Pain Medicine Crisis: A Comprehensive Review of PA Education Programs Pain Medicine Curriculum
AAPA ePoster library. Parr S. 05/17/17; 180483; 50
Sara Parr
Sara Parr
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Abstract
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Purpose: Pain is a multifaceted experience that negatively affects every area of an individual's life, the healthcare system and society as a whole. Effective pain management is considered a moral imperative, a responsibility, and the duty of health professionals (IOM, 2011). Understanding the phenomenon of pain, its immediate and long term consequences as well as essential management strategies are imperative for health care providers. One hundred million adults in the United States have chronic pain. This statistic is greater than the number of individuals affected by diabetes, cancer, and heart disease combined (IOM, 2011). Pain management costs the United States more than $600 billion per year in health care costs and lost wages and creates major human and economic costs for patients, families, and society (Fishman, 2013). A review of Centers for Medicare and Medicaid Services 2013 prescriber data revealed that the medication most often prescribed by nurse practitioners and physician assistants was a narcotic pain reliever (hydrocodone-acetaminophen) (Yealy, 2015). Yet the topic of pain and pain management have been found lacking in many health science curricula including PA education. (Herr, 2015). Currently, a gap in knowledge exists regarding physician assistant education program's implementation or inclusion of pain medicine in their curriculum. The purpose of this research was to identify how the core pain medicine competencies are currently being addressed in physician assistant education curriculum. The research questions were (1) what topics are being presented in pain medicine in the curriculum of PA programs, (2) what educational methods are being utilized to present pain medicine topics in PA programs and (3) how is student competency in pain medicine being assessed in PA programs? Physician assistant curriculum is often guided by the topics listed on the PANCE certification exam (http://www.nccpa.net/ExamsContentBPOrgans) and the Competencies for the Physician Assistant Profession, (http://www.nccpa.net/Uploads/docs/PACompetencies.pdf). Neither of these sources specifically list pain medicine as a core clinical skill. Therefore, it was hypothesized that very little time is dedicated in physician assistant curriculum to these topics. Description: The data was collected through the Physician Assistant Education Association's annual program survey. The data was supported by the (PAEA) Support to Advance Research (STAR) grant program that al...
Purpose: Pain is a multifaceted experience that negatively affects every area of an individual's life, the healthcare system and society as a whole. Effective pain management is considered a moral imperative, a responsibility, and the duty of health professionals (IOM, 2011). Understanding the phenomenon of pain, its immediate and long term consequences as well as essential management strategies are imperative for health care providers. One hundred million adults in the United States have chronic pain. This statistic is greater than the number of individuals affected by diabetes, cancer, and heart disease combined (IOM, 2011). Pain management costs the United States more than $600 billion per year in health care costs and lost wages and creates major human and economic costs for patients, families, and society (Fishman, 2013). A review of Centers for Medicare and Medicaid Services 2013 prescriber data revealed that the medication most often prescribed by nurse practitioners and physician assistants was a narcotic pain reliever (hydrocodone-acetaminophen) (Yealy, 2015). Yet the topic of pain and pain management have been found lacking in many health science curricula including PA education. (Herr, 2015). Currently, a gap in knowledge exists regarding physician assistant education program's implementation or inclusion of pain medicine in their curriculum. The purpose of this research was to identify how the core pain medicine competencies are currently being addressed in physician assistant education curriculum. The research questions were (1) what topics are being presented in pain medicine in the curriculum of PA programs, (2) what educational methods are being utilized to present pain medicine topics in PA programs and (3) how is student competency in pain medicine being assessed in PA programs? Physician assistant curriculum is often guided by the topics listed on the PANCE certification exam (http://www.nccpa.net/ExamsContentBPOrgans) and the Competencies for the Physician Assistant Profession, (http://www.nccpa.net/Uploads/docs/PACompetencies.pdf). Neither of these sources specifically list pain medicine as a core clinical skill. Therefore, it was hypothesized that very little time is dedicated in physician assistant curriculum to these topics. Description: The data was collected through the Physician Assistant Education Association's annual program survey. The data was supported by the (PAEA) Support to Advance Research (STAR) grant program that al...
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