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PA Policies 07-08


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PA Policies 07-08

  1. 1. 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 two 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 healthcare professional. The faculty and staff have been preparing for your semester to begin all summer. We have moved into a new classroom, hired new faculty and have increased our class size from 30 to 40 students. We are excited about the changes and look forward to getting to know each of you. This handbook has been developed as a supplement to the JCHS Student Handbook to provide information on programmatic academic policies and procedures. Please read this carefully and keep it with you for the duration of your tenure here. On behalf of our excellent faculty and staff, I extend our heartfelt wishes for a successful and rewarding education. Sincerely, Wilton Kennedy, MMSc, PA-C Director Physician Assistant Program JCHS PHYSICIAN ASSISTANT POLICIES AND PROCEDURES, 2007-2008 1
  2. 2. JCHS Physician Assistant Program Office Phone: 540-985-4016 Fax: 540-224-4551 Faculty Wilton Kennedy, MMSc, PA-C Francine Farnsworth, PharmD, BCPS Director/Associate Professor Instructor 540-985-8256 Monica Wilson, PharmD, BCPS Patrick McCarthy, MD Instructor Medical Director/Assistant Professor 540-985-4016 Joanne Hawley, PharmD, BCPS Instructor Denise Dillingham, MPAS, PA-C Clinical Coordinator/Assistant Professor Staff 540-224-4515 Kathy Keoughan Patricia Airey, MS, PA-C Program Secretary Academic Coordinator/Assistant Professor 540-985-4016 540-985-8376 Barb Williams, BA James Hull, MPAS, PA-C Clinical Resource Associate Assistant Professor 540-224-4538 540-224-6731 Susan Wise, MLS Vicki Bierman, MSW, FNP Educational Resource Associate Assistant Professor 540-224-4480 540-224-4516 Jennifer Chen, MD Assistant Professor 540-985-4016 Charles Moore, PhD Assistant Professor Math & Science Department 540-224-4528 Joel Atance, PhD Assistant Professor Math & Science Department 540-224-4565 JCHS PHYSICIAN ASSISTANT POLICIES AND PROCEDURES, 2007-2008 2
  3. 3. 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 JCHS PHYSICIAN ASSISTANT POLICIES AND PROCEDURES, 2007-2008 3
  4. 4. 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 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. The last two years have seen record enrollments (approximately 900 in 2005) at the College. 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 will open, 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, that 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; JCHS PHYSICIAN ASSISTANT POLICIES AND PROCEDURES, 2007-2008 4
  5. 5. 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. There have been 234 students to graduate from the program. JCHS PHYSICIAN ASSISTANT POLICIES AND PROCEDURES, 2007-2008 5
  6. 6. 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 master’s 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. JCHS PHYSICIAN ASSISTANT POLICIES AND PROCEDURES, 2007-2008 6
  7. 7. 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. • 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’ Physician Assistant Program is to prepare physician assistants who are well versed in the art and science of medicine for service to their communities, with special attention to eliminating disparities in health care. Physician Assistant Program Goals The goals of the baccalaureate-degree PA Program are: 1. To establish a learning environment that encourages intellectual, personal and professional growth to develop tomorrow’s leaders in patient care. JCHS PHYSICIAN ASSISTANT POLICIES AND PROCEDURES, 2007-2008 7
  8. 8. 2. To provide an educational environment conducive to fostering critical thinking skills. Graduates will be able to obtain and evaluate patient history, physical findings, laboratory data, and other pertinent information to appropriately care for and counsel patients of any age or background. 3. To utilize teaching methodologies that promote life-long learning skills in order to access information technology and interpret medical literature. 4. To emphasize the importance of patient-centered care by emphasizing a sensitivity and respect for the cultural and personal beliefs of all patients and an understanding of how social, economic, geographic and other forces impact health. 5. To prepare students to serve the needs of diverse populations in medically underserved areas. 6. To graduate medical healthcare providers who can practice collaboratively, professionally, legally and ethically as representative of JCHS and the physician assistant profession. 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, 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, JCHS PHYSICIAN ASSISTANT POLICIES AND PROCEDURES, 2007-2008 8
  9. 9. 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. • 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 JCHS PHYSICIAN ASSISTANT POLICIES AND PROCEDURES, 2007-2008 9
  10. 10. 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: • 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 JCHS PHYSICIAN ASSISTANT POLICIES AND PROCEDURES, 2007-2008 10
  11. 11. 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. JCHS PHYSICIAN ASSISTANT POLICIES AND PROCEDURES, 2007-2008 11
