2014- 2015
STUDENT POLICIES AND PROCEDURES MANUAL College of Health Professions Department of Health Professions 2014- 2015 DIVISION OF PHYSICIAN ASSISTANT STUDIES MASTER OF SCIENCE IN PHYSICIAN ASSISTANT STUDIES (MSPAS) Revised 9/4/2014 TABLE OF CONTENT INTRODUCTION .................................................................................................................. 4 DIVISION OF PHYSICIAN ASSISTANT STUDIES, Vision Mission, Values, Program Goals ................................................................................................................... 5 Student Learning Outcomes .......................................................................................... 6 FACULTY & Staff Directory .................................................................................................. 7 OFFICE PROCEDURES ........................................................................................................ 8 CURRICULUM ................................................................................................................... 9 DIVISION OF PA STUDIES ACADEMIC POLICIES ......................................................... 10 EVALUATION AND GRADING: EVALUATION OF STUDENT LEARNING ...... 11 PAS PROGRAM EXAM POLICY .................................................................................. 12 Objective Structured Clinical Examination (OSCE) & Clinical Stations Examination ..................................................................................................................... 14 ACADEMIC DISHONESTY AND THE HONOR CODE ........................................... 15 Academic and Professionalism Progress Committee (APPC): MUSC MPAS Program ............................................................................................................................ 16 ATTENDANCE POLICY ................................................................................................. 19 DRESS CODE ................................................................................................................... 19 CENTER FOR ACADEMIC EXCELLENCE (CAE) ............................................................. 21 COUNSELING AND PSYCHOLOGICAL SERVICES (CAPS) ................................. 21 GRADUATION REQUIREMENTS ............................................................................... 21 STUDENT EMPLOYMENT ............................................................................................ 22 TITLE, IDENTIFICATION/REPRESENTATION...................................................... 22 PATIENT’S RIGHTS AND CONFIDENTIALITY OF MEDICAL RECORDS AND HEALTH HISTORY INFORMATION.......................................................................... 22 STUDENT-FACULTY RESEARCH TEAMS ............................................................... 23 CLINICAL SITE REQUESTS ......................................................................................... 23 PROFESSIONAL LIABILITY INSURANCE ............................................................... 24 TECHNICAL STANDARDS/DISABILITY .................................................................. 24 MINIMUM SKILLS FOR ELIGIBILITY TO PARTICIPATE IN EDUCATIONAL PROGRAMS AND ACTIVITIES .................................................................................... 25 CARDIOPULMONARY RESUSCITATION REQUIREMENT ................................ 26 PROTOCOLS FOR STUDENT EXPOSURE TO INFECTIOUS AGENTS .............. 26 PROGRAM EVALUATION ............................................................................................ 27 CERTIFICATION EXAMINATION ..............................................................................28 LICENSURE...................................................................................................................... 28 REQUIREMENTS FOR ALL LABS ............................................................................................ 29 HONORS AND AWARDS ..............................................................................................30 OUTSTANDING STUDENT AWARD CRITERIA FOR SELECTION ....................30 STUDENT ACKNOWLEDGEMENT ............................................................................ 31 3 INTRODUCTION Dear Student, Welcome to the MUSC Division of Physician Assistant Studies (PAS) academic program. The faculty and I are proud you chose to pursue your goal of becoming a physician assistant here at MUSC. It is a privilege for me, on behalf of your dedicated faculty and staff, to welcome you to an exciting 27 month training experience. This Student Policies and Procedures Manual is your primary resource for policies and procedures related to your educational experience in the Master of Science in Physician Assistant Studies curriculum. Please refer to this document, in addition to the Clinical Year Handbook, the College of Health Professions Student Policy Manual, and the University Bulletin which are available online. CHP Student Policies and Procedures Manual: o Policy and Procedures MUSC Bulletin: o http://www.musc.edu/bulletin Please make sure you understand all components of this manual, the CHP Student Policy Manual, and the MUSC Bulletin before you begin your classes. You should refer to these manuals when you have questions about the expectations within the college or the program. If you have any questions or concerns, please talk with your academic advisor. An academic advisor will be assigned to each student prior to the start of classes. The program sets high standards in order to ensure patients receive quality care from our graduates. You were chosen for this program because the faculty and I know that you have the potential to excel in this program and positively impact the lives of the patients you encounter. The faculty congratulates you on your acceptance into this academically rigorous program. We hope you will find your years at the Medical University of South Carolina full of great experiences, fun, learning and personal growth. Remember to be flexible, to seek opportunities to collaborate with your classmates and faculty, and to conduct yourself with the highest level of professionalism at all times. Sincerely, Gilbert Boissonneault, PhD, PA-C Professor and Program Director Division of Physician Assistant Studies 4 DIVISION OF PHYSICIAN ASSISTANT STUDIES Our Vision To enhance access to high quality health care throughout South Carolina and beyond. Our Mission To educate highly