Ballweg's Physician Assistant: A Guide to Clinical Practice

7th Edition - April 17, 2021
Authors: Tamara S Ritsema, Darwin L. Brown, Daniel T. Vetrosky
Language: English
Paperback ISBN:
9 7 8 - 0 - 3 2 3 - 6 5 4 1 6 - 6
eBook ISBN:
9 7 8 - 0 - 3 2 3 - 6 9 5 8 1 - 7

Designed as a highly visual and practical resource to be used across the spectrum of lifelong learning, Ballweg's Physician Assistant, 7th Edition, helps you master all the core… Read more

Ballweg's Physician Assistant: A Guide to Clinical Practice

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Designed as a highly visual and practical resource to be used across the spectrum of lifelong learning, Ballweg's Physician Assistant, 7th Edition, helps you master all the core competencies needed for physician assistant certification, recertification, and clinical practice. It remains the only textbook that covers all aspects of the physician assistant profession, the PA curriculum, and the PA’s role in clinical practice. Ideal for both students and practicing PAs, it features a succinct, bulleted writing style, convenient tables, practical case studies, and clinical application questions that enable you to master key concepts and clinical applications.

Cover image
Title page
Table of Contents
Copyright
Contributors
First edition Foreword
Preface
Acknowledgements
List of Tables
List of Illustrations
Section I. Overview
1. What is a physician assistant and how did we get here?
References
2. Physician assistant relationship to physicians
Introduction
The historic physician assistant–physician relationship
Dependent practice versus interdependent practice
Delegated scope of practice
Physician supervision: Legal basis for physician assistant practice
Agency relationship
Autonomous medical decision making
Communication, coordination, and continuity of care
Shared knowledge base
Evolution of practice
Implications of optimal team practice on the physician assistant–physician relationship
Practice ownership and reimbursement
Summary
References
3. Maximizing your physician assistant education
Overview and introduction
4. History of the profession and current trends
International origins—Russia and China
Developments in the United States
Developments at Duke University
Concepts of education and practice
Military corpsmen
Other models
Controversy about a name
Program expansion
Funding for programs
Accreditation
Certification
Organizations
Trends
National health policy reports
Additional issues and controversies
Conclusion
References
Faculty resources
5. Optimal team practice
Introduction
Meet PA Smith
History in the making
Developing a Unified, National Approach
Subsequent steps
Faculty resources
References
6. International development of the physician assistant profession
Introduction
The americas
Europe
Africa
Asia
Oceania
The Middle East
Where next?
Acknowledgments
References
7. Physician assistant education: Past, present, and future challenges
Overview of physician assistant education
Brief history of physician assistant education
Characteristics of physician assistant education
Current issues in physician assistant education
Looking forward: Emerging issues
Conclusion
Faculty resources
References
8. Assuring quality for physician assistants: Accreditation, certification, licensing, and privileging
Introduction
Physician assistant education program accreditation
National certification
State regulation: Licensure and registration
Institutional credentialing and privileging
Conclusion
Clinical applications
References
9. Health care financing and reimbursement
Introduction
Full utilization of physician assistants will ensure improved patient access to care
Government-sponsored programs
Commercial insurance companies
Health care reform – new models of care delivery and payment
Next steps
A unique concern for physician assistants
Conclusion
Faculty resources
Resources
References
10. The political process
Introduction
Individual responsibilities
Practice laws
Individuals: Part of the whole
Federal legislative process: How a bill becomes law
State legislative process
Federal regulatory process
State regulatory process
Case studies
Conclusion
Resources
Faculty resources
References
Section II. Medical Knowledge
11. The postgenomic era: Genetic & genomic applications for clinical practice
Overview
Tour of the human genome
A genetic and genomic view of human disease
Family medical history
Genetic and genomic testing
Types of genetic testing
Clinical decision-making framework for genetic testing
Chapter summary
Faculty resources
References
12. Chronic care perspectives
Introduction
A need for coordinated, patient-centered care
Patient-clinician partnerships and team-based care: A paradigm shift in chronic disease management
Elements of the chronic care model
Population-based chronic disease management
The physician assistant as a member of the chronic care team: An integration of the physician assistant core competencies
New reimbursement models
Use of technology in chronic disease management: New frontiers
Summary
Clinical applications