  12. 12. 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 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. He or she 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. 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 JCHS PHYSICIAN ASSISTANT POLICIES AND PROCEDURES, 2007-2008 12
  13. 13. 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 and may result in corrective action or dismissal from the Program. 1. Respect: Students are expected to treat all patients, faculty, staff, clinical preceptors and fellow students with dignity and respect. 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. Some of these are described in the Statement of Values of the Physician Assistant Profession, published by the American Academy of Physician Assistants. 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, identify a patient by initials or chart numbers. Failure to adhere will result in dismissal from the Program per Carilion policy. JCHS PHYSICIAN ASSISTANT POLICIES AND PROCEDURES, 2007-2008 13
  14. 14. The above list is by no means exhaustive. Each PA class will negotiate additional attributes as a part of its class constitution. Students will compose the constitution during orientation with faculty facilitation. This document will serve as a professional and behavioral contract for the class. JCHS PHYSICIAN ASSISTANT POLICIES AND PROCEDURES, 2007-2008 14
  15. 15. Code of Ethics of the Physician Assistant Profession The American Academy of Physician Assistants recognizes its responsibility to aid the profession in maintaining high standards in the provision of quality and accessible health care services. The following principles delineate the standards governing the conduct of physician assistants in their professional interactions with patients, colleagues, other health professionals and the general public. Realizing that no code can encompass all ethical responsibilities of the physician assistant, this enumeration of obligations in the Code of Ethics is not comprehensive and does not constitute a denial of the existence of other obligations, equally imperative, though not specifically mentioned. Physician Assistants shall be committed to providing competent medical care, assuming as their primary responsibility the health, safety, welfare and dignity of all humans. Physician Assistants shall extend to each patient the full measure of their ability as dedicated, empathetic health care providers and shall assume responsibility for the skillful and proficient transactions of their professional duties. Physician Assistants shall deliver needed health care services to health consumers without regard to sex, age, race, creed, socio-economic and political status. Physician Assistants shall adhere to all state and federal laws governing informed consent concerning the patient's health care. Physician Assistants shall seek consultation with their supervising physician, other health providers, or qualified professionals having special skills, knowledge or experience whenever the welfare of the patient will be safe-guarded or advanced by such consultation. Supervision should include ongoing communication between the physician and the physician assistant regarding the care of all patients. Physician Assistants shall take personal responsibility for being familiar with and adhering to all federal/state laws applicable to the practice of their profession. Physician Assistants shall provide only those services for which they are qualified via education and/or experiences and by pertinent legal regulatory process. Physician Assistants shall not misrepresent in any manner, either directly or indirectly, their skills, training, professional credentials, identity or services. Physician Assistants shall uphold the doctrine of confidentiality regarding privilege patient information, unless required to release such information by law or such information becomes necessary to protect the welfare of the patient or the community. Physician Assistants shall strive to maintain and increase the quality of individual health care service through individual study and continuing education. Physician Assistants shall have the duty to respect the law, to uphold the dignity of the physician assistant profession and to accept its ethical principles. The physician assistant shall not participate in or conceal any activity that will bring discredit or dishonor to the physician assistant profession and shall expose, without fear or favor, any illegal or unethical conduct in the medical profession. Physician Assistants, ever cognizant of the needs of the community, shall use the knowledge and experience acquired as professionals to contribute to an improved community. JCHS PHYSICIAN ASSISTANT POLICIES AND PROCEDURES, 2007-2008 15
  16. 16. Physician Assistants shall place service before material gain and must carefully guard against conflicts of professional interest. Physician Assistants shall strive to maintain a spirit of cooperation with their professional organizations and the general public. (American Academy of Physician Assistants, 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 JCHS PHYSICIAN ASSISTANT POLICIES AND PROCEDURES, 2007-2008 16
