TABLE OF CONTENTS Clinical Year Schedule 2 Clinical Rotation Checklist 3 School of PA Studies Contact Information 5 Overview of Clinical Year: Curriculum and Clinical Rotations Goals of the Clinical Year 6 Required and Elective Clinical Preceptorships / Courses 6 Clinical Preceptor Responsibilities 9 Rotation Guidelines for Students/ Preceptors 11 Supervised Clinical Activity 13 Assignment of Clinical Rotations 15 Student Housing and Other Expenses 16 Attendance During the Clinical Year 18 Additional Assignments 19 Additional Site Requirements 20 Academic Policies for the Clinical Year Clinical Rotation Learning Objectives 21 Emergency Medicine 24 General Surgery 28 Intensive Care Medicine 32 Internal Medicine 36 Internal Medicine Selective 41 Obstetrics and Gynecology 45 Pediatric Medicine 50 Primary Care I and II 56 Psychiatry / Behavioral Medicine 61 Clinical Year Textbooks 65 Online Clinical Information Resources 65 Computer Requirements 66 Clinical Year Testing and Evaluation 67 UF School of PA Studies Grade Scale 67 End-of-Rotation Multiple Choice Examinations 67 Student Clinical Performance Evaluations 67 Clinical Year Evaluation Instruments 69 Testing Procedures 70 End-of-Rotation Exam Review Policy 71 Questions Pertaining to Exam Questions 71 Student Evaluation of Rotation 72 Monitoring of Education During Clinical Year 72 Additional Requirements 73 Administrative Policies and Procedures Instructional 74 Professional Demeanor and Student Code 74 Class (Rotation) Registration in the Clinical Year 76 Academic Standards 76 Student Assessment Procedures 76 Academic Honesty 77 Grievance / Appeals Procedure 77 Promotion and Graduation 77 Release of Information / Reference Letters 78 Outside Employment 79 Withdrawal 79 Leaves of Absence 79 Visiting the School of PA Studies Offices 79 Immunizations and Health History 79 Health and Disability Insurance 80 Criminal Background Checks and Drug Screening 80 Name Changes 81 Address / Phone Changes 81 Financial Aid 81 Student Counseling and Development 81 Sexual Harassment 81 Communicating with the School of PA Studies 82 Professional Standards 84 Student Health / Risk Management / Precautions 86 Appendix A: Competencies for the PA Profession 92 Appendix B: NCCPA Content Blueprint 97 Task Areas 97 Organ Systems 101 Appendix C: Guidelines for Ethical Conduct for the PA 109 Appendix D: Forms for the Clinical Year Absence Request Form 119 Clinical Rotation Request Form 121 Contingency Clinical Evaluation Form 123 Contributing Evaluator Form 129 Report of Accidental Exposure 131 Required Skills and Achievements 133
Environmental Injuries Burns Hyperthermia Hypothermia Renal Cell Carcinoma Testicular Carcinoma Polycystic kidney disease Atrypical Mycobacterial disease Nosocomial infection in the hospital setting Infectious Disease (continued) Parasitic Disease Amebiasis Malaria Toxoplasmosis Spirochetal Disease Lyme boreliosis Lyme disease Rocky Mountain Spotted Fever Viral Disease (infections) Cytomegalovirus Epstein-Barr Herpes Simplex HIV Rabies Varicella Zoster Musculoskeletal / Rheumatologic Gout and other crystal arthopathies Infectious (septic) arthritis Osteoarthritis Rheumatoid arthritis Sarcoidosis SLE Neurologic Alzheimer’s disease Cerebrovascular disease (Stroke) Coma Cranial nerve disorders Encephalitis Head injuries Huntington’s disease Intracranial bleeding Meningitis Multiple sclerosis Parkinson’s disease Peripheral neuropathies Seizure disorders Pulmonary Acute bronchitis Acute respiratory distress Environmental lung disease Foreign Body Aspiration Influenza Inhalation lung injury Interstitial lung disease Lung cancer Obstructive Pulmonary Diseases Asthma Bronchiectasis Chronic Bronchitis COPD Cystic Fibrosis Emphysema Pertussis Pleural Effusion Pneumothorax Pulmonary embolism Pneumonia Pulmonary embolism Pulmonary hypertension Restrictive Pulmonary Disease Tuberculosis II. PROFESSIONAL GROWTH OBJECTIVES The student’s attitudes and behavior that contribute to Professional Growth will be monitored by core PA faculty and clinical preceptors throughout the Rotation. The student will demonstrate Professional Growth by
