Physician Assistant

Didactic Year Student Handbook

Table of contents Pages 2 - 3

Chapter One: General Information Pages 4 - 11 Introduction Page 5Definition of a PA Page 6History of PA Page 6-7Program Overview Page 7Accreditation Page 8Mission Statement Page 8Organizational Chart Page 9Faculty and Staff Contact Information Page 10Office Hours Page 11Chapter Two: Safety and Security Pages 12-15 Safety Issues Page 13Occupational Health and Safety Page 13Personal Safety Page 13Preventative Measures Page 14Sexual Harassment Page 14-15Sexual Harassment Procedures Page 15Conflict Resolution Page 15Classroom/Building Access Page 15Chapter Three: Academic Policies and Procedures Pages 16-35 Advanced Placement/Academic Credit Page 17Academic Standards Page 17Remediation Page 17 Warning/Probation Page 18Technical Standards Page 18-19American Disabilities Act Statement Page 19PA Professional Competencies Page 19-22Attendance Policy Page 22Student Grievances Page 23-24Academic Credit Offered Page 25-26Tuition, Fees, Expenses Page 26-27Student Withdrawal Page 27Refunds Page 28Progression/Graduation Requirements Page 28Academic Computing Helpdesk Page 29Electronic Communication/Media Policy Page 29Course Preparedness Page 29Course Schedules Page 29Classroom Conduct Page 29

2

Academic Dishonesty Page 30-31Academic Resources Page 31-32Faculty and Advisors Page 32-33Delayed Progression Policy Page 33General Exam Policies Page 33-35Chapter Four: Student Policies and Procedures Pages 35-40 Non Academic Grievance Page 36Non Academic Probation Page 36Personal Property Page 37Health Care Page 37Code of Ethics Page 38-39Substance Abuse Page 40Lines of Communication Page 40

Chapter Five: Other Policies and Procedures Pages 41-46 Work Policy Page 42Student Records Page 43Dress Code Page 43Technology Page 43Kitchen Policy Page 44Parking Policy Page 44Smoking Policy Page 44Weather Conditions Policy Page 44Fire, Bomb, Etc, Policies & Procedures Page 44Eating/Drinking in Classroom Page 44Restroom Policy Page 44Drug Screen/Background Check Page 44Printing/Copying Page 44Scholarship Opportunities Page 45-46

3

Chapter One:General Information

4

IntroductionStudents enrolled in the physician assistant program at Bethel College are under the policies and procedures dictated by Bethel College. Students of the physician assistant program face unique situations that are not addressed in the college catalog. Therefore, the Didactic Physician Assistant Program Handbook was created.

Although every attempt has been made to make this manual comprehensive, it may not address every possible situation. When confronted with something not covered, seek guidance from your mentor/advisor. This first year manual supersedes any other campus publication.

Publications that students are reminded to review for policies that may impact you during your enrollment are: The Bethel College Physician Assistant Program (BCPAP) Didactic and Clinical year student handbooks, individual course syllabi, The Log, the Bethel College Catalog, and on-line at www.bethelpa.com. You will be issued a username and password to access this site.

BCPAP students are issued the Didactic year student handbook during orientation week. Students will be issued the BCPAP Clinical year student handbook during the Clinical Orientation Week

Bethel College ensures that all policies and procedures contained within the BCPAP have been reviewed by institutional administrators, the college legal counsel, and the Bethel College Board of Trustees to assure that its content is consistent with federal and state statutes, rules and regulations prior to publication. This handbook is reviewed annually for relevancy and application during the Program Planning Committees annual meeting.

If you have questions or concerns regarding the application or meaning of any topics covered in this manual, contact your mentor/advisor or if unavailable, follow the “organizational chart” contained in this manual.

5

Definition of a Physician AssistantPhysician assistants are health care professionals licensed, or in the case of those employed by the federal government they are credentialed, to practice medicine with physician supervision. As part of their comprehensive responsibilities, PAs conduct physical exams, diagnose and treat illnesses, order and interpret tests, counsel on preventive health care, assist in surgery, and write prescriptions. Within the physician-PA relationship, physician assistants exercise autonomy in medical decision making and provide a broad range of diagnostic and therapeutic services. A PA's practice may also include education, research, and administrative services.

PAs are trained in intensive education programs accredited by the Accreditation Review Commission on Education for the Physician Assistant (ARC-PA).

Because of the close working relationship that PAs have with physicians, PAs are educated in the medical model designed to complement physician training. Upon graduation, physician assistants take a national certification examination developed by the National Commission on Certification of PAs in conjunction with the National Board of Medical Examiners. To maintain their national certification, PAs must log 100 hours of continuing medical education every two years and sit for a recertification every six years. Graduation from an accredited physician assistant program and passage of the national certifying exam are required for state licensure. www.aapa.org

History of the Physician Assistant ProfessionIn the mid-1960s, physicians and educators recognized there was a shortage and uneven distribution of primary care physicians. To expand the delivery of quality medical care, Dr. Eugene Stead of the Duke University Medical Center in North Carolina put together the first class of PAs in 1965. He selected Navy corpsmen who received considerable medical training during their military service and during the war in Vietnam but who had no comparable civilian employment. He based the curriculum of the PA program in part on his knowledge of the fast-track training of doctors during World War II.

Implementation Period (1966 to 1972) - Establishment and development of first formal PA educational programs and PA professional organizations; enactment of model legislation; establishment of accreditation and certification procedures; endorsement and support of professional, private and Federal organizations; and performance of first acceptance, productivity and role definitions studies on PAs. Evaluation and Standardization Period (1973 to 1980) - First AAPA conference held in Texas; first national certifying examination administered; continuing medical education (CME) and re-certifying examination requirements established; rapid expansion of baccalaureate PA educational programs stimulated by Federal training contracts; initial workforce studies conducted on PAs; establishment of AAPA House of Delegates; and enactment of PA enabling legislation by most states.

6

Incorporation Period (1981 to 1990) - PA role expansion and increased specialization; positive recognition of PA contributions to the workforce; approval of reimbursement of PA services in certain settings under Medicare Part B; awarding PAs commissioned officer status in uniformed services; passage and revision of legislation including prescriptive privileges in most states. Maturation and Consolidation Period (1991 to 2000) - Health care reform provides new opportunities and risk for PAs; states continue to revise legislation, rules and regulations to reduce barriers to use PAs effectively in variety of health care settings; Veterans Administration Medical Centers, Military and other Federal sponsored health care institutions rely heavily on PAs to bolster medical staffs; HMOs recognize vital roles of PAs and NPs in reducing cost; steps are taken to foster and maintain close working relationships with organized medicine; rapid expansion of physician assistant programs and trend towards master's level education. Expansion and Integration Period (2001 to Present) - The number of accredited PA educational programs surpasses 130; the profession celebrates its 35th anniversary; international interest in the PA model of health care delivery grows; record numbers of new PA graduates take the PANCE; and reduced MD resident hours spurs employment and postgraduate learning opportunities for PAs in hospital inpatient settings. This information was copied from the Physician Assistant History Center at http://www.pahx.org/.

Program OverviewBethel College is related to the Cumberland Presbyterian Church and is supported by the denomination. In turn, the college provides leadership to the denomination through its graduates. Southern Association of Colleges and Schools (SACS) is the regional accrediting body for the colleges and universities in this geographic region. Bethel College is, and has been accredited by SACS continuously since 1953.The Bethel College Board of Trustees, and the college President, have authorized the development of the physician assistant program and have requested provisional accreditation through the ARC-PA, which was granted in March 2008.

The Bethel College Physician Assistant Program will confer a Master of Science in Physician Assistant Studies upon completion of the 27 month educational program.

The ideal student will be mature, have healthcare experience, have completed all of the program’s prerequisites, obtained a baccalaureate degree from an accredited college or university, and agreed to comply with the program’s mission statement.

The program’s curriculum will follow the medical education model with instructional modules to include: problem based learning, traditional lectures, lab practicums, and clinical practice emphasizing evidence based medicine. Integration of computer technology occurs throughout the program. Exposure to patient problems using case studies will begin early in the training to facilitate the development of critical thinking skills. Educational presentations will correlate information from various parts of the curriculum so as to prepare the future PA to think and

7

evaluate a patient in a systematic fashion. The didactic first year curriculum follows the NCCPA blueprint in regard to organ systems and task areas.