competent physician assistants who are compassionate, culturally aware, and attuned to the primary health care needs of the people of SC and beyond. They will: Provide quality, state-of-the-art, patient-centered health care as integral members of physician-led health care teams Contribute to the development of new knowledge to improve physician assistant education and health care Advocate for the physician assistant profession; and help meet the health needs of the larger community through education and service. Our Values Ethical and professional behavior Advancing medical knowledge Diversity and inclusion Virtuous leadership Confident life-long learners Quality, safe, and accessible patient-centered healthcare Responding compassionately and respectfully to the needs of the population served Program Goals The Physician Assistant Studies program assesses its success by the success of its students and alumni. In order to ensure its success, the program strives to: Be fully compliant with all standards established by the Accreditation Review Commission on Education for the Physician Assistant, Inc. (ARC-PA); To enroll applicants of high quality who reflect the richness of South Carolina’s and the nation’s population; To educate physician assistants with the knowledge and skills to provide quality health care; To graduate students who are highly satisfied with the quality of their education, the state of their professional development, and their overall capability to function as a physician assistant; and To engage our alumni in strengthening the profession by supporting the education of the next generation of physician assistants. 5 Student Learning Outcomes At the completion of the program, graduates will be able to: Elicit a detailed and accurate medical history, perform a complete physical examination, and appropriately record all pertinent data Perform and interpret routine diagnostic studies Perform or refer appropriately for therapeutic procedures Provide appropriate patient education and counseling to address health maintenance and disease prevention Provide complete and accurate patient assessment in order to formulate an appropriate management plan in a variety of healthcare settings Facilitate the appropriate referral of patients to address their medical and social welfare needs In keeping with the vision, mission, goals and objectives of the Division, students are expected to obtain basic core competencies recognized as fundamental to successful practice as a physician assistant. Educational activities centered on these core competencies are integrated throughout the program's didactic and clinical education curriculum. These competencies, encompassing medical knowledge, interpersonal and communication skills, supervised patient care, professionalism, practice-based learning and improvement, and systems-based practice, are described in the following document: Competencies for the Physician Assistant Profession published on the National Commission of Certification of the Physician Assistants (NCCPA). 6 FACULTY Gilbert Boissonneault, PhD, PA-C Professor, Program Director 792-3648 gaboiss@musc.edu Clint Blankenship, PharmD, PA-C Assistant Professor, Academic Coordinator 792-7490 blankenc@musc.edu Kelly Taylor, MHS, PA-C Admissions Coordinator 792-4490 taykel@musc.edu Christine T. Otruba, DO, FAAP Assistant Professor, Medical Director 792-9570 otruba@musc.edu Lesli Woodall, MSPAS, PA-C Instructor Clinical Coordinator for Evaluation & Testing 792-6490 woodalll@musc.edu David W. Howell, MBA Instructor Clinical Coordinator for Operations 792-6721 howelldw@musc.edu Paul F. Jacques, DHSc, EdM, PA-C Associate Professor 792-2649 jacquesp@musc.edu Mary L. Hewett, MS, PA-C Assistant Professor 792-8885 hewettml@musc.edu Carrie Smith Academic Fellow 792-8630 smicae@musc.edu STAFF David Evatt Student Services Coordinator 792-3775 evattd@musc.edu Meaghan Poyer HRSA Grant Program Coordinator 792-9471 Poyermk@musc.edu Shenikqua Simmons Administrative Assistant, PAS Division 792-1913 simmshe@musc.edu Chad Higgins Manager, Clinical Education 792-9023 higginsc@musc.edu Kimberly Rang Clinical Education Team 792-3789 rang@musc.edu Lauren Funke Compliance Administrator, Clinical Education 792-7473 funkel@musc.edu 7 OFFICE PROCEDURES Office Hours: Regular business hours are 8:30 AM to 4:30 PM Monday-Friday. Books, Equipment and Supplies on Loan: Any material the student wants to take out of the department must be signed out by the office staff or faculty member. Computer: Students are required to have a laptop computer. Please refer to information regarding this requirement at http://www.musc.edu/chp/it/laptopreq.htm. Students who require materials photocopied should utilize the copier in the Health Professions Student Life Office (first floor of the A Building). Appointments with Faculty: These may be made with the faculty member directly. Student Mailboxes: These are used to disseminate pertinent information and should be checked regularly. Student mailboxes are located on the second floor of CHP Building B. Bulletin Boards: These areas are to be utilized for the sharing of information, notification of pertinent class information and/or to promulgate public relations. Classrooms and Laboratories: These rooms should be kept neat, clean, and free from debris and personal articles. Food and beverages are not allowed in the majority of classrooms and labs. Materials and equipment must be returned to their original places; safety precautions must be adhered to; and equipment in need of repair must be reported immediately. Inclement Weather: Formal cancellation of MUSC classes is made by the President’s Office and is announced on the radio and television. Updated information is made available via the university’s public information telephone system, available at 792-MUSC (6872). 