Diaper rashes (fungal & bacterial) Eczema Impetigo Pityriasis rosea Scabies Endocrine Dwarfism Gynecomastia Diabetes mellitus Phenylketonuria Gastrointestinal appendicitis Acute diarrhea Intussusception Pyloric stenosis Viral hepatitis Genetic / Developmental Cystic fibrosis Down’s syndrome Genitourinary / Cryptorchidism Hematuria Paraphimosis / phimosis Glomerulonephritis Proteinuria Scrotal masses Testicular torsion UTI's Vesicoureteral reflux Acute leukemia Anemias - Anemia of chronic disease - Aplastic anemia (pancytopenia) - Hemolytic anemia - Iron deficiency Disorders of hemostasis Factor VIII deficiency Factor IX deficiency - ITP - von Willebrand’s disease sarcoma Hodgkin’s disease Medulloblastoma Osteosarcoma Sickle cell disease Thalassemia Wilms’ tumor Infectious Disease Candida Enteroviruses Epstein-Barr virus Erythema infectiosum Group A streptococcus Herpes simplex virus HIV/AIDS Influenza Measles Meningitis Mumps Mycoplasma infections Reye’s Syndrome Roseola Rubella Tuberculosis Varicella-zoster virus Neurofibromatosis Seizures in childhood Pulmonary Acute bronchitis Asthma Bacterial tracheitis Bronchiolitis Foreign body in lower respiratory tract Laryngotracheobronchitis (croup) Pneumonia Psychological Anxiety disorder Attention deficit hyperactivity disorder Autistic disorder Disruptive behavioral disorders Enuresis Mood disorders Sleep disorders in childhood II. PROFESSIONAL GROWTH OBJECTIVES The student’s attitudes and behavior that contribute to Professional Growth will be monitored by core PA faculty and clinical preceptors throughout the rotation. The student will demonstrate Professional Growth by A. Developing and maintaining good interpersonal relationships with patients as demonstrated by 1. encouraging discussion of problems and/or questions 2. recognizing verbal and non-verbal clues 3. offering support and reassurance 4. listening attentively 5. draping appropriates, offering explanations and displaying a professional demeanor during examinations and procedures B. Seeking and maintaining competence by 1. demonstrating evidence of inquiry (reading, research, utilizing principles of evidence based medicine) 2. completing rotation in accordance with assigned schedule, with punctuality
1. rationale for utilizing each drug, including mechanism of action, indications, contraindications and adverse reactions potential drug-drug interactions cost-effectiveness documented patient education regarding side effects and adherence issues J. Develop, record and implement, as pertinent, a non-pharmacologic management plan to include as appropriate behavioral, psychosocial interventions, including individual and group therapy referrals to other health care providers referrals to community resources utilization of family resources plans for follow-up care K. Monitor patients’ progress over time, to include 1. reassessment of subjective and objective data 2. reconsideration of differential diagnosis, as needed 3. modification of management plan, based on patient’s health status and adherence issues L. progress notes following the SOAP format to include 1. subjective data 2. objective data 3. assessment 4. plan M. Make verbal case presentations to the clinical preceptor to include pertinent elements listed above, in an organized and time-efficient manner PROBLEM LIST Anxiety Disorders Generalized anxiety disorder