370043 Competencies for the PA Profession Adopted 2005 amended 2013 re - PDF document

1 3700.4.3 Competencies for the PA Profess
3700.4.3 Competencies for the PA Profession [Adopted 2005, amended 2013, reaffirmed 2010, 2018, amended 2021]CompetenciesforthePhysicianAssistant(PA)Professiondopted, amendedIntroductionThis document defines the specific knowledge, skills, and attitudes that Background The PA competencies were originally developed in response to the growing demand for Methods This version of theCompetencies for the Physician Assistant Profession was developed by the CrossOrg Competencies Review Task Force, which included two representatives from each of the fournational PA organizations. The task force was charged with reviewing the professionalcompetencies as part of a periodic fiveyear review process, as well as to “ensure alignment withthe Core Competencies for New PA Graduates,” which were developed by the Physician AssistantEducation Association in 2018 to provide a framework for accredited PA programs to standardizepracticereadinessfornewgraduates.The CrossOrg Competencies Review Task Force began by developing the following set ofguidingprinciplesthatunderpinnedthiswork:1.PAsshouldpursueselfandprofessionaldevelopmentthroughouttheircareers.2.ThecompetenciesmustrelevantallPAs,regardlessspecialtypatientcaresetting.3.Professionalcompetenciesareultimatelyaboutpatientcare.4.The body of knowledge produced in the past should be respected, while recognizing thechanginghealthcareenvironment.5.Thetheprofessionmustalwaystakeprecedenceoverselfinterest.The task force reviewed competency frameworks from several other health professions. The resultis a single document that builds on the Core Competencies for New PA Graduates and extendsthroughthelifespanPA’scareer. The competencies were drawn from three sources: the previous Competencies

2 for thePhysician Assistant Profession,
for thePhysician Assistant Profession, PAEA’s Core Competencies for New PA Graduates, and theEnglander et al article Toward a Common Taxonomy of Competency Domains for the HealthProfessions and Competencies for Physicians which drew from the competencies of several healthprofessions.The task forcelected not to reference the source of each competency since most ofthese competencies were foundational to the work of multiple health professions and are in thepublic domain. The task force acknowledges the work of the many groups that have gone befothemseekingcapturetheessentialcompetencieshealthprofessions. 1. Englander R, Cameron T, Ballard AJ, Dodge J, Bull J, Aschenbrener CA. Toward a common taxonomy ofcompetency domains for the health professions and competencies for physicians. Academic Medicine. 2013 Aug1;88(8):1088CompetenciesKnowledgeforPracticeDemonstrate knowledge about established and evolving biomedical and clinical sciences and theapplicationthisknowledgepatientcare.PAsshouldableto:Demonstrateinvestigativeandcriticalthinkingclinicalsituations.Accessandinterpretcurrentandcrediblesourcesmedicalinformation.Apply principles of epidemiology to identify health problems, risk factors, treatmentstrategies, resources, and disease prevention/health promotion efforts for individuals andpopulations.Discernamongacute,chronic,andemergentdiseasestates. Apply principles of clinical sciences to diagnose disease and utilize therapeutic ecisionmaking,clinicalproblemsolving,andotherevidencebasedpracticeskills.Adhere to standards of care, and to relevant laws, policies, and regulations that overn thedeliverycaretheUnitedStates.Consider costeffectiveness when allocating resources for individual patient or populationbasedcare.Work ef

3 fectively and efficiently in various hea
fectively and efficiently in various health care delivery settings and systemsrelevantthePA’sclinicalspecialty.Identify and address social determinants that affect access to care and deliver high qualitycarevaluebasedsystem.1.10Participate in surveillance of community resources to determine if they are adequate tosustainandimprovehealth.1.11Utilize technological advancements that decrease costs, improve quality, and increaseaccesshealthcare.InterpersonalandCommunicationSkillsDemonstrate interpersonal and communication skills that result in the effective exchange ofinformation and collaboration with patients, their families, and health professionals. PAs should beableto:Establish meaningful therapeutic relationships with patients and families to ensure thatpatients’ values and preferences are addressed and thatneeds and goals are met to deliverpersoncenteredcare.Provide effective, equitable, understandable, respectful, quality, and culturally competentcare that is responsive to diverse cultural health beliefs and practices, preferred languages,healthliteracy, andothercommunicationneeds.Communicateeffectivelyelicitandprovideinformation.Accurately and adequately document medical information for clinical, legal, quality, andfinancialpurposes.Demonstrate sensitivity, honesty, and compassion in all conversations, includingchallenging discussions about death, end of life, adverse events, bad news, disclosure oferrors,andothersensitivetopics.Demonstrate emotional resilience, stability, adaptability, flexibility, and tolerance ofambiguity.Understand emotions, behaviors, and responses of others, which allows r effectiveinterpersonalinteractions.Recognizecommunicationbarriersandprovidesolutions.PersoncenteredCareProvide personce

