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
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Request a sales quoteDesigned 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.
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Addresses all six physician assistant competencies, as well as providing guidance for the newly graduated PA entering practice.
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Includes five new chapters: What Is a Physician Assistant, and How Did We Get Here?, Effective Use of Technology for Patient-Centered Care, Success in the Clinical Year, Transitioning to Practice and Working in Teams, and Finding Your Niche.
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Features an enhanced focus on content unique to the PA profession that is not readily found in other resources, more illustrations for today’s visually oriented learners, a more consistent format throughout, and a new emphasis on the appropriate use of social media among healthcare professionals.
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Provides updated content throughout to reflect the needs of the PA profession, including new content on self-care for the PA to help prevent burnout, suicide, and other hazards faced by healthcare professionals.
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Guides students in preparation for each core clinical rotation and common electives, as well as working with special patient populations such as patients experiencing homelessness and patients with disabilities.
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Includes quick-use resources, such as objectives and key points sections for each chapter, tip boxes with useful advice, abundant tables and images, and more than 130 updated case studies.
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Enhanced eBook version included with purchase. Your enhanced eBook allows you to access all of the text, figures, and references from the book on a variety of devices, as well as exclusive eBook chapters: A Primer on Learning Objectives, A Primer on Item Writing, and A Primer on Team-Based Learning.
Physician Assistant students (194 programs in 2015, with approximately 7,300 graduates each year per PAEA data)
- 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
- No. of pages: 624
- Language: English
- Edition: 7
- Published: April 17, 2021
- Imprint: Elsevier
- Paperback ISBN: 9780323654166
- eBook ISBN: 9780323695817
TR
Tamara S Ritsema
Affiliations and expertise
Associate Professor
Department of Physician Assistant Studies
George Washington University School of Medicine and Health Sciences,
Washington, DC, USA
Senior Lecturer
Physician Associate Programme
St. George's, University of London,
London, GBRDB
Darwin L. Brown
Affiliations and expertise
Academic Director
School of Medicine
Physician Assistant Program
Creighton University
Omaha, NE, USADV
Daniel T. Vetrosky
Affiliations and expertise
Associate Professor (Ret)
Department of Physician Assistant Studies
University of South Alabama,
Mobile, AL, USA