Resources
References
13. Considerations for a logical approach to medication prescribing
Introduction
Regulation of prescription writing
Approach to prescription writing
Effective prescribing
Evidence-based approach to medical decision making
Pharmacology and pharmacotherapy
Personalized medicine: Pharmacogenomics and immunotherapy
Barriers to patient adherence
Interprofessional collaboration
Prescribing quandaries
Conclusion
Resources
Faculty resources
References
Section III. Interpersonal and Communication Skills
14. Communication issues
Introduction
Patient-centered communication
Health literacy and cultural competency
Interprofessional communication
Health information technology
Professionalism and conduct
Conclusion
Resources
Faculty resources
References
15. Interpersonal and communication skills/people and technology – using technology without alienating patients
It’s scary out there
Noise, distraction, and contamination
Communication
Addiction
Organizational commitment – electronic personal devices
Organizational commitment – electronic medical record
Effective communication skills
Individual and team rounding
Conclusion
Faculty resources
References
16. Patient education
Introduction
Barriers to patient education
Providing structure for effective patient education
Resources
Faculty resources
References
17. Providing culturally competent health care
Cultural competence
Introduction to culturally competent practice
Rationale
Bias and stereotyping
Cognitive errors in decision making
Knowledge, skills, and attitudes
Language barriers
Special populations
Conclusion
Faculty resources
References
Section IV. Patient Care/Clinical Rotations
18. Success in the clinical year
Introduction to the clinical phase
Setting and managing expectations
Proven approaches for success in the clinical year
When things go wrong
Conclusion
19. Safety in clinical settings
Introduction
Rotation safety
Universal precautions
Needlestick and sharps injuries
Latex allergy
International travel
Student mistreatment
Sexual harassment
Patient safety when on rotations
Faculty resources
References
20. Family medicine
Introduction
Approach to patient care
Scope of daily practice
The family medicine clinical rotation
Clinical environment
Interprofessional experiences
Preceptor expectations
Special populations
Challenges in family medicine
The benefits of practicing family medicine
Conclusion
Resources for the family medicine rotation
References
21. Internal medicine
Introduction
Physician assistants in internal medicine
Other health professionals
Patients and special populations
Challenges and rewards
Resources
References
22. Women’s health
Introduction
What do physician assistants in women’s health typically do on a daily basis?
What will I be expected to do on this rotation?
Which other types of health professionals will I work with on this rotation?
What clinical information do the physician assistants and physicians on this rotation always want to know about their patients?
Special settings, issues and populations in women’s health
Expectations for a successful rotation
Special challenges of working in obstetrics and gynecology
Special rewards of working in obstetrics and gynecology
Which resources might be helpful to me on this rotation?
References
23. Pediatrics
History
Approach to the patient
Daily routine for pediatric physician assistants
Pediatric rotation expectations
Pediatric clinical environments
Interprofessional opportunities
Pediatric essential clinical questions
Special populations in pediatrics
Special challenges of pediatrics
Special rewards of pediatrics
References
24. Behavioral science and medicine: Essentials in practice
Introduction
Approach to the patient
A typical day in behavioral health settings
Patient encounters and essential clinical information in behavioral health
Diagnostic and statistical manual of mental disorders, 5th edition
Expectations of physician assistant students on behavioral health rotations
Typical settings for behavioral health rotations
Populations seen on behavioral health rotations
Other members of the behavioral health team
Challenges and rewards
Motivational interviewing
Resources
Faculty resources
References
25. Surgery
Patient approach
Expectations of physician assistant students on surgery rotations
Typical settings for surgery rotations
Other members of the surgical team
Essential clinical information in surgery
Special populations seen on surgery rotations
Special challenges of surgery
Special rewards of surgery
Primer on scrubbing, gowning, and gloving
Resources
Faculty resources
References
26. Emergency medicine
Patient approach
A typical day in emergency medicine
Expectations of physician assistant students on emergency medicine rotations
Typical settings for emergency medical rotations
Other members of the emergency medical team
Essential clinical information in emergency medicine
Special populations seen on emergency medicine rotations
The special challenges of emergency medicine
The special rewards of emergency medicine
Helpful resources
27. Introduction to elective rotations
