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Physician Assistant Education Program
STUDENT HANDBOOK
2009‐2010
TABLE OF CONTENTS
PROGRAM DIRECTORY ........................................................................................................................................ 1
2009/2010 HOLIDAYS .......................................................................................................................................... 1
UNIVERSITY OF MANITOBA ................................................................................................................................. 1
MISSION....................................................................................................................................................................... 1 INNOVATION ................................................................................................................................................................. 2 CHARTER ...................................................................................................................................................................... 2
PHYSICIAN ASSISTANT PROFESSION .................................................................................................................... 2
DEFINITION ................................................................................................................................................................... 2 HISTORY ....................................................................................................................................................................... 2 LICENSING AND REGULATION ............................................................................................................................................ 3 SCOPE OF PRACTICE ........................................................................................................................................................ 3 COMPETENCIES .............................................................................................................................................................. 4 CERTIFICATION AND CONTINUING EDUCATION ..................................................................................................................... 4
PHYSICIAN ASSISTANT EDUCATION PROGRAM (PAEP) ......................................................................................... 4
MISSION STATEMENT ...................................................................................................................................................... 4 PURPOSE ...................................................................................................................................................................... 5 GOALS ......................................................................................................................................................................... 5
PRINCIPLES OF THE PA PROFESSION .................................................................................................................... 5
PROGRAM STRUCTURE ....................................................................................................................................... 6
DIRECTORY ................................................................................................................................................................... 6 GOVERNANCE STRUCTURE ............................................................................................................................................... 6 COMMITTEES ................................................................................................................................................................ 6
2009/2010 CALENDAR ......................................................................................................................................... 8
YEAR 1 LEARNERS ...................................................................................................................................................... 8 YEAR 2 LEARNERS ...................................................................................................................................................... 9
CURRICULUM .................................................................................................................................................... 10
YEAR 1 LEARNERS .................................................................................................................................................... 10 YEAR 2 LEARNERS .................................................................................................................................................... 11
EVALUATION..................................................................................................................................................... 12
ACADEMIC STANDARDS ................................................................................................................................................. 12 YEAR 1 ....................................................................................................................................................................... 13 YEAR 2 ....................................................................................................................................................................... 13
ATTENDANCE .................................................................................................................................................... 14
YEAR 1 ....................................................................................................................................................................... 14
The Physician Assistant Education Program gratefully acknowledges the assistance of the School of Medical Rehabilitation for allowing us to adapt portions of their student handbook for our own.
The Physician Assistant Education Program gratefully acknowledges the assistance of the School of Medical Rehabilitation for allowing us to adapt portions of their student handbook for our own.
YEAR 2 ....................................................................................................................................................................... 15
ACADEMIC INTEGRITY ....................................................................................................................................... 15
POLICIES ........................................................................................................................................................... 15
STUDENT SERVICES AND RESOURCES ................................................................................................................ 16
SAFETY AND SECURITY ................................................................................................................................................... 16 WHEN THE FIRE ALARM SOUNDS ............................................................................................................................ 17 STUDENT IDENTIFICATION .............................................................................................................................................. 18 STUDENT ID / ACCESS CARDS ......................................................................................................................................... 18 CARD ACCESS PROTOCOL FOR STUDENTS .......................................................................................................................... 18
FINANCIAL AID & AWARDS ............................................................................................................................... 19
LIBRARY AND COMPUTER LABS ......................................................................................................................... 19
NEIL JOHN MACLEAN HEALTH SCIENCES LIBRARY ............................................................................................................... 19
BOOKSTORE ...................................................................................................................................................... 20
PARKING ........................................................................................................................................................... 20
COUNSELLING SERVICES .................................................................................................................................... 21
OFFICE OF STUDENT AFFAIRS .......................................................................................................................................... 21
HEALTH SERVICES ............................................................................................................................................. 22
DENTAL SERVICES ............................................................................................................................................. 23
MAILBOXES & LOCKERS ..................................................................................................................................... 23
Program Directory Office Fax: 272‐3068 PHONE Rm# EMAIL Ms Sarah Clarke, Program Director 272‐3094 P121 [email protected] Dr. Neil Berrington, Medical Director 272‐3112 P121 [email protected] Dr. Ming‐Ka Chan, Clinical Coordinator 977‐5683 P123 [email protected] Mr. Ian Jones, PA Faculty 272‐3134 P127 [email protected] Ms Claire Chandler, PA Faculty 272‐3133 P127 [email protected] Ms Sandra Toback, Program Coord. 272‐3065 P121 [email protected] Ms Jacki Armstrong, Office Assistant 272‐3094 P121 [email protected]
Note: P=Pathology Building, Bannatyne Campus (see Appendix F for Map)
2009/2010 Holidays The following statutory and other holidays will be observed by the University in 2009/2010: Holiday Day Holiday Falls Holiday To Be Observed Labour Day Monday, Sept 7, 2009 Monday, Sept 7, 2009 Thanksgiving Day Monday, Oct 12, 2009 Monday, Oct 12, 2009 Remembrance Day Wednesday, Nov 11, 2009 Wednesday Nov 11, 2009 Louis Riel Day Monday, Feb 15, 2010 Monday, Feb 15, 2010 Good Friday Friday, April 2, 2010 Friday, April 10, 2010 Victoria Day Monday, May 24, 2010 Monday, May 24, 2010 Canada Day Thursday, July 1, 2010 Thursday, July 1, 2010 Civic Holiday Monday, August 2, 2010 Monday, August 2, 2010 Winter Holiday Break: December 24, 2009 – January 4, 2010 The University re‐opens on Tuesday January 5, 2010 Spring Break: February 15 – 19, 2010
University of Manitoba Located in the city of Winnipeg, the University of Manitoba is the province's premier post‐secondary educational institution and its only research‐intensive university. Since the University of Manitoba was first established in 1877, our scientists, scholars and students have been making a difference ‐ right here at home and around the world.