Accreditation Status and Implications of AccreditationThe current Bethel College Physician Assistant Program obtained provisional accreditation from ARC-PA effective March, 2008. Provisional accreditation is granted for a limited defined period of time to a new program that, at the time of the site visit, has demonstrated its preparedness to initiate a program in accordance with the Standards. Provisional Accreditation does not ensure any subsequent accreditation status (ARC-PA, Standards, page 8).

Graduation from an accredited PA program is the only way to be eligible to sit for the National Certifying Exam (PANCE).

For more information regarding the implications of accreditation please visit: www.arc-pa.org .

Mission StatementBethel College’s mission is to create opportunities for members of the learning community to develop to their highest potential as whole persons-intellectually, spiritually, socially, and physically, in a Christian environment. It is Bethel College’s Physician Assistant Program’s specific mission to create opportunities for the members of the learning community interested in health care to ultimately graduate as competent, caring healthcare professionals who practice medicine within an ethical framework grounded in Christian principles.

8

Organizational ChartThe core PA faculty and administrative support staff provide a full range of academic and administrative services. Refer to this chart to follow the proper chain of command.

President

Academic Dean

PA Program Director

PA Program Medical Director

PA Program – Faculty and Staff

Adjunct Faculty

Academic Director

Department Chair Division of Math & Sciences

Clinical Director of Education

Assistant Faculty Academic Coordinator

Clinical Director of Coordination

Director of Admissions

/Office Manager

9

Faculty and Staff Contact Information

President Rev. R. Prosser, DL DD 731-352-4240 prosserb@bethel-college.edu

Academic DeanDr. Phyllis Campbell 731-352-4002 campbellp@bethel-college.edu

Division ChairSarah Roberts, PhD 731-352-6439 robertss@bethel-college.edu

Program DirectorJohnna Tanner, PA-C 731-352-4595 tannerj@bethel-college.edu

Medical DirectorJoseph Hames, MD 731-352-4247 hamesj@bethel-college.edu

Academic DirectorGwen Ferdinand-Jacob, PA-C 731-352-5768 ferdinand-jacobg@bethel-college.edu

Clinical Director of EducationPat Cafferty, PA-C 731-352-7753 caffertyp@bethel-college.edu

Director of Admissions/Office ManagerSandy Atwill 731-352-5708 atwills@bethel-college.edu

Clinical Director of CoordinationMisty Jez 731-352-7753 jezm@bethel-college.edu

Academic CoordinatorKim Hammonds 731-352-4247 hammondsk@bethel-college.edu

Assistant FacultyJeff Wilbert, PA-C 731-352-0965 wilbertj@bethel-college.edu

Adjunct FacultyJC Carey, PA-C 731-352-4247 jccarey@charter.netJ. Turner, PhD 731-352-4247 turnerj@bethel-college.eduP. Brinkman, PA-C 731-352-4247 brinkmanp@bethel-college.edu

10

Office HoursFaculty and staff are available during office hours which are posted on the bulletin boards. Students can also schedule appointments outside of office hours if needed. To avoid disruption of work or class, e-mail use should be maximized for communication. Students are not allowed in offices on the second floor without being announced by the office manager. YOU MUST BE ANNOUNCED REGARDLESS OF SCHEDULED APPOINTMENT TIMES.

Staff office hours are: 8:30-12:00am and 1:00-4:30 pm M-F

Faculty:Core faculty: Will be available during office hours

Adjunct faculty:Adjunct faculty will not have pre-established office hours. Anyone wanting to talk with an adjunct faculty member needs to do so immediately after class or set up an appointment.

11

Chapter Two:Safety and Security

12

Safety IssuesIn the event of any safety, harassment, conflict or other threatening situation, students are advised to use the following procedures. Additional topic specific instructions are provided below.

First and foremost, if you feel imminent danger in any situation: clearly communicate your distress/situation via any means possible; remove yourself from the situation and call 9-1-1

Any incident of emergent need must be reported immediately to any staff or faculty personnel, who will then take appropriate safety measures. If faculty or staff is not present, call 9-1-1.

Any incident concerning criminal or suspicious activities must be reported to campus security at 731-415-7599. BCPAP should be made aware as soon as possible of all incidents regardless of whom it was reported. Our Physical Address is: 647 Stonewall St. N, McKenzie, TN 38201

Occupational Health and SafetyOccupational health and safety is addressed on an annual basis: first, during orientation week of the matriculating class, and again, during introduction to the clinical year. Instruction will be given in a group environment concerning HIPPA, OSHA, and blood-born pathogens. In cases where students miss these lectures, individual orientation will be provided. In no case will a student be admitted to the next step in their education until these classes have been completed.

Personal SafetySecurity is very important on the Bethel College campus. The city of McKenzie has a very low incidence of crime. The rural setting lends itself to a secure environment that the community and students enjoy. A well-lit campus, campus security, proximity of college personnel and good communications with local law enforcement officials create a comfortable and safe environment. Copies of the College’s annual security report are available in the office of student development.

Please refer to The Log page 50, The Bethel College Catalog page 6, and on-line at www.bethel-college.edu for instruction while on campus. Student’s security while at the physical location of BCPAP is addressed by:

a. If imminent danger is present, call 9-1-1b. If a non-imminent security issue is identified, notify your immediate supervisor

(academic or clinical) or if unavailable, any faculty or staff that is available or contact security at 731-415-7599.

c. The BCPAP building is accessible via security doors 24-7. d. Emergency evacuation information is posted throughout the department. e. BCPAP assumes no responsibility for personal property loss or damages during

enrollment.

13

Campus Security phone numbers are 352-4200 or 4222. Campus Security cell phone numbers are 415-7598 or 4599.

Preventative MeasuresBethel College encourages members of the campus community to take responsibility for their actions in order to enhance the safety and security of all. Preventive measures may be taken which will increase personal security, as well as security of their vehicle and personal property. These preventive measures include, but are not limited to the following:

1. Exercise, travel, jog, etc, with a friend or partner. Tell someone where you are going and when you expect to return. Stay in well-lit areas, and do not walk alone at night. Remember there is safety in numbers.

2. Be aware of unusual or suspicious persons or conditions around you. Make it difficult for anyone to take you by surprise. Trust your intuition or “gut” instinct in your observations. It is better to be safe than sorry.

3. Call Bethel security to report crime or suspicious activity.4. Have in mind a plan of action in case your safety is threatened; waiting until a situation

arises may be too late.5. Never open the door to strangers (Maintenance and security personnel, or employees of

the BCPAP, have access to the building and would not have to ask you to let them in.). Ask to see their identification. If you are unsure, call security.

6. Know the evacuation route in case of fire or other emergency.

Sexual Harassment Medical offices, operating rooms, emergency rooms and hospitals are all institutions where the very serious business of taking care of people’s health and lives occurs. Employees often use humor as a means of stress relief; however, their humor should never make another person feel as though they have been harassed or create a hostile work environment.

Sexual harassment in education is defined as: any unwelcome behavior of a sexual nature that interferes with a student’s ability to learn, study, work or participate in school activities. Sexual harassment can be peer-peer, by teachers/preceptors or other school employees. While sexual harassment is legally defined as “unwanted” behavior, many experts agree that even consensual sexual interactions between students and teachers constitutes harassment because the power differential creates a dynamic in which “mutual consent” is impossible.” (Dzeich et al, 1990) Therefore it is BCPAP’s policy that students are not to enter into an intimate relationship with faculty, staff, or preceptors. Incidents will be investigated and immediate action taken: up to and including dismissal from program. Harassment is defined as: any conduct, physical, verbal, written or electronic, onor off campus, that has the intent or effect of unreasonably interfering with an individual’s or group’s educational or work performance at Bethel or that creates an intimidating, hostile or offensive educational, work or living environment. BCPAP has a zero tolerance policy regarding any type of harassment issues. Prevention is addressed by identifying situations and their causes, educating students on program policies and zero tolerance of violations.

14

If you feel that you have been a victim of sexual harassment, you may seek assistance from Mrs. Sandy Louden (731-352-4095, loudens@bethel-college.edu), or Reverend Anne B. Hames (731-352-4066, hamesa@bethel-college.edu). Both of these individuals serve as advocates for victims of sexual harassment.

If at any point you need assistance in dealing with a sexual harassment issue, please contact James Stewart, Dean of Students, who serves as the Sexual Harassment Mediator (731-352-4093, stewartj@bethel-college.edu).