disorder Phobias Post-traumatic disorder Behavior/Emotional Disorders Child/Elder Abuse and neglect Anorexia nervosa Conversion disorder Dissociative disorders Factitious disorders Malingering Uncomplicated bereavement Other Suicide Mood Disorders Adjustment disorder Bipolar disorder Dysthymic disorder Major depression Neuroleptic Malignant Syndrome Personality Disorders Antisocial Avoidant Borderline Histrionic Narcissistic Obsessive-compulsive disorder Paranoid Schizoid Schizotypal Psychoses Delusional disorder Schizoaffective disorder Schizophrenia Sexual Disorders Somatoform Disorders Body Dysmorphic Conversion Hypochondrias Pain Somatization Substance Use Disorders Alcohol Amphetamines Cannabis Cocaine Opioids Tobacco Assign the appropriate axis/axes to a person with a psychiatric/behavioral disorder. II. PROFESSIONAL GROWTH OBJECTIVES The student’s attitudes and behavior that contribute to Professional Growth will be monitored by core PA faculty and clinical preceptors throughout the clerkship. The student will demonstrate Professional Growth by
Exam Content Blueprint Organ Systems The below illustrates the approximate percentage of exam questions you'll encounter. Other content dimensions cross-sect these categories. For example, up to 20 percent of the questions on any exam may be related to surgery, and up to two percent may cover legal or ethical issues. Organ System % of Exam Content Although not an exhaustive listing, each organ system listed below provides a sample of the diseases, disorders and medical assessments you may encounter during the exam. These lists can provide a foundation for your exam preparation and serve as your blueprint to the exam content. Each question you encounter will address an organ system and a physician assistant practice task area (see previous section). 16 12 6 (Eyes, Ears, Nose and Throat) 9 10 6 10 8 6 6 5 3 3 Total: 100% Cardiovascular System Cardiomyopathy Dilated Hypertrophic Restrictive Conduction Disorders Atrial fibrillation/flutter Atrioventricular block Bundle branch block Paroxysmal supraventricular Hypertension Essential Secondary Hypertensive emergencies Hypotension Cardiogenic Orthostatic hypotension Coronary Heart Disease Valvular Disease Aortic stenosis Aortic regurgitation Mitral stenosis Mitral regurgitation Mitral valve prolapse Tricuspid stenosis Tricuspid regurgitation Pulmonary stenosis Pulmonary regurgitation
tachycardia Premature beats Sick sinus syndrome Ventricular tachycardia Ventricular fibrillation Torsades de pointes Congenital Heart Disease Atrial septal defect Coarctation of aorta Patent ductus arteriosus Tetralogy of Fallot Ventricular septal defect Heart Failure Acute myocardial infarction • Non-ST segment elevation • ST segment Angina pectoris • Stable • Unstable • Prinzmetal variant Vascular Disease Aortic aneurysm/dissection Arterial embolism/thrombosis Giant cell arteritis Peripheral arterial disease Varicose veins Venous insufficiency Venous thrombosis Other Forms of Heart Disease Acute and subacute bacterial endocarditis Acute pericarditis Cardiac tamponade Pericardial effusion Pulmonary System Infectious Disorders Acute bronchitis Acute bronchiolitis Acute epiglottitis Croup Influenza Pertussis Pneumonias • Bacterial • Viral • Fungal • HIV-related Respiratory syncytial virus infection Tuberculosis Neoplastic Disease Carcinoid tumors Lung cancer Pulmonary nodules Obstructive Pulmonary Disease Asthma Bronchiectasis Chronic bronchitis Cystic fibrosis Emphysema Pleural Diseases Pleural effusion Pneumothorax Pulmonary Circulation Cor pulmonale Pulmonary embolism Pulmonary hypertension Restrictive Pulmonary Disease Idiopathic pulmonary fibrosis Pneumoconiosis Sarcoidosis Other Pulmonary Disease Acute respiratory distress syndrome Hyaline membrane disease Foreign body aspiration Endocrine System Diseases of the Thyroid Gland Hyperparathyroidism Hypoparathyroidism Hyperthyroidism Hypothyroidism Neoplastic disease Thyroiditis Diseases of the Adrenal Glands Corticoadrenal insufficiency Cushing syndrome Neoplastic disease Diseases of the Pituitary Gland Acromegaly/gigantism Diabetes insipidus Diabetes Mellitus Type 1 Type 2 Lipid Disorders Hypercholesterolemia Hypertriglyceridemia