Mission To create, preserve and communicate knowledge, and thereby contribute to the cultural, social and economic well‐being of the people of Manitoba, Canada and the world.
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Innovation The University of Manitoba maintains a reputation as an innovative leader in health care education, delivery, and inter‐professional collaboration. Manitoba is currently the only Canadian jurisdiction with legislation for Physician Assistant registration and practice and is home of the first graduate‐level Physician Assistant Educational Program in Canada.
Charter It is a fundamental standard of the University of Manitoba community to provide all its members with the opportunity for inquiry and the freedom to discuss and express views openly and freely without fear of retaliation, or abuse of person or property. These attributes are the foundation of good citizenship. To this end, students, staff, and faculty have an obligation to act in a fair and reasonable manner toward one another and the environment and physical property of the University. By this charter, choosing to join the community at the University of Manitoba obligates each member: To practice personal and academic integrity;
To respect the dignity and individuality of all persons;
To respect the rights and property of others;
To take responsibility for one’s own personal and academic commitments;
To contribute to our community for fair, cooperative and honest inquiry and learning;
To respect and strive to learn from differences in people ideas and opinions;
To refrain from and discourage behaviors which threaten the freedom and respect every individual deserves
Physician Assistant Profession
Definition Physician Assistants (PAs) are healthcare professionals trained in the medical model who practice medicine under the supervision of licensed physicians within a patient‐centered healthcare team. Under physician supervision, PAs take medical histories and perform physical exams, order and interpret laboratory and diagnostic tests, perform selected diagnostic and therapeutic procedures, prescribe medications, and provide patient education and counseling. Although educated as generalists, PAs are considered “polyvalent” clinicians who receive additional education, training, and experience on the job and may work in primary care or subspecialty areas in a wide variety of practice settings.
History The PA profession originated in the United States in the 1960s in response to a national shortage of primary care physicians. Dr. Eugene Stead at Duke University created a program for former Navy corpsmen to receive additional medical training and enter the civilian workforce. Shortly thereafter, Dr.
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Dick Smith created a fast‐track medical training program based at the University of Washington and designed to provide primary healthcare clinicians for the Pacific Northwest. At present, there are approximately 70,000 PAs practicing in the U.S. and 143 accredited educational programs. Mid‐level clinicians have been employed by the Canadian Forces for over 50 years. In 1984 the first class of “physician assistants” graduated from the Canadian Forces Medical Services School in Borden, Ontario. They are generally acknowledged as the first formally trained PAs in Canada. In October 1999, the Canadian Academy of Physician Assistants (now the Canadian Association of Physician Assistants, or CAPA) was formed. That same year, Manitoba enacted legislation allowing persons trained as PAs in either the Canadian Forces or accredited U.S. programs to practice in the province as Clinical Assistants, certified; changes to the Medical Act are pending to redesignate these clinicians as “Physician Assistants”. Manitoba is at present the only province with legislation for PA registration and practice, though PAs work in Ontario under a different practice model and other Canadian jurisdictions are exploring models for incorporating PAs into their workforces. In addition, health care planners and administrators in Europe, India, Africa and Australia have utilized similar models or are starting to explore this health care field.
Licensing and Regulation The regulation and licensing of PAs is a provincial responsibility. In Manitoba, Physician Assistants are currently registered pursuant to the Clinical Assistant Regulation of The Medical Act. All PAs licensed by the College of Physician and Surgeons of Manitoba (CPSM) must enter into a contract of supervision with a licensed physician(s), and must also submit a list of alternate supervising physicians for approval.
Further information may be found on the CPSM website at www.cpsm.mb.ca
Scope of Practice PAs are effectively extensions of their supervising physicians. Therefore, they may not provide services that are outside of the supervising physician's own scope of practice. Within these parameters, an individual PA’s scope of practice will be further dictated by local regulations, by the PA’s level of education and experience, and by the unique supervisory relationship between supervising physician and PA. PAs are expected to remain constantly aware of their scope of practice and knowledge limitations, and to consult with the supervising physician whenever necessary. PAs are expected to clearly identify themselves to patients as functioning under physician supervision.
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Competencies The Canadian Association of Physician Assistants (CAPA) has created a national Occupational Competency Profile for the PA profession. This document details the key and enabling competencies expected of an entry‐level PA in Canada. These competencies, and the document that details them, are adapted from the Royal College of Physicians and Surgeons of Canada’s CanMEDS framework. Canadian PA education programs are accredited by the Conjoint Accreditation Service of the Canadian Medical Association (CMA) based in part on their assessment of the education program’s ability to instill the competencies outlined in the OCP.
Certification and Continuing Education In Canada, the national Physician Assistant Certification Examination is administered and maintained by the Physician Assistant Certification Council (PACC). This entry to practice examination is written upon successful completion of a CMA or ARC‐PA accredited PA program; the certification entrance to practice exam is administered independently of any training program to ensure that PAs meet the standard set out in the Occupational Competency Profile (OCP) for the Physician Assistant profession. This Occupational Competency Profile is currently under revision by CAPA; it will be distributed as an Appendix to this Handbook once finalized. In addition, the Council is developing CPE requirements that all Canadian PAs will be required to fulfill to maintain ongoing certification. This national certification process establishes a common standard of care across Canada and fosters an ongoing professional learning process for all PAs. The decision to require national certification in order to work as a PA in any given jurisdiction remains at present at the discretion of that jurisdiction.
Physician Assistant Education Program (PAEP) The University of Manitoba’s Physician Assistant Education Program (PAEP) is Canada’s first graduate‐level program for PA education offered by a University. Upon completion of all components of the comprehensive two year program, graduates receive a Master of Physician Assistant Studies degree from the Faculty of Graduate Studies.
Mission Statement The University of Manitoba Physician Assistant Education Program aims to educate outstanding physician assistant clinicians, to advance the academic field of the profession, and to foster PA leaders who will serve their communities and advance the physician assistant profession in Manitoba and Canada.