  17. 17. Students are required to come to class, lab sessions, and clinical experiences fully prepared. Students are expected to have the knowledge that the admission requirements and prerequisite courses logically define. Students also are responsible for completing all pre-class and pre-clinical assignments. When necessary, students are expected to review and update areas previously studied. Class Attendance Class, lab, and clinical attendance are mandatory. Students are responsible for knowing all course content and skills taught during 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. 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. 34) for review. Excused absences are absences that have been arranged ahead of time, an acute illness, or an emergency. Emergency Leave The program recognizes that a student may have an unexpected personal or family emergency arise during classes or an assigned rotation (e.g. an unexpected family member illness or death. A wedding or other family celebration is not considered an emergency). Should such an emergency arise, the student must notify the Academic Coordinator or Clinical Coordinator and preceptor of such an event. If more than one day off is needed, the student must submit a written request to the Academic Coordinator or Clinical Coordinator and the request will be reviewed by faculty for approval. If approved, the student will be responsible for all coursework missed, or will be responsible for making up hours missed during a rotation. Make-up time will be jointly coordinated by the preceptor and Clinical Coordinator, not the student. Missed Exams Students must take exams at the scheduled date and time. If the student cannot, he or she must let the instructor know ahead of time. If a student misses a scheduled exam because of an emergency, let the instructor know as soon as possible. The student will take the missed exam as soon as he or she returns to school. For example, if a student misses an exam scheduled for a Thursday at 1:00 and then returns to school Friday morning, he or she will make up that exam Friday before attending any classes. No extra time will be given to prepare for the exam. Some instructors may not allow make-up exams under any circumstances. Students who miss an exam are not to seek out any assistance from students who have taken the exam. Likewise, students who have taken the exam are forbidden from sharing any information about the exam. See the College honor code. Instructors have the prerogative to impose additional/different exam policies. Suspension If in the judgement 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). JCHS PHYSICIAN ASSISTANT POLICIES AND PROCEDURES, 2007-2008 17
  18. 18. 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. JCHS PHYSICIAN ASSISTANT POLICIES AND PROCEDURES, 2007-2008 18
  19. 19. Vacation Students follow the PA Year One schedule for holidays and vacations during the didactic phase. During the clinical phase, students are scheduled for 13.5 months of rotations. The Year Two Rotation calendar includes scheduled vacations and holidays between some rotations; other days off are arranged with the preceptor and the clinical coordinator. 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. Leave of Absence, Withdrawal, Deceleration A student who requests a Leave of Absence or Withdrawal from the Program must do so in writing to the Program Director and must also follow all procedures outlined in the JCHS Student Handbook. There is no deceleration policy during the didactic year; some exceptions may be made during the clinical year. The JCHS Student Handbook states: Leave of Absence A student in good academic standing who has a cumulative grade point average of 2.0 or above may request a leave of absence for health or other personal reasons. A leave of absence shall not exceed 12 months. After that, the student will be considered a readmission applicant, unless an extension of the leave of absence has been granted by the Dean of Academic Affairs. The student must request the leave of absence in writing through the Registrar’s Office after consultation with the Dean for Academic Affairs. In this written request, he or she must state an intended date of return to the College. A copy of this leave of absence must be sent to the Bursar, Financial Aid department, and the student’s advisor and Program Director. The student on leave of absence must satisfy any conditions of the leave before re- entering and must comply with the course sequence and/or any curricular changes at the time of reentry. The student must inform the College in writing one term before returning so that the College can arrange a suitable orientation. A student’s return is subject to available space at the time. Voluntary Withdrawal Any student who wishes to withdraw from the College during a term must complete an add/drop form and an exit form in the Registrar’s Office and make satisfactory arrangements before leaving the College. If the student is receiving financial aid, the student must also complete an Exit Interview with the Financial Aid Officer. Students who cease attending classes, clinicals and/or externships without completing the proper withdrawal procedure will remain academically and financially responsible. JCHS PHYSICIAN ASSISTANT POLICIES AND PROCEDURES, 2007-2008 19
