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PA scope of practice exam with complete solutions
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PA scope of practice exam with complete solutions
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PA scope of practice exam withcomplete solutions
what is system based practice?
•Systems-based practice (SBP) defined as actions that demonstrate an
awareness of and responsiveness to the larger context and system of
health care and the ability to call on system resources effectively to
provide care that is of optimal value.
• Understanding how to use the health care system to improve quality and
safety of pt care (Like a village - work as a team)
• Training in SBP falls outside the scope of traditional training --> Difficult
to effectively teach and evaluate
how does system base practice relate to PAs?
•AAPA has deemed systems-based practice 1 of the professional
competencies needed for PAs
-Provide pt care that balances quality and cost
-Understand funding sources and payment systems
-Partner w/ supervising physicians, health care managers, and other HCPs
to assess, coordinate, and improve delivery and effectiveness of health
care and pt outcomes
-Recognize and appropriately address system biases that contribute to
health care disparities
• Supervising Physician Relationship
-Ongoing communication
-Consult supervising physician whenever it will positively effect health
care of pt
-Trust, mutual respect and interdependency
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what is the Hx of PA and Physician collaboration?
• PA profession was founded on the concept of collaborative practice
• It was created as a response to: A shortage of PCPs, A need to extend
the availability of medical services, The initial idea was that physicians
would be able to delegate many routine tasks to the PA
how is the scope of practice for PAs established?
Bc of the current growing interest in team-based care, its the obligation of
each team of physician/PA to ensure that:
• The PA's scope of practice is identified
• The delegation of medical tasks is appropriate to the PA's level of
competence
•Relationship with, and access to, the supervising physician is defined
• Current recommendations state: PAs may provide any medical service
that is w/in PA's skills, education and training.
-Typically delegated by the supervising physician. Degree of collaboration
w/ supervising physician should be determined by the practice
what are the benefits of working collaboratively in clinical settings?
•Delegation of responsibilities w/in health-care teams has enhanced
quality of care, access to care, pt outcomes as well as cost and efficiency
in practices
• According to AAPA "Studies show that efficient teams can see more pts
and see them sooner, and experienced teams of surgeons and PAs develop
efficiencies that can reduce operative and anesthesia times and pt length
of stay in the hospital"
what is the legislation regarding collaboration between PA & supervisor?
•Current Legal Requirement: Requires a relationship w/ a physician
• Optimal Team Practice: eliminate the legal requirement for a specific
relationship between a PA, physician, or any other healthcare provider
Supervision requirements can be determined by law, the specific state
medical board, or at practice level w/in the defining limits of hospital or
practice’s bylaws in accordance w/ state sponsored guidance.
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