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Purpose The PAEP focuses on preparing competent professionals who will extend the delivery of quality health care services to the citizens of Manitoba and Canada. The program integrates graduate‐level critical thinking and analysis, problem solving, scientific inquiry, and self directed learning with the effective use of technology. This approach prepares graduates for the demands of modern practice in a rapidly changing health care environment. A team approach to health care is emphasized not only in clinical practice but also in research, leadership, education, and continued professional development. Housed within the Faculty of Graduate Studies and administered through the Faculty of Medicine, the PAEP incorporates the concepts of student centred learning, adult learning principles, and professional education with the clinical competencies necessary for effective physician assistant practice.
Goals The primary goal of the PAEP is to ensure that graduates meet the competencies outlined in the national Occupational Competency Profile (OCP) developed by the Canadian Association of Physician Assistants (CAPA). In keeping with this goal, the pedagogical and ideological foundations of the PAEP are the CanMEDS competencies, on which the national OCP is based, and the Four Principles of Family Medicine developed by the College of Family Physicians of Canada (CFPC). The overlap in these two frameworks can be expressed as follows:
Principles of the PA Profession The physician assistant is an effective clinician (Core Competencies: Medical Expert). Physician assistant practice is based in all health care settings (Core Competencies: Collaborator, Manager). The physician assistant is a resource to a defined practice population (Core Competencies: Health Advocate, Scholar, Professional). The physician assistant‐physician‐patient relationship is central to the role of the physician assistant (Core Competencies: Communicator, Collaborator). In addition to ensuring graduates attain the national competencies, program‐specific goals include the following:
• Educate PA health professionals who possess diverse and comprehensive competencies and function effectively as members of the health care team in all clinical settings
• Promote an understanding of the principles of scientific inquiry and research design
• Develop the ability to utilize principles of education to benefit patients, their families, and the community
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• Instill an awareness of and sensitivity to cultural and individual differences
• Encourage professional involvement and community service
• Foster a commitment to continuous personal and professional growth
Program Structure
Directory Office Fax: 272‐3068 PHONE Rm# EMAIL Ms Sarah Clarke, Program Director 272‐3094 P121 [email protected]
Dr. Neil Berrington, Medical Director 272‐3112 P121 [email protected]
Dr. Ming‐Ka Chan, Clinical Coordinator 977‐5683 P123 [email protected]
Mr. Ian Jones, PA Faculty 272‐3134 P127 [email protected]
Ms Claire Chandler, PA Faculty 272‐3133 P127 [email protected]
Ms Sandra Toback, Program Coord. 272‐3065 P121 [email protected]
Ms Jacki Armstrong, Office Assistant 272‐3094 P121 [email protected]
Note: P=Pathology Building, Bannatyne Campus (see Appendix F for Map)
Governance Structure See Appendix A
Committees See Appendix B for full Terms of Reference for all committees Physician Assistant Program Committee (PAPC) The PAEP Program Committee (PAPC) is to oversee the further developments, implementation, maintenance and all future educational and programmatic activities of the Physician Assistant Education Program (PAEP). As well, it will be the delegated reporting body for the responsible functioning of the Faculty of Medicine’s PA training functions in relationship to the Canadian Forces.
Curriculum Committee
The PAEP Curriculum Committee is to oversee the development, implementation, and evaluation of the curriculum of the Physician Assistant Education Program (PAEP).
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Progress Committee
The Progress Committee of the Physician Assistant Education Program (PAEP) is the standing committee pertaining to the application of policies and procedures regarding PAEP learner academic progression and remediation. As the delegated reporting body for all PAEP progression, evaluation, and remediation issues, the Progress Committee shall report to the Physician Assistant Program Committee (PAPC) on a regular basis.
Awards Committee
The Awards Committee is a standing committee of the Physician Assistant Education Program (PAEP). Its duties are to review and make recommendations concerning the terms of awards, scholarships, bursaries, medals and prizes offered to students through the PAEP and to recommend for approval by the PA Program Committee recipients of all awards, scholarships, bursaries, medals and prizes offered to students through the PAEP.
Admissions Committee
The Physician Assistant Education Program (PAEP) Admissions Committee oversees all aspects of student selection and recommends admission of appropriate candidates to the Physician Assistant Education Program (PAEP). The PAEP Admissions Committee will make its recommendations to the PA Program Committee, who in turn will then notify the Faculty of Graduate Studies (FGS) of its recommendations.
Appeals Committee
This committee is under development.
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2009/2010 CALENDAR The PAEP is a 26 month program consisting of one year of basic and clinical science courses followed by 48 weeks of clinical rotations. Year One is broken down into 3, 13‐week semesters; an exam period follows each semester. Year Two follows the PGME calendar; rotations are broken into 4 week blocks and are completed at a variety of clinical teaching units in Winnipeg and throughout the province.
YEAR 1 LEARNERS ORIENTATION Wed Sep 2 – Fri Sep 4
SEMESTER I Tues Sep 8 – Tues Dec 8, 2009 EXAM WEEK: Wed Dec 9 – Wed Dec 23*
Statutory Holidays:
Mon Sep 7 (Labour Day)
Mon Oct 12 (Thanksgiving Day)
Wed Nov 11 (Remembrance Day)
Holiday Break: University closure from Thur Dec 24, 2009 – Mon Jan 4, 2010 inclusive
‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐
SEMESTER II Tues Jan 5 – Fri Apr 9, 2010 EXAM WEEK: Mon Apr 12 – Fri Apr 23*
Spring Break: Mon Feb 15 – Fri Feb 19
Statutory Holidays:
Mon Feb 15 Louis Riel Day
Fri Apr 2 Good Friday
‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐
SEMESTER III Mon Apr 26 – Fri July 23, 2010 EXAM WEEK: Mon Jul 26 – Fri July 30
Statutory Holidays:
Mon May 24 Victoria Day
Thur July 1 Canada Day
* Possibly earlier depending on Pharmacology, Anatomy, exams Year One Comprehensive Didactic Exam (CDE) Saturday July 31, 2010 This examination is three hours and consists of 180 multiple choice questions, covering all of the material of year I. The major emphasis of the examination is on what is regarded as clinically relevant material. Questions are centered predominantly on the major clinical disciplines of Internal Medicine, Surgery, Pediatrics, Obstetrics and Gynecology, Psychiatry, Emergency Medicine, Critical Care Medicine
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and Infectious Disease. Basic sciences material deemed to be highly relevant in a clinical setting may also be asked. (Examples – pharmacology of important therapeutic agents, anatomy of certain peripheral nerve entrapments, physiology of cardiac failure, biochemical basis of gout, etc.) The goal of the examination is to assess learners’ knowledge of clinically relevant didactic material, prior to entry into the clinical year. The examination also offers a formative function, in as much as it gives the learner a foretaste of the examination experience similar to what they could expect in a national certification examination at the conclusion of their studies.
