emory university physician assistant program

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3/25/2022 1 Department of Family and Preventive Medicine Physician Assistant Program Emory University Physician Assistant Program Virtual Open House Allan Platt PA-C, MMSc Assistant Professor, Director of Admissions [email protected] Please keep mute ON to reduce background noise. Comparison Patient Care Options MD/DO Nurse Practitioner - NP Physician Assistant - PA Average Annual Salary Primary Care $206,500 $110,700 $112,262 Licensing Independent, Supervises team under State Medical Board Independent license under State Nursing Board Licensed under physician supervision, under State Medical Board Years Training Clinical Training 4 yrs College 4 years Medical School 3 – 4 years Residency 12 years total 9- 10,000 hours 4 years Nursing School 2 years NP program 6 years total Or any 4 yr degree + 1 yr accelerated RN Then 2 yr NP program - 7 year total 720 hours 4 years College 2 – 2.5 years PA program 6 years total 2,000 hours Degree Medical Doctor –MD or DO Masters – now moving to Clinical Doctorate Masters 100% # programs 136 MD/26 DO 350 280 Specialized certifications, tests Yes, USMLE 1 and 2 then after residency Locked in specialty Yes- Board exam, Locked in specialty Yes- Board exam, Can migrate specialties Medical Model Biomedical model Biopsychosocial nursing model Biomedical model MD vs. PA MDs are not happy - Changes in Burnout and Satisfaction With Work- Life Balance in Physicians and the General US Working Population Between 2011 and 2014 - Mayo Clinic Proceedings December 2015 Volume 90, Issue 12, Pages 1600–1613 - 35,922 physicians 54.4% (n=3680) of the physicians reported at least 1 symptom of burnout in 2014. MDs are not happy - Changes in Burnout and Satisfaction With Work- Life Balance in Physicians and the General US Working Population Between 2011 and 2014 - Mayo Clinic Proceedings December 2015 Volume 90, Issue 12, Pages 1600–1613 - 35,922 physicians 54.4% (n=3680) of the physicians reported at least 1 symptom of burnout in 2014. PA Happiness - Physician Assistant Job Satisfaction: A Narrative Review of Empirical Research The Journal of Physician Assistant Education: December 2015 - Volume 26 - Issue 4 - p 176–186 -Most studies report a high degree of job satisfaction when autonomy, income, patient responsibility, physician support, and career advancement opportunities are surveyed. PA Happiness - Physician Assistant Job Satisfaction: A Narrative Review of Empirical Research The Journal of Physician Assistant Education: December 2015 - Volume 26 - Issue 4 - p 176–186 -Most studies report a high degree of job satisfaction when autonomy, income, patient responsibility, physician support, and career advancement opportunities are surveyed. A Career as a PA PA Job Growth 31% over next 8 years - U.S. Bureau of Labor Statistics, Occupational Employment Statistics https://www.bls.gov/ooh/healthcare/physician- assistants.htm#tab-6 PA Salary by Specialty https://www.aapa.org/news-central/2020/12/top-10-paying-specialties-in-the-pa-profession/ 1 2 3 4 5 6

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3/25/2022

1

Department of Family and Preventive MedicinePhysician Assistant Program

Emory UniversityPhysician Assistant ProgramVirtual Open House

Allan Platt PA-C, MMSc

Assistant Professor, Director of Admissions

[email protected]

Please keep mute ON to reduce background noise.

ComparisonPatient Care

Options

MD/DO Nurse Practitioner - NP Physician Assistant

- PA

Average Annual Salary Primary Care $206,500 $110,700 $112,262

Licensing Independent,

Supervises team under State

Medical Board

Independent license under State

Nursing Board

Licensed under physician

supervision, under State Medical

Board

Years Training

Clinical Training

4 yrs College

4 years Medical School

3 – 4 years Residency

12 years total

9- 10,000 hours

4 years Nursing School

2 years NP program

6 years total

Or any 4 yr degree + 1 yr accelerated

RN Then 2 yr NP program - 7 year

total

720 hours

4 years College

2 – 2.5 years PA program

6 years total

2,000 hours

Degree Medical Doctor –MD or DO Masters – now moving to Clinical

Doctorate

Masters 100%

# programs 136 MD/26 DO 350 280

Specialized

certifications, tests

Yes, USMLE 1 and 2 then after

residency

Locked in specialty

Yes- Board exam, Locked in specialty Yes- Board exam,

Can migrate specialties

Medical Model Biomedical model Biopsychosocial nursing model Biomedical model

MD vs. PA

MDs are not happy - Changes in Burnout and Satisfaction With Work-

Life Balance in Physicians and the General US Working Population

Between 2011 and 2014 - Mayo Clinic Proceedings December 2015 Volume

90, Issue 12, Pages 1600–1613 - 35,922 physicians 54.4% (n=3680) of the

physicians reported at least 1 symptom of burnout in 2014.

