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Working with a physician assistant. The most common concern for supervising physicians is their potential exposure to the risk of liability for the PA’s clinical duties. A supervising physician remains responsible for the medical care provided to the patient, including any care delivered by the PA as delegated and supervised by the physician.
Aug 1, 2015 · Direct supervision in the office setting means the physician must be present in the office suite and immediately available to furnish assistance and direction throughout the performance of the service; however, the physician does not need to be in the room when the service is performed. Direct supervision is defined from the perspective of the ...
Jan 22, 2024 · Physician assistant supervision is a legal requirement that ensures the safety and quality of patient care. It is the responsibility of the supervising physician to oversee and direct the work of the PA, including making medical decisions and providing guidance and support. The level of supervision required for a PA may vary depending on state ...
- Preface
- Scope of Practice
- For PAs
- For Supervising Physicians
- For Educators
- For Legislators
- Definition
- Description
- Elements
- PAs are able to...
- Definition
- Description
- Elements
- PAs are able to...
- Definition
- Description
- Elements
- PAs are able to...
- Description
- Elements
- PAs are able to...
- Definition
- Description
- Elements
- PAs are able to...
- Definition
- Description
- Elements
- PAs are able to...
- Definition
- Description
- Elements
- PAs are able to...
- ACNOWLEDGEMENTS
- WORKING GROUP
- REVIEW COMMITTEE VOLUNTEERS
- Appendix to CanMEDS-PA
- PURPOSE:
- LIMITATION:
- LAYOUT:
- Respiratory
- Cardiovascular
- Gastrointestinal
- Obstetrics
- Musculoskeletal
- Skin
- Neurological
- Endocrine and Metabolic
- Emergency
- Mental Health
The Canadian Association of Physician Assistants (CAPA) is a national professional organization which advocates for physician assistants (PAs) and represents its membership across Canada and globally. CAPA is committed to foster development of the physician/PA model to assure quality care for Canadians. CAPA has established and maintains the nati...
The Scope of Practice Statement defines how and under what circumstances the PA may exercise their competencies within the healthcare system. The PA scope of practice is relevant to practice in any health care setting or role. PAs are medically educated clinicians who practice medicine within a formalized agreement with physician(s). The Scope of P...
For PA students, the CanMEDS-PA describes the knowledge, skills and attitudes that they are required to demonstrate during their academic experience. The education program utilizes these competencies as a basis for assessments. The competencies also serve as a guide for the Canadian national certification exam. For Certified PAs, the CanMEDS-PA pro...
The CanMEDS-PA provides supervising physicians with a list of the basic competencies of a certified entry-level PA. It also describes the role of a PA in a patient centered team.
The CanMEDS-PA provides educators with the template that may be used as the basis for curriculum development in each phase of training. It may also be used for the creation of in-training assessments tools to monitor progress.
The CanMEDS-PA may be used to help develop medical directives for PAs at provincial or local levels to optimize the quality of patient care.
The physician/PA relationship is central to the PA scope of practice. As Medical Expert, PAs integrate all of the CanMEDS Roles, applying medical knowledge, clinical skills, and professional attitudes in their provision of high-quality and safe patient-centered care. Medical Expert is the central PA role in the CanMEDS framework and defines the PAs...
As Medical Experts who provide high-quality, safe, patient-centered care: PAs draw upon an evolving body of knowledge, clinical skills, procedural skills and professional attitudes. They apply these competencies to collect and interpret information, make appropriate clinical decisions, and carry out diagnostic and therapeutic interventions. They do...
Application of appropriate therapies Application of ethical principles for patient care Clinical decision-making Clinical judgment Core medical knowledge Diagnostic reasoning Humane care Integration and application of all CanMEDS roles for patient care Knowing limits of expertise Maintains collaborative relationship with the supervising physician M...
Function effectively as a physician extender, integrating all of the CanMEDS roles (as adapted for the PA) to provide optimal, ethical and patient-centered medical care; Apply clinical knowledge, appropriate to patient care; Perform a complete and appropriate assessment of a patient and formulate a clinical treatment plan; Implement effective man...
As Communicators, PAs effectively facilitate patient centered care and the dynamic exchanges that occur before, during, and after the medical encounter.
PAs enable patient-centered therapeutic communication by exploring the patient’s symptoms, which may be suggestive of disease, and by actively listening to the patient’s experience of their illness. PAs explore the patient’s perspective, including their fears, ideas about the illness, feelings about the impact of the illness, and expectations of he...
