In this issue:
by Truett Smith , MPAS, PA-C
Happy February! This has been a busy month for the NCAPA. We have worked to get a bill introduced in the NC Legislature, House Bill 11, which will explicitly list PAs as providers who can sign Handicap Placard applications. This is something that PAs have routinely done for years as an extension of physicians. The DOT recently sent out a determination letter of the original rule, only allowing physicians to sign the applications. The bill has already been sent to the Transportation committee which plans on taking it up. We are hopeful that it will sail quickly through both chambers. Make sure to log on the Legislative Action Center to stay informed.
The NCAPA Board of Directors also passed a resolution in January to work on a Preceptor Tax Incentive Bill. This Bill would allow Preceptors of PA students to take a tax deduction of up to $1000/student and a maximum of $10,000 deduction/10 student rotations per year. We are working to identify legislators to introduce this later this Session. More to come on both of these bills, so be sure to log on to the Legislative Action Center to stay informed.
The AAPA Board of Directors and the AAPA House of Delegates created a Task Force after the 2016 House of Delegates to study Full Practice Authority and Responsibility (FPAR). The Task Force has made recommendations concerning FPAR and the specifics are included in an article from the AAPA in this newsletter. At this point, the AAPA is asking for comment from PAs across the country related to the Task Force’s recommendations. The NCAPA Board has not taken a formal stance on FPAR yet but be sure to keep it on your radar because it will DEFINITELY come up at the 2017 AAPA House of Delegates. Please read up on it and submit any questions/comments that you may have to email@example.com.
Are you interested in becoming more involved with the North Carolina Academy? We are currently looking for candidates interested in running for Board of Directors and Nominating Committee seats. Feel free to email any current Board members or Nominating Committee members with any questions that you may have about the positions.
Looking for a job? The NCAPA has recently launched a “Career Center” on our website. We are also having our first Job Fair February 17 to be held at the Sheraton Imperial in Durham, NC. The NCAPA is here for our members and we believe these are valuable additions to our membership benefits.
Thank you for allowing me to serve you as NCAPA President this year and I look forward to sharing with you again in March.
Truett Smith, MPAS, PA-C, DFAAPA
by Jeffrey A. Katz, PA-C, DFAAPA
Chair, Joint Task Force on the Future of PA Practice Authority
The AAPA Board of Directors and House of Delegates officers last year created a Joint Task Force to examine federal and state regulations that impact the practice authority for PAs. After a lot of discussion, the Task Force agreed that patients, physicians and PAs would benefit greatly if PAs no longer had to have or designate a physician as a supervisor or collaborator.
No one took this issue lightly. As chairman of that task force, I can report that we held several meetings and discussed the issue with PAs across the country. Our conclusion so far is that there’s widespread support for the profession to pursue this administrative change, which we call Full Practice Authority and Responsibility or FPAR. For it to be implemented, AAPA, in cooperation with its state affiliates, would have to tackle these changes on a state by state basis. It could take several years to achieve. But the Task Force thinks it’s worth it.
Here’s why. The Task Force recognizes that the healthcare system is changing rapidly and that the laws and regulations that cover PAs must change with it. PAs enjoy and are very good at working in teams, and do so every day. But regulations require two steps for PAs to be able to work. They must secure a state license as well as an agreement with a physician who agrees to be responsible and legally liable for care the PA provides.
Because many physicians are shifting from employers to employees in the changing healthcare system, they are increasingly resistant to signing Supervisory Agreements with PAs. Physicians who are employees don’t personally receive financial benefit from working with a PA and are increasingly worried about legal liability. Additionally, PAs are often limited to undertaking functions that their supervising physicians are trained to do.
The reality is that this red tape and bureaucracy is holding PAs back and preventing them from serving their patients to the best of their ability. Adoption of FPAR would help PAs move beyond these challenges.
To be clear, FPAR would maintain the profession’s commitment to team-based practice. PAs value that practice and don’t want to stray from it. Instead, FPAR would eliminate “supervisory physician requirements” in state laws and regulations as a way to reduce unnecessary, time-wasting and burdensome paperwork.