Sexual Harassment ProceduresStudent should report instances immediately.1. Official to whom an incident is reported will make a report to the program director, or

as directed by the diagram in chapter one.2. The program director, or other official, will initiate an investigation into the allegations

in accordance with instructions of the Bethel College administration.3. A decision will be made internally regarding the allegation and the resultant penalties if

the charges are validated.4. BCPAP has a zero tolerance policy regarding any type of harassment situation. If

allegations made against a student of BCPAP are found to be factual (either by internal investigation or by a court of law), the accused will be dismissed from the program with no option to re-apply.

Conflict ResolutionIn the event of conflict of any type, the following measures should be taken:

1. Student should report the incident immediately.2. The official to whom the incident is reported will make a report to the program director,

or as directed by the diagram in chapter one.3. The program director or another official will initiate an investigation into the

allegations as instructed by the Bethel College administration.4. A decision will be made internally regarding the penalties if the allegation is validated.

Classroom/Building Access Each student will have access to the BCPAP building issued. Students will have classroom and resource center access 24/7. Students must be sure the building is secured (Doors are locked, not propped open, lights off, etc).

15

Chapter Three:Academic Policies and Procedures

16

Policies Regarding Advanced Placement and Academic Credit Advance placement is not possible. There is no credit for experiential learning. Transfer credits from other PA Programs are not accepted due to the variation of curriculum at other institutions.

Academic StandardsStudents in the BCPA graduate program must maintain at least a B average (80%) in each course during their didactic year in order to progress to the clinical year. Students must act professionally to everyone at all times while maintaining patient and practice confidentiality. Breeches of professional conduct may result in dismissal from the program.

Grading System 1. Competencies:

Throughout the program you will be evaluated on the expected competencies of your level of education. Your competency evaluations will be included in examinations utilized during the course. Additionally, the performance of your competencies will be professionally assessed by your instructor and the program director. This assessment will account for 15% of your final grade.

2. Examinations:Grades are assigned by the program on the following:a. Individual exams, practicums, check offs, etc.

i. You will find specific information in your course syllabi.b. Final grade for course:

i. Professional evaluations = 15 % ii. Examinations/Graded assessments = 85% of cumulative total for the semester.

c. Grading System:i. 4.0... .A- Excellent (90-100)ii. 3.0. . . . B - Good (80-89)iii. Any grade below 80% (3.0) received by a student of the Bethel College PA

Program is considered a failing grade.

RemediationStudents identified as at-risk (80-83%) will be given the opportunity for additional study material, have counseling with instructor, and additional tutoring to improve knowledge or skills. Once the student reaches 84%, counseling and tutoring will stop.

If a student is identified as having deficiencies (below 80%) on any examination, the student will be placed on probation. The student will receive remediation and will be retested over the same material one week later. The student must pass the second test to receive an 80% average for that test. The student will remain on probation in that class only until the end of that semester.

17

Academic Warning/Probation Policies and ProceduresStudents identified as “at-risk” will be placed on academic warning with the understanding that in the event a student’s average falls below 80%, the student will be placed on academic probation. The student will remain on probation in that course for that semester.

Students on academic probation that obtain a grade below 80% during that same course in the same semester, may be dismissed from the program.

Academic warnings and probations are removed at the end of each semester.

Technical StandardsA candidate for the Physician Assistant Program at Bethel College must have abilities and skills in five categories:  observation, communication, sensory/motor, intellectual, and behavioral/social.  Reasonable accommodation for persons with documented disabilities will be considered on an individual basis, but a candidate must be able to perform in an independent manner.  The use of a trained intermediary is not acceptable in many clinical situations, in that it implies that a candidate’s judgment must be mediated by someone else’s power of selection and observation.  The following skills are required with or without accommodation.

Observation:   Candidates must have sufficient sensory capacity to observe in the lecture hall, the laboratory, the outpatient setting, and the patient’s bedside.  Sensory skills adequate to perform physical examination are required.  Functional vision, hearing, and tactile sensation must be adequate to observe a patient’s condition and to elicit information through procedures regularly required in a physical exam, such as inspection, auscultation and palpation.  A candidate must be able to:  observe a patient accurately, at a distance, and close at hand, with or without standard medical instrumentation; acquire information from written documents, and visualize information as presented in images from computer screens, paper, film, slides, or video.  This includes, but is not limited to, information conveyed through physiologic and pharmacological demonstrations in animals, microbiological cultures and microscopic images of microorganisms and tissues in normal and pathologic states.  In any case where a candidate’s ability to observe or acquire information through these sensory modalities is compromised, the candidate must demonstrate alternate means and/or abilities to acquire and demonstrate the essential information conveyed in this fashion.  If the alternatives are acceptable, it is expected that obtaining and using such alternate means and/or abilities shall be the responsibility of the student.

Communication:  Candidates must be able to communicate effectively in both academic and health care settings.  A candidate must be able to speak, to hear, and to observe patients by sight in order to elicit information; describe changes in mood, activity and posture; and perceive nonverbal communication.  Candidates must show evidence of effective written and verbal communication skills.

18

Sensory & Motor:  The ability to participate in basic diagnostic and therapeutic maneuvers and procedures (e. g. palpation, auscultation) is required.  Candidates must have sufficient motor function to execute movements reasonably required to provide care to patients.  Candidates must be able to negotiate patient care environments, and must be able to move between settings, such as clinic, classroom buildings, and the hospital. Physical stamina sufficient to complete the rigorous course of didactic and clinical study is required.  Long periods of sitting, standing, or moving are required in the classroom, laboratory, and clinical areas.

Intellectual:  Candidates must be able to measure, calculate, reason, analyze, and synthesize.  Problem solving, one of the critical skills demanded of physician assistants, requires all of these intellectual abilities.  In addition, candidates should be able to comprehend three-dimensional relationships, and understand medical literature.  In order to complete the PA degree, candidates must be able to demonstrate mastery of these skills, and the ability to use them in a timely and often critical fashion in medical problem solving and patient care.

Behavioral and Social Attributes:  Candidates must possess the emotional health required for full utilization of their intellectual abilities, the exercise of good judgment, and the prompt completion of all academic and patient care responsibilities.  The development of mature, sensitive and effective relationships with patients and other members of the health care team is essential.  The ability to effectively function in the face of uncertainties that are inherent in clinical practice, along with flexibility, compassion, integrity, motivation, interpersonal skills, and concern for all, is required.  Any student with accessibility needs should contact Sandy Louden before matriculation into the BCPA program. She can be reached at 731-352-4095 or at loudens@bethel-college.edu.

American Disabilities Act StatementBethel College is committed to equal opportunity in education for all students, including those with documented disabilities. If you have a diagnosed disability, or if you believe that you have a disability that might require reasonable accommodation in this program, please contact Sandy Louden. Bethel College policy states that it is the responsibility of students to contact instructors to discuss appropriate accommodations to ensure equity in grading, experiences and assignments. Furthermore, the PA Program policy is that you will report a medically documented learning disability to the Program Director during orientation week.

PA Professional CompetenciesThe clinical role of PAs includes primary and specialty care in medical and surgical practice settings. Professional competencies for physician assistants include the effective and appropriate application of medical knowledge, interpersonal and communication skills, patient care, professionalism, practice-based learning and improvement, systems-based practice, as well as an unwavering commitment to continual learning, professional growth, and the physician-PA team, for the benefit of patients and the larger community being served. These competencies are demonstrated within the scope of practice, whether medical or surgical, for each individual physician assistant as that scope is defined by the supervising physician and appropriate to the practice setting.

The PA profession defines the specific knowledge, skills, and attitudes required and provides

19

educational experiences as needed in order for physician assistants to acquire and demonstrate these competencies.

