The medical field is among the largest and ever growing career fields, especially when dealing with Physician Assistants (PAs) and Nurse Practitioners (NPs). In the 1960’s when the physician shortage began, the medical field created the PA and NP positions to fill in the gaps (Curren, 2007, p. 404). This matter has opened up numerous questions as more and more PAs and NPs begin practicing, especially concerning their education level. Many patients are concerned that they will not get the proper care. PAs/NPs are beneficial to everyday life by providing patients with the necessary skills needed to successfully treat them.
How the Program got its start
When the first physician assistant (PA) and nurse practitioner (NP) career fields got their starts, the education was a lot different from what it is today. In the 1960’s, when the first wave of the physician shortage hit the United States, this left physicians scrambling to fill in the gaps. The medical field looked towards ways to help fill in the gaps with the best possible options. Jill Curren (2007), a nurse practitioner, points out that this meant that they needed highly certified healthcare professionals that could do the job of a physician, but these healthcare professionals had to be educated in half the time that it took to become a physician (p. 404). Physicians working at Duke University began to notice a pattern among combat medics. A lot of the medics and doctors that had served in Vietnam had little or no medical training, and most of their medical training occurred while on the job. Therefore, the PA program was born with its roots stemming from the military. “They started the first PA education program, training these medics similarly to the way phy...
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...rained for specialty practices. Two-thirds of today’s PAs work in specialty care. This, therefore, leaves NPs to work in general practice (p. 828). Woolsey and Cutter (n.d) seem to have a different opinion by stating “PAs are generalists while NPs can be either [specialist or generalist] depending on the area of medicine they practice” (para. 5). They go on to explain that PAs are trained to generalize, so that they can hop from one area to another (Woolsey & Cutter, n.d., para.5). PAs have the ability to specialize if they complete a residency program, but one important thing to note is that a PA is still documented as a generalist whether or not they have specialized (Woolsey & Cutter, n.d., para.5). Woolsey and Cutter (n.d.) then note that NPs often have to have a national certification in a nursing specialty before they can practice within a specialty (para.5).
There are many occupations in the medical field that can go in many various directions. Have you ever wondered how the occupations are all similar, besides the fact that it is the medical field? Vorvick and Zieve say “more women than men have found an interest in the medical field for physician assistants and nurse practitioners. Fifty-eight is the average percent of women PA’s in the medical field.” The two occupations: physician assistant and nurse practitioner are similar with the education needed, the specialties, and the work environment.
The physician assistant is a team player in the medical world, working daily with surgeons, physicians, therapists, and many other health care professionals. Similar to the job description of physicians, PAs see patients, take medical histories, preform physical exams, make diagnoses, order and interpret tests, and develop treatment plans (Ludwig). A physician assistant, nowadays, may even perform procedures that were once performed exclusively by physicians. Because every PA must have a supervising physician who oversees their work, it is assumed by many that PAs are “assistants to doctors”, however, that is not the case because a vast majority of PAs work independently. The extent of supervision by a physician varies depending on location and branch of medicine. Although, a physician assistant may carry out much of the same roles as a physician would, the amount of schooling required to become a PA is nearly half as many as that of a physician. Physician assistant programs nationwide require an undergraduate degree in one of many sciences, such as biology, and certain
At Seton Hill, I will be a student of the 5-year physician assistant program. From visiting campus and interviewing with the PA program staff, I am confident that Seton Hill will shape me into a competent and compassionate medical professional. Furthermore, I am confident that my fellow students and I will have an opportunity to make a difference in the community. A main pillar of the physician assistant career is catering the underserved populations. With a simple internet search, anyone can deduce
In tandem with growing scientific knowledge, programs expanded their length and credit loads. Nurse practitioner specialties such as cardiology and intensive care appeared in graduate programs across the country with educational programs aimed at their specialized knowledge. NAPNAP had been founded as one of the first national specialty nurse advanced practice organizations in 1973. By the end of the 1980s, nurse practitioner care was part of the normal menu of services offered by many health care institutions, supported by the 1986 OTA study that found that NPs “provide care whose quality is equivalent to that of care provided by physicians,” particularly when such care depended on preventative services and communication with patients (Office of Technology Assessment, 1986, 5). In 2003, health care institutions began to hire large numbers of NPs in response to the Accreditation Council for Graduate Medical Education’s Resident Duty Hours standards, which limited the number of hours medical residents could work (Nasca, Day & Amis, 2010). Numerous studies, including a Cochrane review, reports from the Rand Health Foundation, Commonwealth Fund, and Western Governor’s Association all provided positive evidence of the value and quality of NP-provided services. Today, NPs have proven their effectiveness in delivering high quality, lower
The physician assistant arose during the 1960’s, to assist doctors due to a shortage of family physicians in rural areas. The first physician assistant program was developed by Duke University. It is considered one of the most rapidly growing professions today and is an element of most health care teams. Today’s physician assistant is a mid- level practitioner who practices medicine under a licensed physician in all aspects of the