Accuracy Addressing end-of-life issues Appropriate documentation Attention to the psychosocial aspects of illness Breaking bad news Capacity assessment Capacity for compassion, trustworthiness, integrity Concordance of goals and expectations Conveying effective oral and written information for patient care across different media Diverse PA/physicia...
Develop professional rapport, trust and ethical therapeutic relationships with patients, families and caregivers; Accurately elicit and synthesize relevant information and perspectives of patients, families, caregivers and other health care professionals; Accurately convey relevant information and explanations to patients, families and other health...
As Collaborators, PAs work within a formalized relationship with physician(s) and informally with members of the interprofessional healthcare team to effectively optimize patient care.
PAs work within a formalized practice description or delegated acts structure with physician(s) in the care of patients within the PA/physician/patient relationship. Within this relationship it is essential for PAs to be able to collaborate effectively with patients, families, and an interprofessional team of expert health professionals for the pro...
Collaboration with community agencies Communities of practice Conflict resolution, management, and prevention Constructive negotiation Collaborative care, culture and environment Effective consultation with respect to collaborative dynamics Effective primary care – specialist collaboration Effective teams Gender issues Interprofessional health care...
Work within the PA/Physician relationship; Participate effectively and professionally in an interprofessional healthcare team; Work effectively with other professionals to prevent, negotiate interprofessional conflict; Transfer care effectively and safely to another health care professional. and resolve
PAs interact within their work environment as individuals, as members of teams or groups and as participants in the local, regional or national healthcare system. The balance of the emphasis among these three levels varies depending on the nature of the practice, but all practices will have some degree of management responsibility. PAs function as ...
Administration Career development Collaborative decision-making Consideration of justice, efficiency and effectiveness in the allocation of finite health care resources for optimal patient care Health human resources Information technology for health care Organization, structure and financing of the healthcare system PAs as active participants in t...
Participate in activities that contribute to the effectiveness of their health care organizations and systems, including improving clinical practice and PA utilization; Effectively prioritize and execute tasks in collaboration with colleagues; Utilize finite health care resources appropriately.
As Health Advocates, PAs responsibly use their expertise and influence to advance the health and well-being of individual patients, communities, and populations.
PAs recognize the importance of improving the overall health of patients, as well as advocacy opportunities for the individual patient. Individual patients benefit from having a PA along with their physician(s) to assist them in navigating the healthcare system and accessing appropriate health resources in a timely manner. Health advocacy is an ess...
Adapting practice, management and education to the needs of the individual patient Advocacy for individual patients, populations and communities Determinants of health, including psychological, biological, social, cultural and economic Health promotion and disease prevention Interactions of advocacy with other CanMEDS roles and competencies Patient...
Respond to individual patient health needs and issues as part of patient care; Identify the determinants of health for the populations that they serve.
As Scholars, PAs demonstrate a lifelong commitment to reflective learning, evaluating evidence and the application and translation of medical knowledge.
Anxiety (chronic/panic attacks) Adjustment reaction (Grief) Depression Eating disorders Suicide Assessment Normal stages of Childhood Development Abuse (Physical/Emotional/Sexual; child, spouse, elder)
Anxiety (chronic/panic attacks) Adjustment reaction (Grief) Depression Eating disorders Suicide Assessment Normal stages of Childhood Development Abuse (Physical/Emotional/Sexual; child, spouse, elder)
Anxiety (chronic/panic attacks) Adjustment reaction (Grief) Depression Eating disorders Suicide Assessment Normal stages of Childhood Development Abuse (Physical/Emotional/Sexual; child, spouse, elder)
Anxiety (chronic/panic attacks) Adjustment reaction (Grief) Depression Eating disorders Suicide Assessment Normal stages of Childhood Development Abuse (Physical/Emotional/Sexual; child, spouse, elder)
Anxiety (chronic/panic attacks) Adjustment reaction (Grief) Depression Eating disorders Suicide Assessment Normal stages of Childhood Development Abuse (Physical/Emotional/Sexual; child, spouse, elder)
