Master of Physician Assistant Studies
PA Program
Welcome
Congratulations
on your selection and welcome to the Texas Tech University Health
Sciences Center (TTUHSC), School of Health Professions (SHP), Department
of Laboratory Sciences and Primary Care, Physician Assistant (PA)
program. Although the PA program is located on the Midland College
Campus, this is a TTUHSC program and administrators, faculty and staff
are TTUHSC, SHP employees. Each student will matriculate through and
receive their diploma from TTUHSC. The
TTUHSC Physician Assistant Program has over 700 graduates. They are
employed in Texas and the United States and are making significant
contributions to the health care of the many thousands of people they
serve. Additionally, the program’s
five year pass rate average on the Physician Assistant National
Certifying Exam (PANCE) is 98%. The curriculum, student clinical
practice experiences, and educational experiences are solid and effective.This
handbook will guide you through the twenty-seven months of the TTUHSC
PA program. You are responsible for reading and understanding this
handbook, and your performance evaluations will reflect your adherence
to departmental policies. Periodically the information in the Student
Handbook may change. Every effort will be made to keep you informed
through suitable lines of communication. In addition, the School of
Health Professions policies and the University’s official operating
procedures are updated regularly and can be accessed on-line. In
order to meet the dynamic and complex demands of the PA profession,
your education will be comprised of didactic and clinical coursework
that will be more rigorous than your previous undergraduate college
experience. Upon entering the TTUHSC PA Program, you will become a
professional graduate student. It will be your responsibility, and you
will be expected to, develop professional attitudes and clinical
judgment. The faculty and staff are completely committed to supporting
you in your academic success, professional growth, and clinical
endeavors. We are available to help you in your commitment to becoming a
PA.
Acknowledgement of Receipt
Important Contacts and General Information
TTUHSC PA Program Building and Campus Information
3600 N Garfield
Midland, TX 79705
(432) 620-1120
(432) 620-8605 fax
Texas Tech PA Program Building Hours
Monday – Friday 8:00 am – 5:00 pm
Student badge access 6:00 am- 10:00 pm daily (closed holidays)
Midland College
Library Hours
Dining
Scharbauer Student Center Snack Bar
Monday – Friday 7:45 am – 2:00 pm
Section 1: Overview of the Program
Accreditation
The Accreditation Review Commission on Education for the Physician Assistant (ARC-PA) has granted Accreditation-Continued status to the Texas Tech University Health Sciences Center Physician Assistant Program sponsored by Texas Tech University Health Sciences Center.
Accreditation-Continued is an accreditation status granted when a
currently accredited program is in compliance with the ARC-PA Standards.Accreditation
remains in effect until the program closes or withdraws from the
accreditation process or until accreditation is withdrawn for failure to
comply with the Standards.
The approximate date for the next validation review of the program by
the ARC-PA will be March 2023. The review date is contingent upon
continued compliance with the Accreditation Standards and ARC-PA policy.
Program Vision, Mission, and Goals
VISION:
The
vision of the Texas Tech University Health Sciences Center School of
Health Professions Physician Assistant Program is to be regionally and
nationally recognized for graduating excellent healthcare providers.MISSION:
The
mission of the Texas Tech University Health Sciences Center School of
Health Professions Physician Assistant Program is to provide
comprehensive medical education to physician assistant students. Through
an environment of academic excellence and the promotion of life-long
learning and professionalism, graduates will be prepared to practice
patient-centered primary care, increasing access to healthcare for
communities of West Texas and beyond.GOALS:
The goals of the TTUHSC PA Program are to:- Provide student clinical opportunities in primary care in rural and under served populations in West Texas
- Admit highly qualified individuals with diverse backgrounds and life experiences
- Maintain first time pass rate on NCCPA PANCE at or above the national
average
Expected Graduate Outcomes and Competencies
The TTUHSC PA Program is designed
to prepare graduates for a primary care environment. Importance is placed on
telemedicine, rural medicine and public health. The physician– PA team approach
is emphasized throughout the training process. The importance of a
multi-disciplinary health care team is underscored. OUTCOME FOR OBJECTIVE ONE
The graduate will be capable of
obtaining and documenting a complete and accurate medical history.Competencies
for Objective One
To achieve this objective the
graduate should be able to: Acquire and document a complete and accurate chief complaint.
Acquire and document a complete and accurate history of the present illness.
Acquire and document a complete past medical history, surgical history, psychosocial history and family history.
Acquire and document a comprehensive review of systems with pertinent positive or negative findings as they relate to the history of the present illness.
Acquire and document an interval or follow-up history.
OUTCOME FOR OBJECTIVE TWO
The graduate will be capable of performing a complete physical
examination.
Competencies
for Objective Two
To
achieve this objective the graduate should be able to: Establish patient confidence and provide reassurance
regarding the examination in a
manner that enhances the collection of data.
Demonstrate the appropriate and safe use of standard
physical examination tools and instruments.
Perform and document a comprehensive, logical and
systematic physical examination.
Demonstrate the ability to modify the sequence or
content of the examination to meet
the special needs of the patient.
Perform a problem-oriented physical examination.
Incorporate unique assessment procedures as indicated
by the historical or physical
examination findings.
Distinguish normal from abnormal physical examination findings.
OUTCOME FOR OBJECTIVE THREE
The graduate will be capable of
ordering, collecting (or assisting in the collection of) and interpreting
routine diagnostic procedures or laboratory tests frequently seen in the
primary care setting.
Competencies
for Objective Three
To
achieve this objective the graduate should be able to:
- Formulate a problem list or differential diagnosis for each complaint.
- Identify the diagnostic procedures or laboratory
studies that are indicated in establishing a diagnosis.
- Explain the technique, the benefits and risks
associated with specific diagnostic procedures or laboratory studies.
- Demonstrate skills in the collection of routine specimens.
- Explain the results and implications of routine clinical laboratory tests.
- Explain the findings and implications or routine
radiographic or electrocardiographic tests.
- Discuss the need and use of advanced radiographic imaging tests.
- Discuss the need and use of conventional endoscopic procedures.
- Discuss the need, use and technique of conventional transcutaneous procedures.
OUTCOME FOR OBJECTIVE FOUR
The graduate will be capable of identifying,
discussing, ordering, performing or assisting in the performance of therapeutic
procedures or treatment modalities that are common to primary care practice.
Competencies
for Objective Four
To
achieve this objective the graduate should be able to:OUTCOME FOR OBJECTIVE FIVE
The graduate will be capable of
recognizing and initiating treatment in life- threatening situations.
Competencies
for Objective Five
To
achieve this objective the graduate should be able to:- Recognize and initiate treatment in emergency situations
in patients of any age, in any setting.
- Perform basic cardiopulmonary resuscitation.
- Perform or assist in the performance of emergency
procedures encountered in Advanced
Cardiac LifeSupport.
OUTCOME FOR OBJECTIVE SIX
The graduate will be capable of
clearly and effectively communicating with patients, families and other health
care providers.
Competencies
for Objective Six
To
achieve this objective the graduate should be able to:- Present a clear and succinct description of the
historical findings, physical examination and laboratory studies.
- Present a reasonable and defensible diagnosis and treatment plan.
- Consult with the physician for guidance.
- Write or dictate clear and concise medical notes in a logical format.
- Relay information to the patient regarding diagnosis,
prognosis and treatment in a manner
that promotes empathy.
- Instruct patients in the use of medications,
self-treatments, self- examinations, diet and exercise.
OUTCOME FOR OBJECTIVE SEVEN
The graduate will develop professional
behavior, appreciating the impact of health problems on the patient or family.Competencies
for Objective Seven
To
achieve this objective the graduate should be able to:- Discuss the physical, psychological, spiritual, social
and economic impact that health problems have on the patient and the family.
-
Maintain an objective perspective in the rational
assessment and treatment of patient problems.
- Acknowledge the importance of recognized risk factors
in educating the patient on the
prevention of disease.
- Recognize the difficulties that patients frequently
encounter when attempting to comply with a prescribed therapeutic regimen.
- Understand the right of the patient and family as
informed healthcare consumers.
- Understand the rights to privacy and confidentiality of the patient and family.
- Establish a personal philosophy regarding the dignity
of human life,while respecting
differing philosophies.
Section 2:
Professionalism and Conduct
Becoming a
Professional
Students of the TTUHSC PA Program
have made a decision to become a medical professional and member of the
healthcare team. The health professions are based on a high degree of trust by
the individuals and patients they serve. Being a student in a health sciences
environment is different from the typical university or college classroom.