Dwarfism Neoplastic disease Pituitary adenoma EENT (Eyes, Ears, Nose and Throat) Eye Disorders Blepharitis Blowout fracture Cataract Chalazion Conjunctivitis Corneal abrasion Corneal ulcer Dacryoadenitis Ectropion Entropion Foreign body Glaucoma Hordeolum Hyphema Macular degeneration Nystagmus Optic neuritis Orbital cellulitis Papilledema Pterygium Retinal detachment Retinal vascular occlusion Retinopathy Strabismus Ear Disorders Acute/chronic otitis media Acoustic neuroma Barotrauma Cholesteatoma Dysfunction of eustachian tube Foreign body Hearing impairment Hematoma of external ear Labyrinthitis Mastoiditis Meniere disease Otitis externa Tinnitus Tympanic membrane perforation Vertigo Disorders Acute/chronic sinusitis Allergic rhinitis Epistaxis Foreign body Nasal polyps Mouth/Throat Disorders Acute pharyngitis Aphthous ulcers Diseases of the teeth/gums Epiglottitis Laryngitis Oral candidiasis Oral herpes simplex Oral leukoplakia Peritonsillar abscess Parotitis Sialadenitis Benign and malignant neoplasms Gastrointestinal System/Nutrition Esophagus Esophagitis Motility disorders Mallory-Weiss tear Neoplasms Strictures Varices Stomach Gastroesophageal reflux disease Gastritis Neoplasms Peptic ulcer disease Pyloric stenosis Gallbladder Pancreas Acute/chronic pancreatitis Neoplasms Small Intestine/Colon Appendicitis Celiac disease Constipation Diverticular disease Inflammatory bowel disease Intussusception Irritable bowel syndrome Ischemic bowel disease Lactose intolerance Neoplasms Obstruction Rectum Anal fissure Abscess/fistula Fecal impaction Hemorrhoids Neoplasms Hernia Infectious and Non-infections Diarrhea Vitamin and Nutritional Deficiencies Metabolic Disorders Phenylketonuria
Acute/chronic cholecystitis Cholangitis Cholelithiasis Liver Acute/chronic hepatitis Cirrhosis Neoplasms Polyps Toxic megacolon Genitourinary System GU Tract Conditions Benign prostatic hyperplasia Congenital abnormalities Cryptorchidism Erectile dysfunction Hydrocele/varicocele Incontinence Nephro/urolithiasis Paraphimosis/phimosis Testicular torsion Infectious/Inflammatory Conditions Cystitis Epididymitis Orchitis Prostatitis Pyelonephritis Urethritis Neoplastic Diseases Bladder carcinoma Prostate carcinoma Renal cell carcinoma Testicular carcinoma Wilms tumor Renal Diseases Acute renal failure Chronic kidney disease Glomerulonephritis Hydronephrosis Nephrotic syndrome Polycystic kidney disease Renal vascular disease Fluid and Electrolyte Disorders Hypervolemia Hypovolemia Reproductive System Uterus Dysfunctional uterine bleeding Endometrial cancer Endometriosis Leiomyoma Prolapse Ovary Cysts Neoplasms Cervix Carcinoma Cervicitis Dysplasia Incompetent Vagina/Vulva Cystocele Neoplasm Prolapse Rectocele Vaginitis Menstrual Disorders Amenorrhea Dysmenorrhea Premenstrual syndrome Menopause Breast Abscess Carcinoma Fibroadenoma Fibrocystic disease Gynecomastia Galactorrhea Mastitis Pelvic Inflammatory Disease Contraceptive Methods Infertility Uncomplicated Pregnancy Normal Prenatal diagnosis/care Complicated Pregnancy Abortion Abruptio placentae Cesarean section Dystocia Ectopic pregnancy distress Gestational diabetes Gestational trophoblastic disease Hypertension disorders in pregnancy Multiple gestation Placenta previa Postpartum hemorrhage Premature rupture of membranes Rh incompatibility Musculoskeletal System
