AMSA: Physician Assistant Courses May Compromise Medical Education Standards, Australia
Main Category: Medical Students / TrainingArticle Date: 13 Dec 2007 - 1:00 PDT
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The Australian Medical Students' Association (AMSA) welcomed the emerging public debate over the role of Physician Assistants within the rural Australian health workforce.
AMSA National President Mr. Rob Mitchell said, "as the peak organisation representing Australia's 12,000 medical students, AMSA has grave concerns that the introduction of Physician Assistant courses will compromise clinical training and vital learning opportunities for future doctors.
"Australia will see a doubling in the number of medical students over the next three to five years. Currently there are not enough clinical training placements for the expected number of students and junior doctors. If universities undertake to train a new field of professionals whose education requires the same physical and human resources, then we will no doubt compromise the quality of medical training," said Mr. Mitchell.
"We must plan now for the influx of medical students. We must expand clinical training environments to include more broadly the community care and private hospital sectors. We must concentrate on creating programs that encourage young doctors to work in rural and regional Australia.
"But we should not, for the time being, look at creating new roles that will utilise training infrastructure and resources that are already stretched to capacity."
"AMSA's concern is with the integrity of medical education. If we are to maintain the high standards of health care Australians have come to expect, then we must not jeopardise the quality of undergraduate medical training. Physician Assistant training courses may do just that."
Australian Medical Students' Association
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MLA
13 Feb. 2012. <http://www.medicalnewstoday.com/releases/91634.php>
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http://www.medicalnewstoday.com/releases/91634.php.
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Physician Assistants Improve Health Care
posted by Eleanor Abel PA on 13 Dec 2007 at 1:23 pmIn response to AMSA Concerns about PAs comprimising Medical Education standards. It is clear that you are misinformed or lack accuarate information about Physician Assistants who are a professional group of highly trained, highly competent advanced practice providers who are important part of the health care team. PAs are NOT failed doctors. We chose the PA profession for a reason.
As a PA student I worked side by side with medical students, fellow, residents, nurse practitioners and other medical professionals. The PA in the hospital and the office is usually the person in the trenches who is very knowledgeable, competent, and understands their role as the 'dependent' practitioner and sees their patient through from the beginning.
We do not join the profession to take away the doctor's role and we do not replace the physician or medical student or practitioner. There is far too much work to be done and everyone can share. We do not become competent health professionals by taking suturing and surgery 101 and PDR pharmacy. We shared (as in TEAM MEMBER) seats side by side in Pharmacology, Anatomy and Physiology and cadaver labs. We come from various backgrounds. After 12 years as a health professional in Respiratory Therapy, treating patients with lung and heart disease, managing ventilators, intubating patients, running codes, managing an entire adult or Neonatal ICU as a part of the team, working surgery as a first assistant for the first year of my PA practice, I know my level of competency and I know if I need help. And there is much I can do, about 80% of what my physician supervisor does. I was privileged to stand side by side with doctors and medical students who knew that we were a team and everyone worked professionally and respectfully together. I have put in chest tubes to treat tension pneumothorax, delivered babies, and diagnosed cancer and lifethreatening allergic reactions. I sincerely hope that the Medical Society of Australia does not embrace the concern and the negative attitude I perceive about my profession. It would be very difficult for me to practice in such a void. Today I care for people with cancer and blood disorders and people with disabilities. I teach medical students and residents and sometimes I save their lives and the patients lives. There is room in the health care arena for medical students and physician assistants to work and collaborate side by side, and in this contracting medical system we should embrace the concept of promotong health care providers as a team. I can teach you how to take a comprehensive history and begin to form a differential just from the history, and I can teach you how to do a thorough physical exam and what it means when lymph nodes are rubbery and the spleen is so large you can't feel it because it is so far extended into the pelvis, and so much more.There is much work to be done, and you may not want to do some of the jobs I have to do as a PA when you become such an important doctor that you do not have time for the minutia like talking to the physical and occupational therapist and case management team and the patient and family at length and understanding what they need to provide comprehensive and quality care and . I will make the time to do this, and I will manage a case from A-Z. And if you give me an opportunity to work side by side with you as a part of the health care team, we will all benefit, especially the patient. What I can't teach you is humility and respect for the other members of the health care team. You will have to go down that road for yourself Repectfully submitted, Eleanor Abel Public Education Advocate for the Health Care Team A Physician Assistant Professional
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