Students entering the PA profession have an obligation to conduct themselves at
all times in a manner that reflects ethical and honest behavior.TTUHSC PA Students are held to a
high standard of professional and ethical conduct throughout the program.
Professional conduct not only affects one’s ability to practice medicine, but
also the reputation of the TTUHSC PA Program and image of its students.
Students will represent the program in a professional manner in many settings
including the class, campus community, institution, and clinical community.
All students are expected to
exhibit professional conduct in all academic and clinical settings. Students
and student organizations are subject to disciplinary action according to the
provisions of the Student Code and/or any other applicable University rules or
regulations. Each student is responsible to become familiar with the various
regulations of the University and meet the various requirements outlined
below.Written policies are described in
university publications such as this Handbook and the Schools’ individual
catalogs. Each student, in accepting admission, indicates a willingness to
subscribe to and be governed by the rules and regulations of University
officials to take such disciplinary action, including dismissal or expulsion,
as may be deemed appropriate for failure to abide by such rules and
regulations.
Resources such as the TTUHSC
Student Handbook and Code of Conduct, and the Code of Ethical Conduct of the
Physician Assistant Profession illustrate more clearly the standards to which
students will be held. In addition to the guidelines stated in the TTUHSC
policy, the behavior of a student enrolled in the PA program will be guided by the Generic Abilities
and Technical Standards listed in this handbook. This creates an atmosphere of
mutual trust and respect among all members of the campus and medical community.
Each student is responsible for
his/her own integrity, and is likewise responsible for reporting possible
violations of the Student Code by other students.Faculty and staff shall take all reasonable
steps to prevent violations, and each faculty/staff member likewise is
responsible for reporting violations.The TTUHSC Student Handbook Code
of Professional Conduct may be found at: https://www.ttuhsc.edu/student-services/documents/HSC_Institutional_Student_Handbook.pdf
Appropriate behavior in sharing of course materials
The
distribution of any course materials, including but not limited to lecture
slides, handouts, assignments, test materials, or other study materials is
intended only for personal use by registered students in the current class.
Sharing or distribution of any course materials with anyone other than members
of the current class is strictly prohibited and will be considered
unprofessional and a violation of academic conduct standards and subject to
disciplinary action.
Student
Professional Development Evaluation
Purpose of Evaluation:
TTUHSC PA students are held to a high standard of professionalism and ethical behavior through all phases of the PA program. Professionalism is expected at all times: in the classroom, in the clinics and hospitals, and at program or school sponsored events. Professionalism will be evaluated toward the end of every semester while in the PA program using the Professional Development Evaluation form (PDE) distributed on the Sakai Class site. Evaluations will be a part of the PA student record and will be used when future employers, licensing, credentialing boards request reference information.
Frequency of Professional Development Evaluations:
PDE will be completed each semester during the didactic phase and each clerkship course during the clinical phase. Grading policies for the PDE defined in individual course syllabi. In the event a student receives an unsatisfactory PDE grade, the Student Progression Committee (SPC) will review that student’s entire academic record and may impose probation, remedial action, or dismissal.
Communication
with the Program
Official Email:
All official e-mail communication to TTUHSC
students is sent to the e-mail address provided by TTUHSC. E-mail
communications should not be sent to faculty or staff from a student’s personal
e-mail account. Faculty and staff are not required to respond to e-mails sent
from a student’s personal e-mail account. The SHP and the PA program is not
responsible for consequences related to unheeded e- mail correspondence. Students are encouraged to communicate with faculty and other
students through e-mail. The class distribution email list should be utilized
for program and student business purposes only. The use of social media accounts
or groups is not allowed or supported for program or student organization
business. All student organization communications must utilize TTUHSC email.
It is the student’s responsibility to
check this account on a daily basis to ensure important communications are not
missed. Students should make every attempt to respond to email within 2
business days unless stated otherwise in the email. Faculty and
staff will check email during business hours and make every effort to respond
to emails and voicemails within 2 business days. If unavailable, an out of
office message will direct student who to contact for additional assistance.
Students are expected to be available to attend all
scheduled classes and clinics as per the published SHP academic calendar and
course syllabus. For additional
information concerning attendance during the clinical year, refer to Section 4:
Clinical Attendance Policies.
Class and Laboratory:
Required classes and events for
students are generally scheduled between the hours of 8 AM and 5 PM; however,
it may be necessary to hold classes, labs, or activities outside of these
hours. Students are required to attend classes at scheduled times as published
in the course syllabus and The HUB. Students should arrive 10 minutes prior to
class/exam start time.
Excused Absences:
Emergency excused absences: If
it is necessary to miss or be late for a class session, it is the student’s
responsibility to notify the PA Program staff at 432-620-1120 and their
advisor prior to class. The student is responsible for material
covered.
Excused absences will be granted
for illness or a crisis situation involving the student or the student’s
immediate family. Written documentation as evidence for the crisis incident is
required. The Program Director will evaluate other situations that may
constitute a valid excuse for absence on a case-by-case basis. Sick days are
intended for use only in the event of personal illness or to assist a member of
the immediate family who is actually ill. If an absence for illness is for more
than one day, documentation of the illness from a licensed health care provider
must be provided to the student’s
academic advisor and included in the student’s academic file.
Non-Emergency excused absences:Requests
for an excused absence must be submitted to the student’s academic advisor no
later than 45 days in advance of the date(s) of the requested excused absence.
Request must include the activities that will be missed. The request will be
presented to the student progression committee for consideration and final
approval. Categories of possible excused absences include the following:a. Attendance at a professional meeting or conference:
Students may attend the TAPA and/or AAPA CME conference only if prior approval
is obtained from the Program
Director and Advisor. The student must be in good standing and have grade averages in all courses >80 to consider attendance.b. Absence due to religious observance: Student may be
excused to observe a holy day
observed by a religion as defined by HSC OP77.12.c. Wedding attendance: Approval may be granted for one
day absence for immediate family
members (as defined under TTUHSC Family and Medical Leave policy HSC OP 70.32)
or if the student is a confirmed member of the wedding party. Student must
indicate his/her relationship to the couple, role in the wedding, date or
ceremony, and location of the event.d. Other requests: Other categories for requesting a
non-emergency excused absence are considered at the discretion of the Student
Progression Committee.
Excessive excused or Unexcused Absences:
Excessive excused
or any unexcused absences are not permitted and will be referred to the Student
Progression Committee. This may result in negative Professional Development
Evaluation and/or disciplinary action. Absences not preapproved may be
considered unexcused, except in special circumstances. Unexcused absences may
include the following: oversleeping, time conflicts with personal commitments,
family reunions, weddings, vacations, or other types of social events.
Late arrivals:
If you arrive late for class, you are to
enter quietly by the door furthest from the podium, proceed to your seat and be
seated with the least possible disruption to the class. Repeated tardiness or
non-participation will be reflected on the evaluation under Professional
Conduct and Development and may result in lower grade based on course syllabus
policies.
Personal Days during Clerkship Year:
Up to two (2) personal
excused absence days may be taken during the Clerkship Year. Personal days are considered non-emergency
excused absences and must also be submitted to the Clerkship Coordinator and
approved by the DOCE 30 days in advance of the date for the requested absence
(special consideration may be given for fellowship interviews with less notice
at the discretion of the SPC). No more
than one personal day may be requested per clerkship rotation.Examples of personal days include attendance
at family events, job interviews, or addressing personals needs. No more than
one personal day may be excused per clerkship course.
Absences on
Test Days:
See Testing Policy and
Procedure for additional information.
University-wide standards of dress and behavior
should be observed both on campus and in the classroom. Neatness and modesty
are valued and expected.Personal grooming and hygiene are
a priority. Members of the faculty and staff have the authority and
responsibility to maintain standards of student dress and grooming within the
classrooms, laboratories, and other areas of public presentations within the
campus and community. The dress code reflects professional integrity and
special needs of the individual classes. Professional dress is expected of
students at all times throughout the program. Appropriate Attire in
Classroom and Lab:
Examples of unacceptable
attire during classes includes, but is not limited to, the following:- Ragged, torn, or unkempt clothing
- Halter tops or tank tops
- Spaghetti straps
- Midriffs
- Short shorts or skirts
- Clothing items with excessive rips or tears·
- Athletic wear including warm-up style pants or leggings, sweat pants or yoga pants
- Perfume, cologne, or other fragrances which may be offensive to others.
Dress Code
at Clinical Sites during Clerkship Courses:
Unless specifically defined
by the clinical site, students should be dressed business casual with White
Coat.Scrub attire is only appropriate
for surgical/ER or procedural settings.Clothing should allow for adequate
movement during patient care and should not be tight, short, or low cut.