Medical KnowledgeMedical knowledge includes an understanding of pathophysiology, patient presentation,differential diagnosis, patient management, surgical principles, health promotion, and disease prevention. Physician assistants must demonstrate core knowledge about established and evolving biomedical and clinical sciences and the application of this knowledge to patient care in their area of practice. In addition, physician assistants are expected to demonstrate an investigatory and analytic thinking approach to clinical situations. Physician assistants are expected to:

• understand etiologies, risk factors, underlying pathologic process, and epidemiology formedical conditions• identify signs and symptoms of medical conditions• select and interpret appropriate diagnostic or lab studies• manage general medical and surgical conditions to include understanding the indications, contraindications, side effects, interactions and adverse reactions of pharmacologic agents and other relevant treatment modalities• identify the appropriate site of care for presenting conditions, including identifyingemergent cases and those requiring referral or admission• identify appropriate interventions for prevention of conditions• identify the appropriate methods to detect conditions in an asymptomatic individual• differentiate between the normal and the abnormal in anatomic, physiological, laboratory findings and other diagnostic data• appropriately use history and physical findings and diagnostic studies to formulate adifferential diagnosis• provide appropriate care to patients with chronic conditions

Interpersonal & Communication SkillsInterpersonal and communication skills encompass verbal, nonverbal and written exchange of information. Physician assistants must demonstrate interpersonal and communication skills that result in effective information exchange with patients, their patients’ families, physicians, professional associates, and the health care system. Physician assistants are expected to:• create and sustain a therapeutic and ethically sound relationship with patients• use effective listening, nonverbal, explanatory, questioning, and writing skills to elicitand provide information• appropriately adapt communication style and messages to the context of the individualpatient interaction• work effectively with physicians and other health care professionals as a member orleader of a health care team or other professional group• apply an understanding of human behavior• demonstrate emotional resilience and stability, adaptability, flexibility and tolerance ofambiguity and anxiety• accurately and adequately document and record information regarding the care process

20

for medical, legal, quality and financial purposes

Patient CarePatient care includes age-appropriate assessment, evaluation and management. Physicianassistants must demonstrate care that is effective, patient-centered, timely, efficient and equitable for the treatment of health problems and the promotion of wellness. Physician assistants are expected to:• work effectively with physicians and other health care professionals to provide patient centered care• demonstrate caring and respectful behaviors when interacting with patients and theirfamilies• gather essential and accurate information about their patients• make informed decisions about diagnostic and therapeutic interventions based on patient information and preferences, up-to-date scientific evidence, and clinical judgment• develop and carry out patient management plans• counsel and educate patients and their families• competently perform medical and surgical procedures considered essential in the area ofpractice• provide health care services and education aimed at preventing health problems ormaintaining health

ProfessionalismProfessionalism is the expression of positive values and ideals as care is delivered. Foremost, it involves prioritizing the interests of those being served above one’s own. Physician assistants must know their professional and personal limitations. Professionalism also requires that PAs practice without impairment from substance abuse, cognitive deficiency or mental illness. Physician assistants must demonstrate a high level of responsibility, ethical practice, sensitivity to a diverse patient population and adherence to legal and regulatory requirements. Physician assistants are expected to demonstrate:• understanding of legal and regulatory requirements, as well as the appropriate role of the physician assistant• professional relationships with physician supervisors and other health care providers• respect, compassion, and integrity• responsiveness to the needs of patients and society• accountability to patients, society, and the profession• commitment to excellence and on-going professional development• commitment to ethical principles pertaining to provision or withholding of clinical care,confidentiality of patient information, informed consent, and business practices• sensitivity and responsiveness to patients’ culture, age, gender, and disabilities• self-reflection, critical curiosity and initiative

Practice-based Learning and ImprovementPractice-based learning and improvement includes the processes through which clinicians engage in critical analysis of their own practice experience, medical literature and other

21

information resources for the purpose of self-improvement. Physician assistants must be able to assess, evaluate and improve their patient care practices. Physician assistants are expected to:• analyze practice experience and perform practice-based improvement activities using asystematic methodology in concert with other members of the health care delivery team• locate, appraise, and integrate evidence from scientific studies related to their patients’health problems• obtain and apply information about their own population of patients and the largerpopulation from which their patients are drawn• apply knowledge of study designs and statistical methods to the appraisal of clinicalstudies and other information on diagnostic and therapeutic effectiveness• apply information technology to manage information, access on-line medicalinformation, and support their own education• facilitate the learning of students and/or other health care professionals• recognize and appropriately address gender, cultural, cognitive, emotional and otherbiases; gaps in medical knowledge; and physical limitations in themselves and others

Systems-based PracticeSystems-based practice encompasses the societal, organizational and economic environments in which health care is delivered. Physician assistants must demonstrate an awareness of and responsiveness to the larger system of health care to provide patient care that is of optimal value. PAs should work to improve the larger health care system of which their practices are a part. Physician assistants are expected to:• use information technology to support patient care decisions and patient education• effectively interact with different types of medical practice and delivery systems• understand the funding sources and payment systems that provide coverage for patientcare• practice cost-effective health care and resource allocation that does not compromisequality of care• advocate for quality patient care and assist patients in dealing with system complexities• partner with supervising physicians, health care managers and other health care providers to assess, coordinate, and improve the delivery of health care and patient outcomes• accept responsibility for promoting a safe environment for patient care and recognizingand correcting systems-based factors that negatively impact patient care• apply medical information and clinical data systems to provide more effective, efficientpatient care• use the systems responsible for the appropriate payment of services

22

Attendance Policy (Absences and Tardiness)1. Classroom attendance is required except for emergencies.

a. Only in cases of family emergency, personal illness, or injury, will you be excused.

b. Absences due to illness of more than two consecutive days will require medical clearance.

c. Medical clearance must be completed by licensed physician, PA or NP and submitted to the program director. This can not be issued by a family member.

d. The final determination of “true emergency” will be at the discretion of the program director and/or the medical director.

2. The penalty for excessive absences will be determined by the program director and the curriculum committee.

3. You are allowed one tardy per semester, being tardy a second time will result in an unexcused absence.

4. The responsibility for notifying the program director of anticipated absences, reasons for emergency absences, and how all assignments will be completed, rests entirely on the student.

5. PA Program faculty are not expected to give make-up exams for unauthorized absences.

6. The program director will report in writing to the Office of the Academic Dean all students having excessive absences and/or tardiness.

7. Unexcused absences and tardiness will not be tolerated and may result in disciplinary action and a failing grade.

a. Business appointments, routine dental and medical appointments, weddings, graduations, and other social events are NOT valid reasons for absenteeism.

8. Pregnancy a. A student who is pregnant at the time of matriculation or becomes pregnant at

any time before graduation is required to inform the program director. A statement from the obstetrician regarding her ability to continue in the PA program is required. If an issue arises, the program will review each case individually.

b. Missed course requirements due to pregnancy will be treated as any other absence.

Policies and Procedures for Student GrievancesIn the event of a student grievance the following measures should be taken:

Grievance: The BCPAP follows the grievance process for students as outlined below:

Grade Appeal/Academic Grievance

23

To protest a grade, you must do so in writing, stating the reasons for differing with the assigned grade. The Director of Didactic Education will respond as soon as a review determination of the grade has been made. This determination will include a review of all materials. The Director of Didactic Education will take the appeal to the PA Curriculum Committee for a final decision on the grade. If the student continues to appeal the grade he/she may appeal to the Division Chair who may send this to an appointed committee for review and recommendation.

Test Item Appeal All test scores will be reported within 48 hours, after test item analysis is complete. Questions that are missed by 85% of the class are eligible for test item appeal. The individual instructor will give these test items to the class president and the class has 24 hours to appeal. The class president will submit the test item to be appealed and rationale for alternative answer with supporting documentation from required class text only. The instructor will then make the final determination if the appeal is granted or denied. Any questions that are not valid will be credited before final grades are reported.

24

Academic Credit Offered:

SPRING COURSE CREDIT HOURS PAS 5501 CLINICAL MEDICINE I 9

PAS 5511 PHARMACOLOGY I 3

PAS 5521 ANATOMY & PHYSIOLOGY I 3

PAS 5531 PHYSICAL DIAGNOSIS I 3

PAS 5541 CLINICAL SKILLS I 2

PAS 5547 DIAGNOSTICS I 2

PAS 5536 MEDICAL TERMINOLOGY 1

PAS 5550 THE PA PROFESSION 3

Total for Semester 26

SUMMER COURSE CREDIT HOURSPAS 5502 CLINICAL MEDICINE II 9

PAS 5512 PHARMACOLOGY II 3

PAS 5522 ANATOMY & PHYSIOLOGY II 3

PAS 5532 PHYSICAL DIAGNOSIS II 3

PAS 5542 CLINICAL SKILLS II 2

PAS 5548 DIAGNOSTICS II 2

PAS 5545 RADIOLOGY/EKG INTERPRETATION I 1

PAS 5561 BEHAVIORAL SCIENCE 2

Total for Semester 25

25

FALL COURSE CREDIT HOURSPAS 5503 CLINICAL MEDICINE III 9

PAS 5513 PHARMACOLOGY III 3

PAS 5523 ANATOMY & PHYSIOLOGY III 3

PAS 5533 PHYSICAL DIAGNOSIS III 3

PAS 5543 CLINICAL SKILLS III 2

PAS 5549 DIAGNOSTICS III 2

PAS 5546 RADIOLOGY/EKG INTERPRETATION II 1

PAS 5561 CRITICAL THINKING 2

Total for Semester 25

Tuition, Fees, and ExpensesTuition and fees are determined on a yearly basis by the College's Board of Trustees. The college reserves the right to change tuition and fees at any time without prior notice.