  20. 20. Any student who has not properly “cleared” with the College will not be permitted to re- enroll until such clearance is completed. The official date of withdrawal will be the date the completed drop exit form is received by the Registrar. Withdrawing students must turn in their identification cards, complete all paperwork and exit surveys, meet with a Financial Aid department officer and clear all charges on their student accounts at the time of their exit interview. 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. Classroom Attire Acceptable 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 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. 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. • 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. JCHS PHYSICIAN ASSISTANT POLICIES AND PROCEDURES, 2007-2008 20
  21. 21. • Nails must be clean and well trimmed. Nail polish cannot be worn during the 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. • No visible body piercing except ears is allowed. • 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 As a rule, cell phones and beepers are permitted in class as long as the ringer is off or in vibrate mode. Some instructors do not allow cell phones or beepers in the classroom at all. 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. Didactic Curriculum Clinical Medicine (PHA 300-302): This course examines diseases commonly encountered in primary care practice. Diseases covered include disorders of the hematologic, immunologic, skin, musculoskeletal, cardiovascular, renal, respiratory, psychiatry systems, gastrointestinal, endocrine, urinary, reproductive, HENT, neurological systems pediatrics, gerontology, emergency medicine, orthopedics and surgery. Each disease is described in terms of pathophysiology, clinical presentation, diagnosis, and treatment. Attention is also given to primary and secondary methods of disease prevention. Diseases are reviewed from the organ systems approach in coordination with other courses in the clinical core. Clinical Anatomy and Physiology (PHA 303-304): This course is devoted to the study of gross anatomy, clinical physiology, and pathophysiology. Special attention is given to the clinical significance of topographical and regional anatomical features. This course, as much as possible, follows an organ system approach with the remainder of the clinical core. The course includes lecture as well as a lab to include cadaver and computerized dissection displays. Clinical Skills (PHA 306-308): This course is designed to develop clinical skills necessary for practice as a physician assistant in primary care. Knowledge and skills relevant to obtaining a medical history and conducting a physical and specialty examination formulating a differential diagnosis and initial treatment plan, presenting a case in a professional setting a medical history are the focus of this course. Completion of the PALS and ACLS certification requirements are also included. Behavioral Medicine (PHA 309-310): This course is designed to foster the development and application of knowledge concerning the interrelationships of health, illness, culture and behavior JCHS PHYSICIAN ASSISTANT POLICIES AND PROCEDURES, 2007-2008 21
  22. 22. for prevention, diagnosis, treatment, and health promotion on the interpersonal level. Topics covered in this section include determinants of disease and health behavior, health behavior theories, establishment of Physician Assistant-patient partnerships, communication techniques needed for collaborative care, chronic disease management and patient self-management. Reinforcement of health promotion and disease prevention guidelines across the lifespan are presented simultaneously with specific organ systems covered in the Clinical Medicine course. Additional topics will include cultural competency, health literacy, effective behavioral management of stress and emotions, chemical dependency, depression and anxiety. Clinical Pharmacology (PHA 312-314): This course is designed to provide a solid foundation in pharmacokinetics and pharmacological interventions for diseases covered in the Clinical Medicine sequence. In doing so, it serves to fulfill a portion of the State's requirements for physician assistants to apply for prescriptive authority. Clinical Diagnostics (PHA 315-317): This course provides a practical approach to diagnostic testing in the primary care setting. It is designed to train students to order, perform and interpret the results of diagnostic procedures most commonly used in primary care, with attention to cost- benefit ratio. Students will learn the indications for, sequencing of and interpretation of results of tests commonly used in the diagnosis of dermatologic, hematologic, cardiac, pulmonary, infectious, inflammatory and endocrine disease. Professional Seminar (PHA 318-320): This course will examine the professional issues that physician assistants commonly face in practice. Clinical Curriculum Internal Medicine Rotation (PHA 401A-B): This is a required two-month rotation that takes place in inpatient settings. The purpose of this rotation is to educate the physician assistant student in the diagnosis, management and treatment of acute and chronic