MUPAP January 2022 Lisa Huggins Oxendine DrPH MAEd PA What is a Physician Assistant PA Health Disparities and the Importance of Diversity Session Goals Discuss the PA profession including how PAs function in healthcare and compare to MDsNPS ID: 932417
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Road to PA School SeminarMUPAP January 2022
Lisa Huggins Oxendine, DrPH, MAEd, PA
Slide2What is a Physician Assistant (PA), Health Disparities, and the Importance of Diversity
Slide3Session Goals
Discuss the PA profession including how PAs function in healthcare and compare to MDs/NPS
Discuss the typical day for a PA
Define Health Disparities Present an overview of factors related to Health Disparities Define Diversity Briefly consider potential impact upon patients/communities by increased diversity in PA profession
Slide4What is a Physician Assistant (PA)
PAs are
medical professionals
trained
in an impressive body of knowledge (over thousands of hours in rigorous/fast-paced formal training program then maintained/built upon continually for the life of practice) that enables them to
Diagnose illness
Develop and manage treatment plansPrescribe medications
Often serve patient’s principal healthcare provider
PAs are versatile (train as generalists) and collaborative (function as a member of teams to provide care for patients)
. *
Based upon What is a PA? Learn more about the PA profession – AAPA
*Blue font and comments added by speaker
Slide5A
pproximately 150,000 PAs practice in every medical setting in all 50 states and the District of Columbia. They work in
hospitals, medical offices, community health centers, nursing homes, retail clinics, educational facilities, workplace clinics, and correctional institutions
. PAs also serve in the nation’s uniformed services and work for other federal government agencies, such as the Department of Veterans Affairs.*
Based upon What is a PA? Learn more about the PA profession – AAPA
*Blue font color added by speakerWhere PAs Practice
Slide6PAs/MDs Overview Differences
Discover How to Choose Between PA vs. MD degree | SGU
*Blue font text added by speaker
PAs
MDs
Ed 4yr undergrad, 2-3 yr PA Prgm
Train in Medical Model (Dz Focus)PAs train as generalists, can change practice focus without re-trainingMany states require PA/MD supervisory relationship
PAs assist w/surgeriesPAs may handle routine patient care
Ed 4yr undergrad, 4 yr Med Sch, 3-7yr Residency, +/- FellowshipTrain in Medical Model (Dz focus)
MDs train specifically so must train additionally to make major change
MDs are autonomous
MDs perform surgery
MDs tend to handle more complex pts
*
Slide7At the practice level, there are likely more similarities than differences between PAs and NPs. However, there are two key differences:
• PAs are
educated in general medicine
, which offers a comprehensive view of all aspects of medicine. NPs must choose a “population focus,” e.g., pediatric nurse practitioner or women’s health nurse practitioner.
• PAs are trained to practice medicine using a curriculum modeled on medical school education
(disease focused). NPs are trained in the advanced practice of nursing (more holistic approach to patients)*
PAs/NPs
Based upon What is a PA? Learn more about the PA profession – AAPANursing Model vs. Medical Model (Similarities & Differences) | linkPAs*Blue text added by speaker
Slide8Typical Day of PA
Slide9Health disparities are
preventable differences
in the burden of disease, injury, violence, or in opportunities to achieve optimal health experienced by socially disadvantaged racial, ethnic, and other population groups, and communities. Health disparities exist in all age groups...
Health Disparities
Health Disparities | Healthy Aging | CDC
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Slide10Health disparities are health differences between different groups of people.
These health differences may include:
How many people get certain diseases
How severe the diseases are
How many people have complications because of the diseases
How many people die from a diseaseWhether people can get health careHow many people get screened for a disease
Health Disparities
Health Disparities: MedlinePlus
Slide118396-03-figure-1.png (960×720) (kff.org)
Health Disparities
Slide12Diversity is about representation. It is the collective mixture of human beings and their individual identities co-existing within a specific space. These identities must be considered holistically to include race, age, gender, sexual orientation, religion, sex, disabilities, culture, and educational backgrounds.
Diversity, Equity, and Inclusion Resource Center - AAPA
Diversity
Slide13A lack of diversity in the workforce limits the capabilities of medicine, containing it within a single ethnic lens and a particular set of values. The medical workforce should instead reflect the variety of patients for which they provide care.
The Importance and Benefits of Diversity in Health Care | SGU
Diversity in Healthcare and the Community
Slide14Healthy People (HP) 2030 Objective
Increase the proportion of adults who do enough aerobic physical activity for substantial health benefits — PA‑02
Physical Activity Stats vs Goals
54.2% (2018 data) at PA02 Goal
59.2% (2030 Target) for PA02
Ongoing issues end of HP2020
Childhood obesity 2-19yo increased Adult obesity ≥ 20yo increased Child fruits/total veggies (except dark green leafy veggies) intake no improvementRequired school recess no improvementScreen time 2-14yo no improvement
Increase the proportion of adults who do enough aerobic physical activity for substantial health benefits — PA‑02 - Healthy People 2030 | health.gov
Slide15Timothy Hill, St Kitts separates Atlantic Ocean (left) from Caribbean Sea (right) Dec, 2021 LHOxendine