TuitionTuition is based on full-time studies and covers our 27 month program. Tuition is $59,600.00 or $8514.29 per semester. (Note: our program consists of 7 semesters.)

Fees and Expenses $70.00 graduation fee $1500.00 for lab coats, stethoscope and books Medical Equipment

General medical equipment will be provided to our students. Specific medical equipment will be available for classroom use only. If you wish to purchase medical equipment for personal use, we will have a representative on campus during orientation week. This will be an additional cost to the student.

$500.00 TAPA/CME fee $100.00 PANCE Review Course Health Insurance

It is mandatory that all students have health insurance while enrolled in our program. This health insurance must be maintained through the entirety of our program. If you wish to purchase student health insurance we will have a representative on campus during orientation week. This is an additional cost to the student. You must provide proof of medical insurance coverage before enrollment, and you must be able to provide proof that you are maintaining that insurance at any time you are asked during your enrollment in the program.

Additional expenses that may occur during enrollment in the BCPA 27 month program are the responsibility of the student. This may include but is not limited to traveling to assigned

26

clinical sites, lodging, meals, etc. At this time, BCPAP does not provide housing for students during clinical rotations. Rotations may be anywhere within 150 miles of Bethel College and the student is expected to incur the expense of travel to and from the rotation site, lunch and/or housing. Please plan for these additional expenses ahead of time.

Policies and Procedures for Student Withdrawal

Withdrawal Policies and ProceduresIf a student wishes to withdraw during the didactic phase of the BCPAP, the student must complete the following formal withdrawal process to avoid unwarranted failing grades and unwanted financial obligation. A student cannot withdraw after the fifth week of any semester. Exceptions will be considered and final determination made by the program director. Failure to complete any step of the procedure may result in failing grades and/or financial obligations.

1. Discuss the situation with your mentor/advisor2. Submit a written request to the program director3. Secure a withdrawal form from the registrar’s office and complete it4. Secure all required signatures5. Deliver the completed form to the registrar’s office. 6. There is a $5.00 fee for withdrawal

Note: Withdrawal during the didactic phase of the program will result in the student having to re-apply to the program for the next matriculating class. There is no guarantee that you will have a seat reserved for you.

Withdrawal GradesIf a student withdraws before mid-term, the student grade will be reported to the registrar as a withdrawal. If midterm has passed, the student grade will be reported to the registrar as withdrawal pass or withdrawal fail.

No student can withdraw from any class in which an “F” has been received due to a violation of any policy.

Policies and Procedures for Refunds of Tuition and Fee’s

27

If a student withdraws from the program, and subsequently receives a withdraw pass/fail, no refund will be offered. If a student is dismissed from the program, no refund will be issued.

Bethel College Tuition Refund PolicyWithdrawal during first week of semester……………………100% of tuition refundedWithdrawal during second week of semester………………….80% of tuition refundedWithdrawal during third week of semester…………………….60% of tuition refundedWithdrawal during fourth & fifth weeks…..............................50% of tuition refundedNO REFUND AFTER THE FIFTH WEEK

Delinquent AccountsStudents are required to pay all tuition and fees at the beginning of each term. Registration is not complete until all fees are paid. In addition, students are responsible for any damages to college property. Students may not register for another semester, graduate, or receive a transcript, until all debts to the college have been paid.

Delinquent accounts are subject to late fees and external collection agency involvement. If external collection efforts are utilized, the student is responsible for all collection costs, attorney fees, and any other charges necessary for the collection of all debts owed the college.

Progression and Graduation RequirementsTo qualify for progression and graduation with the Master of Science in Physician Assistant Studies (MSPAS) degree, students must:

1. Follow the approved course of study, satisfactorily completing all courses 2. Complete all courses with a cumulative GPA of at least 3.00 with no course or rotation

grade below 80% 3. Demonstrate adequate history taking, physical examination, and other various clinical

skills (this pertains to first and second year students) 4. Settle all financial accounts with the college 5. Successfully complete the Senior Summative Evaluation upon completion of the

clinical year Physician Assistant education is more than the sum of the individual course grades. Faculty members are responsible for determining the readiness of students for graduation not only by measuring knowledge but by assessing clinical skills and determining the student's ability to apply knowledge and skills in the workplace. This is determined by regular assessments of knowledge and clinical skills check-offs throughout training. Repeated failure to demonstrate competency on practical tests or check-offs is evidence of significant deficiencies in the student's ability to function competently as a physician assistant. Senior Review/Summative (PAS 6615) consistent with Accreditation Review Commission for Physician Assistant (ARC-PA) standards is completed near the end of the program. The successful completion of the summative evaluation is a graduation requirement. Every component of the summative evaluation must be completed with at least an 80%, except the ePackrat which must be completed with at least a 65%. Any student failing any portion of the summative evaluation will be required to register for PAS 6699 Review/Summative (3 hours). Upon successful completion of PAS 6699, the student will then be approved to graduate

Academic Computing Helpdesk

28

Location: Campbell Hall, Room 108Hours: M-F, 8:00 a.m.-4:30 p.m., closed 12-1 daily

Academic Computing will provide technical support (Helpdesk) and training to all students, faculty, and staff using the computing systems at Bethel College. Academic computing will also provide technology-enriched learning by offering educational services adequate to allow students to achieve their educational goals. The Helpdesk staff will provide all technical support to students.

Electronic Communication/Media Policy• All electronic communication devices must be turned off in the classroom• Ipods, MP3 players, etc must be turned off in the classroom• IM, texting, email etc must be turned off in the classroom• Non-class related surfing of the internet, playing games, etc, must be turned off in the

classroom• Violations will be handled accordingly by the academic director and program director• The emergency contact number for the program is (731) 352-5708. If you can not reach

someone at this number, dial (731) 352-4247 or (731) 352-7753.

Course Preparedness• Desks will be cleared during exams except for laptop, a blank sheet of paper, and a pen or

pencil. • You must check course web sites daily for announcements, power points, handouts, etc. • Students should have the following available for class on a daily basis: laptop, physical

exam equipment, consultation coat, textbooks, other curriculum supplies, and completed assignments.

• Students must come to class prepared to answer questions in regard to reading or homework assignments.

Course Schedules• Class is never dismissed without being formally announced by the program.• Class times are posted on www.bethelpa.com. • Changes in classes will be announced via email, www.bethelpa.com, and when possible in

the classroom.

Classroom Conduct• Maintain professionalism. • Respect your fellow students, faculty, visitors, and staff.• Disrupting class (tardiness, talking or otherwise making distracting sounds, joking around,

etc) is not tolerated.• Students must maintain a clean desk area.• Students are required to participate in group discussions and activities as assigned. • Violations of electronic communication/media policies will not be tolerated.• Violations will be handled accordingly by the academic director and program director

Academic Dishonesty

29

Academic honesty is an essential condition for the health of the BCPAP and is vital to the achievement of its intended objectives. Consequently, any effort on the part of a student to submit work that is not his or her own in fulfillment of course or examination requirements will not be tolerated.

BCPAP has a zero tolerance policy regarding academic dishonesty. All violations are reported to the office of the Academic Dean. The first offense of academic dishonesty in any graduate level course of BCPA results in a grade of “zero” for the assignment in question and the student is placed on academic probation for the duration of their didactic and clinical enrollment. Any subsequent occurrence of academic dishonesty in any course of the BCPA program will result in dismissal from the program.

Specifically, academic dishonesty includes, but is not limited to; looking at or copying another student’s work, using crib notes or cheat sheets during assessments, duplicating answer sheets during or after assessments, altering testing materials after the completion of an exam, or leaving the testing area without permission during a test. In addition, the presence of a student in a restricted area without prior permission may be considered academic dishonesty. Due to the increased usage and availability of electronic media, BCPAP administers most assessments online. The following procedures outline both acceptable and unacceptable behavior while tests are being given:

Cell Phones, I-pods, tape recorders, Palm pilots (handheld devices), cameras, e-mail programs, listening devices, or any other device which can be used to save, send or communicate information must be off during testing.