Necklines should be high enough to not expose chest, hemlines to knee length,
shoes must be closed toe, jewelry kept to a minimum, pierced areas should be
free of ornament, and tattoos will be covered. All efforts should be made to
wear clothing that does not draw attention to oneself.Fragrances should be minimal. For all classes involving lab or clinical
performance and while on clinical rotations, students are required to wear
attire consistent with Occupational Safety and Health Administration (OSHA)
standards if there is any risk of exposure to blood, bodily fluids, chemicals
or potentially harmful agents. Legs must be covered and footwear must cover the
majority of the foot (such as athletic shoes). Open-toed shoes may not be worn. Dress Code
for Examination:
See Testing Policy and Procedure for specific information.Special Exceptions:
Specific events, VIP visits or other
times at the program may require that students are dressed in business casual
attire. The Program Director or Program Business Manager will notify students of the
requirement on a case-by-case basis.
Clerkship Course
Professional Requirements
General Guidelines:
The PA Program at the Texas Tech
University Health Sciences Center strives to provide an exemplary education to
students for careers in primary healthcare. As future members of the healthcare
team, students will learn to be a member of the interprofessional health care
team in providing healthcare services to patients.
Students on their clinical
clerkship assignments are expected to act as a professional at all times.
Students are expected to show up on time; be respectful of their preceptors,
other healthcare professionals, patients, and patients’ families; and maintain
a positive, agreeable attitude. Clinical preceptors and their staff are not
paid by the TTUHSC PA program and provide their services and knowledge in a
purely altruistic manner.
Patient Privacy
and Health Insurance Portability and Accountability Act
Students are
expected and required to respect the patient’s privacy at all times. Discussing the patient, their family or medical
problems outside of the office or where others can overhear is strictly prohibited.
HIPAA Training:
Each student receives HIPAA training
administered through TTUHSC. Students are required to complete the training
prior to orientation. Questions regarding training requirements should be
direct to the Office of Admissions and Student Affairs at (806) 743-3220 or health.professions@ttuhsc.edu.
HIPAA Compliance:
Failure to comply with this policy is
subject to disciplinary action and may be grounds for dismissal. HIPAA
violations will be addressed by Institutional Compliance and/or the Student
Progress Committee (SPC) to determine the continued academic standing of the
student in the program.
Section 3:
Curriculum
Academic
Calendar
Published academic calendar:
The Academic Calendar can be
accessed at the following web link: https://www.ttuhsc.edu/health-professions/academic-calendar/default.aspx
Required classes and activities:
Students are expected to be
available during defined times on the published academic calendar. Students
should reserve travel plans or activities for defined
breaks between terms and/or clerkship courses.
PA Program Curriculum
OverviewCurriculum Design and Philosophy:
The PA Program curriculum
is designed to prepare graduates to provide excellent patient care across the
lifespan. Education will be divided into 15 months of didactic coursework, followed by a
year of clinical clerkship courses, providing students with a variety of
experiences in different areas of medicine. The professional curriculum of the
TTUHSC PA Program consists of 125 semester equivalent hours of academic and
clinical education. The curriculum includes core
knowledge and skills about evolving basic and clinical preparatory sciences,
interpersonal and communication skills, social and behavioral sciences, health
care delivery and professional practice, and the application of knowledge and
skills in patient care. The sequencing builds a foundation in basic science to
continue application of basic sciences to clinical medicine in the third and
fourth semester of the didactic portion of the curriculum. Didactic courses are
delivered with multiple teaching methods including lecture, laboratory, case
discussions, collaborative learning experiences, and hybrid course delivery.Supervised clinical experiences
provides hands on clinical experiences in family medicine, internal medicine,
pediatrics, OB/GYN, general surgery, psychiatry, emergency medicine, and
selective specialty. The student should be ready for travel by personal
vehicle. Since many clinical sites are away from the Midland-Odessa area, all
students must expect to be assigned to these away sites and should anticipate
the need to find housing in these areas during the clinical portion of the
program. Class schedules will be published on course
syllabi and on The HUB under the “Class of-“ HUB
site. Students are encouraged to check the HUB daily for updates or other
program announcements. Schedules are subject to change at any time, and
therefore, flex times are posted on the calendar to allow for scheduling needs
of the program. In addition, activities required for clinical site orientations maybe scheduled outside of regular class time and are required.
Scheduling of
extra-curricular and outside events
Student groups wishing to schedule
events may do so before or after regularly scheduled class times or during
lunchtime. Approval must be received from the Program Director prior to contacting
outside guests lecturers. Once approved by the Program Director, students must
work with the program Business Coordinator to reserve appropriate classroom
locations and resources for the event.
Course Syllabi
Course expectations and instructional
objectives to guide student acquisition of required outcomes and competencies
for each didactic and clerkship course are published in the course syllabus.
The course syllabus will be posted on The HUB for each course. For clerkship
courses, the course syllabi are posted in the “Class of-“ HUB site.
Student
Expectations of Performance
The following assumptions apply to
the manner in which each student is expected to meet the objectives of every
course. Since all of these expectations apply to each course, these standard
expectations are not repeated in each course document.- The student demonstrates a systematic, safe, accurate, timely and
efficient approach to the accomplishment of each objective and demonstrates the
efficient use of materials in each activity.
- Adequate time is devoted to class and clinical activities and to
preparation for each of those to meet the stated objective (i.e., 3 hours per
credit hour).
- Academic integrity is demonstrated in each element of the student’s performance.
- Ethical behavior appropriate to the standards of a developing
professional is maintained at all
times, particularly in relation to maintaining the confidentiality of
information regarding patients or clients.
- Each student maintains appropriate personal health status to accomplish
expectation of the program. Professional behavior – all students are expected
to exhibit consistent professional conduct in the classroom, lab and clinic.
Disruptive behaviors include, but are not limited to, tardiness, leaving early,
offensive remarks, talking to others, and reading newspapers or magazines.
- Cellular phone or electronic device use is not permitted during class,
lab or clinic. This includes use of such devices for speaking, texting, instant
messaging, and/or internet use. This does not preclude the use of computers for
taking notes in class. Students who do not exhibit professional behaviors may
be subject to disciplinary actions.
Testing Policy
and Procedures
All testing policies apply in both
the didactic and clinical years. For additional Clinical Year Assessment
information refer to Section 4: End of Rotation Assessment Format.
Exam Time:
Examinations will be administered per the
course schedule, published in the course syllabus. Students are expected to
take exams at the scheduled times. Exceptions may only be made in the case of a
valid excused absence.
Exam Location:
You may not log in to the test from
another location unless instructed to do so by the course instructor or exam
proctor. You will need to discuss your absence with the instructor or your
advisor at the earliest opportunity.
Absences:
If a student is unable to take the
examination at the designated time due to an excused absence (see the attendance policy), the student
must take the examination as soon as possible after the scheduled test date.
The instructor will coordinate the time and place for the student to complete
the requirement. A student who misses an examination due to an unexcused absence will report
immediately to their advisor or, if unavailable, the Director of Didactic Education. It
is at the discretion of the instructor in consultation with the Program Director to permit the student to take the examination
or receive a zero (0) for that examination. If the instructor allows the
student to take an examination at another time, the above guidelines apply. Unexcused absences resulting in zero points will be an “F” for that examination.
Late arrival:
If you arrive late for a quiz or test,
you will not be allowed to take the test at that time and become a disruption
to the testing environment. Unexcused tardiness for an examination carries the
same penalty as unexcused absence. It is at the discretion of the examination
proctor to allow the student to take the examination due to unexcused
tardiness.
The instructor/advisor may elect
to discuss your case with the Student Progress Committee (SPC) or program
director to determine disposition. Outcomes may include: a grade of zero for
the test; or you may be allowed to take a make-up test at a later date. The
maximum score on a make-up quiz or test is 70%.
Examinations will be given by computer
unless otherwise specified. Failure to bring a computer or malfunction of the
computer may result in a student not being allowed to take the exam. It will be
at the discretion of the instructor if the student will be allowed to take the
examination at a later time or if the student will receive a zero for that
examination. Availability of paper exam copies is at the discretion of the
instructor.- Students are responsible for
maintaining computer and software updates as recommended for optimum system
performance as per the following guidelines:
- For all online tests, it is recommended to always use network cords and
plug their computer into the Ethernet port BEFORE powering on the computer to
ensure a“hard wired”
connection. Attempting to take a test over the Wi-Fi connection is strongly
discouraged and may result in the examination not loading properly.