The healthcare field is a large organization filled with individuals that work towards the common goal of helping others. In the past several years’ health care organization have focused their attention in improving healthcare as a whole by focusing on factors such as access to primary care, control cost, increase efficiency and improve outcomes. A growing trend in trying to meet these challenges has been the use of physician assistants. According to Assistant, physician (PA). (n.d.). Retrieved September 30, 2015, from http://www.medicinenet.com/script/main/art.asp?articlekey=8593 a physician assistant is a mid-level medical practitioner who works under the supervision of a licensed physician. Their education qualifies them to examine patients,
There has been a drastic cut in both the Medicare and Medicaid reimbursement rates. According to Robert (2012), “cuts of more than $360 billion to Medicare and Medicaid will be made over the next 10 years. The focus of nursing needs to emphasize more on wellness care and prevention rather than acute care” (McNeal, G., 2012). Nursing practice will need to shift more towards community and population focused nursing. Baccalaureate prepared nurses are provided with a curriculum that includes both community health and leadership skills that are not included in the associate program. By encouraging associate’s degree nurses to obtain a bachelor’s degree in nursing, an increase in the awareness of the needs of the community and population may be seen. The IOM report has outlined the anticipated obstacles that healthcare will face if changes are not made. By allowing nurses to provide care within their full scope of practice, quality care may be provided at an affordable cost to the population. The use of advanced practice nurses in primary care may provide quality, access, and cost efficient healthcare to high-risk populations and possibly decrease hospital admission rates, thus lowering the overall cost of healthcare. If nurses partner with doctors and other healthcare providers, it may improve healthcare by providing seamless transitions (Institute of Medicine,
Nurse Practitioning is a very important job in the field of medicine. In the nursing field the highest degree attainable while holding the status of “Nurse” is Nurse Practitioner (NP). This career has influenced the nursing world in several ways throughout the years. A few key things that set Nurse Practitioning apart from other medical professionals are the history and background of the job, the quality care provided by the nurse practitioner, and the different responsibilities help by an NP as opposed to those of an RN. These are important because nurse practitioners can be compared to other physicians, the history changed how people looked at and thought of nurses, and NPs can perform different and possibly more advanced activities than other level nurses. The history of nurse practitioning is more detailed and complex than one would think. Throughout the history of the profession, small detail have been refined such as the education, training, and responsibilities required to be effective in the career and the job prospect that come from being trained and certified. There are several things that go into the finely tuned care provided by nurse
No matter which branch of the military a brave solider serves under, he or she vows the same oath “…to be a guardian of freedom and justice and the American way of life…” (General T. Michael Moseley CSAF-Airman’s Creed, 2007). This vow is subject to the traditional jobs the U.S. military offers, but is not limited to the civilian works offered as well. Civilian occupations range from physician, lawyer, engineer, nurse, etc. The following research paper will feature key information consisting of the job description, education, qualifications, benefits, salary, and job outlook centering around the journey of becoming an U.S. Air Force Physician’s Assistant.
Being a nurse practitioner is a good career. A nurse practitioner is a registered nurse with an added education of two years, which gives them added advantage like those of a doctor. A nurse practitioner is different in his/her own way. He/she works along with other health professionals like doctors, pharmacists, and therapists. A nurse practitioner has mandates to treat the sick, prescribe drugs, and order for laboratory tests (Iglehart, 2013). The reason nurse practitioner is attractive is because I have always wanted to help people and the job is more challenging giving me the potential to grow. In this paper, I will discuss the duties of a nurse practitioner, the skills and education needed, pay range and the lifestyle.
I believe that people everywhere should always have access to adequate medical care. Where you live should not determine whether you live, and the PA profession was created to improve the availability of healthcare in rural and other underserved areas. As a PA, I would be eager to help people have not had access to the care they needed. I want to serve those that need medical attention but don’t have the means to obtain it—whether in rural Michigan, the inner-city of Atlanta, or the backwoods of Arkansas. Making great medical care accessible to all is crucial to improving public health, and it is a necessity across this country and the world. As a physician assistant,
I like that PAs are trained under a medical model as opposed to a nursing model, but they are still under the supervision of a physician. I have seen the trust between a physician and a PA in many settings. From pediatrics to the emergency room, the trust is the same. The physician trusts the PA to make medical decisions that are best for their patient, but the PA knows she can go to the supervising physician without question when she feels the need to. The bond of trust between the two providers is the reason Physician Assistants can perform their duties in the healthcare field. The ability to conduct physical exams and decide on treatment plans to aide in the improvement of patient’s lives is the main reason I have chosen to go into the medical field. I want to help patients live better lives. The ability to locate a problem and come of up with a solution is the driven component of my choice. Puzzles and problem solving have always been an interest, so to be able to perform these tasks on a daily basis would make for an enjoyable job in which I would not dread to come to work every