medical problems commonly encountered in the internal medicine setting. Emphasis is placed on the care of adult, non-surgical patients in rural communities. Family Practice Rotation (PHA 403A-B): This is a required two-month rotation that takes place in outpatient and/or inpatient settings. The purpose of this rotation is to educate the physician assistant student in the diagnosis, management, and treatment of patients in a family practice setting. Emphasis is placed on the primary care needs of patients in rural communities. Pediatrics Rotation (PHA 405): This is a required one-month rotation which takes place in an outpatient and/or inpatient setting. The purpose of this rotation is to educate the physician assistant student on growth and development of the child from infancy to adolescence and the diagnosis, management and treatment of common acute and chronic medical problems seen in pediatric practice. Emphasis is placed on conditions and disease entities commonly encountered in the rural primary care setting. Women’s Health Rotation (PHA 407): This is a required one-month rotation. The purpose of this rotation is to educate the physician assistant student on maternal and fetal well-being and the diagnosis, management and treatment of common acute and chronic medical problems commonly encountered in women's health. Emphasis is placed on the care of obstetrical and gynecological patients in the primary care setting. Emergency Medicine Rotation (PHA 409): This is a required one-month rotation that takes place in an emergency department. The purpose of this rotation is to educate the physician assistant student in the diagnosis, management, and treatment of common emergent, urgent, and non-urgent medical problems which present to the emergency department. Emphasis is JCHS PHYSICIAN ASSISTANT POLICIES AND PROCEDURES, 2007-2008 22
  23. 23. placed on those conditions and disease entities commonly encountered in the primary care setting. Psychiatry Rotation (PHA 411): This is required one-month rotation that takes place in both inpatient and outpatient settings. The purpose of this rotation is to teach the student to evaluate, diagnose, and treat common acute and chronic psychiatric problems through direct patient contact. Emphasis is placed on conditions and disease entities commonly encountered in the primary care setting. General Surgery Rotation (PHA 413): This required one-month rotation is conducted in both clinical and hospital settings. The purpose of this rotation is to educate the physician assistant student in the diagnosis, treatment and management of both the inpatient and outpatient surgical patient. Emphasis is placed on surgical conditions and disease entities commonly encountered in the primary care setting. General Orthopedics Rotation (PHA 415): This required one-month rotation is conducted in both the clinical and hospital settings. The purpose of this rotation is to educate the physician assistant student in the diagnosis, treatment, and management of both the inpatient and outpatient orthopedic patient. Emphasis is placed on orthopedic conditions and disease entities commonly encountered in the primary care setting. Community Medicine Rotation (PHA 417): This is a required one-month rotation located in a rural community setting. The purpose of this rotation is to educate the physician assistant student about community-based health promotion and disease prevention services and to integrate the knowledge of community health obtained in Behavioral Medicine I & II. This rotation provides the student with experiences in planning and implementing educational programs, health screenings, and chronic disease self-management in different community agencies and healthcare clinics. Elective Rotation (PHA 419): The elective rotation is a one-month experience that is designed to provide the students with an opportunity to pursue an area of personal interest, including medical subspecialties, medical education, health administration and research. Students may also use this rotation to strengthen their skills in a required area. Clinical Concentration (PHA 420): This required 6-week experience is the student's final rotation. It is designed to provide the student with an opportunity to refine skills in health promotion, disease prevention, diagnosis, management, and treatment of patients. Ideally, it also provides practical experience in patient care responsibilities at a site of potential employment. 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: Ms. Anna Millirons, Dean of Administrative Services Jefferson College of Health Sciences 920 S. Jefferson Street PO Box 13186 JCHS PHYSICIAN ASSISTANT POLICIES AND PROCEDURES, 2007-2008 23
  24. 24. Roanoke, VA 24031-3186 Phone: (540) 985-8530 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 within the first two weeks of each semester. An additional required meeting will be scheduled midway through the semester. Each advisor will assess the student on professional behaviors at the end of the semester. Additional meetings may be scheduled as the need arises. Students are also encouraged to meet with other faculty members informally for course-specific advising. JCHS PHYSICIAN ASSISTANT POLICIES AND PROCEDURES, 2007-2008 24