8 CURRICULUM Master of Science in Physician Assistant Studies (MSPAS) Summer Semester PA 606 Human Anatomy PA 607 Introduction to the PA Profession PA 643 Human Physiology & Basic Pathophysiologic Concepts PA 630 Bioethics and Behavioral Medicine PA 632 Principles of Pharmacology Fall Semester PA 614 PA 617 PA 627 PA 640 PA 662 PA 695 PA 624 Fundamentals of Clinical Medicine I Clinical Problem Solving I Physical Diagnosis and Clinical Application I Community Health and Preventive Medicine Pathophysiology I Research Methods for Health Professionals Pharmacotherapeutics I Spring Semester PA 615 Fundamentals of Clinical Medicine II IP 710 Transforming Healthcare for the Future PA 618 Clinical Problem Solving II PA 628 Physical Diagnosis and Clinical Application II PA 625 Pharmacotherapeutics II PA 646 Pediatrics I PA 663 Pathophysiology II PA 690 Graduate Project I Summer Semester PA 616 Fundamentals of Clinical Medicine III PA 619 Clinical Problem Solving III PA 626 Pharmacotherapeutics III PA 650 Emergency Medicine and Surgical Care PA 651 Geriatrics PA 691 Graduate Project II PA 648 Pediatrics II Clinical Year PA 635 PA 692 PA 670 PA 672 PA 674 PA 676 PA 678 PA 679 PA 680 PA 682 PA 685 Rural Interprofessional Student Experience (RISE) Graduate Project III Clinical Clerkship I Clinical Clerkship II Clinical Clerkship III Clinical Clerkship IV Clinical Clerkship V Clinical Clerkship VI Clinical Clerkship VII Clinical Clerkship VIII Clinical Clerkship Elective Total Curriculum Credits 9 Credits 6 1 2 1 1 11 4 1 4 2 2 3 2 18 4 2 1 4 2 3 2 1 19 3 1 2 4 1 1 1 13 2 1 5 5 5 5 5 5 5 5 5 48 109 DIVISION OF PA STUDIES ACADEMIC POLICIES COURSE EXEMPTION POLICY The following procedure must be followed by any student wishing to request an exemption from a course in the PAS curriculum based on course work completed prior to admittance to the program. Note: In order to request exemption from a course in the PAS program curriculum, the student must submit the following at least 4 weeks prior to the semester start date for the course: 1) 2) 3) 4) Syllabus with lecture schedule and learning objectives the of previously completed course which meets the learning objectives of the PAS program course, Transcript showing grade of “B” (course grade 3.0) or greater in the course, and Completed course exemption form, including signatures from a. The course director b. The student’s academic advisor Submit the final documents to The Student Affairs Coordinator. The Division Director is responsible for final approval of a course exemption request. Upon approval, formal paperwork will be submitted to the Office of Enrollment Management. Note: This policy was edited on 10/8/2014 in order to better reflect the course exemption process. 10 EVALUATION AND GRADING: EVALUATION OF STUDENT LEARNING During the didactic phase of the curriculum, students are evaluated by written exams, case presentations, graded lab work and practical exams, such as objective structured clinical examinations (OSCE). Evaluations may also be based on class participations and class presentations. It is the prerogative of the instructor to select the specific method of evaluation that will be used. This information will be provided to the student in the course syllabus. Course syllabi are provided to and reviewed with students during the first week of a course. Students must successfully complete all the didactic coursework of the PAS curriculum and other required experiences) before being assigned to the clinical phase of the program. The MUSC grading scale which is employed in all courses of the PAS curriculum is illustrated below. Quality Points % Equivalent 4.0 3.9 3.8 3.7 3.6 3.5 3.4 3.3 3.2 3.1 3.0 2.9 2.8 2.7 2.6 2.5 2.4 2.3 2.2 2.1 2.0 1.8 1.6 1.4 1.2 1.0 <0.0 95 and above 94 93 92 91 90 89 88 87 86 85 84 83 82 81 80 79 78 77 76 75 74 73 72 71 70 69 and below 11 PAS PROGRAM EXAM POLICY Most courses within the PAS curriculum utilize computerized testing. The program used to administer exams is SofTest by ExamSoft. Prior to your first exams, you will be given instructions on how to purchase, install, and access your exams. Test Taking Procedure Students should respect each other and reduce distractions in the room as much as possible All students are expected to be seated, quiet, and ready to log in at the appointed exam start time o Have all study materials packed away in preparation of exiting the room upon exam completion (all study materials must be removed from desk) No hats/hoodies will be worn during the exam No food (unless medically necessary) will be on the table or eaten during the exam; all candy should be unwrapped prior to start of the exam Students are allowed one drink in an enclosed container on the table Bring as little into the exam room as possible; personal items other than those listed here will be kept under your table during the exam Earplugs for noise reduction may be used o No headphones/earbuds will be allowed unless specifically required for the exam Once the password has been distributed, there will be no talking Anyone wanting permission to leave the exam room will request this from the proctor o Only one person can leave the exam room at a time for restroom access Proctors will not answer any question pertaining to exam material during the exam One blank piece of paper may be used as scratch paper o Students should put their name on the scratch paper o Any comments or concerns regarding specific test items/questions should be listed out on the scratch paper so the course/module director can review for consideration after all students have completed the exam o All scratch paper will be left in a designated box for the proctor to collect Should your computer freeze during the upload of answers, notify the proctor and then perform a hard reboot of your system Once finished with the exam, each student should quietly collect their belongings and exit the exam room in a manner to prevent distractions Students will refrain from collecting in areas in close proximity to the testing room as the noise is distracting to those still taking the test The proctor will post a time that students may return to the room Exam results will not be discussed until all students have taken the exam 12 Statement of Time Standard The NCCPA has established a standard time of one minute per multiple choice (MC) item on the PANCE In our effort to help you prepare to perform within this time constraint, the faculty of PAS believe that it is important to not only develop clinical skills, but also test-taking skills and have adopted this as our standard The amount of time per multiple choice test item will decrease with each semester to help “train” you to perform under these constraints o Semester 1: 90 seconds per item o Semester 2: 90 seconds per item o Semester 3: 75 seconds per item o Semester 4: 75 seconds per item o Clinical year: 60 seconds per item Be aware that course directors may give more time at their discretion 13 Objective Structured Clinical Examination (OSCE) & Clinical Stations Examination OSCE The Objective Structured Clinical Examination (OSCE) is used to evaluate a student’s