YEAR 2 LEARNERS
Period Dates
1 Clinical Rotation August 27 ‐ September 23, 2009
2 Clinical Rotation September 24 ‐ October 21, 2009
3 Clinical Rotation October 22 ‐ November 18, 2009
4 Clinical Rotation November 19 ‐ December 16, 2009
5a Vacation December 17 – January 4, 2010
5b PAEP Activities January 5 – January 13, 2010
6 Clinical Rotation January 14 ‐ February 10, 2010
7 Clinical Rotation February 11 ‐ March 10, 2010
8 Clinical Rotation March 11 ‐ April 7, 2010
9 Clinical Rotation April 8 ‐ May 5, 2010
10a Clinical Rotation May 6 – May 19, 2010
10b Vacation May 20 – June 2, 2010
11 Clinical Rotation June 3 – June 30, 2010
12 Clinical Rotation July 1 – July 28, 2010
13 Clinical Rotation July 29 – August 25, 2010
14 PAEP Activities August 26 – 27, 2010
15 Vacation August 28 – September 12, 2010
16 Exam Prep September 13 – September 26, 2010
17 National Certification Exam Exact Date TBA
Each clinical rotation begins on a Thursday and ends on a Wednesday. See Appendix H for Year 2 Supplement
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CURRICULUM
YEAR 1 LEARNERS Semester I PHAC 2100 Pharmacology 3 credits of 6 total (runs through Semester 2) PAEP 7000 Physiology and Pathophysiology for PAs I 3 credits PAEP 7010 Human Anatomy for PAs 3 credits PAEP 7030 Professional Studies for PAs 3 credits PAEP 7042 Biochemistry for PAs 1 credit PAEP 7044 Statistics, Research Design, Epidemiology for PAs 1 credit PAEP 7046 Genetics for PAs 1 credit PAEP 7052 Patient Assessment for PAs I 2 credits Curriculum Integration nil credit Semester II PHAC 2100 Pharmacology 3 credits of 6 total (continued from Semester 1) PAEP 7002 Physiology and Pathophysiology for PAs II 3 credits PAEP 7054 Patient Assessment for PAs II 2 credits PAEP 7090 Principles of Psychiatry for PAs 3 credits PAEP 7068 Adult Medicine for PAs I 6 credits PAEP 7110 Emergency / Critical Care 3 credits Curriculum Integration nil credit Semester III PAEP 7082 Diagnostic Imaging for PAs 1 credit PAEP 7056 Patient Assessment for PAs III 2 credits PAEP 7084 Microbiology for PAs 1 credit PAEP 7100 Principles of Surgery for PAs 3 credits PAEP 7070 Adult Medicine for PAs II 6 credits PAEP 7048 Pediatrics for PAs 3 credits PAEP 7050 Obstetrics & Gynecology for PAs 3 credits PAEP 7150 Comprehensive Year One Exam, July 31, 2010 nil credit Curriculum Integration nil credit
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YEAR 2 LEARNERS PAEP 7202 Family Medicine for Physician Assistants 8 weeks 6 credits PAEP 7210 Clinical Internal Medicine for Physician Assistants 4 weeks 3 credits PAEP 7220 Clinical Surgery for Physician Assistants 4 weeks 3 credits PAEP 7230 Orthopedic & Sports Medicine for Physician Assistants 4 weeks 3 credits PAEP 7240 Clinical Pediatrics for Physician Assistants 4 weeks 3 credits PAEP 7250 Clinical Psychiatry for Physician Assistants 4 weeks 3 credits PAEP 7260 Community Health for Physician Assistants 4 weeks 3 credits PAEP 7270 Clinical Emergency Medicine for Physician Assistants 4 weeks 3 credits PAEP 7280 Clinical Obstetrics & Gynecology for Physician Assistants 4 weeks 3 credits PAEP 7290 Clinical Anesthesia for Physician Assistants 2 weeks 1.5 credits PAEP 7204 Clinical Electives for Physician Assistants I 2 weeks 1.5 credits PAEP 7206 Clinical Electives for Physician Assistants II 2 weeks 1.5 credits PAEP 7300 Year Two Comprehensive Assessment of Clinical Skills (CACS) nil credit PAEP 7350 Year Two Capstone Project nil credit Note: Core rotations are situated within the province of Manitoba while electives may be completed within any institution affiliated with a recognized Physician Assistant Program. Some core rotations are conducted outside the Winnipeg for all learners E.g. the Pediatrics rotation currently includes a 2 week block in Thompson Other rotations such as Family Medicine have options in Winnipeg, Portage, and sites in the Parkland Region. Learners are advised to expect that they will spend a minimum of 4 weeks of Family Medicine in a rural area 100 kilometers or more from Winnipeg. When students are sent to rural areas for mandatory core rotations, the PAEP will cover housing for the student at a location arranged by the Program. Some housing arrangements may be shared rooms in a house. If accommodations are unsuitable for any reason (e.g accommodation for families) students can make their own separate arrangements, and cover any expense above and beyond the cost of the PAEP‐sponsored accommodation. The PAEP will also fund travel to and from core rotations more than 100 kilometers outside Winnipeg. Automobile travel will be reimbursed at the standard University rate per kilometer; air travel arranged by the Program will be funded by the PAEP.