- Students are advised to have a power cable connected to their computer to avoid the risk of losing battery power
during the examination.
- Students must turn off all automatic updates for any and all programs (i.e. Windows, Adobe, Java,
etc…). If a computer initiates an automatic update and the student is “kicked
out” of the examination and is unable to log back in, the student will only
receive credit for the questions submitted.
- Computerized examinations may be given via multiple electronic formats
including Sakai, ExamSoft, and Exam Driver. Students must have their computers
appropriately updated with software prior to the exam.It is the
student’s responsibility to work with software support and have the latest, up
to date version of all software and/or web browsers installed on their
computers and operational.
A privacy screen is required for
all computer examinations. Failure to bring a privacy screen may result in not
being allowed to take the examination. A paper version will be offered at the
discretion of the instructor.
Dress Code
for Examinations:
During examinations, the
following dress code must be adhered to:- No hats
- No headbands, scarves or large accessories
- No watches or large jewelry
- Any clothing or accessories deemed a risk for academic integrity will be removed or the student asked to leave
Testing Environment:
Desks must be cleared of all
items except for the student’s computer, LAN cord, and mouse. This
includes all drinks, food, or other items. All personal belongings MUST be
placed at the periphery of the classroom or outside of the classroom as the
discretion of the instructor. Scratch paper may be provided by the examination
proctor at the discretion of the instructor.
- There will be no bathroom breaks
during exams.
- Students must log in IMMEDIATELY
after receiving the exam code from the proctor.
- During the examination the proctor
may not answer questions related to the content of the examination.
- Ear plugs and scratch paper may
be provided at the discretion of the instructor. No headphones are
allowed.
- Proctoring will be at the
discretion of the course director and may be administered by staff or other
faculty.
- Upon completion of the
examination, rise quietly, collect all testing materials, proceed to the
proctor for collection as applicable and depart the room. Re-entry is not
allowed.
- Instructors may have additional
policies posted in the course syllabus related to the testing environment.
Timed Testing:
Tests are timed. Generally, time allowance
for questions is one minute per question, consistent with NCCPA PANCE testing
guidelines. Once a student begins an examination, the examination must be
completed within the allotted time and will be graded. Once time has expired
for the examination, the computerized testing program will automatically “force
submission”. Paper examinations will be collected by the examination proctor.
Exam Scores and Grading:
Every effort will be made to
release the grades within three (3) business days after the administration of
the examination.Students may approach the primary
instructor with perceived grading discrepancies. The instructor will review an examination
with any student who desires to do so after grades have been released. The
student is expected to act in a professional manner when reviewing an
examination. It is the student’s responsibility to ensure accuracy of responses
on computer or paper answer sheets. Challenges to examination questions will be
accepted for 1 week after the return of scores. Challenges must be submitted in
writing via email with two written sources with at least one from recommended
course readings.
PAEA
PACKRAT and End of Rotation Exams:
PAEA Assessments are used
during the program. During and after examinations, students are responsible for
the following:- Adhering to the PAEA Assessment academic integrity instructions and procedures as outlined.
- Adhering to the PAEA Assessment content security
instructions and procedures outlined.
- Abiding by all institutional and program academic
integrity policies and procedures as well as proctor instructions.
Section 4:
Academic Policies, Progression, and Graduation
Registration
Student must register for all
course work prior to the start of each semester. Clerkship year students must
register for clerkship courses prior to start date of the first clerkship of
each semester. CRN numbers will be sent to students by the program staff prior
to registration dates.
Tuition and fees are due at the
time of registration. For further information concerning registration
procedures, contact the Office of Admissions and Student Affairs at
(806)743-3220. Failure to register and pay all tuition and fees will result in
administrative dismissal from the program. Upon enrollment, each student is
assigned a faculty advisor to assist in understanding and abiding by PA Program
policy and practice. Advisors must provide timely access for assistance and
counseling regarding academic, professional or behavioral concerns or problems.
Each student should to meet with
his/her academic advisor as needed for academic or professional concerns. It is
advisable to meet with the academic advisor at the beginning of the program to
provide background information to your advisor to best help assist during the
program. Additional meetings with a student’s academic advisor will be
scheduled on an as needed basis. If the student fails a written or practical
examination or other assessment, it is the student’s responsibility to meet
with the course instructor and academic advisor. Counseling sessions may be documented and placed in the student’s file. The student’s responsibilities as an advisee in the advising process
are:- To give thoughtful consideration to personal career goals so academic
and professional goals can be coordinated and discussed with advisor (orother faculty member) asappropriate.
- To be responsible for monitoring progress toward graduation and the requirements for certification and licensure.
- To understand the basic structure of the curriculum and its
requirements in order to ask
meaningful questions.
- To become familiar with the class schedule for each term to plan semester schedules.
- To attend pre-registration meeting or make appointments with an advisor for registration counseling.
- To be responsible for maintaining academic and
clinical performance in accordance
with University and Departmental requirements.
- Title IX: While maintaining HIPAA and FERPA confidentiality, students
are encouraged to notify the academic advisor or program director in the event of an illness, medical condition,
or family condition (Title IX) that could
potentially negatively impact the student’s ability to remain academically successful. Accommodations
will only be provided as recommended and approved through Disability Services.
The School of Health Professions
does not grade replace.
Academic
Standing Definition
To remain in good standing, a
student must meet the academic progression requirements of the PA program. If
the criteria for good standing are not met, the student will be considered,
“not in good standing” and will be placed on probation. It is the
responsibility of the student to know his/her academic status and progression
standards.
Semester Grade
Reports
Grade reports are posted on the TTUHSC
website each semester and can be accessed using the student’s e-raider account.
Credit By
Examination
Credit by examination is not
offered for courses in the PA program.
Academic
Progression Standards
To progress in and graduate from
the PA Program, a student must successfully:
Maintain a semester and cumulative GPA of 2.8
Earn a grade of “C” or higher or “P” in all courses
Pass all system block exams in clinical medicine
course series with 70%or higher
Satisfactorily complete each didactic semester in
order to progress to the next semester
Satisfactorily complete all requirements of the
clinical year including courses and
summative examination requirements
Maintain satisfactory Professional Development
Evaluations and adhere to all program, school, and institutional policies
Any student who does not
satisfactorily meet the preceding standards will be referred to the Student
Progression Committee (SPC) which will evaluate the student's performance and
make recommendations to the Program Director which may include probation,
remediation, or dismissal from the program.
The Student
Progression Committee
The Student Progression Committee
(SPC) is charged by the Program Director with the maintenance of the academic
and professional standards of the TTUHSC Program. The committee has the
responsibility to monitor student academic and professional performance as they
progress towards graduation.
The committee is comprised of core
faculty members of the TTUHSC PA program. The Associate Program Director acts
as chair. Student academic and professional performance may be reviewed as
needed with or without the student presence or knowledge. When evaluating
student performance, the committee takes into account academic performance,
grades, and professional development evaluation. Each case is reviewed on an
individual basis.
Recommendations by the SPC may
consist of, but are not limited to, probation, remedial action (which may or
may not result in extended curriculum), or dismissal. The recommendation will
be forwarded to and reviewed by the Program Director.Notification of academic actions will follow current TTUHSC SHP
Policy. Specific review and actions may include the
following:- Review and recommend appropriate action of any student not meeting
academic progression standards. The review consists of a review of current
performance as well as student and admissions file review. Meeting minutes and
academic action letters will be forwarded to the Program Director for review
and approval.
- Review and complete professionalism evaluation each semester, or
periodically as needed. Evaluations of any students will be forwarded to the
Program Director for review.
- Review individual results of program practical and summative
examinations and forward individual letters of student performance to the
Program Director for review.
- Review cognitive or non-cognitive concerns brought to
the attention of the committee by any faculty or staff member.
Probation,
Remediation, Dismissal
In accordance with TTUHSC School
of Health Professions Policy and the Standards established by the Accreditation
Review Commission for the Education of Physician Assistants (ARC-PA), the PA
Program recognizes certain didactic coursework and clerkships as fundamental
for competency in clinical practice. Students who do not successfully complete
all of the requirements of a didactic course or clinical clerkship as listed in
this handbook under Academic Progression
Standards are subject to Academic
Dismissal in compliance with SHP Policy.