MDs are not happy - Changes in Burnout and Satisfaction With Work-

Life Balance in Physicians and the General US Working Population

Between 2011 and 2014 - Mayo Clinic Proceedings December 2015 Volume

90, Issue 12, Pages 1600–1613 - 35,922 physicians 54.4% (n=3680) of the

physicians reported at least 1 symptom of burnout in 2014.

PA Happiness - Physician Assistant Job Satisfaction: A Narrative Review of Empirical Research The Journal of Physician Assistant Education: December 2015 - Volume 26 -

Issue 4 - p 176–186 -Most studies report a high degree of job satisfaction when

autonomy, income, patient responsibility, physician support, and career advancement

opportunities are surveyed.

PA Happiness - Physician Assistant Job Satisfaction: A Narrative Review of Empirical Research The Journal of Physician Assistant Education: December 2015 - Volume 26 -

Issue 4 - p 176–186 -Most studies report a high degree of job satisfaction when

autonomy, income, patient responsibility, physician support, and career advancement

opportunities are surveyed.

A Career as a PA

PA Job Growth

• 31% over next 8 years - U.S. Bureau of Labor Statistics, Occupational Employment Statistics

• https://www.bls.gov/ooh/healthcare/physician-assistants.htm#tab-6

PA Salary by Specialty

https://www.aapa.org/news-central/2020/12/top-10-paying-specialties-in-the-pa-profession/

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Role of PAs

Working interdependently with physicians -Overlap Working interdependently with physicians -Overlap

• History & physical exams

• Order & interpret studies (ECG, X-ray, CT, labs)

• Assess & diagnose

• Perform procedures

• Prescribing in all 50 states

Migratory Migratory

• Any specialty (not anesthesia) without re-training

• MD/NPs are locked in specialties

Other opportunities: Research, Administration, Public Health, Education, Leadership …Other opportunities: Research, Administration, Public Health, Education, Leadership …

Where do PAs practice?

Specialty based on primary

employer

4%

13%

21%

5%

2%6%6%

4%2%

2%

2%

4%

3%

3%

16%

2%

4%

Primary Clinical Specialty

Dermatology

Emergency medicine

Family medicine

Hospital medicine

Pain management

Urgent care

Internal medicine: General

Internal medicine: Cardiology

Internal medicine: Gastroenterology

Internal medicine: Hematology + oncology

Pediatrics: General

Surgery: General

Surgery: Cardiovascular & cardiothoracic

Surgery: Neurological

Surgery: Orthopaedics

Surgery: Urology

Other

PA Education

• Approximately 139,000 PAs in the US (NCCPA)

– 12,526 PAs are in 17 other countries

• Currently 15,000 enrolled students (PAEAonline.org)

• 282 Accredited US PA Programs (arc-pa.org)

8 in Georgia: Emory, South University - Savannah, South University –

Atlanta, Mercer, Morehouse, PCOM – South GA Moultrie , PCOM –

Atlanta, Brenau University

• 106 Global Programs

106 Global Programs US PA Program Rankings

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Learn about Emory PA

www.EmoryPA.org

Emory’s Beginnings1967: Inception as Cardiac Care Medical

Specialist at Grady Memorial Hospital with J. Willis Hurst, MD

1971: Degree-granting Program Began

1973: First Graduating Class

1988: 1st Primary Care Masters Degree PA Program in US

2021: 50 Year Anniversary

Emory History link

Eugene A. Stead BS and MD from Emory University

Chairman, Emory Department of Medicine (1942-46) Dean of School of Medicine (1945-46)

Awards a Master of Medical Science Degree

Focus on Primary Care & medically underserved populations

Emory’s Beginnings

Emory’s Beginnings

Dr. Eugene A. Stead and Dr. J. Willis Hurst

Emory’s Beginnings Emory PA Program Mission

The Emory Physician Assistant Program recruits,educates and mentors a diverse group ofstudents to become highly regarded physicianassistants providing compassionate health careof the highest quality.

Emory PA Program Goals

Support students’ journey to become well prepared, certified PAs by providing a high-quality, evidence-based curriculum and diverse clinical training opportunities

Recruit, mentor, and support a diverse student body

Promote opportunities for community engaged learning, service, and outreach to underserved populations

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Emory Application Requirements

Baccalaureate degree from regionally accredited institution. Applicants graduating from international institution must have min of 24 semester credits as a full-time

student at a US or Canadian regionally accredited institution.

Baccalaureate degree from regionally accredited institution. Applicants graduating from international institution must have min of 24 semester credits as a full-time

student at a US or Canadian regionally accredited institution.