communication skills, clinical knowledge base, and clinical skills. An OSCE is a mock clinical scenario, where the student interacts with a standardized patient. Within a specified amount of time, the student is expected to: 1. Establish rapport with the patient 2. Obtain the patient’s history 3. Perform an appropriate physical exam 4. Document an assessment and management plan. The standardized patient is an actor/actress who is given a detailed script to perform for the scenario with the student. An 80% overall performance rating is required to pass an OSCE. Clinical Stations Examination Toward the end of the clinical year, each student will take a Clinical Stations Examination to evaluate their medical and clinical knowledge. The Clinical Stations Exam is delivered as a multiple choice question exam. It is comprised of various questions associated with common clinical scenarios. Pictures of clinical findings, Xrays, EKGs, and lab results may be included. Students will be expected to provide differential diagnoses, order or interpret appropriate lab/diagnostic tests, and devise an assessment and management plan. This exam will be timed and administered via ExamSoft electronic testing software. 14 ACADEMIC DISHONESTY AND THE HONOR CODE The Division of Physician Assistant Studies expects its students to demonstrate honesty, integrity and professionalism in all aspects of student life. We acknowledge that our students are ambassadors for the university and the PA profession, and a commitment to these three principles of conduct is necessary to foster a positive image of the university and profession within our communities. The Program faculty monitor students for professional development and conduct (see page 18). Any student who does not comply with these program standards of professional conduct is subject to dismissal from the program. The division enforces the MUSC Honor Code, which is described in detail at: www.musc.edu/honorcode. All students are expected to review and comply with this code of conduct. The division also endorses the Physician Assistant Oath, which was created by the Student Academy of the American Academy of Physician Assistants. All students are expected to uphold the precepts in the PA Oath: I will hold as my primary responsibility the health, safety, welfare and dignity of all human beings. I will uphold the tenets of patient autonomy, beneficence, non-malfeasance and justice. I will recognize and promote the value of diversity. I will treat equally all persons who seek my care. I will hold in confidence the information shared in the course of practicing medicine. I will assess my personal capabilities and limitations, striving always to improve my medical practice. I will actively seek to expand my knowledge and skills, keeping abreast of advances in medicine. I will work with other members of the health care team to provide compassionate and effective care of patients. I will use my knowledge and experience to contribute to an improved community. I will respect my professional relationship with the physician. I will share and expand knowledge within the profession. 15 Academic and Professionalism Progress Committee (APPC): MUSC MPAS Program Introduction to MUSC MPAS Program Policies: Students enrolled in the PAS program are required to comply with all policies set forth by the Medical University of South Carolina, College of Health Professions, and the PAS Program. Copies of the University and College policies are available online via the website for the Office of Enrollment Services. The following link will direct you to the bulletin: www.musc.edu/bulletin The PAS Program reserves the right to impose more stringent requirements beyond the minimal provisions for the College of Health Professions as a whole. Students who fail to meet regulations pertaining to academic standing will be placed on academic probation or dismissed. Furthermore, students are subject to the policies regarding progression within their respective program to regain or retain student status. APPC Structure: 1. The APPC is composed of a Physician Assistant Studies (PAS) program faculty chairperson and appointed PAS core faculty. APPC Function: 1. The APPC serves to monitor academic and professional performance throughout a student’s enrollment in the MUSC PAS program. 2. At the end of each semester, and as necessary, the APPC will review the academic record of each PAS student. 3. Should a student issue arise concerning a deviation from an acceptable academic and or professional policy, the APPC is tasked with conducting a thorough review. APPC Procedures and Actions Any deviation from the MUSC, College of Health Professions, or PAS Program academic and or professional standards will automatically lead to a review by the APPC. The student will be invited, via email (receipt required), to appear before the APPC to discuss their professional behavior and/or academic standing. The student will have the option of accepting or declining the APPC’s invitation and must respond in writing (via email to the APPC) within 3 calendar days of receipt of the invitation. After meeting with the student (or should the student decline to meet with the APPC), the APPC will determine if further action is necessary. The APPC will present their recommended action(s) (see below), if deemed necessary, in writing, to the PAS Division Director within 3 business days. Possible Recommended Actions: o Dismissal from the program o Deceleration from the program o Academic and or professional probation o Probationary leave o Medical leave 16 o o o o o Remediation*1 Referral to CAPS and or CAE A formal written warning by the APPC Removal from academic probation Other: as determined by the APPC members and or Division Director The Division Director will then review the recommended action(s) from the APPC, and their final decision will be conveyed to the student in writing. The student may request, within 7 calendar days of receipt of this letter, a meeting with the PAS Division Director. Any student may appeal the final decision of the program in writing to the Dean within 10 calendar days of the program decision. See http://www.musc.edu/bulletin/acad_policies/acad_review.html. Academic Guidelines - Didactic Year A course grade of less than 2.o is defined as a course failure. Failure of a course will result in deceleration. The course must be repeated at MUSC within the following year. Failure to earn a 3.o or higher in the