  25. 25. Communication Change in Name, Address, Phone Numbers Report any change in name, address, and telephone numbers to the Program secretary in writing or via email immediately. Each student is responsible for reporting these changes to the registrar, the business office, and the financial aid office. Email Accounts Students are assigned an email account through the College server 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 personal email accounts. Students on clinical rotation should check their email on a regular basis. 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 ( Check the site for the PA calendar and announcements. Tuition, Fees and Equipment The tuition for the PA Program is announced prior to the start of each academic year and is subject to change without notice. All PA students are charged a flat rate per semester for tuition. Acceptance Deposit The non-refundable $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. JCHS PHYSICIAN ASSISTANT POLICIES AND PROCEDURES, 2007-2008 25
  26. 26. Other Incidental Fees Background Check $60 Residence Hall $3,100/per year Meal Plan $1,155/per semester (required for resident students) Late Payment $50 Diploma Replacement $60 (non-refundable) PA Program Specific Estimated Costs Tuition $48,860 Books, Medical Equipment & Supplies, Laptop Computer $4,345 Travel for PA Lobby Day $130 Transportation for Clinical Experiences & Rotations $3,800 Professional Dues $125 Health Insurance cost varies according to the type of plan Conference Travel $800 Optional attendance at the National Conference 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 Refunds for Residence Hall Charges for rooms in the residence hall are billed on a semester basis. The method of determination of refunds for students who vacate their room is the same as shown for tuition refunds, except that the administrative fee in this case is $200. The $250 room deposit offsets this fee unless the student has caused damage to his/her room or to the residence hall. Students who occupy a room after the beginning of an academic term are charged a prorated rent and receive no refund if they vacate the room prior to the end of the semester or summer session. 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) 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 $550-775, depending on type, brand, and quality. The College assumes no financial responsibility for this equipment. Required medical equipment includes a stethoscope, blood pressure cuffs, at least one pair of scrubs, and a lab coat. A diagnostic set containing halogen coaxial ophthalmoscope, fiberoptic JCHS PHYSICIAN ASSISTANT POLICIES AND PROCEDURES, 2007-2008 26
  27. 27. otoscope is optional. You will find it helpful to have a reflex hammer, C-28 tuning fork and C-512 tuning fork for class and during your rotations. The following are items that a well-dressed PA student takes on rotations: 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 Personal Computers Each student is required to purchase a laptop computer. To maintain consistency and facilitate networking, we strongly urge our students to purchase the Dell computers available through the College website. 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: Attendance at PA Lobby Day in Richmond, VA $130 Background check prior to clinical year $60-$100 Alpha Virginia Student Society of the American Association of Physician Assistants $20/semester VAPA (Virginia Academy of Physician Assistants $10/year AAPA (American Academy of Physician Assistants) $75/2 years Student Society dues $40/year 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. However, housing is provided for the Community Medicine rotation and for some other rural sites. 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 (See pg. 90 of the JCHS Student Handbook for more information): ♦ Tetanus-Diphtheria JCHS PHYSICIAN ASSISTANT POLICIES AND PROCEDURES, 2007-2008 27
  28. 28. ♦ MMR ♦ Tuberculosis (PPD) – 2-step PPD and maintain annual PPD skin test results ♦ Polio ♦ Hepatitis B ♦ Varicella ♦ Bacterial meningitis (Required of students in Residence Hall) ♦ Influenza (Recommended but not required) ♦ Pneumococcal Polysaccharide Vaccine (recommended but not required for any students with diabetes, heart disease, chronic pulmonary or liver disease.) • Statement of Continued Health Responsibility, Health Insurance and CPR Certification • 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 and AED. 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 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. The college does not endorse any particular health plan, however; the Dean of Student Services does maintain a list of heath policies. Call 540-985-8395 for more information. Student Malpractice Insurance The College maintains malpractice insurance that covers PA students on clinical 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. 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 Bourne 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 If you have an exposure to blood or body fluids you should: JCHS PHYSICIAN ASSISTANT POLICIES AND PROCEDURES, 2007-2008 28