Clinical Logging
During Year 2, each student will be provided a Clinical Logbook in which to record clinical exposures. Completion of this logbook is mandatory and is important for both student education and Program evaluation. The logbooks will be used by rotation preceptors in part to complete the student’s PA In‐Training Evaluation Report. Logbooks will also be reviewed with faculty advisors during academic days and by the Progress Committee at the end of the clinical year.
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Academic Days
During the clinical year, learners will periodically return to the Bannatyne campus for academic days and half‐days. Academic days will consist of a variety of activities including academic sessions, workshops, advisor meetings, capstone project presentations, and observed histories and physicals.
Capstone Project
During Year 2 of the Program, each student will present a capstone project, which may take one of several formats outlined by the Program and chosen by the student in consultation with Program faculty. The deadline for submission of capstone projects, which include both a written and an oral presentation component, will be in early Spring of the clinical year. Projects will be presented to fellow students and Program faculty during academic days later in the clinical year. For more information on the capstone project, please see Appendix C.
Evaluation
Academic Standards General information on satisfactory academic performance is outlined in the Faculty of Graduate Studies regulations at the following web address: http://umanitoba.ca/faculties/graduate_studies/admin/532.htm The PAEP supplementary regulations are currently being considered for approval through the Faculty of Graduate Studies. Once formally endorsed by the University these regulations will be added as an Appendix. In accordance with Faculty of Graduate Studies policy as outlined in the Graduate Calendar, a minimum grade point average of 3.0 with no grade below C+ must be maintained for continuance in the Master's program. Students who fail to maintain this standing will be required to withdraw unless the Dean of Graduate Studies approves a remedial recommendation from the PAEP Progress Committee. Progress Committee recommendations may include sitting for supplemental exams, repeating clinical rotations, or other forms of remediation as appropriate. Failure of any prescribed remediation will result in the student’s being required to withdraw from the Program. PA learners are required to demonstrate satisfactory academic performance in areas not related to performance in courses, such as attendance at and participation in lectures, seminars and laboratories, and progress in research. Learners who fail to maintain satisfactory performance may be required to withdraw on the recommendation of the PAEP Program Committee to the Dean of Graduate Studies.
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Year 1
Course Performance
Students receiving a grade of C or lower in 6 credit hours or less of coursework may, at the recommendation of the Progress Committee, be permitted to write one supplemental exam in each course for which a grade of C or lower is obtained. Students receiving a grade of C or lower on a supplemental exam will be required to withdraw from the PAEP.
Year One Comprehensive Didactic Exam (CDE)
At the conclusion of the first year of study, PAEP learners are required to pass the “Year I Comprehensive Examination.” The Examination is graded as pass / fail. Failing grades will be referred to the Progress Committee for remediation.
Year 2 Clinical evaluation consists of three components: preceptors will all participate in completing the PA‐ITERS. Some of you will also participate in the mini‐CEX evaluations, about which you will receive information under separate cover. Observed H & Ps occur during academic full days and are administered by the PAEP. Preceptors may be recruited to assist in these assessments depending on need and preceptor availability.
Physician Assistant In Training Evaluation Report (PA‐ITER)
PA‐ITERs are the clinical performance evaluations filled out by preceptors at the mid‐point and end of each clinical rotation. PA‐ITERs assess Can MEDS competencies in all areas. At the completion of each clinical rotation, all students are expected to attain a satisfactory PA‐ITER as determined by the rotation clinical preceptor(s) and submitted to the PAEP. For a copy of the PA‐ITER, see Appendix D. Students who obtain an unsatisfactory PA‐ITER in 6 credit hours or less of clinical rotation time (a 4 week rotation is 3 credit hours) may be permitted, at the discretion of the PAEP Progress Committee, to complete some form of remediation determined by the PAEP Progress Committee. Students receiving unsatisfactory PA‐ITERs in more than 6 credit hours of clinical rotations will be required to withdraw from the PAEP. Mini Clinical Evaluation Exercises (Mini‐CEX) In these exercises, a clinical preceptor evaluates the student’s performance in a 15 to 20 minute clinical encounter with a patient. This exercise is designed to focus on one predetermined component of the patient encounter, such as history taking, physical exam skills, or patient education. The patient encounter is followed immediately by 10 to 15 minutes of feedback from the preceptor. Further details on the mini‐CEX will be added as supplemental pages before rotations commence. For a copy of a mini‐CEX evaluation form, see Appendix D.
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Observed Histories and Physicals (H&Ps) Students will return to the Bannatyne campus for academic days at the end of each 4 week clinical rotation block. During these academic days, activities will include conducting comprehensive histories and physical exams under the observation of PA and medical faculty. Each student will complete a minimum of 12 observed H & Ps during the clinical year. Six will be for formative purposes and during the latter half of the year, 6 core observed histories and physicals will count towards the final comprehensive assessment. For a copy of the Clinical Skills Feedback Form, see Appendix D.
Comprehensive Assessment of Clinical Skills (CACS)
At the end of Year 2, PA Faculty will compile a summative evaluation of each student’s clinical performance, called the Comprehensive Assessment of Clinical Skills (CACS) based on review of PA‐ITERs, mini‐CEX evaluations, and observed histories and physical exams. The CACS will be graded on a pass/fail basis by consensus of the PAEP Program Director, Medical Director, and PAEP faculty after review of performance on all three components of the clinical year. If, upon review of all evaluation modes, significant concerns regarding performance in one or more areas (clinical skills, medical knowledge, communication skills, professionalism, etc.) exist, the matter will be forwarded to the PAEP Progress Committee for review and to determine whether appropriate remediation can be prescribed. Should the PAEP Program Committee determine that a student’s unsatisfactory performance in clinical work is not remediable, (in cases of gross violations of professional ethics, for example) the student will be required to withdraw from the PAEP.
