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MEDEX Northwest Briefing For the Department of Family Medicine

MEDEX Northwest Briefing For the Department of Family Medicine. Terry Scott, MPA, PA-C Director MEDEX Northwest UWSOM September 2011. “Physician Assistants were created BY Physicians FOR Physicians.”. Richard Smith, MD Founder, MEDEX Northwest. Founders of the PA Profession.

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MEDEX Northwest Briefing For the Department of Family Medicine

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  1. MEDEX Northwest BriefingFor the Department of Family Medicine Terry Scott, MPA, PA-C Director MEDEX Northwest UWSOM September 2011

  2. “Physician Assistants were created BY Physicians FOR Physicians.” Richard Smith, MD Founder, MEDEX Northwest

  3. Founders of the PA Profession

  4. The MEDEX Reputation - Then • Early Leadership – Dick Smith, David Lawrence, Robert Harmon, Andrew Penman • Primary Care Models • Strong links with physicians/physician organizations • Diversity • Early Legislation • Supreme Court Decision

  5. MEDEX Class 1

  6. The MEDEX Reputation - Now • National PA Leadership • Publication: Physician Assistant: A Guide To Clinical Practice • Regional Program – Decentralized Training • Continued Primary Care Focus • Educational Innovation • Health Workers – Dental Therapists • International PA Development

  7. Seattle Class 43

  8. MEDEX History • 1969 - 1970 - School of Medicine • 1970 - 1993 - School of Public Health • 1994 - Present - School of Medicine

  9. Mission Statement MEDEX Northwest, the University of Washington School of Medicine's Physician Assistant Program, is committed to educating experienced health personnel from diverse backgrounds to practice medicine with physician supervision. The program provides a broad, competency-based curriculum that focuses on primary care with an emphasis on underserved populations. MEDEX encourages life-long learning to meet ever-changing health care needs. As a pioneer in PA education, MEDEX continues to be innovative in identifying, creating and filling new niches for PAs as a strategy for expanding health care access.

  10. STUDENTS 25% of the MEDEX class entering in Summer 2010 are from outside the WWAMI region. Many of these students have ties to the region with prior military service, work experience or, family in the area. Several students have direct ties to the Native populations in the region and most stated they wanted to continue to work with rural and underserved populations.

  11. STATISTICS FOR 2010 MEDEX CLASS Total applicants 589 Total number of applicants interviewed 204 Total Offers Made 126 Number of students expected summer quarter 107 Master of Clinical Health Services Degree Option Seattle Class 44 45 Students + 1 returning Spokane Class 14 21 Students + 1 returning Bachelor of Clinical Health Service Degree Option Yakima Class 17 19 Students + 4 possible returning Anchorage Class 2 19 Students + 1 possible returning Re-applicants to MEDEX Northwest 34 (31.7%) New Applicants 73 (68.3%) SEX AND AGE Median Age: 32 50 Male Students (46.2%) 57 Female Students (53.8%) MILITARY EXPERIENCE 26 Students with Military Background (24%)

  12. Statistics for 2010 MEDEX Class Ethnic Background American Indian/AK Native Am 2 (1.9%) African American 3 (2.8%) Caucasian 80 (74%) Asian / Other Asian 4 (3.7%) Mexican American/Chicano 10 (9.3%) No Answer 7 (6.5%)  The Five Most Common Patient Care Experiences among MEDEX Students * Military Medic / Corpsman 26 students * Emergency Medical Technologist 8 students * Medical Assistant 8 students * RN / LPN 8 students * Paramedics 8 students

  13. Selection Process • Peace Corps Model • A Full Day Experience • 3 Group Interviews • Community-based Primary Care Interviewers

  14. Graduate Data • 1800 graduates • Prior to 1981: All graduates in primary care (20 students per class) • 2011: 50-60% in primary care (100 students per class)

  15. Curriculum Timeline • MEDEX PA training is 2 years long. The MEDEX curriculum time-line includes: a. On-line Anatomy & Physiology —Spring Quarter b. A&P laboratory and basic science review—Summer Quarter-Seattle c. MEDEX Didactic training—Fall, Winter and Spring Quarters Didactic Sites d. Masters Specific Coursework—Summer—Seattle and Online e. Clinical Rotations: Fall, Winter, Spring, Summer—WWAMI region.