Choosing electives
28. Cardiology
Cardiology and approach to the patient
Physician assistants in cardiology
Physician assistants in cardiology subspecialties
The cardiology rotation
Challenges and rewards in cardiology
Helpful resources
Summary
References
29. Dermatology
Introduction
Approach to the patient
A typical day in dermatology
Expectations of physician assistant students on dermatology rotations
Typical settings for dermatology rotations
Team medicine
Essential clinical information in dermatology
The special challenges of dermatology
The special rewards of dermatology
Faculty resources
Resources
References
30. Orthopedics
Introduction
Patient approach
A typical day in orthopedics
Expectations of physician assistant students on orthopedic rotations
Typical settings for orthopedics
Other members of the orthopedics team
Essential clinical information in orthopedics
Special populations seen on orthopedic rotations
The special challenges of orthopedics
The special rewards of orthopedics
Resources
References
31. Oncology
Introduction to oncology
Approach to the oncology patient
A typical day in oncology
Expectations of physician assistant students on oncology electives
Typical settings for oncology
Interprofessional opportunities
Essential oncology knowledge
Oncology special populations
Challenges and rewards of oncology
Resources
References
32. Other medical subspecialties
Introduction
Patient approach
Primary care provider-specialist relationship
A typical day in medical subspecialties
Expectations of physician assistant students on medical subspecialty rotations
Typical settings for medical subspecialty rotations
Other health care professionals encountered in medical subspecialty rotations
Essential clinical information in medical subspecialties
Special populations seen on medical subspecialty rotations
The special challenges of medical subspecialties
The special rewards of medical subspecialties
1 helpful resources
References
33. Other surgical subspecialties
Introduction
Approach to the patient
Primary care–surgical specialist relationship
A typical day in surgical subspecialties
Expectations of physician assistant students on surgical subspecialty rotations
Essential clinical information in surgical subspecialties
Surgical subspecialties
The special challenges of surgical subspecialties
The special rewards of surgical subspecialties
Helpful resources
Resources
References
34. International clinical rotations
Introduction
An introduction to global health and international clinical rotations
A framework for decision making
Key components of an international clinical rotation
The international clinical rotation
Conclusion
Educator resources
Books and book chapters
References
Section V. Professionalism
35. Professionalism
Introduction
Understanding its importance
Elements of the PA competency of professionalism
Behavior toward the patient
Behavior toward other professionals
Behavior toward the public
Behavior toward oneself
Professionalism and social media
Fostering professionalism
Conclusion
Clinical applications
Acknowledgment
Resources
Faculty resources
References
36. Clinical ethics
Introduction
Chapter organization
What is ethics?
Theories and principles
Methodology
American bioethics history
Cases
Ethics consultation and resources
References
37. Medical malpractice and risk management
Introduction
What is medical negligence?
Other theories of recovery
Elements of a lawsuit
Risk management techniques
Faculty resources
References
38. Postgraduate clinical training programs for physician assistants
Introduction
The education model of physician assistant residencies
Association of postgraduate physician assistant programs
Program accreditation
Currently available programs
The impact of physician assistant residency programs
Information for potential applicants
Case studies
Conclusion
Clinical applications
Resources
References
39. Stress, burnout, and self-care for physician assistants
Overview of stress, burnout, and self care
The concepts of wellness and self-care
Stress and wellness throughout physician assistant school
Transition from student to early career physician assistant
Stress and burnout encountered by experienced physician assistants
Prevention and treatment of burnout
Conclusion
References
Section VI. Practice-Based Learning and Improvement
40. Interprofessional practice and education
Introduction
Background and rationale for interprofessional practice and interprofessional education
Barriers to interprofessional education
Barriers to interprofessional practice
Interprofessional education competencies
Summary
Resources
References
41. Evidence-based medicine
Introduction
History of evidence-based medicine
Evidence-based medicine process
Faculty resources
References
42. Research and the physician assistant
Introduction
What is research?
Types of research
Why should physician assistants be involved in research?
Physician assistant students and research
Conclusion
Resources
Faculty resources
References
43. Health disparities
What are health disparities?