Capstone Project
The capstone project is evaluated on a pass/fail basis. Projects deemed unsatisfactory by Program faculty may be revised and resubmitted once. Projects deemed unsatisfactory after one resubmission will result in the student’s being required to withdraw from the PAEP. For a copy of the Capstone Project Evaluation form, see Appendix D.
Attendance
Year 1 Students are required to attend a minimum of 75% of didactic lectures per month. Students who fail to maintain satisfactory attendance may be required to withdraw on the recommendation of the PAEP Progress Committee. Unexcused absence from any year one component involving contact with patients or simulated patients will be subject to disciplinary action at the discretion of the PAEP Progress Committee.
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Year 2 Unexcused absences in the clinical year are unacceptable and will be considered by the PAEP Progress Committee during quarterly reviews of student progress. As clinical exposures are a crucial part of the PA student’s education, students missing more than 1 day of a 2 week clinical rotation, 2 days of a 4 week rotation, or 4 days of an 8 week rotation will be required to make up additional missed days, even in cases where the absences are excused. If an absence is unavoidable, it is mandatory that learners notify both the PAEP office and the appropriate departmental coordinator/program assistant prior to their absence. Please see individual rotation information sheets for procedures for being excused from rotation time due to illness or emergency. (This may require waking up at 6:00 a.m. to leave a voicemail message if necessary.) Depending on the length of the absence, a doctor’s certificate may be required. Students in the clinical year are permitted up to two working days per year away from clinical and academic responsibilities to attend professional conferences. In the event of a leave of absence due to matters unrelated to performance (e.g. illness, maternity leave) elective time may, at the discretion of the Progress Committee, be utilized to appropriately compensate for missed core rotation time. Attendance at academic days is mandatory unless excused by the Clinical Coordinator or Medical Director of the PAEP. A minimum of 80% attendance is expected for successful completion of this year.
Academic Integrity Plagiarism or any other form of cheating in assignments or examinations is subject to serious academic penalty as per the University of Manitoba policy of academic integrity. (Section 7 of the General Academic Regulations and Requirements) http://webapps.cc.umanitoba.ca/calendar08/regulations/plagiarism.asp
Policies The Faculty of Graduate Studies Calendar contains important policy and other information that pertains to students in the PAEP. Please refer to the appropriate sections (noted) of the Graduate Calendar for policies in the following areas: Policy on the Responsibilities of Academic Staff With Regard to Students (Part One, Section 1)
Policy on Respectful Work and Learning Environment (Part One, Section 2)
Accessibility Policy for Students (Part One, Section 3)
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Disclosure and Security of Student Academic Records (Part One, Section 4)
Language Usage Guidelines (Part One, Section 5)
Conflict of Interest Between Evaluators and Students Due to Close Personal Relationships (Part One, Section 6)
Other Policies of Interest to Students (Part One, Section 7) ‐Campus alcohol policy ‐HIV/AIDS policy ‐Parking Regulations Student Discipline Bylaw (Part Two, Section 1)
Inappropriate and Disruptive Student Behaviour (Part Two, Section 2)
Hold Status (Part Two, Section 3)
Immunizations – PAEP students participate in the Bannatyne campus Immune Status Program. For information on this Program, please see the following link: http://umanitoba.ca/faculties/medicine/education/undergraduate/immunestatus.html Professionalism – The Faculty of Medicine is currently revising its guidelines regarding professional behavior. This policy, once formalized, will be added to the Handbook as a Supplement. Technical Standards – Please see the following link for the Faculty of Medicine’s Essential Skills and Abilities and Accommodation document (pp105‐112): http://www.umanitoba.ca/admin/governance/media/senagenda_may2009.pdf
Student Services and Resources
Safety and Security Security Service Officers are on duty 24 hours a day every day of the year. In the case of an emergency, you are advised to contact Security Services immediately by dialing 555 from any 474, 480, 789, 975, 977 University exchange or #555 from any MTS or Rogers cell phone, and if you have access to the University telephone system call 474‐9312 or 474‐9341.
The Safewalk Program provides a student patrol member or a Security Services Officer at night to accompany you to your destination. The parameters at Bannatyne Campus are William–Notre Dame and Sherbrook–Tecumseh. Call 789‐3330.
Code Blue Emergency Call Stations are located at strategic outdoor sites on campus. When activated, they alert everyone nearby of an emergency with a blue flashing light and provide two‐way communication with Security Services. For additional information, contact the Bannatyne Campus Security Services ‐ Room S105 Medical Services Building ‐ 789‐3330.
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Fire Regulations
All University Buildings at the Bannatyne Campus have a fire alarm system.
A Fire Safety Plan written for students and staff at the Bannatyne Campus is available at http://www.umanitoba.ca/admin/human_resources/ehso/media/FireSafetyPlanBann.pdf
In the event of an emergency in a University building, one should dial “555” to get the Campus Police and “4911” (“4” to get the outside line) to connect to Emergency Medical Services or “#555” from MTS or Rogers cell phone.
WHEN THE FIRE ALARM SOUNDS
Intermittent Bells
If you are in Dentistry, Pathology (where OPAS is located), Medical Rehabilitation, Old Basic Sciences, Medical Services or Chown Buildings, intermittent bells signify a fire alarm condition in an adjoining building. Cease all operations and await further instructions from the Building‘s Chief Fire Warden or Fire Warden. If you are in the Brodie Centre, intermittent bells signify a fire alarm condition in the building. If you know the origin of the alarm and you know it is false, cease all operations and await further instructions from the Building‘s Chief Fire Warden or Fire Warden. If you do not know the origin of the alarm, evacuate the building following the evacuation procedures for the building.
Continuous Bells
If the fire alarm bells produce a continuous sound, evacuate the building immediately following the evacuation procedure for the building. If a fire bell rings while you are in the Rehabilitation Hospital, you are no longer required to evacuate. Reassure patients, visitors and students and listen to the paging system to determine the location of the alarm. Close all doors and leave all lights on. Do not use elevator.