repeated course will warrant dismissal Upon satisfactory completion of repeated coursework and attainment of the required GPA, the student will be reinstated to the established curriculum in good academic standing at the point of interruption or the equivalent. A student who passes all courses and maintains both an academic semester and cumulative GPA of 3.0 or above is considered to be in good academic standing. A student not currently on academic probation whose GPA is below 3.0 in any academic semester or whose cumulative GPA falls below 3.0 respectively, will be placed on academic probation. The student will remain on academic probation until the academic semester and cumulative GPAs are elevated to 3.0 or higher. Students who achieve the stipulated GPA requirements will be reinstated in good academic standing. A student may be dismissed if they remain on academic probation for two consecutive semesters. Students failing more than one course in the PAS Program will be dismissed. 1 9/4/14-Individual remediation plans will be constructed by core faculty according to the individual student’s needs. 17 Academic Guidelines- Clinical Year Clinical Year Progression Guidelines: Progression into the clinical year is contingent upon the student achieving a cumulative GPA of 3.0 or greater at the conclusion of the didactic year. Students who do not meet this condition will undergo review by the APPC to establish a plan for remediation prior to entry into the clinical year. Bullets 2 through 6 under the Academic Guidelines –Didactic Year also apply to the clinical year Academic Guidelines Good academic standing in the clinical year requires that all clerkship grades be 3.0 or higher A course grade of less than 3.0 during the clinical year constitutes failure. Professional Guidelines (Didactic and Clinical Years) A student placed on professional probation at any time while a student in the MUSC MSPAS program will remain on professional probation throughout their enrollment in the program. Professional Conduct Standards Students are expected to conduct themselves in a manner consistent with the standards of an institution of higher education and are required to abide by the highest codes of academic honesty, ethical fitness and professional conduct. Students are expected to abide by The Code of Professional Conduct, which is found in the Bulletin of the Medical University of South Carolina, available online: http://www.musc.edu/bulletin As students of the PA profession, PAS students are expected to behave according to professional expectations outlined by the American Academy of Physician Assistants in the Guidelines for Ethical Conduct for the Physician Assistant Profession (http://www.aapa.org/your_pa_career/becoming_a_pa/resources/item.aspx?id=15 18), the Code of Conduct for Certified and Certifying PAs from the National Commission on Certification of Physician Assistants (http://www.nccpa.net/CodeOfConductLEP), and the Physician Assistant Professional Oath (http://www.aapa.org/uploadedFiles/PA Oath.pdf) 18 ATTENDANCE POLICY Attendance policy requirements are formulated by each course director and will be included in individual course syllabi. Specific attendance requirements during supervised clinical training (i.e., clerkships) are provided in the Clinical Year Student Manual. DRESS CODE Students must remember that MUSC is a professional institution, and as such, it is expected that students display an appropriate level of judgment with regard to personal hygiene, grooming and dress. Additional requirements may be imposed in laboratory settings or patient care areas. Please avoid heavy fragrances, perfumes or colognes which may be offensive to peers and precipitate or aggravate unpleasant symptoms in patients encountered in patient care settings. The official MUSC dress code can be accessed by the following link: http://academicdepartments.musc.edu/chp/orientation/dress_code FACULTY ADVISORS - STUDENT ADVISEMENT Each student will be assigned to a faculty advisor upon entering the professional program. The faculty advisor will be available to the student throughout the course of the professional program. Students are expected to meet with their advisors each semester during the didactic cycle and as needed during the clinical phase of training. Concerns regarding course work should be addressed as outlined in the Issue Resolution Flow Chart on page 20. 19 Issue Resolution Flow Chart Problems or Concerns Arise Yes No Involves a Course? Discuss with Course Instructor No Resolved No Further Action Required No Further Action Required Resolved Discuss with Advisor or with Faculty Advisor Discuss with Advisor Resolved No No Discuss with Division Director Resolved No Discuss with Division Director Resolved No Begin Formal grievance process as outline in the Student’s Policies and Procedures Manual 20 CENTER FOR ACADEMIC EXCELLENCE (CAE) In support of MUSC's mission to provide resources which facilitate the acquisition of knowledge, skills, and attributes specific to chosen professions, the Center for Academic Excellence aims to cultivate knowledge and critical thinking through dialogue and collaboration. The Center for Academic Excellence is dedicated to creating an environment for learning and discovery which fosters personal growth and promotes each person's uniqueness and independence. The Center for Academic Excellence provides specialists and supplemental instructors to enhance your learning process and ensure your academic success. In addition, individual consultants assist you in discovering your own learning style and offer test-taking and study strategies for success in all MUSC courses. Contact information and appointment requests can be made online by visiting the center’s website: http://www.musc.edu/cae/ COUNSELING AND PSYCHOLOGICAL SERVICES (CAPS) Highly trained specialists in the area of clinical psychology are available to support your academic and personal development while training at MUSC. Evaluation and treatment is available to all students. Information regarding the services provided and contact information for scheduling an appointment are available online by visiting the following website: http://www.musc.edu/caps/. Confidentiality is fundamental to the services provided to students. GRADUATION REQUIREMENTS Requirements for graduation are formulated by the College of Health Professions and are strictly adhered to by the Department of Health Professions and the Division of Physician Assistant Studies. Graduation requirements are found in the Bulletin of the Medical University of South Carolina. They are repeated here for ready reference. Master’s candidates for graduation from the PAS academic program in the College of Health Professions must have satisfied all requirements in the specified curriculum and be in good academic standing; be in good professional standing; have been enrolled in the program for the time period specified by the professional accrediting body, if applicable; have successfully passed a summative evaluation as defined by the academic program and the Clinical Year Handbook; be recommended for graduation by the faculty of the specific program and the general faculty; have satisfied all financial obligations to MUSC; and participate in a financial aid exit interview (if applicable). 