Prior to starting any test, students should have the desk clear of all material not directly related to taking the test. Allowed items are limited to a laptop, a blank piece of paper, and a writing utensil, unless otherwise instructed.

Laptops are allowed on a student’s desk during testing. However, while taking any form of assessment, all other programs must be completely closed regardless of content. Furthermore, online exam materials must be displayed on “full screen” so that no other icons, toolbars, or commands are visible to the student during testing. There will be no “accidents” during the testing procedure, where another program is revealed. Any deviation from this instruction will be considered cheating.

Upon conclusion of test, students are to exit testing software, close their laptops, and remain seated until excused by instructor.

Conversations, questions, discussions, or any other means of communicating with other students is not allowed until the instructor advises that communication is permissible. Students may utilize this time by studying hard copy text from non-related course material.

Students are NOT to reproduce the content of any test by any means. This includes the “Print Screen” button. If a student has questions regarding a particular question they should write the question number on a blank piece of paper. Their test and answers will be accessed by faculty and staff for review purposes after testing is complete.

PlagiarismPlagiarism is defined as presenting someone else’s work, including the work of other

30

students, as one’s own. Any ideas or materials taken from another source for either written or oral use must be fully acknowledged, unless the information is common knowledge. What is considered “common knowledge” may differ from course to course.

A student must not adopt or reproduce ideas, opinions, theories, formulas, graphics, or pictures of another person without acknowledgment.

A student must give credit to the originality of others and acknowledge indebtedness whenever:

1. Directly quoting another person’s actual words, whether oral or written; 2. Using another person’s ideas, opinions, or theories; 3. Paraphrasing the words, ideas, opinions, or theories of others, whether oral or

written; 4. Borrowing facts, statistics, or illustrative material; or 5. Offering materials assembled or collected by others in the form of projects or

collections without acknowledgment.

Any violation of these policies is considered academic dishonesty and will be reported to the Academic Dean.

Academic ResourcesStudents will have 24 hour, seven day a week access to the BCPA program resource center. This access will be guaranteed via security entrance issued during orientation week.

Burrough’s Learning Center (Library)Location: Behind Campbell Hall, Next to Log CabinHours: Monday – Thursday: 8am - Midnight; Friday: 8am - 5pm; Saturday: 10am – 6pm Sunday – CLOSED

Jill Whitfill, B.A., M.SUndergraduate Education and Medical Sciences Librarian731-352-4083whitfillj@bethel-college.edu

The Library welcomes the opportunity to assist students. The Library provides reference works, periodicals, and books in print and electronic form. Burroughs Learning Center also provides computer stations, and laptop friendly locations, printers and a quiet place to study and work.

The Bethel College library is a member of an inter-library loan program with access to large databases and library research engines. The databases include StatRef which brings the leading

31

medical resources together in one integrated online service to help our students efficiently find the latest medical information, research medical topics. This will assist them in making better treatment decisions. This database includes the top journals: JAMA, NEJM, Lancet, Annals of Internal Medicine, Pediatrics and BMJ as well as The Clinics. Full text is available online. Today the internet is the window to the universe and maximal integration of web resources into medical practice is a necessity. The internet has an unlimited supply of peer reviewed information available. BCPAP students will have access via Stat!Ref and Access Medicine, in addition to all of the other Bethel College library resources.

There is a medical library housed in the PA building, this library includes a variety of full medical text to be utilized at the PA Program.

For more information on the Burrough’s Learning Center, go to www.bethelcollegelibrary.org.

Faculty & Advisors

Advisor DefinitionCore Faculty member that is assigned to student during orientation week and is available to student during didactic and clinical phases of the program according to published office/available hours. Advisors are available for counseling, assistance, and facilitating a productive learning environment. They offer advice on academic and PA student/professional concerns and may additionally be involved in the remediation process or as directed by the program director. They are available to communicate with the student and monitor specific areas of experience/education needed by the student to meet the educational goals of the program and to facilitate the development of the individual from the student to the professional PA. Assistance is individualized as much as possible to meet the needs of the individual student.

Faculty RoleThe responsibility of the Program faculty is to ensure a quality educational experience for each physician assistant student. The PA Program faculty is administratively responsible for implementing, coordinating, and evaluating the entire Program curriculum. In addition, the faculty is active in teaching courses to a variety of health science students, serving on college committees, conducting scholarly research and seeing patients in a variety of clinical settings. The faculty also participates in the national organization for PA educational programs (PAEA), as well as the American Academy of Physician Assistants (AAPA) and its local and state chapters.

Every faculty member is cognizant of the sacrifices necessary to achieve success as a PA student and can personally relate to the experience. As students progress in their education, they may need to talk about issues related to being a student at Bethel. Please feel free to contact any of the faculty, as each is here to help the students. Students should view the faculty as a resource during their time at the college.

Advisor Groups

32

Each mentor/advisor will schedule group discussions on a regular basis but students are strongly encouraged to meet with their mentors/advisors individually before problems become unmanageable.

An advisor will assist in the remediation process; report incidents, conflicts, and harassments; and provide individual assistance, as necessary. Your advisor is your guide through the educational process and should be made aware of all situations which may influence your training. Advisors are available to assist students in understanding and abiding by program policies and procedures.

While the program cannot solve every problem, the student should seek guidance from their advisor if needed. The student should consider that similar problems may have been previously encountered by program faculty. The PA program wants to support and assist students in program success. Confidentiality of all problems is maintained.

Delayed Progression PolicyBCPAP does not have delayed progression.

General Examination Policies

Course Completion All required course components, both graded and non-graded, must be satisfactorily completed before the final course grade is issued.

Absence from Examinations Each student is personally responsible for the consequences of their absence from an examination. Generally, only an acute illness may be considered an acceptable reason for absence from an examination. Any absence from an examination due to illness must be documented in writing by the student’s health care practitioner. Failure by a student to provide to the course director, upon the day of the student’s return, written documentation of an illness which is acceptable to the program faculty will result in an examination score of zero (0) being recorded for that student. An absence, without prior notification (Refer to the general “Attendance” section of this handbook for related information) to the course director, is unexcused, and will result in a score of zero (0) for the missed exam.

Lateness to Examinations Students arriving more than fifteen (15) minutes late to an examination will not be admitted to sit for that examination, and must contact the course director. A student who believes that he or she has valid extenuating circumstances for being late must present an explanation and provide supporting documentation acceptable to the course director who has the discretion to excuse the lateness and reschedule a make up examination. A student arriving up to 15 minutes late and who still wishes to sit for the examination anyway, is advised that NO additional time beyond the scheduled conclusion of the examination is allowed. Multiple occurrences of lateness for examinations may result in the lowering of the student’s course grade and other correctional measures deemed appropriate by the Program. (See tardy section under attendance policy in this handbook.)

33

Administration of Examinations The PA Program has a standardized procedure for the administration of examinations:Only one blank sheet of paper, pencils, pens, erasers, or other test-related materials specifically authorized by the professor, are permitted. All books, papers, book bags, purses, electronic items, etc. must be removed from the desk top during testing. All materials on the floor must be upside down so they cannot be read. All books on the floor must be closed.

Students should signify the need for assistance during an examination by raising their hands. Students should continue working on the examination until the professor arrives.

The beginning and ending times of the examination will be announced when the professor begins the examination. No additional time will be given to students that are permitted to test after arriving late (See tardy section under attendance policy in this handbook.).

Inappropriate Behavior during Examinations Absolute integrity and honesty are required at all times. Actions such as copying from another student, discussions during an examination, or possessing exposed materials relating to the subject matter being tested, constitute cheating and are strictly forbidden. Likewise, providing written, visual, or verbal information to another student during an examination, evaluation, or exercise, or even allowing another student to see or otherwise access another student’s responses or work under examination circumstances is unacceptable. If the professor observes questionable conduct during a test, the student will receive a zero for that test. If there is more than one student involved in the questionable conduct, all students involved will all receive a zero.

Re-examinations Examinations are given only once, with the exception of specifically designated tests, such as some practical and oral exams. Such exceptions are indicated in the course syllabi.