A cumulative and science GPA of 3.0/4.0A cumulative and science GPA of 3.0/4.0

NO GREs or other tests required this cycleNO GREs or other tests required this cycle

CASPA & Supplemental Applications ($70.00 fee)CASPA & Supplemental Applications ($70.00 fee)

Applicants must meet the Emory PA Program Technical StandardsApplicants must meet the Emory PA Program Technical Standards

Minimum of 2000 hours direct patient care experience at time of applicationMinimum of 2000 hours direct patient care experience at time of application

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Prerequisite Courses

• Statistics - 3 semester credits

• Natural sciences - min 23 semester credits or 34.5 quarter hours – Can be online

– Biology with lab - 4 semester/6 quarter hours

– General Chemistry with lab(s) - 8 semester/12 quarter hours

– Organic or biochemistry, not a survey course - 3 semester/5 quarter hours

– Anatomy & Physiology (I and II ) - 8 semester/12 quarter hours

Applications for class of 2023

• Applicants on CASPA

– Total Applicants 2071

– Total Completed 958

– Interviews 205 over 9 zoom sessions

– Dual Degree 3 (Class of 2024)

• Total Class Size 54

Class of 2022 vs 2023

• Class of 2023• # of students 53

– Male 11%, Female 89%– Diversity = 38% – Advanced Degree = 19% – Dual Degree MPH-PA = 0– Veterans = 2%

• Average age: 25.8 (20 – 53)• GPA

– Total 3.63– Science 3.65

• Health Care Experience 5,079hrs (Range 2040 – 20,800 )

• Humanitarian volunteer 819 hrs(Range 0 – 4,637)

• GRE– Verbal 154– Quant 159– Analytical 4.4

• Class of 2022• # of students 54

– Male 15%, Female 85%– Diversity = 39% – Advanced Degree = 24% – Dual Degree MPH-PA = 4– Veterans = 4%

• Average age: 25.9 (21 – 54)• GPA

– Total 3.63– Science 3.65

• Health Care Experience 5,536 hrs(Range 2020 – 20,610 )

• Humanitarian volunteer 1,108 hrs(Range 0 – 9,514)

• GRE– Verbal 155– Quant 153– Analytical 4.3

Where are you from?

• States

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4

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CA CO DC FL GA IL LA MA MD ME MI MN NC NY SC SD TX UT VA WA

Health Care Experience5,079 Hours Average

Clinical Experience

0

2

4

6

8

10

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MA CNA EMT/EDT AT-C Dietician Card Trch Exer Phys Rad Tech RN ResearchCoord

HC Tech Scribe ParamedicNeurophys OpthoTech

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Background & Experience

Direct Patient Care Experience –

2000 hours minimum

• Athletic Trainer

• Clinical Researcher (with patient involvement)

• CNA/MA

• Critical Care Tech

• Dietician

• EMT/Paramedic/ED Tech

• Exercise Physiologist

• Health Educators/Child Development Specialist

• Nuclear Tech/Diagnostic Radiology Tech

• Nursing - RN

• Physical Therapist, PT aid

• Psychologists/Mental Health Counselor

• Respiratory Therapist

• Scribe

• Social Worker

Community Service: Class of 2023

• Average 819 hours • > 50 different organizations

Examples:• Habitat for Humanity• Free Clinics/Homeless shelters• High Risk Youth • EMT• Food Banks• Missions• Big Brother/Big Sister• Mentors/Teachers• Red Cross• Etc., etc., etc.

Holistic Approach to Applications

Narrative Statement

GRE Scores

Undergrad GPA Mission

Interview DayAcademic Potential

Letters of RecommendationHealth Care Experience

Science GPA

Why Emory?

MMI Interview Format

6 short scenarios (verbal responses) -7 minutes each + 25 minute writing sample

Interviewers are blinded to CASPA information Decreased biasGives most opportunity to respond

On Campus or Zoom Option

Ali S, Sadiq Hashmi MS, Umair M, Beg MA, Huda N. Multiple Mini-Interviews: Current Perspectives on Utility and Limitations. Adv Med Educ Pract. 2019;10:1031-1038. Published 2019 Dec 12. doi:10.2147/AMEP.S181332

Collaboration

NO competition in the classroom – everyone helps everyone

Support for your success

Buddy system

Small group society with 2 faculty advisors

Diverse student body with peer teaching/tutoring

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What academic Support looks like

*Ask for help early! Peers Faculty

Learning Assessment

Peer TutoringProfessional support services

In trouble?