21 ADDITIONAL DIVISION OF PA STUDIES POLICIES STUDENT EMPLOYMENT Experience has shown that most students are unable to give an adequate effort to the Program if they continue employment. We discourage students from seeking employment while enrolled in the program. If employment is essential, then the PAS Division Director should be informed in writing of the student’s work schedule. Class meetings missed due to work schedules will be considered unexcused. TITLE, IDENTIFICATION/REPRESENTATION An official MUSC name badge with the name and photograph clearly visible must be worn at all times on campus or during educational activities. Role and title confusion are common problems encountered in dealing with patients, e.g., some patients identify all those wearing short white coats as physicians. Students should be aware of this problem and avoid misrepresentation by politely explaining their role and position. In professional interactions with patients and others, a student must introduce himself/herself as a “physician assistant student” using the title of Mr., Mrs., Ms., or Miss. Students must use the designation “Physician Assistant – Student” following all notations in charts, records and other medical forms. The abbreviation “PA-S” is less familiar and should be avoided to prevent confusion as to title. In all professional communications, a student should introduce himself/herself as a physician assistant student. No student should casually accept the title of “doctor”. PATIENT’S RIGHTS AND CONFIDENTIALITY OF MEDICAL RECORDS AND HEALTH HISTORY INFORMATION All data gathered about a patient and his or her illness, including all items within a patient's medical history, is privileged information. Students must never discuss a patient's records in a manner or a situation that would reveal any information about that patient or his or her records to persons not involved in the patient's health care. Charts or contents, e.g. lab reports, etc., are not to be removed from the hospital or clinical setting. If photocopies of written documentation are to be submitted to the program for evaluation, all specific references to the patient (e.g., name, address, and identification number) must be deleted. Reference, at any time, to a patient in a dehumanizing or insensitive manner is not professional and will not be tolerated. The Division Director will review such an infraction. 22 STUDENT-FACULTY RESEARCH TEAMS Minimal reimbursement is available to each group to offset the cost of the research. Reimbursement requests must be pre-approved through the Division Director. The Division is not required to fund student graduate project research. Graduate students and faculty are encouraged to disseminate the findings from their research through presentations at local, state, and national meetings or via publication or the MUSC Student Research Day. The projects are considered as joint student-faculty effort. All papers or presentations will include all members as authors. CLINICAL YEAR REQUESTS Students may make requests to the Clinical Coordinator for Operations for specific clinical education sites that are not already developed (i.e., sites that do not have an active contractual agreement with the PAS program). These requests are made during the fall semester of the didactic phase of the program. The Clinical Coordinator for Operations will announce the deadline for these requests. Requests submitted after the deadline will not be accepted. The preceptor must be a physician, physician assistant or nurse practitioner. Written requests do not automatically guarantee approval that the site will be approved for the student. These are only requests until the Clinical Coordinator for Operations confirms the clinical and educational adequacy of the site. International placements for rotations are a possibility, but prior approval must be gained from the Clinical Coordinator for Operations. Students are permitted to complete international rotations only after Clerkship III (i.e. Clerkship IV-IX). Further information regarding international rotations will be announced at a later time. During the clinical year, students are typically placed in areas where students indicate they have permanent housing available, although there may be housing available throughout the state at no cost to the student through the SC Area Heath Education Consortium (AHEC). Housing is not provided for out of state sites, and students are expected to make their own arrangements for housing for any placements out of state during the clinical year. Students are strongly encouraged to make an appointment to meet with the Clinical Coordinator for Operations regarding any concerns during the clinical year of the program. Appointments may be made by contacting the Clinical Coordinator for Operations (howelldw@musc.edu). Further information regarding the clinical year will be included in the Clinical Year Handbook, which will be provided to students during the Clinical Year Orientation. 