  16. Didactic Sites • Seattle – 40 Students [Master’s Degree] • Yakima – 20 Students [Bachelor’s Degree] • Spokane – 20 Students [Master’s Degree] • Anchorage – 20 Students [Bachelor’s Degree]

  17. Clinical Rotations • Family Medicine Preceptorship [4months] • In-patient Medicine [4 weeks] • Behavioral Medicine [4 weeks] • Emergency Medicine [4 weeks] • Underserved [4 weeks] • General Surgery [4 weeks] • Elective [4 weeks]

  18. Licensing/NCCPA Certification

  19. Salaries in Primary Care Starting: $75,000 Average: $85,000

  20. MONEY MAGAZINE RANKS PAS AS #2 IN "BEST JOBS"Terms: Money Magazine lists PAs as the #2 "Best Job," the same rating it achieved in prior year's list. The magazine also calls the profession the #3 "hottest (fastest growing)" job. The article is also available on the CNNMoney.com website.

  21. PAs in Primary Care • MEDEX Graduates: 60% • National: 36% • Washington: 42% (Emergency Medicine 11%) • Wyoming: 70% • Alaska: 65% (Emergency Medicine 9%) • Montana: 52% (Orthopedics 11%) • Oregon: 47% (Orthopedics 11%)

  22. Fastest Growing AreasNorthwest • Orthopedics • Emergency Medicine • Hospitalists

  23. NPs and PAs

  24. PA MD NP

  25. MD – PA - NP MD Supervision NP PA

  26. The MEDEX faculty/staff includes: Seattle: Faculty: 16 FTE, Staff: 13 FTE Yakima: Faculty 3 FTE, Staff 1 FTE Spokane: Faculty: 3.5 FTE, Staff 1 FTE Anchorage: Faculty: 3.5 FTE, Staff 1 FTE

  27. Faculty Appointments: All MEDEX faculty have regular faculty appointments in the Department of Family Medicine as of July 1, 2011. Ranks include Associate Professor, Assistant Professor, Senior Lecturer and Lecturer. MEDEX has its own representative in the Faculty Senate.

  28. Faculty Leadership 4 Presidents of the Washington State Academy of Physician Assistants 1 President, Physician Assistant Education Association 1 Former AHEC Director 2 Members of the Accreditation Review Committee on Physician Assistants 1 Commissioner, National Commission on Certification of Physician Assistants 1 President, 1 Board Member, Society for Preservation of PA History 1 Board Member, Veteran’s Caucus of the AAPA 1 Member of the Pew Commission on Health Professions Education 1 Member of the National Health Services Corps Advisory Committee 1 Member HRSA’s Title 7 Advisory Committee 1 Deputy Mayor/City Councilman City of Shoreline WA

  29. Scholarly Activity • Health Workforce Topics • Veteran’s Roles as PAs • PA Program Specific Educational Issues • International Roles for PAs

  30. MEDEX Fiscal Resources • Self-Sustaining tuition • State support for Yakima and Spokane sites • Federal Grants and Contracts • Contracts for specific initiatives (e.g. Dental Health Therapists)

  31. Current MEDEX Issues/Concerns • Clinical Sites • Implementation of New Master’s Degree • Succession Planning/Implementation

  32. Other MEDEX Initiatives In addition to direct PA educational activities the MEDEX Program also participates in a number of other projects and activities including consultations to health worker training programs internationally and the development of the Dental Health Therapist with the Alaska Native Tribal Health Consortium.

  33. Questions/Discussion

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