Patient-Centered Practice Knowledge a. Recognize normal and abnormal health states b. Discern among acute, chronic, and emerging disease states c. Elicit and understand the stories of individual patients and apply the context of their lives (including environmental influences, cultural norms, socioeconomic factors, and beliefs) when determining healthy versus ill patients d. Develop meaningful, therapeutic relationships with patients and their families e. Determine differential diagnosis, order interpret laboratory and imaging, perform necessary core duty procedures, diagnose, treat and manage illness f. Partner with patients to address issues of ongoing signs, symptoms, or health concerns that remain over time without clear diagnosis despite evaluation and treatment.
Society and Population Health a. Recognize the cultural norms, needs, influences, and socio economic, environmental, and other population-level determinants affecting the health of the individual and community being served. b. Recognize the potential impacts of the community, biology, and genetics on patients and incorporate them into decisions of car c. Recognize barriers to health, such as health literacy d. Understand the role of structural disparities in causing illness e. Engage the healthcare team in the utilization of community resources to sustain and improve health f. Reflect on personal and professional limitations in providing care g. Elicit and hear the story of the individual and apply the context of the individual’s life (including environmental influences, culture, and disease) when determining healthy versus ill patients h. Understand and apply the fundamental principles of epidemiology i. Recognize the value of the work of monitoring and reporting for quality improvement j. Use appropriate literature to make evidence-based decisions on patient care
Health Literacy and Communication a. Interpret information so that patients can understand and make meaning out of the information conveyed to them b. Recognize the need for and governing mandates that ensure patients have access to unbiased, professional interpreters and appropriate resources when barriers to communication arise c. Demonstrate insight and understanding about emotions and human responses to emotions that allow one to develop and manage interpersonal interactions d. Communicate effectively with patients and families e. Provide effective, equitable, understandable, and respectful quality care and services that are responsive to diverse cultural health beliefs and practices, preferred languages, health literacy, and other communication needs f. Organize and communicate information with patients, families, and health team members in a form that is understandable, avoiding discipline-specific terminology when possible, and checking to ensure understanding
Interprofessional Collaborative Practice and Leadership a. Articulate one’s role and responsibilities to patients, families, communities, and other professionals b. Advocate for the focus of the health care team being on the needs of the patient c. Assure patients that they are being heard d. Ensure patients’ needs are the focus over self and others e. Contribute to the creation, dissemination, application, and translation of new health care knowledge and practices f. Recognize when referrals are needed and make them to the appropriate health care provider g. Coordinate care h. Develop relationships and effectively communicate with physicians, other health professionals, and health care teams i. Use the full scope of knowledge, skills, and abilities of available health professionals to provide care that is safe, timely, efficient, effective, and equitable j. Use unique and complementary abilities of all members of the team to optimize health and patient care k. Engage diverse professionals who complement one’s own professional expertise, as well as associated resources, to develop strategies to meet specific health and health care needs of patients and populations l. Describe how professionals in health and other fields can collaborate and integrate clinical care and public health interventions to optimize population health
Professional and Legal Aspects of Health Care a. Articulate standard of care practice b. Admit mistakes and errors c. Participate in difficult conversations with patients and colleagues d. Recognize one’s limits and establish healthy boundaries to support healthy partnerships e. Demonstrate respect for the dignity and privacy of patients while maintaining confidentiality in the delivery of team-based care f. Demonstrate responsiveness to patient needs that supersedes self-interest g. Demonstrate accountability to patients, society, and the profession h. Exhibit an understanding of the regulatory environment
Health Care Finance and Systems a. Recognize financial implications to the provision of healthcare b. Articulate the Physician Assistant’s cost effectiveness in Healthcare c. Appreciate the value of the collaborative physician/PA relationship d. Understand different types of health systems, funding streams, and insurance, including the role of Medicare and Medicare as payors