  29. 29. A. Wash area thoroughly with soap and water (if eye splash, rinse with saline) B. Report to your instructor immediately C. Report immediately to the nearest Employee health Office or Carilion Occupational Medicine during business hours. CRCH – Mon., Tues., Thurs. 7:30 AM – 4:00 PM 4th floor (224-4411) CRMH – Mon. – Fri. 7:30 AM – 4:00 PM 5 South (981-7813) Occupational Medicine – Mon. – Fri. 8:00 AM – 4:30 PM 1st Fl. CRCH (985-8529) D. Off hours, weekends, and holidays proceed to the respective Emergency Department and tell them you have had an exposure to blood or body fluids to facilitate quick response. Always remember to follow-up with employee health or Occupational Medicine the next business day to ensure appropriate care. E. At non-Carilion facilities, follow steps A and B listed above. Follow the protocol of the health facility where you are assigned. F. Complete an Event Report form available from the Program secretary or the College Safety Officer. Carilion Employee (Student) Event Form If a student needs to report an accident or exposure to a hazardous substance or a communicable disease, follow these steps: • Fill out a copy of the Carilion Employee Event form (see appendix A); a student on a clinical is considered an employee for this purpose. • Complete whatever forms are required by the institution where the incident occurred. • 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's Safety Officer, Susan Booth. The College is not responsible for any bills created by this incident; this is the reason students are required to have health insurance. 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. The College has contracted with two Carilion Family Medicine offices to provide student health services. When making an appointment at either of these offices, tell the office staff that you are a JCHS student to facilitate a quicker appointment: • Carilion Roanoke – Salem Family Practice 1314 Peters Creek Road For appointment call: 540-562-5700 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. • Carilion Family Medicine – Southeast 2145 Mt. Pleasant Blvd. SE For appointment call: 540-427-9200 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. JCHS PHYSICIAN ASSISTANT POLICIES AND PROCEDURES, 2007-2008 29
  30. 30. Student Disability Discrimination Complaint Process Under 34 C.F.R. § 104.7(b) the College is required to adopt a grievance procedure providing for the prompt and equitable resolution of complaints alleging noncompliance with Section 504 or its implementing regulations that incorporate appropriate due process standards. The College has a complaint procedure to deal promptly and fairly with concerns and complaints about discrimination based on disability as well as other areas of discrimination. The procedure may be used by any student who believes that he or she has been discriminated against or harassed based on race, color, religion, sex, sexual orientation, national origin or citizenship status, age, disability, or veteran’s status. Anyone may bring forth information or a concern about discrimination or harassment. Complaints are handled as confidentially as possible to protect the rights of both the complainant and the person accused. Retaliation against anyone who makes a complaint or participates in a complaint process will not be tolerated. Disability Grievance Procedure All Section 504 complaints, excluding those filed against the Section 504 Coordinator, should be addressed to: Coordinator of Disability Services Jefferson College of Health Sciences, Room 703 920 S. Jefferson St. PO Box 13186 Roanoke, VA 24031-3186 All complaints filed against the Section 504 Coordinator should be addressed to: Jennifer Carlo, MA Dean of Student Services, Room 705 Jefferson College of Health Sciences 920 S. Jefferson Avenue P.O. Box 13186 Roanoke, VA 24031-3186 Complaints must be filed in writing within 180 days after the complainant becomes aware of the alleged violation. It must contain the name and address of the person(s) filing the complaint, and a description of the alleged violation. An investigation, as may be appropriate, shall follow the filing of the complaint. The Section 504 Coordinator or the Office of the Dean of Student Services, depending upon the nature of the grievance, shall conduct the investigation. All interested persons and their representatives will have an opportunity to submit evidence relevant to the complaint. Either the Section 504 Coordinator or the Dean of Student Services will issue a written determination as to the validity of the complaint and a description of the resolution. A copy will be forwarded to the complainant no later than thirty (30) working days after receipt of the complaint. Upon receipt of the decision, if the student is not satisfied, he or she may file an appeal to the JCHS PHYSICIAN ASSISTANT POLICIES AND PROCEDURES, 2007-2008 30