Makeup Examinations Examinations for students with officially excused absences will be equivalent examinations over the same range of subject material as covered by the original examination. Equivalent exams are not deemed to be identical in question content or format to the original exam.

Students given make-up examinations will take them when scheduled by the professor. Students absent from the scheduled make-up exams will receive scores of zero (0) for those exams. Make-up examinations are not administered for unexcused absences or lateness.

Examination Security All examinations are the property of the Program. Copying of examinations and related materials for any reason will be regarded as cheating, as well as theft, and disciplinary action will be instituted against the offenders. Any other students receiving, viewing, or duplicating such stolen examination materials, will be treated as accomplices to cheating, and will also be subject to disciplinary actions.

34

Chapter Four:Student Policies and Procedures

Non Academic Grievance

35

Reporting:In the event of non-academic grievance, the student should first informally discuss the matter in question with the college employee most directly involved. If the student feels the matter in question hasn’t been resolved, the student may file a report with the employee’s immediate supervisor.In the event of personnel grievance, the student should first informally discuss the matter in question with the college employee most directly involved. If the student is unable to resolve the issue, the student may file a report with the employee’s immediate supervisor.In the event of program grievance, the student should first informally discuss the matter with the college employee most directly involved. If the student is unable to resolve the matter, the student may file a report with the employee’s immediate supervisor.In the event of student to student grievance, the student should first informally discuss the matter in question with the student most directly involved. If the student is unable to resolve the matter in question, the student may file a report with their mentor/advisor.

Action:The individual to whom the incident is reported shall make a report documenting the incident using the student grievance form. Process:The report shall be reviewed by the committee that oversees the reported area or by the immediate supervisor, and if deemed so, will make recommendations as to action required. Administration:The administration will institute/apply the recommendation.Appeal:Any individual has the right to appeal the decision made to the immediate supervisor/committee as indicated by the diagram located on page 10. There is no assurance that such an appeal will be approved.

Non Academic ProbationRegardless of the student’s calculated grade for a particular course, if the faculty or staff have identified serious deficits in any area of the student’s performance, including professionalism, the disciplinary, promotion and retention committee, after investigation, may take action ranging from counseling the student, to a recommendation for dismissal. Students encountering these types of problems will typically receive, at minimum, non academic probation for the remainder of the semester. A second offense may result in dismissal from the program.

36

Personal PropertyBCPAP assumes no responsibility for personal property loss or damages during the students enrollment in the program.

Health Screening, Immunization, and Regular Healthcare• Student healthcare services are not provided by the college; however, the McKenzie area

offers students a variety of medical services: hospitals, clinics, physicians, PA’s, NP’s, pharmacies, the health department, drug and alcohol abuse programs, and a mental health center. All these services are available to the student at the students’ expense.

• Medical emergencies are handled through the McKenzie Regional Hospital, or the nearest emergency department.

• This is a small community. Thus, the student must know that core faculty may be employed in local emergency rooms and clinics where students may on occasion present themselves for emergent medical care.

• All students are required to have immunizations that are current and consistent with CDC regulations for healthcare students. No immunizations or health screenings may be conducted by program personnel.

• All students are required to maintain health insurance for the duration of the program. Information regarding health insurance will be provided during the orientation week if prior insurance can not be obtained.

Code of Ethics

The Tennessee Academy of Physician Assistants recognizes its responsibility to support Tennessee physician assistants and the profession in maintaining high standards in the delivery of quality, cost-effective, and accessible health care services for Tennessee. The following principles describe the standards governing the conduct of Tennessee physician assistants in their professional interactions with patients, colleagues, other health professionals and the general public. Realizing that no code can list all ethical responsibilities of the physician assistant, this does not constitute a list of all possible obligations.

Tennessee physician assistants shall be committed to providing competent medical care, assuming as their primary responsibility the health, safety, welfare, and dignity of all humans.

Tennessee physician assistants shall extend to each patient their complete ability as dedicated, empathetic healthcare providers and shall assume responsibility for the skillful discharge of their professional duties.

Tennessee physician assistants shall deliver healthcare services without regard to sex, age, race, creed, socio-economic, and political status.

Tennessee physician assistants shall adhere to all state and federal laws governing informed consent concerning the patient’s health care.

37

Tennessee physician assistants shall seek consultation with their supervising physician, other health providers, or qualified professionals having special skills, knowledge or experience whenever the welfare of the patient will be safe-guarded or advanced by such consultation.

Tennessee physician assistants shall take personal responsibility for being familiar with and adhering to all federal/state laws applicable to the practice of their profession.

Tennessee physician assistants shall provide only those services for which they are qualified via education and/or experiences and by pertinent legal regulatory process.

Tennessee physician assistants shall not misrepresent their skills, training, professional credentials, identity or services.

Tennessee physician assistants shall uphold the doctrine of confidentiality regarding privilege patient information, unless required to release such information by law or such information becomes necessary to protect the welfare of the patient or the community.

Tennessee physician assistants shall strive to maintain and increase the quality of individual health care service through continuing education.

Tennessee physician assistants shall have the duty to respect the law, to uphold the dignity of the physician assistant profession and to accept its ethical principles.

Tennessee physician assistants shall not participate in or conceal any activity that will bring discredit or dishonor to the physician assistant profession and shall expose any illegal or unethical conduct in the medical profession.

Tennessee physician assistants shall use their knowledge and experience to contribute to an improved community.

Tennessee physician assistants shall place service before material gain and guard against conflicts of professional interest.

Tennessee physician assistants shall strive to maintain a spirit of cooperation with their professional organizations and the general public. This information was copied from the Tennessee Academy of Physician Assistant web site at www.tnpa.com/codeofethics.asp.

38

Substance AbuseAlcohol and DrugsThe College expects its students to obey the law. Therefore, a violation of alcohol or drug laws, while admitted to the College, wherever that violation occurs, is a violation of the College’s policies.

Further, it is a violation of the College’s expectations for a student to drink, possess, or be impaired by drinking alcoholic beverages, or to possess, use, or be under the influence of, illegal drugs, on campus, or at any event sponsored by the College or by a College-approved student organization. The College encourages students to notify their parents or guardians if the student is found to have acted in violation of this policy.

Violation of this policy may result in any sanction deemed appropriate by the College, including, but not limited to, required participation in a drug or alcohol treatment or rehabilitation program, suspension, or expulsion.

Lines of CommunicationE-MailProgram correspondence is primarily conveyed by electronic mail. Students are expected to check their e-mail on a daily basis. If you have any difficulty accessing your account, please notify the Program faculty/staff as soon as possible. All students must use their Bethel College email address that will be assigned to them during orientation week. There are no exceptions to this rule!

Bethel PA Student Web SiteThis is the private, password protected site, which is available to students. It’s located at www.bethelpa.com. Announcements, class assignments and other means of contact will be posted and updated here. Students are expected to check this website on a daily basis.

AppointmentsFaculty members, advisors, and staff will gladly accept appointments to meet with students. Students may contact them through the general e-mail, or by office number. If no one is available, please leave a message for a return call. In order to insure an orderly pattern, all students should check with a staff person before proceeding to the office of a faculty member or advisor.

QuestionsThe avenue to pursue an issue varies by its nature and magnitude. If the issue is personal, academic, or relates to the classroom experience, contact your mentor/advisor. If the entire class has a problem, have the class president bring it to the academic director’s attention. The program director may be contacted at any time after addressing the issue to the academic director.

39

Class MeetingsThe Program Director and the Academic Director will meet with the class on a regular basis. This promotes good communication between the Program administration and the students, provides a forum for discussion, and is an appropriate time to share significant thoughts about the Program.

Current Address and TelephoneIt is essential that each student keep both the program and the college advised of his or her current mailing address, and telephone number, so that important mailings or messages can be delivered in a timely fashion. Change of address forms are available in the Registrar’s Office. If you change addresses, you must notify both the Registrar’s Office and the PA Program. Difficulties arising from a student’s failure to keep the program informed of this information are the responsibility of the student, and he or she bears the sole responsibility for failing to provide current address and telephone information.

40

Chapter Five:Other Policies

And Procedures

41

Student Work PolicyStudents enrolled in the BCPAP are not prohibited, but are strongly discouraged from working due to the intense and vigorous nature of the program. Students are not required to, and cannot work for the program.