In accordance with the TTUHSC SHP
regarding academic probation and the Standards established by the ARC-PA, the
PA Program has established the following policies: A student not meeting academic progression standards
above may be subject to academic probation and will be referred to the SPC for
review of the entire academic record. A recommendation for probation and/or
remediation will be forwarded to the Program Director. A student may continue
in the program if so determined by the Program Director and must meet the
academic progression standards and the terms of probation and/or remediation. Students may be placed on academic
probation for a maximum of one semester during the PA program (including both
the didactic and clinical phases of training). Meeting the conditions of
academic probation a second time will result in dismissal from the program.Students will be notified they are
being placed on academic probation in accordance with the SHP Academic Probation
Policy.
A student on probation may have
difficulty being placed in clerkship course sites based on clinical site
affiliation agreements.This may limit
the ability of the program to schedule clerkship
course sites and delay a student’s graduation. A student on academic probation
may not hold elected or student leadership positions in the student society. A student not meeting the academic
progression standards will be reviewed by the SPC to determine if remediation
is possible. If so, the student may be offered a remediation plan at the
discretion of the SPC and Program Director. Remediation may include, but is not
limited to, repeating a course or clerkship course, completing additional study
in a subject area, retesting, deceleration, or repeating summative
evaluations. A remediation plan in
conjunction with probation or an academic warning must be completed within the
time frame designated and presented within the letter.
A student receiving a course grade
less than “C” may be offered a one-time opportunity to repeat the course at the
next available opportunity which may be the next year, or if a clinical
clerkship course, subject to scheduling. The student must pass the course with
a minimum grade of “C” or higher and maintain a semester GPA of 2.8 or above or
may be subject to dismissal from the program. Repeating a course does not
replace the original grade. For the purpose of calculating GPA, the grade
obtained when a course is retaken is averaged with previous grades.
Students identified at academic
risk may be required to remediate. The course instructor, faculty member, or
Program Director will identify the student at risk for failing based on course
performance or other academic, behavioral or professional concerns.The course instructor, in conjunction with
the advisor and/or Program Director, will develop a remediation plan.Student counseling will occur and be
documented in the student file. It is the student’s responsibility to cooperate
and be compliant with the defined remediation plan. If those remediation
efforts are unsuccessful, or a student has multiple academic concerns, the
student may be referred to the SPC for additional review and recommendations to
be forwarded to the Program Director. A
formal academic warning letter from the Program Director may be issued to the
student.Behavioral or professional
concerns that cannot be resolved will be referred to the Program Director for
action. Any student who the SPC and Program Director determines cannot be
remediated for academic, behavioral or professional concerns will be
recommended for dismissal in accordance with program and SHP policies. A student may be dismissed from the PA program if:The student acts in a manner detrimental to the safety or well-being of
a client, patient, other student, or faculty.
Violation of the academic and non-academic policies of, TTUHSC, the
SHP, or the PA Program.
The student willfully gives misinformation on any official Texas Tech
University document, or signs the name of another on any such document.
The student does not maintain minimum academic
performance standards of the PA program.
The student does not meet the competencies in clinical
practicum in the specified manner and time.
The student does not meet the provisions of academic probation
The student meets criteria for academic probation a second time during the program
The student fails either portion of the summative
examination remediation as specified by the SPC
Dismissal will occur in
compliance with the SHP Academic Dismissal policy.
Curriculum
Graduation Requirements
At the end of the PA program
professional curriculum, each student record will be reviewed by the faculty
and Program Director to determine if the student has satisfactorily completed
and achieved the standards and requirements of the PA program and each course.
If the student has met all requirements for completion of the professional
curriculum, he/she is then recommended for graduation from the PA program. The
Program Director submits these names to the Department Chair for approval and
forwards to the Dean, SHP and the TTUHSC Registrar for graduation and the
granting of a degree.
Graduation under a Particular Catalog
A student is expected to complete
the degree requirements set forth in a particular School of Health Professions
SHP catalog. This will be the catalog in effect at the time the student enters
the program. Its provisions are applicable during the following school year,
September through August. However, a student who registers for the first time,
or is re-admitted during a summer session is subject to the degree requirements
set forth in the catalog effective for the fall semester immediately following
the initial enrollment. A catalog issued
later than the student’s first registration may
be selected by the Chairperson in conference with the students.
PACKRAT Examinations
The PACKRAT is an assessment tool
that is administered to help the student evaluate their academic progress and
Physician Assistant National Certifying Exam (PANCE) preparation needs.
Completion of the PACKRAT is a required component of the clinical year. The
PACKRAT will be administered at the end of the didactic year and during the
final phases of the clinical year.
Summative Clinical Skills
Practical and Written Examination
Prior to completion of the
clinical year, a summative evaluation consisting of a summative written and
clinical skills evaluation will be administered. These exams are part of HPPA
6404 Master Project Track. Passage of both the summative clinical skills
practicum and the summative written examination are required components for
successful completion of the program.
Both the clinical skills practicum
and the written summative examination will be administered within the last four
(4) months of the clinical year.
Failure to pass either the
clinical skills practicum or the written summative examination after two
attempts will result in recommendation for suspension, recycle, dismissal or
other action for failure to comply with the requirements of the program as
recommended by the Student Progression Committee (SPC).
Convocation and Commencement
The SHP convocation and
commencement ceremony is held in Lubbock, Texas on the campus of Texas Tech
University. Although the PA students take part in this ceremony held during
May, they do not officially graduate or receive their diplomas until the
following August. Each student is highly encouraged to attend the ceremony.
Graduation regalia is paid for by the student at the time of order.
Certification and Licensure
Students who complete the graduate
program in PA studies will meet the academic and clinical requirements for
certification by the NCCPA and state licensure. The Program Director verifies
satisfactory completion of academic course work, clinical practicum and
knowledge of skills requirements.
NCCPA Certification:
The program will forward eligibility to
the NCCPA for PANCE examination. Students are permitted to take the exam 7 days
after official diploma as defined on the published SHP academic calendar.State Licensure:
All transactions with state
licensure boards are strictly the student’s responsibility. The
program director will provide appropriate paperwork, upon request, to forward
to the state board. Contents of the student file including official student advising/counseling documentation, professionalism evaluations, academic
progression communications, and overall academic performance will be utilized
for reported.Credentialing and privileges requests:
Should be directed to
the Assistant Clinical Coordinator. Requests will be
completed within 10
business days. Please allow additional time for requests of malpractice
insurance coverage or claims.
Section 5: Clerkship
Specific Policies
General
Information
After successfully completing the
didactic phase of PA training, students will transition to the clinical year.
This time is known as the supervised clinical experience (SCE).
Rotation length and requirements:
The SCE currently consists
of eight clinical clerkship courses, each spanning approximately 6 weeks. The
current disciplines consist of the following: Family Medicine, Pediatrics,
Internal Medicine, Psychiatry, General Surgery, Emergency Medicine, Prenatal
Care & Gynecology, and one selective clerkship course. Students are
expected to be actively engaged in taking responsibility for their education by
mastering the knowledge objectives outlined in the clerkship syllabi.
Didactic lectures, Rounds, and other academic opportunities:
Students are required to attend all learning activities of the rotation. In
many hospitals and academic sites, this will include didactic lectures offered
to all medical learners (including medical students and residents), participate
in daily rounds, Grand Rounds, and other conferences.
General Duties and Tasks:
PA students are educated in taking
medical histories and performing physical examinations, developing
differentials, ordering diagnostic studies, developing diagnosis, treatment
plans, and educating patients before entry into the supervised clinical
experience. Clinical clerkship courses enable PA students to sharpen their
primary care skills and learn the art of medical practice. The primary goal is for the
student to gain practical experience, develop skills as a healthcare practitioner,
and learn the roles of other members of the healthcare team. The supervised
clinical experience also emphasizes the dependent role of the PA and the
Physician-PA Team concept.
All clinical facilities require
students have professional liability insurance. Professional liability
insurance is provided by the SHP, and information regarding provision of
liability insurance is described in the affiliation agreement between TTUHSC
and the facility. All questions regarding professional liability insurance
addressed to the students should be referred to the Clerkship Coordinator.
Students are covered by this liability insurance only while they are in a
clinical setting, laboratory, or classroom approved by the TTUHSC PA Program
administration.The SHP provides professional
liability coverage for students that work or study in a clinical environment
with limits of $1,000,000/$3,000,000. This coverage only applies to activities
which are part of and a requirement of students’ curriculum. Depending on each
student’s personal financial situation, this may or may not be adequate
coverage. It is recommended that you
meet with a financial advisor or attorney of your choice to determine whether
or not you need to purchase additional coverage.