  31. 31. Dean for Academic Affairs. The Office of the Dean must receive the appeal no later than thirty (30) working days after the date of the written determination by the Section 504 Coordinator or Dean for Student Services. The Office of the Dean for Academic Affairs, as may be appropriate, shall conduct an investigation, and the Dean shall issue a written determination as to the validity of the complaint and a description of the resolution. A copy will be forwarded to the complainant no later than thirty (30) working days after receipt of the complaint. The decision of the Dean for Academic Affairs is final. OR The student may file a complaint with the Office of Civil Rights by accessing the complaint form and instructions at Or, by writing to: District of Columbia Office U.S. Department of Education 1100 Pennsylvania Ave., NW, Rm. 316 P.O. Box 14620 Washington, D.C. 20044-4620 Telephone: 202-208-2545 FAX: 202-208-7797; TDD: 202-208-7741 Email: OR The student may initiate legal proceedings through the attorney of his/her choosing. JCHS PHYSICIAN ASSISTANT POLICIES AND PROCEDURES, 2007-2008 31
  32. 32. 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. 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 located in Carilion Roanoke Community Hospital it will be 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. 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 pg. 20 of the JCHS Student Handbook for complete Alcohol and Drug Policies.) Technology Student Technology Use Policies 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 JCHS PHYSICIAN ASSISTANT POLICIES AND PROCEDURES, 2007-2008 32
  33. 33. 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 Students have access to black and white laser printers in the ETC 24/7 and in the LRC during regular LRC hours. A black and white copier is also available for student use in the LRC. Each page printed on the printers in the ETC or LRC and each page copied on the LRC copy machine costs $0.05. Students may purchase $1, $5, $10, or $20 worth of copies on their copy card. Each time a page is printed or a copy is made the student will need their card and the appropriate amount will be deducted from the card. Additional value can be added to the card anytime through the vend machine with cash in dollar denominations. Students are responsible for the safekeeping of their individual card. 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, answer email, or instant message. Instructors will ask you to turn off your computer if you are surfing the Internet during lectures. Students who use 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. JCHS PHYSICIAN ASSISTANT POLICIES AND PROCEDURES, 2007-2008 33
  34. 34. 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 smiley faces, 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. This is especially true of anything from file-sharing networks. 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 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. Classroom Printer We are fortunate to have a dedicated printer in the classroom. To ensure that we can maintain this arrangement, please adhere to the following printing rules: • Do NOT print full-sized PowerPoint slides. If you must print from PowerPoint presentations, print at least three slides per page, better is six per page, better still is to print the presentation outline. Use “pure black and white” for printing. If you want to print entire pages, print them elsewhere. • Do not print during class. • Ask the Program secretary for printing supplies. • Do not print personal documents. 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 Conference Room The PA Program has a comprehensive reference library (room 206). Please see the Program secretary to borrow books. This room may be used for study groups if necessary. PA Classroom This year we have a new PA classroom. When you start the program we will still be applying the finishing touches. This classroom is for you. It is incumbent on everyone to keep the classroom as neat and clean as possible. 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. JCHS PHYSICIAN ASSISTANT POLICIES AND PROCEDURES, 2007-2008 34
  35. 35. 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 classroom 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. 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. Personal Effects The Program is not responsible for personal effects. See the Security Guard in the lobby of the Reid Center for Lost and Found. Safety For Carilion Police and All Other Emergencies: Dial 981-7911 or from a College or Hospital telephone 8-7911. (See pg. 99 of the JCHS Student Handbook for safety on the college campus.) Smoking Jefferson College of Health Sciences and all Carilion facilities are smoke-free. Parking All motor vehicles (automobiles, motorcycles and motorized scooters) must be registered with the Campus Safety Office immediately upon bringing the vehicle to campus by obtaining a parking permit. Students are required to park in designated student parking areas only. Students are allowed to park in the Carilion Roanoke Community Parking Garage on levels B and D only. Vehicles parked illegally or overnight due to mechanical problems must be reported immediately to the Carilion Police Department (540-981-7911) day or night or a violation may be issued. (See pg. 72 of the JCSH College Handbook for complete parking and transportation policies and procedures.) Transfer and Credit for Experiential Learning The PA Program does not allow for the transfer of course credit from other institutions. All courses in the curriculum must be taken at JCHS and in sequence. The program does not offer academic credit for experiential learning. Evaluation of Student Performance JCHS PHYSICIAN ASSISTANT POLICIES AND PROCEDURES, 2007-2008 35