Test Block 1

Question 1

What are the origins to the assistant to Dr. concept?

Answer 1

• 1650: Feldshers (german millitary assistants)
• 1778: Loblolly boy (john wall) to assist medical officers
• 1803: Officiers de Sante in France to assist military and civillian medicine
• 1891: First army “medic” at Ft. Riley
  1950: comminity health aids in alaska

Question 2

What was significant to the maturation of the assistant concept in 1940?

Answer 2

Dr. Amos Johnson of NC employed and trained Henry “Buddy” Treadwell

Question 3

In 1942, medical schools developed what?

Answer 3

fast track medical degrees (including emory where dr. eugene stead worked)

Question 4

Significance to the maturation of assistant concept in 1957?

Answer 4

Dr. Stead now at Duke, works with Thelma Ingles (RN) to establish a masters for Nurse Clinicians - denied accreditation

Question 5

1959 & 61

Answer 5

shortage of medically traned personel and need for mid-level provider (from Dr. Hudson)

Question 6

Who trained firement to work in the cath lab at Duke in 1962?

Answer 6

Dr. Henry McIntosh

Question 7

When did Dr. Stead decide that ex military would fit his 2 year program?

Answer 7

1964

Question 8

When did Duke accept their first class?

Answer 8

1965 (all corpsmen)

Question 9

Who were the 4 PA students in the first every class at duke?

Answer 9

Don Guffey (didn’t gradulate), Vic Germino, Dick Scheele and Ken Ferrell - were given certificates

Question 10

Chlamers-Francis v Nelson

Answer 10

CA 1936; ruled for defense that administering anesthesia under direction of Dr was not practicing medicine w/o license

Question 11

Magit v Board of Medical Examiners

Answer 11

CA 1961; ruled against Magit that Dr could not use an inlicensed person to deliver anesthesia

Question 12

Shasta Co. v Whittaker

Answer 12

CA 1966; ruled against whittaker (medic in nam) as unlicensed person practicing medicine under Dr. George Stevenson

Question 13

What case alerted physicians, medical boards and others that enabling legislation was needed?

Answer 13

Shasta Co v Whittaker

Question 14

Who and when was the first enabling legislation passed?

Answer 14

CA; passed in 1970

Question 15

NC relied on AG until writing an exception of PAs into medical practice act in what year?

Answer 15

1971

Question 16

In 1977 what rule was passed in NC?

Answer 16

nurses could not accept orders from a PA – later corrected in same year

Question 17

When were PAs enabled to be on medical board in NC?

Answer 17

1993

Question 18

In 2000, what PA was elected President of NC Medical Board?

Answer 18

Wayne Von Seggen

Question 19

When was the PA Practice act passed in OK?

Answer 19

1972

Question 20

Where was the first surgeon’s assistant program and when was it established?

Answer 20

University of Alabama - 1967 (only one still exsists)

Question 21

What was the first PA program to offer a degree instead of a certificate, and who established it?

Answer 21

Alderson-Broaddus College in WV - established by Dr. Hu Myers in 1968

Question 22

When was the medex program established at the Universit of Washington?

Answer 22

1969 - by Dr. Richard Smith

Question 23

Oklahoma Academy of PAs (first state wide chapter) was established by who and when?

Answer 23

incorporated in 1974 by Whittaker, click, olenberger, moore and demasters - held 1st CME in same year

active in statute, reimbursement, privleges, prescriing, liaise w/ other groups

Question 24

What is the national organization for PAs

Answer 24

American Academy of PAs; founded in 1973; have to attend conference if member

Question 25

Who are the OK presidents of AAPA?

Answer 25

Stanhope, Fox, Godkins, Gerbert

Question 26

What associated give creditation to programs?

Answer 26

Accreditation Review Commission on Education for the PA (ARC-PA)

Question 27

Organization that represents programs

Answer 27

PA Edcuation Association (PAEA)

Question 28

NCCPA

Answer 28

National Commission on Certification of PAs; 1974

Question 29

Who do you apply for liscensing through?

Answer 29

Oklahoma State Board of Medical Licensure and Supervision (OSBMLS); never want to be called in by them

Question 30

What organization represents physicians and is not friendly with PAs?

Answer 30

Oklahoma Sate Medical Association

Question 31

When was enabling legislation passed in OK?

Answer 31

1972 - year the 1st PA grads left OU; addition of Section 519 to Title 59; allowed for the certification of PAs and directed medical board to write rules

Question 32

What was the first major rivision to the 1972 act?

Answer 32

1993; Dan Fox; allowed PAs to be “transmitters”; defined scope of practice; allowed ruraly practice w/o Dr on site

Question 33

What were the subsequent revisions to the ‘72 act, led by Dr. McNeil?

Answer 33

‘97: certified –> liscenced
‘98: transmitters –> prescribers; prescribing shcedule III-V drugs
‘01: schedule II drugs for immediate admin; sign handicap permits; refer to PT; can’t employ Dr

Question 34

When was the major rewrite of the ‘93 act?

Answer 34

2015

Question 35

Malpractice is an unwarranted departure from acceptable medical practice resulting in . .

Answer 35

INJURY to a pt

Question 36

What are some common causes of malpractice claims?

Answer 36

failure to diagnose; improper treatment; delayed diagnosis; improper surgery; drug injury; failure to f/u

Question 37

Why do patients sue?

Answer 37

savvy patients; unrealistic expectations; suit happy public; pt or family anger; LoC; billing issues; provider attitude

Question 38

What is the most important tool for risk managment?

Answer 38

communication = good bedside manner

Question 39

What are other tools for good risk management? ;

Answer 39

f/u test results; provide info; arrange f/u; document; informed consent; don’t over optimize prognosis; avoid criticizing work of others; stay w/i scope; no telephone consultations; use every technique; ensure pt knows fees and services

Question 40

Occurrence malpractice insurance

Answer 40

what we have as students and want when we start working; covers incidents during coverage period regardless of when they’re filed

Question 41

Claims made insurance

Answer 41

initially cheaper; covers incidents that happen and are filed only during coverage period; need tail; avoid them