RED Emergency Phones—Bannatyne Campus
Emergency phones are located in: Neil John Maclean Library, 2nd Level, Brodie Centre ‐North of the Library stacks ‐East side middle of the stacks ‐Middle aisle of stacks
Medical Services Building located by room #S105A Basic Medical Sciences Building, 1st floor, North side by passenger elevators Chown Building, 753 McDermot, North Entrance Lobby Dentistry Building, 1st floor by passenger elevator Pathology Building close to room #P006 Brodie Building adjacent north of the hallway of Room #140 (U of M Bookstore) Brodie Centre, Basement area across from the tri‐elevators
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Student Identification In order to assist faculty members and support staff in identifying each student, photographs are taken by U of M Imaging Services at a time arranged by the PAEP main office. Student photos will be sent to clinical rotation preceptors during Year Two of the Program. ID badges are required by the Winnipeg Regional Health Authority for use during all clinical/fieldwork education. In addition, the PAEP provides magnetic name tags to all learners. These must be clearly visible and worn at all times during all PAEP educational activities. Lost or misplaced name tags may be replaced through the PAEP main office at a charge of $10.00 to the learner.
Student ID / Access Cards U of M IDs will be provided during Year 1 orientation. Access will be provided in the following areas on a 24 hour basis: the 24 Hour Computer Lab, 280 Brodie Centre the interior door to the Student Lounge & Games Rooms, 1st Floor Brodie Centre the Student Locker Room, 727 Brodie Centre the exterior door located at 150 Brodie Centre (hallway beside the Bookstore) the exterior door to Brodie Centre, 727 McDermot Avenue the exterior door at 730 William (Basic Medical Sciences Bldg) the exterior door at 771 McDermot Avenue (School of Medical Rehabilitation) the exterior door on the first floor on Bannatyne by Shipping & Receiving the exterior door to the Dentistry Building, 790 Bannatyne Avenue if classrooms requiring card access are utilized, access will be arranged at that time
Card Access Protocol for Students Student ID cards must be activated by Colin Wootton, Card Access Coordinator, 789‐3649, S013 Medical Services Bldg. Hours for card activation are Monday – Friday, 8:00am – 9:45am, 10:00am – 12:00pm, 12:30–2:30pm and 2:45pm ‐ 4:00 pm, Monday. Please contact him directly to make an appointment during the first few weeks of Semester 1. Activation takes approximately 10 minutes per card. Note: All entries using an ID Card may be recorded electronically. Reports will be available to the PAEP if requested. Any misuse of ID Access cards will be reviewed by the PAEP Administration and dealt with in an appropriate manner.
Any evidence of breach of security should be reported immediately to Security Services at 789‐3330. Lost Card: Report lost or misplaced ID cards immediately to the Physician Assistant Education Office to have the card de‐activated.
*THIS PAGE UPDATED AUG 19/09
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The loss of your student ID card should be reported immediately to both the Neil John Maclean Library and the ID Centre. For more information, contact Security, located at S105 Med Services Building, 789‐3330 and the ID Centre 400 University Centre, 474‐9423, or visit their web site at www.umanitoba.ca/students/records
Financial Aid & Awards General information on the following Funding and Awards can be found on the Faculty of Graduate Studies website at http://umanitoba.ca/faculties/graduate_studies/funding/index.html: External granting agency fellowships University of Manitoba Graduate Fellowships (UMGF) – see Appendix E for Terms of Reference Manitoba Graduate Scholarships for Master’s Students (MGS) Faculty/Departmental Bursary/Scholarship/Award Research and Teaching Assistantship Opportunities Canadian Federal, Provincial and Territorial Government Loans/Bursaries PAEP students may also apply for the Walker Wood Foundation Bursary through the Financial Aid & Awards Office at http://umanitoba.ca/student/fin_awards/. This Bursary will be awarded to 3 students during the 09 / 10 academic year who have high academic standing, demonstrate leadership qualities and who have a demonstrated need for financial assistance.
Library and Computer Labs
Neil John Maclean Health Sciences Library The Neil John Maclean Health Sciences Library (NJMHSL), located on the second floor of the Brodie Centre at the Bannatyne Campus, is the major resource library for clinical medicine, biomedical sciences, dentistry, dental hygiene, nursing, rehabilitation, hospital administration, Aboriginal health and consumer health. The NJMHSL has over 200,000 volumes comprised of print, audiovisual and computer‐based media, as well as more than 1,200 current journal titles and approximately 3,400 electronic journals and over 70 rehabilitation assessment tools. New journals are located on the 1st floor (200 level) in the Dr. Robert E. Beamish Reading Area and new books are located adjacent to the Information Centre. Dental journals, consumer health information, reference, and reserve materials are also on the 200 level. Books, journals and the Aboriginal health collection are located on the 300 level. The journals are shelved in alphabetical order; the books by National Library of Medicine call numbers.
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A listing of the library’s on‐line resources and services can be found at: http://www.umanitoba.ca/libraries/health Faculty, staff and students of the University of Manitoba may borrow library materials on presentation of a valid U of M photo Identification card. Staff and students of the HSC can apply to have a library card by presenting their photo Identification to circulation staff. Library cards can be renewed at any U of M library. Books may be borrowed for 14 days, journals for 7, and most items can be renewed up to three times. Materials located at Fort Garry Libraries may be requested through BISON and will be delivered to the Neil John Maclean Health Sciences Library for pickup.
Computer Labs General use computer labs are located in the Neil John Maclean Health Sciences Library during regular library hours. Phone 789‐3464 to check availability of these computers. A 24 Hour Computer Lab is located in 280 Brodie Centre. Card access is required.
Bookstore The Health Sciences BookStore is a full service store and serves the Faculties of Medicine and Dentistry, the Schools of Dental Hygiene and Medical Rehabilitation, the entire Health Sciences community and the general public. It stocks medical and allied health reference books in every health science specialty as well as general reading, medical instruments, stethoscopes, office and stationery supplies, sportswear, gifts and computer hardware, software and supplies. It is located on the main floor of Brodie Centre at 727 McDermot and is open from 9:00am – 5:00pm Monday to Friday.
