Insights from a Physician Associate in Training and Beyond

Jade Smith, a Physician Associate in training, shares her journey from a Radiotherapist to a PA, highlighting her educational background, PA training experiences, challenges faced, clinical placement areas, and acquired competencies. Discover the unique perspective of a PA-R navigating the transition into this dynamic healthcare profession.

• Physician Associate
• Training
• Clinical Placements
• Healthcare Profession

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1. PHYSICIAN ASSOCIATES IN PHYSICIAN ASSOCIATES IN TRAINING AND BEYOND: TRAINING AND BEYOND: THE PA S PERSPECTIVE THE PA S PERSPECTIVE Jade Smith (PA-R)

2. Background Background Undergraduate Degree: BSc (hons) Radiotherapy and Oncology Worked as a Radiotherapist/registered Radiographer Graduated as Physician Associate from University Herts and SGUL 2010 1 year Internship in General Practice Continued in same General Practice until Dec 2013 Now working in a Large Practice in Baintree

3. PA Training: The course PA Training: The course Developed skills in a number of areas including: taking medical histories performing examinations diagnosing illnesses analysing test results formulating a management plan Slightly different approaches between universities, but each works well PBL Lectures university staff and guest speakers Pharmacology Assessments

4. PA Training: Challenges PA Training: Challenges New course & unknown profession Support from adequately trained staff at university Amount to learn is daunting at times Clinical placements Cost

5. Clinical Placement: Clinical Placement: Experiences Experiences Placement areas: Primary care Acute medicine Obstetrics and gynaecology Mental Health Cardiology General medics Variable depending on placement Supervisors and wider team Timetables

6. Clinical Placement: Acquiring Clinical Placement: Acquiring competencies competencies Taught most in university skills sessions prior to placements Clinical skills passport / logbook Venopuncture Cannulation ABGs oxygen therapy injections male and female catheterisation Insertion / removal of NG tube Suturing Interpretation of imaging Basic Life Support and Immediate Life Support

7. Clinical Placement: Clinical Placement: Challenges Challenges Not many What worked vs what didn t Lots of students PA role and where it fits in Being accepted by the wider care team

8. Student Elective Student Elective Not done on all courses allows students to experience more of what they enjoy or a little something different ............................................................................................................................................................................................ Won a scholarship and undertook an elective in Emergency Medicine at Abington Memorial Hospital, Pennsylvania, USA. Gained valuable experience working with established practicing Physician Assistants and acquired additional skills in suturing, incision and drainage of abscesses, and casting.

9. Current Role Current Role - - Jade Jade See routine and urgent caseloads, as well as work on call Treated as registrar and allocated work to this grade I see patients from all areas of medicine and am trusted to work within my limitations. My mentor is available should I be faced with something outside of my remit Do urgent / routine home visits Make all my own referrals for both acute and chronic illness Mark all my own lab tests including blood and imaging results

10. Current Role Current Role - - Jade Jade Lead ward rounds in all nursing home Extra qualifications in family planning, diabetes and anticoagulation Minor surgery to insert/remove contraceptive implants Solely set up in house POCT for anticoagulation and will initiate NOACs Lead in diabetes: Initiate insulin and GLP1 analogues Train nurses and nurse practitioner in house

11. Recruitment & Employment Recruitment & Employment Securing employment once qualified Managed Voluntary Register CPD and recertification Challenges: prescribing lack of awareness of the role wider care team

12. Thank you for listening Any questions welcome

13. Email address: Jade.moore@nhs.net UKAPA: www.ukapa.co.uk