Disorders of the Shoulder Fractures/dislocations Soft tissue injuries Disorders of the Fractures/dislocations Soft tissue injuries Disorders of the Back/Spine Ankylosing spondylitis Back strain/sprain Cauda equina Herniated nucleus pulposus Kyphosis Low back pain Scoliosis Spinal stenosis Disorders of the Hip Avascular necrosis Development dysplasia Fractures/dislocations Slipped capital femoral epiphysis Disorders of the Knee Fractures/dislocations Osgood-Schlatter disease Soft tissue injuries Disorders of the Ankle/Foot Fractures/dislocations Soft tissue injuries Infectious Diseases Acute/chronic osteomyelitis Septic arthritis Neoplastic Disease Bone cysts/tumors Ganglion cysts Osteoarthritis Osteoporosis Compartment Syndrome Rheumatologic Conditions Fibromyalgia Gout/pseudogout Juvenile rheumatoid arthritis Polyarteritis nodosa Polymyositis Polymyalgia rheumatica Reactive arthritis (Reiter syndrome) Rheumatoid arthritis Systemic lupus erythematosus Systemic sclerosis (Scleroderma) Sjögren syndrome trabismuss effusionto the Progrtch to be placed on a cake for the of 2010 graduation. Neurologic System Diseases of Peripheral Nerves Complex regional pain syndrome Peripheral neuropathies Headaches Cluster headache Migraine Tension headache Infectious Disorders Encephalitis Meningitis Movement Disorders Essential tremor Huntington disease Parkinson disease Vascular Disorders Cerebral aneurysm Intracranial hemorrhage Stroke Transient ischemic attack Neurologic Disorders Altered level of consciousness Cerebral palsy Concussion Dementias Delirium Guillain-Barré syndrome Multiple sclerosis Myasthenia gravis Post-concussion syndrome Seizure disorders Status epilepticus Syncope Tourette disorder Psychiatry/Behavioral Science Anxiety Disorders Generalized anxiety disorder Panic disorder Phobias Posttraumatic stress disorder Attention-Deficit/Hyperactivity Disorder Autistic Disorder Mood Disorders Adjustment Bipolar Depressive Dysthymic Personality Disorders Psychoses Somatoform Disorders Substance Use Disorders Abuse Dependence Withdrawal Other Behavior/Emotional Disorders Acute reaction to stress Child/elder abuse
Eating Disorders Anorexia nervosa Bulimia nervosa Obesity Delusional disorder Schizophrenia Conduct disorders Domestic violence Grief reaction Suicide Dermatologic System Eczematous Eruptions Dermatitis Dyshidrosis Lichen simplex chronicus Papulosquamous Diseases Drug eruptions Lichen planus Pityriasis rosea Psoriasis Desquamation Erythema multiforme Stevens-Johnson syndrome Toxic epidermal necrolysis Vesicular Bullae Bullous pemphigoid Acneiform Lesions Acne vulgaris Rosacea Verrucous Lesions Actinic keratosis Seborrheic keratosis Insects/Parasites Lice Scabies Spider bites Neoplasms Basal cell carcinoma Kaposi sarcoma Melanoma Squamous cell carcinoma Hair and Nails Alopecia Onychomycosis Paronychia Viral Diseases Condyloma acuminatum Exanthems Herpes simplex Molluscum contagiosum Varicella-zoster virus infections Verrucae Bacterial Infections Cellulitis Erysipelas Impetigo Fungal Infections Candidiasis Dermatophyte infections Other Acanthosis nigricans Burns Hidradenitis suppurativa Lipomas/epithelial inclusion cysts Melasma Pilonidal disease Pressure ulcers Urticaria Vitiligo Hematologic System Anemias Anemia of chronic disease Aplastic anemia Folate deficiency G6PD deficiency Hemolytic anemia Iron deficiency Sickle cell anemia Thalassemia Vitamin B12 deficiency Coagulation Disorders Clotting factor disorders Hypercoagulable states Thrombocytopenia • Idiopathic thrombocytopenic purpura • Thrombotic thrombocytopenic purpura Malignancies Acute/chronic lymphocytic leukemia Acute/chronic myelogenous leukemia Lymphoma Multiple myeloma Infectious Diseases