4 ntered care that includes patientand set
ntered care that includes patientand settingspecific assessment, evaluation,and management and health care that is evidencebased, supports patient safety, and advanceshealthequity.PAsshouldableto:Gather accurate and essential information about patients through history taking, physicalexamination,anddiagnostictesting. Elicit and acknowledge the story of the individual and apply the context of the individual’slifetheircare, suchenvironmentalandculturalinfluences.Interpret data based on patient information and preferences, current scientific evidence,nd clinical judgment to make informed decisions about diagnostic and therapeuticinterventions.Develop,implement,andmonitoreffectivenesspatientmanagementplans.Maintain proficiency to perform safely all medical, diagnostic, and surgical proceduresconsideredessentialforthepracticespecialty.Counsel, educate, and empower patients and their families to participate in their care and enableshareddecisionmaking.Refer patients appropriately, ensure continuity of care throughout transitions betweenproviderssettings,andfollowpatientprogressandoutcomes.Provide health care services to patients, families, and communities to prevent healthproblemsandmaintainhealth.InterprofessionalCollaborationDemonstrate the ability to engage with a variety of other health care professionals in a manner thatoptimizessafe,effective,patientandpopulationcenteredcare.PAsshouldableto:Work effectively with other health professionals to provide collaborative, patientcenteredcare while maintaining a climate of mutual respect, dignity, diversity, ethical integrity, andtrust.Communicate effectively with colleagues and other professionals to establish and enhanceinterprofessionalteams.Engage the abilities of available hea

5 lth professionals and associated resourc
lth professionals and associated resources tocomplement the PA’s professional expertise and develop optimal strategies to enhancepatientcare.Collaboratewithotherprofessionalsintegrateclinicalcareandpublichealthinterventions.Recognize when to refer patients to other disciplines to ensure that patients receive optimalcaretherightandappropriatelevel.ProfessionalismandEthicsDemonstrate a commitment to practicing medicine in ethically and legally appropriate ways andemphasizing professional maturity and accountability for delivering safe and quality care topatientsandpopulations.PAsshouldableto:Adherestandardscaretherolethethehealthcareteam. Demonstratecompassion,integrity,andrespectforothers.Demonstrateresponsivenesspatientneedsthatsupersedesselfinterest.Showaccountabilitypatients,society,andtheprofession.Demonstrate cultural humility and responsiveness to a diverse patient populations,including diversity in sex, gender identity, sexual orientation, age, culture, race, ethnicity, socioeconomicstatus,religion,andabilities. Show commitment to ethical principles pertaining to provision or withholding of care,confidentiality,patientautonomy,informedconsent,businesspractices,andcompliancewithrelevantlaws,policies,andregulations.Demonstrate commitment to lifelong learning and education of students and other healthcareprofessionals.Demonstrate commitment to personal wellness and selfcare that supports the provision ofqualitypatientcare.Exercisejudgmentandfiscalresponsibilitywhenutilizingresources.5.10Demonstrateflexibilityandprofessionalcivilitywhenadaptingchange.5.11Implementleadershippracticesandprinciples.5.12Demonstrate effective advocacy for the PA profession in the workplace and in policymaking processes.PracticebasedLearningan

6 dQualityImprovementDemonstrate the abili
dQualityImprovementDemonstrate the ability to learn and implement quality improvement practices by engaging incritical analysis of one’s own practice experience, the medical literature, and other informationresources for the purposes of selfevaluation, lifelong learning, and practice improvement. PAs shouldableto:Exhibit selfawareness to identify strengths, addressdeficiencies, and recognize limits inknowledgeandexpertise.Identify,analyze,andadoptnewknowledge,guidelines,standards,technologies,products,servicesthathavebeendemonstratedimproveoutcomes.Identifyimprovementgoalsandperformlearningactivitiesthataddressgapsknowledge,skills,andattitudes.Usepracticeperformancedataandmetricsidentifyareasforimprovement.Developprofessionalandorganizationalcapacityforongoingqualityimprovement.Analyze the use and allocation of resources to ensure the practice of costeffective healthcarewhilemaintainingqualitycare.Understand of how practice decisions impact the finances of their organizations, whilekeepingthepatient’sneedsforemost. Advocateforadministrativesystemsthatcapturetheproductivityandvaluepractice.SocietyandPopulationHealthRecognize and understand the influences of the ecosystem of person, family, population,environment, and policy on the health of patients and integrate knowledge of these determinants ofhealthintopatientcaredecisions.PAsshouldbleto:Apply principles of socialbehavioral sciences by assessing the impact of psychosocial andculturalinfluenceshealth,disease,careseeking,andcompliance.Recognize the influence of genetic, socioeconomic, environmental, and other determinantsthehealththeindividualandcommunity.ImprovethehealthpatientpopulationsDemonstrateaccountability,responsibility,andleadershipforremovingbarriershealt