Student RecordsUpon enrollment, each PA student is assigned a bethel-college email account, a bethelpa web site password, a user id, and their own page on the bethelpa web site. Students of the PA program, and bethel college employees, according to security clearance, will be able to communicate and view individual grades, test results, assignments, etc, through these media. Technological security measures are utilized to ensure confidentiality. Passwords are to be protected, and under no circumstances are those passwords to be shared. Any violation of this may result in dismissal from the program. Records for each student enrolled in the PA program are maintained by the program in secured locations indefinitely. The transcripts are retained by the registrar permanently. The Student Life Office Manager will hold the original health documents provided by student. A copy of all requested health records will be maintained in a separate file within the student records. Confidentiality of the health record is assured by those documents being kept in a double lock environment with limited security access. Program faculty and staff do not have access to these records.

The Family Educational Rights and Privacy Act (FERPA) afford students the right to consent to disclosure (release) of personally identifiable information with respect to their educational records. Bethel College designates the following categories of student record information as public or directory information: student’s name, address, telephone number, date and place of birth, previous school(s) or college(s), dates of attendance, class, major field of study, awards, honors, degree(s), expected date of completion, full or part time enrollment status, past and present participation in officially recognized activities and sports, and weight and height of athletes.

Students of the BCPAP are required to sign a release of information form that allows the program to release the results of the student’s certified background check, drug screen, immunizations record, and health status to any clinical facility utilized as a training facility by the program.

42

Dress CodeLab Coat/Name Tag/Certified Background Check ID:While at clinical sites you should wear a short white lab coat with the Program patch on the pocket and name tag identifying you as a Physician Assistant student from The Bethel College PA Program. If the nametag breaks or is lost, please call the Program to order a new one. Attach your certified background check badge to your name badge so that it is clearly visible.Monday - Thursday:Always dress in a professional manner. Jeans, shorts, cutoffs, t-shirts and “recreational clothing” are NOT appropriate attire. Nor, should you wear clothing that exposes large areas of your chest, abdomen, midriff or back. Remember, while on campus and at clinical sites you are the symbol and public representation of the program, the college, and the profession. Your attire and behavior will become a reflection that may shape the image of physician assistants to others. If you question wearing certain attire, the more conservative is probably the safest bet. You may see others wearing “less than professional” attire, however, that doesn’t justify you wearing the same. Friday:Casual attire is permitted on Friday’s during the didactic year. Jeans and a collared shirt are considered acceptable casual attire. Shoes:Please use good judgment in the type of shoes you wear. Comfort is key, but sneakers and rubber clogs should be reserved for the O.R. or emergency department. Sandals and “open toed shoes” should not be worn as they potentially pose a safety hazard. Hair/Jewelry/Fingernails: You should avoid wearing perfumes or colognes, as they may cause untoward reactions in your patients. Jewelry should be kept to a minimum. No body piercing should be visible with the exception of pierced ears. Artificial/Acrylic nails are not allowed in medical institutions.

TechnologyEmail accountsBethel College email accounts are issued to each student during orientation week. This will be the primary contact used by faculty and staff to contact you over the next two years. All students must use the Bethel College email address that is assigned to them during orientation week.

Internet Wireless and ported high-speed connections are available at BCPAP 24/7.

Web Site(s)The Bethel PA student web site is located at www.bethelpa.com. This site is password and user protected. BCPAP almost exclusively utilizes this site in its communications with students.

The Bethel College’s public web site is located at www.bethel-college.edu.

43

Kitchen PolicyThe use of the kitchen is made available to the students of BCPAP and is considered to be a privilege. Abuse of this will result in kitchen access being restricted. It is up to the individual class to ensure the students comply with the policies posted in the kitchen.

Parking PolicyStudents may park in any area not designated for faculty/staff or handicapped. Violators can be issued a citation and/or towed at owner’s expense.

Smoking PolicySmoking is not allowed indoors at Bethel College. You will find a smoke station located in the breezeway. PLEASE USE IT.

Weather Conditions Policy• Students may call the College emergency number, (731) 352-6450, where announcements

of class closings will be made by the Academic Dean. • Unless conditions are extreme, classes will be held. • Students are advised to use caution and common sense in deciding whether or not to attend.• Such absences will be excused in accordance with the attendance policy.

Fire, Bomb, Threat, Policy & ProcedureFour fire extinguishers are located in the PA building. The procedures for what to do in case of an emergency are posted near the exit doors on the first floor.

Eating/Drinking in Classroom PolicyEating and drinking in the classroom is permitted as long as it is not distracting to other students and/or faculty. Please do not leave cans, candy wrappers, potato chips bags, etc. on your desk.

Restroom PolicyThe restrooms are cleaned once a week by housekeeping. Please help to maintain a clean appearance in the interim. If you are in need of toilet paper, paper towels, or soap, or if there are maintenance issues, please contact the office manager.

Drug Screens/Background ChecksEach student is responsible for getting a drug screen and a background check before enrolling in the PA Program. You must use CertifiedBackground.com for both. The results are sent directly to the program.

Printing/CopyingPlease have all printing and/or copying done before you come to class. If you do not own a printer or copier, they are available in the library on campus and in the conference room at the PA Program.

44

Scholarship Opportunities

Tennessee Physician Assistant FoundationNell and Pat Kilpatrick Memorial ScholarshipThe Tennessee Physician Assistant foundation will award a minimum of one scholarship yearly in the amount of $500.00, with the discretion to award more based on the level of charitable contributions from the previous 12 months. The Tennessee Physician Assistant Foundation awards scholarships to 1st or 2nd year physician assistant students. Students interested in learning more about this scholarship should contact the Program Director

The Society of Army Physician Assistants (SAPA)Captain Sean P. Grimes Physician Assistant Educational Scholarship AwardThis scholarships intent is to award financial assistance to an individual who is seeking initial training as a physician assistant or to a PA seeking a baccalaureate, masters or doctoral degree. The amount of award is $3,000.00 annually for the first ten years provided funds are available; then the amount may be reevaluated at the discretion of SAPA BOD. Any army veteran, army active duty solider, any army national guard solider, and any army reservist solider is eligible to apply for this scholarship. Students interested in learning more about this scholarship should contact the Program Director

Physician Assistant FoundationThe PA Foundation (PAF) is a charitable organization that operates exclusively for educational, scientific, literary, and research purposes. The PAF has developed several programs that can assist students as they strive to reach their goals in school and in their professional practice. In total, the Physician Assistant Foundation has awarded over $1.4 million to deserving PA students across the country. Scholarships are awarded on the basis of financial need, academic achievement, extracurricular activities, and future goals as a PA. The deadline to apply is January 15. Students interested in learning more about this scholarship should contact the Program Director

Tennessee Rural Health Loan ForgivenessThe Tennessee Rural Health Loan Forgiveness Program is established as part of the system of lottery-funded scholarships and is administered by the Tennessee Student Assistance Corporation. Recipients must agree to maintain satisfactory progress in the program of study, complete the medical or dental program within the allocated five (5) years and practice medicine or dentistry in a health resource shortage area after becoming a Tennessee licensed physician, osteopathic physician, physician assistant, dentist, or after receiving a Tennessee certificate of fitness as a nurse practitioner, for one (1) year for each year of funding provided by a Tennessee Rural Health Loan Forgiveness award. Students must be a citizen of Tennessee and be a resident of Tennessee for one (1) year immediately preceding the date of application. Students interested in learning more about this scholarship should contact the Program Director

45

National Health Service Corp. (NHSC)The NHSC is dedicated to improving the health of the Nation’s underserved. NHSC clinicians practice in a broad range of community-based systems of care operating in rural and urban federally designated health professional shortage areas. The Scholarship Program is highly competitive. Applicants who are selected to participate receive payment of tuition and fees, books, supplies, and equipment for up to 4 years of education and a monthly stipend. For each year of support you receive, you will be required to serve 1 year in an approved practice site, located in a federally designated health professional shortage area of greatest need. There is a minimum service commitment of 2 years, which must begin upon completion of your health professions training. The Loan Repayment Program is highly competitive. Applicants who are selected to participate agree to provide full-time primary care services in an approved practice site, located in a federally designated health professional shortage area. For the 2 year minimum service commitment, the NHSC will pay up to $50,000.00 based on the participant’s qualifying educational loans. Opportunities to continue participating in the program beyond 2 years may be available. Students interested in learning more about the programs offered by the NHSC should contact either the Program Director or the Clinical Director of Coordination.

46