The Joint Task Force’s proposal would also establish autonomous state-based boards that would regulate PAs. These boards would have voting memberships comprised of a majority PAs to license, regulate and discipline our own profession. In addition, FPAR would make PAs eligible to be reimbursed directly by public and private insurance.
In many states, PAs are competing, often uphill, with other medical professionals. Nurse Practitioners, for example, can already practice without a supervising physician in 21 states, which disadvantages PAs competing for jobs there. Also, in 45 states and the District of Columbia, PAs are regulated by medical boards, not boards made up of PAs.
On the issue of insurance reimbursement, services provided by PAs are still commonly billed under a physician’s name. Without reimbursement eligibility as recommended under FPAR, the value of PAs’ work can be hard to document.
The Joint Task Force believes that its FPAR proposal would allow PAs to practice to the top of their individual education, training, experience, and competency. And that is what is best for patients and team based practice.
The Joint Task Force is now taking the feedback it’s getting and will draft a final proposal in the form of a resolution for consideration by the House of Delegates in May 2017. The House of Delegates will then decide what AAPA policy will be.
Now is the time to make your voice heard on this important issue. As the discussion continues, you can check the Full Practice Authority and Responsibility page on the AAPA website for the latest updates. You can also share your thoughts with the Joint Task Force at firstname.lastname@example.org. We look forward to hearing from you.
by Sarah Wolfe, Assistant Vice-President, McGuire Woods Consulting
- DATE CHANGE: PA Day at the Legislature Due to a recently scheduled spring break holiday by the legislature, the second annual advocacy day at the North Carolina General Assembly has been moved to TUESDAY, APRIL 25, 2017. Please plan to join us and make your voice heard.
- HOUSE BILL 11: NCAPA has been working with legislators in order to file HB 11: Handicap Parking Privilege Certification. HB 11, filed on January 26, clarifies that PAs, nurse practitioners, and certified nurse midwifes may sign for handicap placards. This bill is a response to the DMV’s decision to no longer allow for PAs to sign for the placards since they were not specifically named in in state law. The bill was referred to the House Committee on Transportation and is awaiting its first hearing.
Be sure to check out the Legislative Action Center for regular updates on HB 11 and other legislative movements.
Sheraton Imperial Hotel and Convention Center
February 18-21, 2017
Join us for the 31st Annual NCAPA Recertification Exam Review Conference. The conference agenda is based on the NCCPA PANRE exam blueprint and will be geared 100% toward a basic review of all organ systems. Whether or not you need to take the PANRE, this conference is an excellent review for any health care provider.
This program has been reviewed and is approved for 31 hours of AAPA Category 1 CME credit for the general sessions and 22 hours in workshops by the Physician Assistant Review Panel. Physician Assistants should claim only those hours actually spent participating in the CME activity.
Credits awarded by the AAPA are accepted by the ANCC Certification Program and the AANP as Continuing Education (CE) credits for nurses and nurse practitioners.
NCAPA is hosting its first ever Job Fair on February 17, 2017 from 1:00 – 6:00pm at the Shearton Imperial Hotel in Durham. This is the Friday prior to our Recertification Exam Review Conference that begins the following day, on Saturday, February 18th.
Registration is now open for job seekers. And it’s free! Polish your resume and practice those interview skills. Start the New Year with a new job!
Motivational Interviewing for the Healthcare Provider
Eugene Stead Center for Physician Assistants
March 4, 2017
A large portion of our time as healthcare providers is spent working with patients whose chronic conditions can be improved upon if they are able to change/modify their day-to-day behavior. Motivational Interviewing (MI) is a communication style that involves attention to language about change, provided in such a manner that empowers our patients, and helps us to guide them toward lifestyle change.
This program has been reviewed and is approved for a maximum of 3.00 AAPA Category 1 CME credits by the AAPA Review Panel. PAs should claim only those credits actually spent participating in the CME activity.
Joint Injection Workshop
April 1, 2017
Registration Opens in early March!