Anxiety (chronic/panic attacks) Adjustment reaction (Grief) Depression Eating disorders Suicide Assessment Normal stages of Childhood Development Abuse (Physical/Emotional/Sexual; child, spouse, elder)
Anxiety (chronic/panic attacks) Adjustment reaction (Grief) Depression Eating disorders Suicide Assessment Normal stages of Childhood Development Abuse (Physical/Emotional/Sexual; child, spouse, elder)
Anxiety (chronic/panic attacks) Adjustment reaction (Grief) Depression Eating disorders Suicide Assessment Normal stages of Childhood Development Abuse (Physical/Emotional/Sexual; child, spouse, elder)
Anxiety (chronic/panic attacks) Adjustment reaction (Grief) Depression Eating disorders Suicide Assessment Normal stages of Childhood Development Abuse (Physical/Emotional/Sexual; child, spouse, elder)
Anxiety (chronic/panic attacks) Adjustment reaction (Grief) Depression Eating disorders Suicide Assessment Normal stages of Childhood Development Abuse (Physical/Emotional/Sexual; child, spouse, elder)
Anxiety (chronic/panic attacks) Adjustment reaction (Grief) Depression Eating disorders Suicide Assessment Normal stages of Childhood Development Abuse (Physical/Emotional/Sexual; child, spouse, elder)
Anxiety (chronic/panic attacks) Adjustment reaction (Grief) Depression Eating disorders Suicide Assessment Normal stages of Childhood Development Abuse (Physical/Emotional/Sexual; child, spouse, elder)
Anxiety (chronic/panic attacks) Adjustment reaction (Grief) Depression Eating disorders Suicide Assessment Normal stages of Childhood Development Abuse (Physical/Emotional/Sexual; child, spouse, elder)
Anxiety (chronic/panic attacks) Adjustment reaction (Grief) Depression Eating disorders Suicide Assessment Normal stages of Childhood Development Abuse (Physical/Emotional/Sexual; child, spouse, elder)
Anxiety (chronic/panic attacks) Adjustment reaction (Grief) Depression Eating disorders Suicide Assessment Normal stages of Childhood Development Abuse (Physical/Emotional/Sexual; child, spouse, elder)
Anxiety (chronic/panic attacks) Adjustment reaction (Grief) Depression Eating disorders Suicide Assessment Normal stages of Childhood Development Abuse (Physical/Emotional/Sexual; child, spouse, elder)
Anxiety (chronic/panic attacks) Adjustment reaction (Grief) Depression Eating disorders Suicide Assessment Normal stages of Childhood Development Abuse (Physical/Emotional/Sexual; child, spouse, elder)
Anxiety (chronic/panic attacks) Adjustment reaction (Grief) Depression Eating disorders Suicide Assessment Normal stages of Childhood Development Abuse (Physical/Emotional/Sexual; child, spouse, elder)
Anxiety (chronic/panic attacks) Adjustment reaction (Grief) Depression Eating disorders Suicide Assessment Normal stages of Childhood Development Abuse (Physical/Emotional/Sexual; child, spouse, elder)
Anxiety (chronic/panic attacks) Adjustment reaction (Grief) Depression Eating disorders Suicide Assessment Normal stages of Childhood Development Abuse (Physical/Emotional/Sexual; child, spouse, elder)
Anxiety (chronic/panic attacks) Adjustment reaction (Grief) Depression Eating disorders Suicide Assessment Normal stages of Childhood Development Abuse (Physical/Emotional/Sexual; child, spouse, elder)
Anxiety (chronic/panic attacks) Adjustment reaction (Grief) Depression Eating disorders Suicide Assessment Normal stages of Childhood Development Abuse (Physical/Emotional/Sexual; child, spouse, elder)
Anxiety (chronic/panic attacks) Adjustment reaction (Grief) Depression Eating disorders Suicide Assessment Normal stages of Childhood Development Abuse (Physical/Emotional/Sexual; child, spouse, elder)
Anxiety (chronic/panic attacks) Adjustment reaction (Grief) Depression Eating disorders Suicide Assessment Normal stages of Childhood Development Abuse (Physical/Emotional/Sexual; child, spouse, elder)
PSM Practice Direction Practice and Supervision Requirements For lA, Pas, and PA Students Effective March î ì, ì î ð Page ò supervisory duties, particularly relating to the immediate supervision of the lA or PA in delivering patient care.7 iii. While they may assign, direct, and supervise the duties and
Jul 2, 2023 · Medical directives are used in Ontario*, and can play a crucial role in allowing PAs to practice with indirect supervision by providing a framework that outlines their authorized scope of practice and level of autonomy. We will explore the importance of medical directives for PAs and provide a practical guide for employers seeking to establish ...
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Oct 16, 2022 · CPSO outlines that the delegate (PA) should be evaluated by supervising physician to ensure the PA has the appropriate knowledge, skill and judgement to perform the act just as well as the supervising physician. How this can be evaluated is a competency checklist. For instance, your supervising physician (or designee) can observe you do a ...