Active Learning

Anatomy Dissection Lab Skills Labs

Active Learning

Point of Care UltrasoundOSCE SuitesW

hy

I ch

ose

Em

ory

Curriculum Curriculum

FOUNDATIONS

1 Semester

DIDACTIC

3 Semesters

CLINICAL

3 Semesters

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1. Foundations Phase (Fall 1)

• Anatomy with Dissection Cadaver Lab

• Introduction to Physical Assessment (IPA) –Complete Physical Examination

• Foundation of Medical Science (FMS)Introduction to pharmacology, genetics, medical microbiology, and ultrasound

• Biomedical Ethics

• Medical CommunicationsThe complete Medical History and documentation

Didactic Modules

• Epidemiology

• Clinical History

• Symptoms & Signs

• Differentials

• Work Up

• Management

• Patient Education

Cardiology

PulmonologyObstetrics

Neurology

OrthopedicsGastroenterology

Ears Nose & Throat

Pediatrics

Endocrine

PsychiatryGeriatricsNephrology

dermatology

Hematology-oncology

Didactic Module Threads

Social determinants

DELP

POCUS

Pharmacology

Simulation

Pathophysiology

& Genetics

Didactic Module Threads

Basic Science

• Anatomy Review

• Biochemistry

• Genetics

• Immunology

• Microbiology

• Nutrition

• Physiology

• Pathophysiology

• Preventive Medicine

Threads

• Social Determinants of Health

• POCUS

• Pharmacology

• DELP - Patient Encounters

• Skills Labs

POCUS – Point of Care Ultra Sound

Butterfly IQ - $2000

Didactic Module Phase

Spring 1 Modules: Hematology/Oncology, Psychiatry, Dermatology, ENT/Pulmonary, Cardiovascular

Courses: Community and Social MedicineEpidemiology and Biostatistics

Summer 1 Modules: GI, GU, Endocrine, Orthopedics/Rheumatology

Courses: Professional Issues I

Fall 2 Modules: Neurology, Emergency Medicine, Surgery, Pediatrics, OB/GYN, Geriatrics

Courses: Professional Issues II

Summative Testing and Skills Demonstration

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1. Community & Social Medicine

2. Professional Issues I – Business of Medicine and systems, licensure, employment

3. Professional Issues II – Team Practice, balance, medico-legal aspects

Didactic

Key Semester Courses

• Introduction to epidemiology

• How to be a responsible consumer of medical literature!

• Overview of study designs, how studies are conducted, study bias and flaws in medical literature.

• Journal Club

Didactic

Epi & Biostats

Week

Weekly Learning Society!

Weekly format: Case discussions, Clinical reasoning, Peer mentoring

Didacticputting it together

• Case Based Learning

• Team Based Learning

• OSCE

• Patient Interactions

• Community Outreach

Clinical Year

8 Months Core Rotations3 Months Electives

Emergency Medicine

Family Medicine

Hospital Medicine

OB/GYN

Pediatrics

Psychiatry

General Surgery

Social Determinants of Health (Emory Farmworker Project)

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• May be outside of Metro Atlanta (housing provided)

• Electronic patient/procedure logging

• End of rotation days

• PAEA End of Rotation Exams

• Exam Master test questions

• National Board Review Course Access

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Academic Health Care System Grady Hospital

800 bed Level 1 Trauma Center, Burn Unit, Stroke Center, Sickle Cell Center

Video link https://youtu.be/kdy4GozMTvI

Emory Farmworker Project

• 25th Year, over 38,000 patients served• 2 weeks in June, 1 fall weekend• Interdisciplinary care with medical

interpreters

Good Samaritan Clinic

Student -Run Clinic

• Interdisciplinary training with PA and medical students

• One weekend a month

• Serving the working poor, low income, and uninsured

Academic Elective

Addiction Medicine

Cardiothoracic Surgery

Cardiology

Dermatology

ENT

Gastroenterology

Geriatrics

Infectious Diseases

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tive

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Neurology

Neurosurgery

Oncology

Orthopedics

Pediatric Emergency Medicine

Radiology

Urology

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Thesis Paper PresentationPoster

Mas

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Unique Opportunities at Emory Emory Farmworker Project

29 Months – Emory PA Graduate What makes a Strong Candidate?

Solid clinical experience – AT-C, RN, Combat Medic, then EMTs, Respiratory therapist, Rad Tech Ultrasound, Med Tech, Counselor, Social work, Speech pathologist , then MA, Scribe Pt Assistant, Clinical research assistant

Community service – Missions, underserved populations, health care, out of comfort zone, another language

Leadership – Captain of team, TA, Proctor, team leader

Honors – Publications, academic awards, community service awards

Personal Statement – talk about journey to decide PA, missions, work related PA encounters… For supplemental, please talk about the school and why them. Visit the school and talk with students.

Questions?

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Department of Family and Preventive MedicinePhysician Assistant Program

Emory University Physician Assistant Program

1462 Clifton Road, Suite 280Atlanta, GA 30322

Main: 404.727.7825Admissions: 404.727.7857

Allan Platt PA-C, MMSc *Kaye Johnson *

Ursula Robinson *Javar White *

[email protected]@[email protected]@emory.edu

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