Thanks to all of you who participated in the Online CME Survey! We had many responses and are currently evaluating all of the valuable information shared. The winners of the $50 Amazon gift cards were:
Congratulations to you all!
by NCAPA Nominating Committee
The NCAPA Nominating Committee is soliciting candidates for open positions on the Board of Directors and Nominating Committee in 2018. Serving on the NCAPA Board is an important way to contribute to your profession and a wonderful leadership experience. North Carolina is often cited as a great state in which to practice as a PA. It got that way through the vision, leadership, and volunteer work of PAs just like you!
If you know a PA who cares deeply about the profession, who wants to contribute to the future of the profession, who is a good listener, collaborator, and decision maker—or if you are that person—please nominate her/him for a position on the NCAPA Board of Directors.
The following positions for elected offices are open for nominees: President-Elect, Treasurer, Director-At-Large (three positions), and a Nominating Committee Member. To read more about these positions and to nominate yourself or a colleague, click here. The deadline for nominating a colleague is May 31, 2017. The deadline for nominating yourself is August 1, 2017.
All terms begin January 1, 2018. Nominees for officer positions (President-Elect and Treasurer) must have been an NCAPA Fellow member in good standing for the calendar year prior to election. All other nominees must have been a Fellow or Associate member.
by NCAPA Nominating Committee
Nominations are now open for candidates seeking to be the NCAPA representatives to the American Academy of Physician Assistants (AAPA) 2018 and 2019 House of Delegates (HOD).
The AAPA HOD is the representative governance body for the national professional organization. It is comprised of delegates who represent chapters and other constituent groups. The number of HOD representatives from NCAPA is based on the number of AAPA Fellow members in North Carolina. In the past, NCAPA has had eight (8) delegates and we anticipate needing the same number again.
Nominations for Delegates are being accepted for a term of office that begins on July 1, 2017, and ends on June 30, 2019. NCAPA Fellow members may self-declare or nominate another Fellow Member. (Fellow members are PAs who are members of both AAPA and NCAPA.) Those elected will represent NCAPA at the 2018 and 2019 AAPA HOD meetings, with travel, lodging, and meal expenses paid by NCAPA.
In order to be eligible, you must:
- Be a Fellow Member in good standing through the previous calendar year.
- Submit a Letter of Intent and brief Platform Statement to the NCAPA Nominating Committee via the NCAPA Executive Director no later than May 1, 2017.
Voting by electronic ballot will begin May 20 and close June 5, 2017. Only NCAPA Fellow members in good standing are eligible to vote.
NCAPA’s delegates and back-up delegates will be ranked, based upon the number of votes each candidate receives. Election results will be announced by June 19, 2017.
To submit your Letter of Intent and Platform Statement, please send one of the following ways:
- email: email@example.com, or
- fax: 919-479-9726, Attn: Emily Adams or
- by mail to Emily Adams, NCAPA, 1121 Slater Road, Durham, NC 27703. If sending by mail, please allow enough time for your materials to arrive by May 5th.
If you have any question, please contact Emily Adams, NCAPA Executive Director, at firstname.lastname@example.org or by calling 919-479-1995.
by Erin Jones, PA-S, Campbell University
One of the great things about being a Campbell PA student is that we have the opportunity to help raise health awareness and promote health education. On February 3rd of this year, in honor of American Heart Month and Go Red for Women, the Camels of the Class of 2018 and faculty proudly wore red to help support heart disease awareness and prevention. Heart disease is the number 1 killer of men and women, causing 1 in 4 deaths each year (1 in 3 for women alone). It’s important to know that the warning signs of a heart attack in men and women are different. Both men and women can experience chest pain, but women are more likely than men to experience back/jaw pain, nausea/vomiting, shortness of breath, and extreme fatigue. Further complicating the warning signs for women, some symptoms of a heart attack, including palpitations, dizziness, and cold sweats, are also seen in perimenopause. Any symptoms that may be heart related should be evaluated. When a heart attack occurs, time is of the essence.
Knowing your risk factors and making healthy lifestyle changes can help reduce your risk for cardiovascular disease, as well as put you in control of your heart health. Prevention is key; smoking cessation, blood pressure control, stress management, exercise, and a healthy diet are all important for cardiovascular health.