23 PROFESSIONAL LIABILITY INSURANCE The student must be covered for malpractice related to their normal clinical curriculum, and assignment 24 hours a day, working in or out of school. Professional liability or malpractice insurance is provided by the Medical University of South Carolina. Additional malpractice insurance is provided during the clinical year (please refer to the Clinical Year Handbook for more details). Students may be required to purchase supplemental policies in order to be granted permission to train in various clinical sites during the clinical year. Please refer to the following link for more details on student-malpractice insurance: MUSC Risk Management MAJOR MEDICAL HEALTH INSURANCE The student must also be covered by major medical health insurance for the entire period he or she is enrolled in PAS curriculum course(s). Proof of insurance must be provided to Student Health Services but also must be available to the PAS faculty and staff if requested. Students will be automatically enrolled in the insurance plan provided by the University and billed. To opt out of the insurance, the student must provide proof of insurance EACH semester. TECHNICAL STANDARDS/DISABILITY The University and PAS Division both publish the minimum abilities needed by all students. While admission decisions do not take disabilities into consideration, nor are applicants invited to disclose a disability, all persons interested in entering a health profession education program should be aware of minimum abilities required for success. To review the MUSC minimum abilities visit the section on minimum abilities for eligibility to participate successfully on the web site of the Office of Enrollment Management available online: http://academicdepartments.musc.edu/esl/em/admissions/future/abilities.htm Upon admission, a student who discloses a disability (with certification) is assured of reasonable accommodations. PAS students seeking accommodations should initiate their request to the Disabilities Officer for the College of Health Professions located in the Student Life Center. If a change in health status occurs which has potential to affect a student’s ability to perform according to the technical standards, the student should contact the Student Services Coordinator. If necessary, a faculty committee will be appointed by the Program Director to assess the student’s ability to remain in the Program. 24 MINIMUM SKILLS FOR ELIGIBILITY TO PARTICIPATE IN EDUCATIONAL PROGRAMS AND ACTIVITIES PAS applicants, and students, either independently or with the help of compensatory techniques and assistive devices, must possess the following skills: Manual Dexterity: Wrists (both), Hands (both), Fingers (all), Arms (both), Grasping, Fingering, Pinching, Pushing, Pulling, Holding, Twisting (rotating), Cutting. Ability to measure: Body (height, weight, range, strength, etc.), Psychological status (general), coordination, vital signs, the ability to use sterile technique and universal precautions. The ability to communicate as part of a team, the ability to operate and maintain equipment (e.g. ventilator, monitor, power tools, car) Sensation: Palpation, Auscultation, and Percussion Vision: Depth, Color, and Acuity (corrected to 20/40) Physical Strength: To support another person, to position another person, to transfer to/ambulance with walker, cane, crutches, bed, chair; Provide motion exercises, to stand for long periods of time, to perform CPR/resuscitation Laptop/Computer Requirements (from University standards) Ability to complete computer-based assignments, and use the computer for searching, recording, storing, and retrieving information. Ability to complete assessment examinations via computer-based software. Other: To be poised and self-confident, to be able to read, write, understand and communicate proficiently and effectively in the English language, to be able to remain calm during emergency situations, to be able to meet and deal with people of differing backgrounds and behavioral patterns, to display and maintain mental and emotional stability, to be free from any active diseases that are infectious and may be spread by routine means such as; handshakes, skin contact, and breathing. 25 CARDIOPULMONARY RESUSCITATION REQUIREMENT It has been determined that the skills of Basic Life Support (BLS), Advanced Cardiac Life Support (ACLS) are essential for PAS students to possess. This requirement is also a stipulation of student credentialing at most of the clinical clerkship sites throughout the state. All students must be certified prior to the clinical year and must maintain certification throughout the clinical year. PROTOCOLS FOR STUDENT EXPOSURE TO INFECTIOUS AGENTS An occupational exposure to blood-borne pathogens by students is a major concern to the College of Health Professions (CHP). To appropriately address any student exposures while in a clinical setting, CHP and MUSC has established protocols in accordance with OSHA’s Bloodborne Pathogen Standard and Center for Disease Control recommendations. In the event of exposure to potentially infectious bodily fluid, all students in a clinical setting located on or off campus should refer to the following MUSC protocol:http://academicdepartments.musc.edu/studenthealth/pathogen.html. In the event of an exposure while on an off campus clinical rotation: 1. 2. 3. 4. 5. 6. 7. 8. Wash the site immediately with soap and water. Immediately go to the nearest Emergency Facility, preferable a hospital emergency department. Report any exposure to your on-site supervisor/preceptor. If the event occurs Monday-Friday 8:00 am-4:30 pm, MUSC’s Student Health Services (843.792.3664) should then be notified an exposure has occurred. If the event occurs after hours, contact the MUSC Medical Center Hospital Supervisor by calling the operator at 843.792.2123. Immediately complete the ACORD form (Worker’s Compensation First Report of Injury form). The form is available at https://www.carc.musc.edu/acord/. Fax the ACORD form with documentation of the medical provider’s name, facility location and telephone number to the Worker’s Compensation Office (843.792.3473). Contact the Clinical Coordinator for Operations for further instructions (843.792.6721). If you receive a bill for treatment, contact 843.792.3664, AND notify the Clinical Coordinator for Operations. Complete instructions are available at: http://academicdepartments.musc.edu/studenthealth/pathogen.html.. 26 9. Topics include the following: Blood Borne Pathogen Exposure Protocol for MUSC Students (.pdf) After Hours Procedures (All Students Except Dental) MUSC Occupational Bloodborne Pathogen Protocol Off Campus Procedure Packet (.pdf) Online ACORD Form 10. As recommended by the Center for Disease Control and Prevention (CDC), post exposure chemoprophylaxis should be initiated. 11. HIV titers are to be drawn on the student and patient at the time of exposure and six weeks, twelve weeks, and six months after exposure. 