Clerkship Region
Assignments
Clinical Regions:
Students will be assigned a clinical
region at the discretion of the faculty during the Spring semester of the
didactic year. The TTUHSC PA program has established regions based around
TTUHSC campuses in Amarillo, Lubbock, Permian Basin, Abilene, and El Paso. Assignment Process:The assignment process is coordinated by
the Clerkship coordinator and the assignments
are approved by the Clinical Faculty Team. The number of students per region is
determined yearly based on sufficiency and availability of clinical sites. The
following criteria may be considered in the selection process: Academic
standing and performance, GPA, Professionalism, Professional Service,
indicators of future practice in populations similar to regional assignments.
Clerkship region assignments are final.
Travel Requirements Outside of Home Region:
Students are not
guaranteed all clerkship course sites will be located within their assigned
region. Students may be required to move between regions or outside of the
TTUHSC regions based on site/preceptor availability in specific disciplines or
for other unexpected situations. Students will be responsible for all travel
expenses during the clinical year.
Clinical Site
Scheduling
Solicitation and scheduling of sites/preceptors:
All
clinical sites are solicited and schedules are assigned by the faculty of the
TTUHSC PA program Clinical Team. The program faculty will review, evaluate and
approve all preceptorships for the suitability of the program. All clinical
clerkship courses are scheduled by the Clinical Coordination Team utilizing the
E*Value EVOS system. Students will have input into their experience placements
through submission of preferences.
Student solicitation of site strictly prohibited:
Students
may not contact providers or preceptors to seek or schedule clinical clerkship
course experiences. Students may suggest sites and preceptors to the Clerkship
Coordinator, but all communications with preceptors for the purposes of
scheduling and affiliation will be done by program faculty and staff.
Rotation rescheduling:
Please note that occasionally, the
situation may arise with little notice that a preceptor is unable to fulfill
the scheduled clinical experience. This may result in rescheduling
with another preceptor, relocation of a student to another region, or limited
activities while affiliation agreements or contracts are in process. Students
must remain flexible when unexpected situations arise. In this case, the
student had two choices: - Accept the rotation assignment provided by the
clinical team to replace the original rotation - the Clinical Team will make
every effort to secure a clinical rotation site/preceptor for the student. The
student may not find their own rotation.
-
Not accept the rotation selection from the clinical team - the student may suggest alternative rotation sites/preceptors to the
team. By choosing this option, the student agrees that if another rotation
cannot be arranged, the student may be required to extend their program,
delaying graduation.
Student
Requirements for Clinical Sites
Contacting
preceptors/sites:
Students must contact their
next supervising clinical preceptor a minimum of four (4) weeks prior to the start of each supervised clinical
experience.
Onboarding and orientation requirements:
In addition to
contacting the clinical preceptor, students are required to contact any
facility in which training will also occur in and complete all paperwork prior
to arrival. The Clerkship Coordinator will be able to answer questions or
concerns regarding the policies and requirements for specific clinical sites. Student
must comply with any facility required background checks, health screenings,
drug screening, or other requirements.Failure to
contact clinical sites or complete requirements may result in a delay in
clerkship. This will delay a student’s graduation pending completion of the
clerkship course. It is the responsibility of the student to notify and
complete any necessary paperwork required for each supervised clinical
experience.
BLS, ACLS, and PALS Certification
Students will be required to
complete BLS, ACLS and PALS certification as a part of didactic training and
maintain certification through program graduation. Students who fail to
complete these certifications during scheduled times will be required to do at
their own expense prior to deadlines defined by the Clinical Team during the
didactic year.
Blood and Bodily
Fluid Exposures
Report any blood or body fluid exposures (i.e.
needle sticks) to Nicole Hines, RN, your assigned Clinical Coordinator,
supervising physician, hospital employee health, your clinical coordinator
immediately and Infection Control Managing Director. See Blood & Body Fluid
Exposure Plan. (Please be advised that
there are clinical situations where you might be exposed to toxins that could
be harmful particularly in the case of pregnancy: Example: bone cement while on
surgery rotation. We encourage you to be aware of this and notify your faculty
advisor so that appropriate measures can be taken.)
https://hscweb.ttuhsc.edu/health-professions/documents/current/Blood-Borne-Pathogen-Policy_Feb2018.pdf
Expectations of Clerkship Students
Timely
Communication during Clerkships
The following should be used to
direct communications appropriate during clerkship experiences:
Issue | Timeliness
ofCommunication | Contact Person |
Emergency | 24/7 | 432-620-1135 |
Urgent rotation concerns during business hours | During normal business hours, as soon as possible | Clerkship Coordinator, by
email or phone |
Non-urgent rotation concerns | During normal business hours | Clinicalteam.paprogram@ttuhsc.edu |
Absence due to illness or emergency | During normal business
hours, as soon as possible | First notify the preceptor
and then Clinicalteam.paprogram@ttuhsc.edu |
Preceptor illness or
vacation | During normal business hours, as soon as possible | Clinicalteam.paprogram@ttuhsc.edu |
Blood or Bodily Fluid
Exposure | Seek medical care
urgently, contact preceptor. Contact Office of Institutional Health as soon
as possible during business hours | Seek medical care and
contact Nicole Hines, Office of Institutional Health |
Change of address or contact information | Within 5 business days | PA Program Business
Coordinator and Registrar’s Office |
Identification
during Clinical Experiences
Name tags and Badges:
A name tag identifying the student as
a Physician Assistant Student MUST be worn at all times during the clinical
experience. If a specific site requires additional identification, it is the
responsibility of the student to comply. It is the student’s responsibility to
complete paperwork necessary to obtain required badges and return badges to the
site prior to departure.
Greeting Patients and Student Identification Requirements:
Students are required to identify
themselves to patients by their name and by TTUHSC student status. The student
must explain to patients their working relationship with the preceptor.
Signing charts:
When a student signs a chart, they must
identify their student status, ex. PA-S2. Any official paperwork or chart must
be co-signed by the preceptor.
Student
Supervision
Students must be supervised by
their preceptor that is a licensed provider at all times. Student may only
rotate with approved preceptors. Under no circumstances should a PA student be
permitted to practice independent of direct supervision.Accept only tasks for which the student has been
properly trained and perform procedures
only under the direct supervision of the preceptor or designated secondary
preceptor within the practice. Under no circumstances should a PA
student be used as an employee of the practice or represented to patients as
such. Students should not be used as clerical staff, medical scribes, or
research assistants.
Clerkship
Attendance Policies
Attendance:
Students are required to attend clinic at
scheduled times and work the hours set forth by their designated preceptor
(minimum of 8 hours/day, 40 hours per week). This is required through the
entire length of the clinical rotation experience. While on clinical rotations, students will be
“on duty” at the discretion of their supervising preceptor; it is not limited
to the 8:00 am – 5:00 pm schedule. This includes the potential of
working weekends, holidays and on-call hours. In order to successfully complete
the professional curriculum on time, rotations must be started and completed as
scheduled. Requests for time off (arriving late, leaving early, personal days,
appointments, etc.) must be pre-approved by the DOCE through the Clerkship
Coordinator prior to seeking approval from the preceptor.
Clinical Absences:
Any illnesses or absences must be reported to their assigned academic
advisor and Clerkship Coordinator immediately. All missed clinical hours
must be recovered on an hour for hour basis. Missed clinical hours may be
recovered during the rotation if time allows or at other times as approved by the DOCE through the Clinical
Coordinator. If a student misses clinical time during the clerkship, the
student will be required to maintain a time log to be co-signed by the
supervising clinical preceptor. This
will be used by their Clinical Coordinator to evaluate the need for additional
clinical time in that area.
Excused
Absences and Personal Days:
All anticipated absences
must be pre- approved by the DOCE through the Clerkship Coordinator prior
to requesting the absence from the Preceptor. Absence approval will be
considered on a case by case basis.See attendance policy in section
2
Requirements of
All Clerkship Courses
Mid-rotation Evaluations:
Students are required to submit a
mid-rotation evaluation form to the Clerkship Coordinator by Wednesday during
week 3 by 5:00 PM CST for each
supervised clinical experience. If a student is unable to submit the
Mid-Rotation Evaluation Form by the specified deadline, they are required to
notify the Clerkship Coordinator priorto the deadline. If there are any problems, contact the Clerkship
Coordinator or Assistant Clinical Coordinator ASAP for assistance.Failure to submit the
Mid-Rotation Evaluation Forms as specified above may result in loss points on
the professionalism grade and may be grounds for repeating the clerkship
course.
Patient and Procedure Logs:
The PA program utilizes E-value
(https://www.e-value.net/),
which is a web-based program designed for students participating in the
supervised clinical experiences. The system is designed to capture age,
diagnosis, type of setting and level of complexity as well as procedures. The
system does not capture protected health information and no attempt should be
made to include such data.Instructions for usage of this
system will be given at the pre-clinical orientation training. Completion:
Patient
logging is expected to occur every day of the clerkship.
