UNC’s PA program director Paul Chelminski, MD<\/figcaption><\/figure>\n<\/div>\n<\/div>\nFEBRUARY 2017 — In January 2016, UNC School of Medicine started the Physician Assistant (PA) Program, funded in part by a generous donation from Blue Cross and Blue Shield of North Carolina, the Kenan Foundation, and UNC. One year later, the first class of PAs begins its clinical year and students Curtis Carr and Riti Shah have started their rotation at UNC Family Medicine.<\/p>\n
UNC\u2019s PA program is an exception in comparison to other programs. Nationally, the average age of a PA student is 26 and UNC\u2019s is 33. Typically, students enter a PA program with between 3,000 and 4,000 hours of clinical experience, but UNC\u2019s PA program director Paul Chelminski reports an average closer to 13,000. This number is due to the program\u2019s mission to recruit and train veterans.<\/p>\n
Nine out of 20 of last year\u2019s class are veterans\u2014that ratio remains true for this year\u2019s recently recruited class. \u201cVeterans often come in with 30,000 to 40,000 hours,\u201d says Chelminski. \u201cYet there\u2019s no certificate that enables them to work higher than a nurse\u2019s assistant. An undergraduate straight out of school can work as a nurse\u2019s assistant.\u201d UNC\u2019s PA program is dedicated to retooling these individuals for civilian medical careers.<\/p>\n
The students undergo a year of in-class didactic training and a year of clinical rotations. They rotate through a number of clinical sites including several other UNC departments such as Internal Medicine, Surgery, Psychiatry, Emergency Medicine, OB\/GYN, and Pediatrics. \u201cThere is extra emphasis on generalism,\u201d Chelminski adds. While most rotations are four weeks, Internal Medicine and Family Medicine are six weeks, giving the students three months total of training in general, non-surgical medical problems.<\/p>\n
Riti Shah and Curtis Carr started their clinical rotations at Family Medicine on Jan. 17. Dr. Yee Lam, a UNC faculty member, coordinates their curriculum as the Clerkship Director. Family Medicine provides a unique and rich experience as the clinic offers a patient-centered medical home setting with weight management services, tobacco cessation counselling, sports medicine and a pharmacy.<\/p>\n
\u201cWe\u2019re really fortunate to have so many resources,\u201d Lam said.<\/p>\n
While it is relatively easy to give students the didactic training they need, high-quality training sites are in high demand. Chelminski said that the program is grateful to UNC Family Medicine, as well as to other UNC clinical sites, for their enthusiasm to fill this need. He credits the collaborative spirit of UNC.<\/p>\n
\u201cIt aligns perfectly with the philosophy of the University that people have said \u2018yes\u2019,\u201d said Chelminski, whose first job was with the Department of Family Medicine in the Chatham Primary Care department in Siler City. \u201cI\u2019m pleased, but I cannot even say surprised that Family Medicine and others have stepped up, and enthusiastically, to prepare our learners.\u201d<\/p>\n
The director hopes that the PA program\u2019s presence at places like Family Medicine will also be a development tool, a reciprocal relationship that residents and faculty members gain from as well.<\/p>\n
Dr. Lam agrees that this relationship will be a learning experience for both the PAs and the faculty who train them. \u201cInterestingly enough, the residents and medical faculty haven\u2019t had much experience working with PA students,\u201d she said. \u201cAnd there\u2019s not much literature about it. In fact,\u201d she motioned to papers on her desk, \u201cthese are the two papers I found.\u201d<\/p>\n
Inter-professional education is a hot topic in medical education as medical teams \u2013 made up of Physician Assistants, Nurse Practitioners and physicians \u2013 have been shown to improve work flow and reduce provider burn out. \u201cWe\u2019re going to have to work in teams,\u201d Dr. Lam added. \u201cIt\u2019s simple. Teams have been shown to improve outcomes for patients.\u201d<\/p>\n
Dr. Tim Daaleman, Professor of UNC Family Medicine and Medical Director of the Physician Assistant program, echoed this sentiment. \u201cI practiced in a PA- NP team model when I was in rural Kansas and it is an effective model. I think it\u2019s an area where we need to grow.\u201d<\/p>\n
Over the next few years, Dr. Lam and other Family Medicine leadership will continue designing and improving curriculum for the PA students rotating through the clinic. The variability of experience poses a hurdle. All PA students have some clinical experience, but the type and quality varies widely. Some may have more clinical research experience, some will come with experience as medics. Those trained as military medics may have greater familiarity with trauma wounds than formal clinic environments.<\/p>\n
\u201cTheir previous experience places the students on somewhat unequal footing when they begin their rotations,\u201d Dr. Lam said. \u201cSo we\u2019re also trying to come up with an orientation to help with that.\u201d<\/p>\n
Chelminski\u2019s hopes for the future of the program are two-fold. First, the program must graduate competent PAs. But the director also hopes the program will develop an academic dimension. \u201cThere\u2019s only one constituency for that,\u201d he said. \u201cAnd that\u2019s your faculty.\u201d Ultimately Chelminski hopes that all the PA program faculty who want advanced degrees beyond their masters will be able to get them.<\/p>\n
He also imagines that, with success, the program will expand. In four or five years, the program may expand to forty or fifty per class. \u201cAnd, once again we\u2019ll be knocking at the door of family medicine,\u201d Chelminski said.<\/p>\n","protected":false},"excerpt":{"rendered":"
Family Medicine offers a unique clinic experience to the first class of PA students. FEBRUARY 2017 — In January 2016, UNC School of Medicine started the Physician Assistant (PA) Program, funded in part by a generous donation from Blue Cross and Blue Shield of North Carolina, the Kenan Foundation, and UNC. One year later, the … Read more<\/a><\/p>\n","protected":false},"author":2518,"featured_media":1373,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"layout":"","cellInformation":"","apiCallInformation":"","footnotes":"","_links_to":"","_links_to_target":""},"categories":[1],"tags":[19],"class_list":["post-1372","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-news","tag-clinic","odd"],"pp_force_visibility":null,"pp_subpost_visibility":null,"pp_inherited_force_visibility":null,"pp_inherited_subpost_visibility":null,"acf":[],"yoast_head":"\nUNC Family Medicine Welcomes UNC Physician Assistant Students - Department of Family Medicine<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.med.unc.edu\/fammed\/2017\/02\/13\/unc-family-medicine-welcomes-unc-physician-assistant-students-1\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"UNC Family Medicine Welcomes UNC Physician Assistant Students - Department of Family Medicine\" \/>\n<meta property=\"og:description\" content=\"Family Medicine offers a unique clinic experience to the first class of PA students. FEBRUARY 2017 — In January 2016, UNC School of Medicine started the Physician Assistant (PA) Program, funded in part by a generous donation from Blue Cross and Blue Shield of North Carolina, the Kenan Foundation, and UNC. 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