12. All follow-up care is the responsibility of the student. PROGRAM EVALUATION To ensure the success of the program and the provision of the type of education the program is committed to, the evaluation of both the process and the outcomes of the academic program must be regularly and systematically conducted. The main outcome is a graduate who will have achieved the academic program objectives. Evaluation of Course Requirement It is a requirement of the Medical University and the College of Health Professions that each student complete an on-line evaluation of each course. Details are provided within course syllabi. 27 CERTIFICATION EXAMINATION The national certification examination is a computerized examination managed by the National Commission for Certification of Physician Assistants (NCCPA). Passing this entry-level examination entitles the successful candidate to use the initials PA-C (Physician Assistant, Certified). National Commission on Certification of Physician Assistants 12000 Findley Road Duluth, GA 30097 678-417-8100 www.nccpa.net LICENSURE Upon graduation, it is the student’s responsibility to determine the licensure laws for the state in which they choose to practice. In South Carolina information about obtaining a license can be received by writing to: Street Address: SC Board of Medical Examiners Attn: Physician Assistant Licensing Board Synergy Business Park Kingstree Building 110 Centerview Drive. Suite 202 Columbia, SC 29210 Mailing Address: PO Box 11289 Columbia, SC 29211-1289 Phone: (803) 896-4500 Fax: (803) 896-4515 www.llr.state.sc.us/pol/medical/ 28 MISCELLANEOUS COLLEGE AND UNIVERSITY POLICIES REQUIREMENTS FOR ALL LABS USING MATS AND EQUIPMENT A maximum of three people are allowed on the exam tables at any one time. Unplug all electrical equipment after use (at the end of each class). Do not stand on the tables unless the activity is related to formal instruction. Do not get on the tables or mats with shoes on, people put their faces on the surfaces and shoes can harm the vinyl. Do not place shoes on any vinyl mat surface at any time. Do not place sharp objects, book bags, drinks, stools or other foreign objects on mat tables at any time. Do not put feet in chairs. STRAIGHTENING LABS Tidy the lab room after each class. Put tables and chairs into neat, organized positions. Place all pillows, sheets, equipment back in the cupboards or storage room after use regardless of whether you need them again that week. Use wastebaskets, trash bins, and recycling containers for water bottles, or other debris; or, remove them from the room. CARING FOR TECHNOLOGY Turn off the computers/technology at the end of each use—the LCD should be off; the screen should be blank. Get instruction from your faculty member about how to use equipment; if you are not sure, please ask. Report technology problems immediately; use the “hotline” number provided. CLEANING LABS Wipe mats and tables at the end of each class with disinfectant. FOOD AND DRINK Do not bring food into the labs Do not bring glass into the labs. Drinks in plastic or aluminum bottles/containers are allowed. TAKING RESPONSIBILITY Caring for equipment and supplies in the labs is an individual and a shared responsibility. Any student who does not share responsibility or demonstrate compliance with these essential rules will risk losing professional development grades that semester. Faculty members have agreed to oversee compliance. Labs will remain open evenings and weekends for students’ use, contingent upon compliance with these rules. CONDUCT FOR TREATMENT OF TRAINEES http://academicdepartments.musc.edu/esl/studentprograms/studenthandbook/Policies/standard sofconduct.html 29 HONORS AND AWARDS The Dean’s Award The graduate student who has achieved the highest academic record at the end of the curriculum provided the cumulative GPA is a 3.8 or above, will be nominated for the Dean’s Award. Outstanding Student Award The Division of Physician Assistant Studies gives an award each year to the graduating student who is thought to possess outstanding attributes. Fellow classmates and faculty choose the recipient at the end of the senior summer semester. The following procedures are used: All seniors and faculty will vote for one person for outstanding student; votes are tallied, and the winner will receive the award at graduation in August. In case the elected student is not eligible for graduation in August of the senior year, the award will go to the runner-up. OUTSTANDING STUDENT AWARD CRITERIA FOR SELECTION 1. Professional - Demonstrates the ability to act as a member of the health care team and be involved in the advancement of the PA profession 2. Empathetic - Demonstrates the ability to work well with others recognizing individual needs 3. Preserving - Demonstrates the ability to set lasting goals and utilize initiative 4. Responsible - Demonstrates dependability and the ability to assume responsibility for own actions 5. Independent - Demonstrates the ability to be sincere, helpful, and patient 6. Leadership - Demonstrates willingness to be involved in student and/or professional activities 7. Initiative - Demonstrates the ability to be resourceful and self-directed 8. Constructive - Demonstrates a positive attitude and the ability to be creative 9. Inquisitive - Demonstrates the ability to question for patients’ welfare and for self- improvement 10. Organized - Demonstrates the ability to be logical and systematically functional 30 Student Manual MSPAS 2014 STUDENT ACKNOWLEDGEMENT Department Of Health Professions, Division of Physician Assistant Studies I, (printed full name), have read the Student Policies and Procedures Manual for the Division of PA Studies in its entirety and understand all sections. I have asked my student services coordinator, faculty advisor or division director to explain any sections that I had difficulty understanding. I understand that I am responsible for following all the provisions set forth by this manual while I am enrolled in the program. I recognize that these policies are provided to support my professional and clinical development and help me become a successful physician assistant. I also signify that I have read and understand the following documents and hereby pledge my support. MUSC Honor Code MUSC Bulletin College of Health Professions Student Policy Manual PAS Student Policies and Procedures Manual I understand what is expected of me as a student of the Medical University of South Carolina and realize the University Honor Council will not accept a plea of ignorance. Student Signature Date
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