Parking U of M parking is very limited on the Bannatyne Campus. Private residents in the area often post rental notices on bulletin boards around campus, or students choose to park on distant streets and walk. In addition, the Health Sciences Centre parkades may have spots for rent (contact Parking Operations at the Health Sciences Centre at 787‐2715). For more information about U of M parking, contact Parking Services at 474‐9483.
Parking After Hours in Lot E
Three‐month parking permits can be obtained, free of charge, for parking in Lot E on weekends, holidays, and after 4:30 pm on weekdays. Students and staff with a valid U of M ID card can obtain a three‐month parking permit through Security Services (Room S105, Medical Services Building).
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Permits must be clearly displayed, and be completely visible from the exterior of the vehicle at all times. Parking is not permitted at any time in the following restricted areas: 1) No Parking areas 2) Loading zones 3) Marked fire lanes and driveways 4) Marked pedestrian areas 5) 24‐hour reserved zones 6) Accessible areas 7) Landscaped areas 8) Lot corners, aisles, and end of aisles
Expired permits may be subject to a financial penalty.
Note: Parking permits are valid for Lot E only and do not provide access to the Tecumseh Parkade. A parking map is attached as Appendix F
Counselling Services
Office of Student Affairs The Office of Student Affairs and Dr. Cornelia Van Ineveld, Assistant Dean, Student Affairs, Faculty of Medicine, are responsible for academic advising, personal counselling, and student development. Questions about career options and rules and regulations of the University can be addressed, as can family, marital, or other personal issues, which affect your ability to learn. To book an appointment with Dr. Van Ineveld, please call 789‐3495.
Counselling Services (Bannatyne Campus)
Professional counsellors‘ primary goal is to facilitate the personal, social, academic, and vocational development of university students. To fulfill this role, the following programs and services are offered: personal and career counselling, group counselling, referral and consultation, and specialty workshops. Students interested in meeting with a counsellor at the Bannatyne Campus (S207 Medical Services Building) may contact that office directly at 789‐3857, drop by during their office hours, or talk with a receptionist at their Fort Garry office (474‐8592). Lunch hour and evening appointments are available. For urgent concerns during regular working hours Monday, Wednesday, and Thursday 12:00 noon–7:00 pm, (Summer Hours: Monday, Wednesday, and Thursday 12:00 noon–5:00 pm), please contact 474‐8592. Their services are strictly confidential. Whether you just want to talk something over, or you have a serious concern, they are available. Web site: http://www.umanitoba.ca/student/counselling
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Counselling Service Contact Numbers (Bannatyne Campus, S207 Medical Services Building)
Prof. Gavriela Geller 474‐8620 Mondays Prof. David Ness 474‐8619 Wednesdays Prof. Kathryn Ritchot 474‐8618 Thursdays Bannatyne Campus General Line: 789‐3857 Receptionist 474‐8592 Available for appointments Monday, Wednesday, and Thursday from 12:00 noon to 7:00 pm. (Drop‐in meetings when doors are opened.)
Student Mental Health Service
The Faculty of Medicine has a Student Mental Health Unit available to all students on the Bannatyne Campus, their spouses and immediate family. Dr. Mark Prober and his residents provide prompt consultation and treatment for any student experiencing emotional stress. You may reach him at 789‐3328. This is a confidential service.
Office of Student Advocacy
This office provides information and assistance to students with respect to university policies and procedures, complaints and mediation of grievances. The office is located at 519 University Centre or call 474‐7423 or fax 474‐7567. Web site: http://umanitoba.ca/student/advocay
Health Services
HEALTH SERVICES
Health information can be obtained from the Misericordia Urgent Care Centre located at 99 Cornish Avenue (204) 788‐8188. Health services can also be obtained from any walk‐in clinic, public health nurse (by appointment) in the rural provincial health units (by appointment only).
Medical Services
If you do not have a family physician, the Manitoba College of Family Physicians and Manitoba Health have launched a new service called “The Family Doctor Connection Program” which provides an up‐to‐date comprehensive list of Winnipeg family doctors accepting new patients. Call 786‐7111 Monday to Friday, 8:30 am–4:30 pm. You will be assisted personally and provided with the names and telephone numbers of family physicians accepting new patients in your area of residence. Manitoba College of Family Physicians‘ Web Site: http://www.mcfp.mb.ca If you are currently a student at the U of M, you can be seen at: University Health Service, Fort Garry Campus – 104 University Centre September to April: Monday 9:00 am–5:00 pm Tuesday to Friday: 8:30 am–5:00 pm
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May to August: Monday to Friday 8:30 am–4:30 pm, by appointment only (474‐8411) Emergency treatment can be accommodated, but you must call the clinic first (474‐8411). Community Health Clinics are located as follows: Point Douglas area residents only: 601 Aikens Street Monday to Friday: 8:30 am–4:30 pm by appointment only (940‐2025) River Heights area residents only: 385 River Avenue Monday, Tuesday, Thursday and Friday: 8:30 am–4:30 pm, Wednesday 8:30 am–7:30 pm, by appointment only (940‐2000) If your postal code begins with R3A, R3B, or R3C, you can be seen at: Health Action Centre – 425 Elgin Avenue Monday to Thursday: 8:30 am–6:00 pm, Friday 8:30 am–5:00 pm, by appointments only (940‐1626) Saturday 8:30 am–5:00 pm Dental Services The Faculty of Dentistry will make appointments for cleaning teeth and dental repairs in their clinics. The rates are low. If you need immediate attention (a toothache), contact the Clinic at 789‐3505.
Mailboxes & Lockers Student mailboxes and lockers are located on the 2nd floor of Brodie Centre outside of the Dean of Medicine office (260 Brodie). The PAEP Main office will provide keys for both at the beginning of Year 1 which you will keep throughout the program. If you forget your key for either one, the Dean’s Office receptionist will open it for you for a charge of $2.00. Lost keys are replaced at a cost of $10.00.