Health disparities: Scope of the problem
Clinical applications
Resources
Faculty resources
References
44. Patient safety and quality of care
Introduction
Quality care movement in America
Types of medical errors
Patient safety strategies
Clinical applications
Resources
References
Section VII. Systems-based Practice
45. Health and health care delivery systems
Introduction
Health systems
The U.S. health care system: Challenges and innovations
Resources
Faculty resources
References
46. Postacute care, rehabilitation, and long-term care systems
Introduction
Home care
Faculty resources
References
47. Population health
Introduction
Population health
Core functions of public health
Primary, secondary, and tertiary prevention
Disease prevention–related federal agencies and programs
Stakeholders in population health
Integrating population health into clinical practice
Clinical applications
Summary
Faculty resources
References
48. Health care for the homeless
Introduction
Homelessness and health
Approach to patients
Homelessness and medical management
Working in a health care for the homeless environment
Conclusion
Resources (for students and faculty)
Additional resources for faculty
References
49. Correctional medicine
Working in a correctional environment
Providing health care in correctional institutions
Staffing in correctional medicine
Communicable disease in correctional institutions
Chronic disease in correctional institutions
Managing mental health in correctional institutions
Special issues in corrections
Managing ethical conflicts in correctional institutions
Future directions
Conclusion
Clinical applications
Author disclosure statement
Acknowledgments
Resources
Faculty resources
References
50. Military medicine
Introduction
History of military physician assistants
The interservice physician assistant program
Recruiting challenges
Scope of practice
Role of physician assistants in the military health system
Service impact
Conclusion
Disclaimer
Acknowledgments
Resources
Faculty resources
References
51. Urban health care
Introduction
History
The growth of the urban environment and the inner city
Why inner-city health care is unique
Diversity in the inner city
Effects of social isolation in the inner city
Recent trends in the inner city
Health care in the inner city
Role of public teaching hospitals
Role of public health departments
Role of community health centers
Increasing need for language literacy
Homeless health care in the inner city
Conclusion
Resources
Faculty resources
References
52. Rural health care in the united states
Introduction
Demographics of rural populations
Access to health care in rural areas
Rural health delivery systems
The rural health care workforce
Physician assistant practice in rural health care
The future of rural health care
Conclusion
References
53. International health care
Introduction
Practical considerations
Qualifications
Other considerations
Clinical applications
Resources
54. Patients with disabilities
Introduction
Providing appropriate care for patients who are deaf and hard of hearing
Providing appropriate care for patients with mobility disabilities
Providing appropriate care for patients with visual impairments
Providing appropriate care for patients with intellectual and developmental disabilities
Clinical applications
Acknowledgments
Faculty resources
Resources
References
55. Mass casualty natural disaster
Introduction
Principles of triage
Chemical, biological, radiologic, nuclear, explosives, and environmental incidents
Preparing before disaster strikes
After a crisis
Summary
Acknowledgment
Clinical applications
Personal stories
References
Section VIII. Your PA Career
56. Transition to professional practice
Introduction
What to expect during role transition
Job orientation/onboarding
Emotions
Learning support
Tips for a smooth transition
Conclusion
References
57. Finding your niche
Introduction
What is a physician assistant practice niche?
Discerning your niche
PA profiles
References
58. Leadership skills for physician assistants
Introduction
Selecting and admitting leaders
Leadership for clinicians
Physician assistants in leadership
A leadership skill set for physician assistants
Entry into leadership
Benefits from leadership roles
Conclusion
Resources
Faculty resources
59. Be a physician assistant educator
Introduction
Didactic director
Clinical director
Director of admissions
Research director and data analyst
Program director
Resources
60. Professional service
Introduction
What is professional service?
Why should I get involved in professional service?
How can I get involved in professional service?
Resources
Faculty resources
References
61. The future of the physician assistant profession
Appendix: Competencies for the physician assistant profession
Index

Life sciences

Physical sciences & Engineering

Social sciences & Humanities

Health

Ballweg's Physician Assistant: A Guide to Clinical Practice

Purchase options

Save 50% on book bundles

Institutional subscription on ScienceDirect

Tamara S Ritsema

Darwin L. Brown

Daniel T. Vetrosky