of Physician Assistant Programs (APAP). There were 30 PA programs nationwide at that time. • The number of programs has increased rapidly, especially in the past 10 years. • Today, PAEA represents all 134 accredited PA programs in the United States.
  4. 4. New PA Programs 40 35 Number of Programs 30 25 20 15 10 5 0 1965- 1969- 1973- 1977- 1981- 1985- 1989- 1993- 1997- 2001- 2005- 68 72 76 80 84 88 92 96 00 04 07 Period When Programs Were Established
  5. 5. Physician Assistant Education • Professional competency-based education • Majority of matriculants have a bachelor’s degree and health care experience • Typical PA program is 26 months in length – One year of didactic education – One year of clinical rotations
  6. 6. Accreditation Standards • The new Accreditation Standards for PA Education, in effect as of September 2006, include the following standard: B2.02. Instruction in the professional phase of the program must include instruction in the following basic medical sciences: – a) anatomy – b) physiology – c) pathophysiology – d) pharmacology and pharmacotherapeutics – e) the genetic and molecular mechanisms of health and disease
  7. 7. Status of Genetics Curricula in PA Programs Nationwide 2007 PAEA Survey Constance Goldgar, MS, PA-C University of Utah Physician Assistant Program
  8. 8. Background • Advances in genetics are leading to new demands on practicing PAs • This has implications for the educational needs of PAs and students • The current status of PA program genetics curricula and delivery needed to be ascertained • A formal survey was done by Laura Meth in 2002; a prior “mini-survey” was done by Rackover in 2000
  9. 9. Survey Objectives • To gather data that will potentially assist in the development of specific genetics competencies, genetics curricula, and curricular delivery methods for PAs and PA educators, specifically – To determine how genetics is taught in PA programs nationwide – To determine what genetics content is covered and what gaps exist – To assess faculty needs for supporting a genetics curriculum
  10. 10. Methodology • A link to a Web-based survey was e- mailed to 134 program directors • 18 questions – mostly multiple choice, yes/no; some open-ended • 75% response rate (100 of 134 programs responded)
  11. 11. Results
  12. 12. Programs with stated core and learning objectives for genetics/genomics Yes 74% 74% of programs No 26% 0% 20% 40% 60% 80% 100% Programs with stated core and learning objectives for molecular biological concepts Yes 51% 51% of programs No 49% 0% 20% 40% 60% 80% 100%
  13. 13. Number of contact hours dedicated to genetics: Contact hours # Programs 0 1 1-3 8 Comprises 4-6 10 > 2/3 of 7-10 27 programs 11-15 22 16-20 17 21-25 3 26-30 9 Pro >31 2
  14. 14. How we are teaching genetics and the molecular basis of disease: Part of another course or courses 73% Integrated throughout curriculum 62% Within PBL cases 20% Stand-alone course in didactic year 14% During clinical year call-back sessions 9% Other 8% 0% 20% 40% 60% 80% 100%
  15. 15. Courses into which genetics is integrated: Other 48% Organ systems 46% Pathology 43% Pharmacology 26% Anatomy 21% Microbiology 19% Biochemistry 16% Immunology 15% Embryology 9% Histology 2% 0% 20% 40% 60% 80% 100%
  16. 16. How we provide genetics instruction: Lecture-based courses 97% Case-based teaching 32% Web-based tutorial 29% Small-group sessions 20% Problem-based learning 19% Other 5% Standardized patients 4% Elective rotation 0% 0% 20% 40% 60% 80% 100%
  17. 17. Who is responsible for teaching genetics? • PA program faculty have the majority of teaching responsibility – 72% of responding programs use PA program faculty. Others include: – Basic science instructors (53%) – Physicians with additional genetics experience (33%) – Genetic counselors (19%)
  18. 18. Genetics concepts: What are we teaching? Concept In formal Woven into Not genetics other taught course courses currently Molecular Biology — e.g., DNA, 17 69 14 RNA, transcription, translation Terminology — e.g., allele, locus, 24 68 8 genotype, phenotype Mendelian inheritance patterns 23 65 12 Non-Mendelian inheritance patterns 21 65 14 Pedigree structure 15 71 14 Cytogenetics 17 36 47* Mutations (various types) 20 68 12
  19. 19. What are we teaching? (cont.) Concept In formal Woven into Not taught genetics other currently course courses Specific common genetic diseases 6 91 3 — e.g., hemochromatosis, CF, NF Genetic screening 15 78 7 Genetic diagnostic testing 14 70 16 Genetic treatments 13 50 37 Pharmacogenetics 10 57 33 Genetic Counseling 11 68 21 Ethics, Legal, Social Issues 10 81 9
  20. 20. Looking to the future • 81 percent of programs perceived a need to enhance their genetics curricula. • 62 percent of programs plan to change their approach to teaching genetics in the near future.
  21. 21. Potential barriers Very Quite Not very Not at all significant significant significant significant a. Structure of existing curriculum 20 40 38 11 b. Curriculum already overloaded 40 40 13 7 c. Genetics not seen as a priority by colleagues 9 19 40 32 d. Lack of resources to champion changes & developments 6 27 47 20 e. Lack of faculty with sufficient genetics experience or knowledge 14 26 36 14 f. Lack of time to develop resources 20 41 29 10
  22. 22. Genetics resources regarded as helpful for curriculum development: Not Not at Very Quite very all helpful helpful helpful helpful Centrally developed curriculum resources 48 42 10 0 Lectures with slides 52 36 12 0 Problem-based material 43 43 9 5 Self-instructional materials 43 42 14 1 Updated list of Web resources for educators 51 36 12 1 Updated list of Web resources for students 49 40 10 1 Case histories and ethical issues 61 34 4 1 Genetic case studies 63 32 4 1 Assessment tools 53 34 10 3 Short course in clinical genetics for faculty 51 33 14 2
  23. 23. Opportunities • Position PA educators as leaders in teaching of genetics in medical education – Monitor and report innovations in genetics education – Develop curriculum resources and best practices – Create faculty development opportunities – Develop assessment tools for students and faculty – Develop a database to track genetics activities and outcomes in PA education
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