Patient logs must be completed no later than 5:00 PM on the Wednesday during
the last week of the clerkship course. On the last day of the clerkship, the
patient log will be reviewed by the Clinical Team. Students who fail to log a sufficient number
of patient contacts may be subject to a reduction in their Professionalism
grade or to repeat the clerkship as determined by the student progress
committee. Patient Logs:
During
the supervised clinical experience students are required to document each
patient encounter just as a practicing clinician would do. A patient encounter
includes any patient in whom a patient was either observed or the student
assisted in care with, regardless of the patient’s age. While each
clerkship course is different in terms of types of patient encounters, every
patient should be logged. This is not only a requirement for successful
completion of the clerkship course but this log may also assist you after
graduation with employment and credentialing paperwork required for clinics and
hospitals.Each supervised clinical
experience has varying patient volume loads familiar to the Clinical Team. The Clinical Team will monitor for the
expected volume of patients that should be seen during the specified clerkship.
The student is responsible for ensuring they are meeting the requirements for
the number of patient logging contacts. Procedure Logs:
The
procedure log is a mandatory component of
the supervised clinical experience. Completion of the REQUIRED procedures is a
requirement of successful completion of the program. All medical procedures performed during the
clinical year should be documented through the patient logging system in
E-value. The system allows the student to document those skills as being
“discussed”, “observed” or “performed”. It is the student’s responsibility, not
the supervising clinical preceptor, to complete the procedure log. If the
supervising clinical preceptor does not discuss the procedure, the student
should initiate the discussion. While all skills should be documented, there
are designated skills that are REQUIRED skills and must be performed and documented during the clinical year. Required skills that will be tracked during the clinical year:
Skill | Minimum Number Performed |
Biopsy | 1 |
Casting or Splinting | 1 |
Female Exam | 2 |
Incision and Drainage | 1 |
Male Exam | 2 |
Suturing | 3 |
Documentation of all procedures is required. It is recommended that
students document each time a procedure is performed at the time it is
performed, so an accurate record of how many times the procedure was performed
can be recorded. Required skills may
require additional documentation/verification from the preceptor. Information on how to document
the REQUIRED skills and utilization of the E-value system will be given at the
pre-clinical year orientation.A black and
white copier/printer is available in the student workroom for student use. Each
student will be assigned a code for accessing the copier. The use of the copier
is for school-related business only, and each student will be given a maximum
number of allowed copies (500 per semester). Misuse of the copier will result in
cancellation of the student’s code. Any copier malfunction should be reported
immediately to program staff. The
Midland College library also offers TTUHSC PA student limited daily printing.It is highly
recommend students own or purchase a printer with desired color options to meet
personal preferences and needs.
Classroom
Behavior
Food and Drink:
Due to the sensitive nature of the
electronic equipment, it is important to maintain the organization and
cleanliness of all classrooms and laboratories. Food is not allowed in the
classrooms. Drinks are allowed if they are in a closed container. Adequate
breaks are scheduled in the curriculum and the student lounge is available.
Classroom Seating:
Seating in the classroom is first come-
first serve basis. Due to the high number of students enrolled in the program,
students may be assigned seating in the classroom or for specific activities as
defined by course instructors.The program may make a seating
chart in order to aid instructors with this need. If a student requires an
assigned seat due to an identified disability, the student will need to contact
the Office of Student Affairs and provide the necessary documentation. Once
sufficient documentation has been provided, special accommodations will be granted.Desktops must be cleared at the end of each day. Items left in the
classroom will be disposed of at the end of day. The program is not responsible
for any items left unattended in classrooms.
Community Service,
Health Fairs, and Additional Shadowing Experiences
Outside of normal coursework, the
Program does not sanction or support students to provide medical care or health
screenings as health care providers. Students must be supervised at all times and
are only covered by liability insurance when in program assigned clerkship
courses or testing.
Electronic
Devices
All electronic communication
devices must be turned off or placed in silent mode when students are in class
or clinic. If you have an urgency and have to take a phone call, you must step
out of the room. During class, all electronic devices must be used only for the
purpose of classroom activities only. Use of instant messaging, Twitter,
Facebook, personal email, texting or any and all other applications not related
to materials being presented is prohibited during all classroom, laboratory, or
clinical activities. Repeated violations
of this policy may result in disciplinary action.
Employment while
in the PA Program
The PA program curriculum is time intensive and
concentrated. Students are strongly
discouraged from employment during their term as PA students. Work hours
must not conflict with classroom or clerkship obligations. Students may not work for the PA program or at any clinical clerkship
site, in any capacity.
Furniture and
Program Equipment
Furniture policy:
Students must obtain permission before
moving any furniture or equipment from a room, and then only with the
understanding that the student is responsible for returning the items to their
original location.
Equipment:
Faculty members will determine and implement the
proper procedures for the use of all equipment and supplies in the classrooms
and laboratories. Any equipment used must be returned to its designated
location in a clean, sanitary, and good-working condition. It is the student’s
responsibility to learn the proper use of the equipment and take the initiative
to report equipment malfunctions. Loss, abuse, or suspected theft of equipment
or supplies should be reported to the faculty immediately.Use of program equipment by
students is confined to TTUHSC unless approved by the program director for
official class operations in accordance with the TTUHSC Operating Policy (HSC
OP 61.01). With this stated removal of departmental equipment, the student will
be financially responsible for the entire replacement cost of the item(s) in
the event of damage, loss or theft.Students are not permitted to
remove any departmental equipment from university facilities for personal use.
Faculty Office Hours and
Appointments
Students are reminded that office
hours and appointments are reserved for them to meet with every faculty member
and clinical supervisor. Faculty will make every reasonable effort to meet with
students. Instructors maintain office hours as per their syllabi, and faculty
members are available by appointment, as needed. If a student cannot arrange a
meeting with the faculty member, he or she should contact the Program Director.Academic Health Plans for TTUHSC
can be found at https://www.ttuhsc.edu/student-services/insurance-faq.aspx Students may investigate other
insurance plans.
Lockers
The program offers lockers to
students on a first come, first serve basis. Lockers must be checked out with
the front receptionist. Lockers may be kept during the didactic phase of the
program only and students are highly encouraged to place a lock on their
locker. The program is not responsible for theft of any personal items placed
in the lockers.
Logos
Departments and other TTUHSC
organizations may use the official TTUHSC logos. However, TTUHSC logos are
legally protected trademarks, and restrictions apply. TTUHSC student
organizations that wish to use any of the TTUHSC logos must contact PA Program
Administration for prior approval and further instructions under the guidance
of the assigned student society Faculty Advisor.
Student Services
Fees and Midland College Access
Midland
College offers access to the MC campus and events to the TTUHSC PA students
with your TTUHSC ID badge. This provides access to the library (with limited
printing services), discount tickets to various community events, and other
Midland College events.The fitness
center is excluded.
Fitness
memberships are offered to all students paying the student services fees
(didactic students) each semester at the Midland Planet Fitness at 1000 N.
Midkiff Rd. You may obtain your
authorization form each semester from the PA program front desk to enroll.
Clerkship
year students have student services fees automatically waived. If a student
during the clerkship year would like to “opt in” for services, they must
contact Student Business Services prior to the semester, complete the “opt in”
paperwork, and contact the appropriate campus representative for Midland,
Lubbock, Amarillo, or Abilene
Name Badge and
Door Access Badge
Name Badge:
All TTUHSC personnel (faculty, staff and students) are
required to visibly wear an official TTUHSC identification badge at all times
while on a TTUHSC campus. Students also
must wear their name badges on any clerkship site. For replacement, contact shp.studentaffairs@ttuhsc.edu Door Access Card:
An
electronic badge entry card will be issued at the time of orientation. In the event of loss, report immediately to
the Program Business Manager. A replacement
fee will be accessed up to $15 for lost key cards.
Student Survival
The faculty and staff want every
student to be successful. Students should be mentally and physically prepared
to cope with a rigorous curriculum in PA studies. Students should carefully
organize their activities in order to succeed. The faculty fully expects that
each student will devote a minimum of three hours per week for every academic
credit hour they have enrolled for in the program. For example, a student
taking fifteen hours of course work will need to spend forty-five hours per
week studying. That’s a full-time job
for anyone, and students would be well advised to consider it as such. Those
who need assistance with managing the demands of the program are encouraged to
contact the Program for Academic Support Services (PASS) at 806-742-3664 or
make an appointment for counseling through the Office of Student Services
(806-743-2300). The PA program also works with students to develop remediation
plans designed to supplement knowledge or skill areas.
Appendix 1: Rights and
Responsibilities of Program Faculty
Faculty members of the PA program
have specific responsibilities assigned to them on a daily basis. The four
major responsibilities include: Academic instruction, clinical practice
scholarly research; and departmental, school, institutional, professional and
community service.Faculty members are assigned
teaching responsibilities each semester by the Chairperson based on information
provided by the Program Director. These assignments are based in part upon the
faculty member’s expertise, professional interest and research. On occasion, a
faculty member may be instructed to teach a course that has not been taught in
the past due to scheduling problems or a faculty shortage in one or more areas
of the program.Nevertheless, every effort is made to
ensure the quality of instruction.Near the end of each semester, the
faculty members are assessed by the students. These assessments are reviewed by
the Program Director, Chairperson, and the Dean relative to teaching
effectiveness, promotion, tenure, retention and merit pay. The student’s
assessments are important to the department and are taken seriously. All
assessments are anonymous,
however comments should be constructive and professional.Every PA faculty member is
certified by the National Commission on Certification of Physician Assistants
(NCCPA) and is licensed by the Texas Medical Board.Furthermore, each faculty member must show
proof of continuing medical education (CME); meeting both the state and
national requirements. Typically CME credit is obtained by attendance at
professional conferences, workshops, seminars, and journal reading.Each faculty member is expected to
contribute to a scholarly profession through publication, presentations,
workshops, consultations and reviews.Each faculty member is also
assigned numerous service responsibilities. These include regular departmental
faculty meetings and committee meetings within the department, school and
institution. On average, faculty members attend at least two of these meetings
per month and spend considerable time outside of the meetings working on
assigned projects. Other service roles are demonstrated through participation
in professional organizations on local, regional and/or national levels.Another important aspect of each
faculty members’ position is advising. Each faculty member counsels students on
topics such as career opportunities, research, comprehensive examinations, post
graduate education, certification or any other topic related to academia.
Faculty members are also responsible for informing students about their legal
rights at Texas Tech University Health Sciences Center. These include the
rights of the disabled student as stated below and on each course syllabus.Faculty are also obligated to
protect each student’s privacy. Posting of grades by the student’s names is
strictly forbidden by federal law. Grades may be posted by personal test number
or some other method which maintains the student’s confidentiality, but are encouraged to
be released via the current learning management system (i.e. “The Hub”).
Faculty are also prohibited from discussing grades and/or performance with a
student’s family members or anyone else without the student’s written
permission.
Appendix 2: Guidelines for Ethical Conduct for the
Physician Assistant Profession
AAPA Policy
The Guidelines for Ethical Conduct for the Physician Assistant Profession were written by PAs
for PAs. This ethics manual outlines the fundamental principles of the
profession and describes ways in which the principles might apply in professional life. Each PA must use his
or her best judgment in any situation while considering the preferences of the
patient and the supervising physician, clinical information, ethical concepts
and legal obligations. Students in the PA Program are held to the same
standards of the PA profession.
Appendix 3:
Statement of Values of the PA Profession
NCCPA Code of
Conduct
Below is the Code of Conduct
for Certified and Certifying Physician Assistants as stated by the National
Commission on Certification of Physician Assistants (NCCPA) and can also be
found at the following web link: https://www.nccpa.net/code-of-conduct. All PA students are held to the
same standards of conduct as defined by the NCCPA, and breeches of conduct may
be reportable to the NCCPA.
Appendix 4: Generic Abilities and Technical Standards
Generic Abilities
Generic
abilities (GA) are attributes, characteristics or behaviors that are not
explicitly part of the profession's core of knowledge and technical skills but
are nevertheless required for success in the PA profession.Ten generic abilities were identified through a study conducted at UW-Madison in 1991-92. The ten abilities and
definitions developed are:
1. Commitment to Learning
The ability to self-assess,
self-correct, and self-direct; to identify needs and sources of learning; and
to continually seek new knowledge and understanding.2. Interpersonal Skills
The ability to
interact effectively with patients, families, colleagues, other health care
professional, and the community and to deal effectively with cultural and
ethnic diversity issues3. Communication Skills
The ability to communicate
effectively (i.e., speaking, body language, reading, writing, listening) for
varied audiences and purposes.4. Effective Use of Time and Resources
The ability to obtain the maximum benefit from a minimum investment of time and resources.5. Use of Constructive Feedback
The ability to identify sources of and
seek out feedback and to effectively use and provide feedback for improving
personal interaction.6. Problem-Solving
The ability to recognize and
define problems, analyze data, develop and implement solutions, and evaluate
outcomes.7. Professionalism
The ability to exhibit appropriate
professional conduct and to represent the profession effectively.8. Responsibility
The ability to fulfill commitments and to
be accountable for actions and outcomes.9. Critical Thinking
The ability to
question logically; to identify, generate, and evaluate elements of logical
argument; to recognize and differentiate facts, illusions, assumptions, and
hidden assumptions; and to distinguish the relevant from the irrelevant.10. Stress Management
The ability to identify sources of stress
and to develop effective coping behaviors.
A student admitted
into the TTUHSC Physician Assistant Program must meet basic and essential
requirements that are necessary for obtaining employment and performing as a
Physician Assistant. The technical standards each student must master include
cognitive, physical and behavioral characteristics that are identified in the
following:
Observation:
The applicant/student must
possess the ability to observe required demonstrations, visual presentations in
lectures and laboratories, and written and audiovisual presentations. Examples
of perceptual abilities include but are not limited to gross and microscopic studies of organisms, cadaver dissections, and various diagnostic tests such as
interpretation of echo cardiograms, digital and wavelength readings, and graphic
or radiographic images. The applicant/student must be able to observe patients
accurately and completely, both at distance and closely using functional
visual, hearing, and somatic sensation.
Communication:
The applicant/student must possess the ability to communicate effectively with patients to elicit
information, including nonverbal communications, and describe changes in mood,
activity, and posture with immediate assessment of information provided.
Individuals must possess the ability to communicate effectively with clinical
preceptors and other members of the healthcare team, didactic and clinical
faculty, and colleagues. The applicant/student must possess the ability to effectively and sensitively communicate in oral, written, and
electronic form with patients and members of the health care team in order to
provide safe and effective patient care.
Motor:
The applicant/student must possess
sufficient gross and fine motor function, equilibrium, and sensation to elicit information from patients through customary techniques for
physical assessment such as visual observation/inspection, palpation,
percussion, and auscultation as well as carry out diagnostic maneuvers and
technical procedures involved in the practice of medicine and surgery. Examples
reasonably required of physician assistants include cardiopulmonary
resuscitation, application of pressure to stop bleeding, venous and arterial punctures,
suturing, pelvic and rectal exams, obstetrical maneuvers, and opening of
obstructed airways.
Intellectual, conceptual, integrative, and
quantitative abilities:
The applicant/student must possess the ability to
comprehend three dimensional relationships and spatial relationships of structures; and be able to collect, organize, prioritize, analyze and synthesize large amounts of detailed and complex information to apply in problem-solving and decision-
making in clinical and educational settings including lectures, laboratories,
small group discussions and clinical settings.
Behavioral and Social Attributes:
The
applicant/student must be able to tolerate physical and mental taxing
workloads, function effectively under stress, adapt to changing environments,
display flexibility, and function in the face of uncertainty inherent in the
evaluation and treatment of patients. The applicant/student must have the
emotional health to fully use his/her intellectual ability, exercise good
judgment and complete all responsibilities necessary to the diagnosis and care
of patients. The applicant/student must possess integrity,compassion,and effective interpersonal skills to interact with patients and members of the
health care team with sensitivity to cultural differences. The
applicant/student must be able to understand and apply the concepts of medical
ethics and demonstrate ethical behavior. Candidates for
selection to the PA program will be required to verify that they understand and
meet the essential functions or believe that, with reasonable accommodations
they can meet the standards. TTUHSC OP 10.15 complies with the American with Disabilities Act (ADA), Section 504 of the Rehabilitation Act
of 1973, and state and local requirements regarding students with disabilities.
Under these laws, no otherwise qualified and competitive individual with a
disability shall be denied access to or participate in services, programs and
activities of TTUHSC solely on the basis of the disability. For additional
information, please see https://www.ttuhsc.edu/student-services/ Reviewed by legal counsel, 06/03/2015; effective June, 2016
Appendix 5: Midland College Map