For more information and to learn about your risk factors, please talk to your health care provider. You can also visit http://www.goredforwomen.org or http://www.heart.org.
by Sue Reich, PA-C, MPAs
Tuyet Van Thi Nguyen is the 2016 recipient of the NCAPA Endowment’s William Franklin Cobb grant, awarded to a Duke PA student each year. Growing up in a rural village in the Mekong delta, Ms. Nguyen moved to the US with her family. The challenges she and her family faced as refugees inspired her persistence in school and work and built in her a natural advocacy for those who are marginalized in society. Prior to PA school, Van worked with Vietnamese immigrants as they attempted to navigate through the US medical system. She also served as a research assistant at Kaiser Permanente, building important analytical and technical skills for her use in medical training. With this background, it is not at all surprising that Ms. Nguyen aims to work on the frontline of medicine, perhaps even establishing a community medical clinic. The NCAPA Endowment congratulates Tuyet Van Thi Nguyen for her fighting spirit and wishes her well in her future journeys.
Tuyet Van Thi Nguyen receives award from April Stouder, MHS, PA-C, Director of Clinical Education
The NCAPA Endowment awards annual scholarship grants to a second year student from each of the North Carolina PA programs. Please consider making a contribution to support those who are the future of our profession. Thank you to all who have generously donated through the years.
by Conrad Gorman, PA-S, Gardner-Webb Class President of the 2018 Cohort
With the grant money that was awarded last year, the Gardner Webb University PA Program has continued to develop our health care screening clinic. A portion of the money was utilized to buy much needed supplies, but a greater portion was delegated to providing services that the patrons normally do not have access too. We have continued to provide blood pressure screenings and have added vision screenings as well. Through these, we help to facilitate and encourage follow up care and are able to provide reading glasses for patrons with impaired vision. We have also been able to provide skin care packets and feminine hygiene packets to patrons. We are constantly looking to promote better health in the community and provide even more services. Thankfully, we will continue to be able to do so because of the NCAPA Endowment’s Joyce Nichols Community Based Project fund!
Embassy Suites, Kingston Plantation
August 20-25, 2017
Myrtle Beach, SC
The NCAPA combines the best CME conference for PAs with a family-friendly beach vacation. We start our sessions early and end early so you can have the best of both worlds!
NCAPA has reserved a block of rooms at the Kingston Plantation in Myrtle Beach. Rooms in our block fill up very early, so we recommend you book your room ASAP! Click here to reserve your room or call (843)449-0006 and use the group code NCA.
- The Allied Health Committee, responsible for reviewing matters involving PAs and providing reports to the NC Medical Board, is changing its name. The committee name has been changed to Advanced Practice Provider and Allied Health Committee. The name change was initiated by the PA who serves on the NCMB, supported by the NCAPA, and has been approved by the NCMB.
- The NCMB has created a new webpage to find PA specific information including forms, rules and other resources without having to click through multiple pages. Please click here to access the new page.
by Shelley Rickman, Desiree Duby, Michelle Peters, and Carla Freigeh, PA Students at Hight Point University; and Mark E. Archambault, DHSc, PA-C, Director of Research and an Associate Professor at High Point University
ABSTRACT: Peanut allergy is the most common food allergy and the leading cause of anaphylaxis and death due to food allergy. Despite previous guidelines created by the American Academy of Pediatrics in 2003, peanut allergy has continued to significantly increase over the past decade. Therefore, further research has been done to help clinicians provide more evidence-based recommendations about the timing of introduction of peanuts. The LEAP study, published in February 2015, demonstrated the value of much earlier introduction of peanuts to nonallergic patients than previously suggested. These findings have altered current practice, and recommendations supported by the American Academy of Pediatrics now allow the introduction of peanuts as early as age 4 months to reduce the likelihood of developing peanut allergy. Read the full article here.
In 2013, drug abuse overdoses accounted for 536 (11.4 per 100,000 residents) deaths across the state of North Carolina with an increasing trend across the country. An overwhelming majority of drug overdoses are related to prescription opioid medications. In 2016, emergency department practitioners across the country signed the Surgeon General’s petition to TurnTheTideRx and took a pledge to:
- Become educated on treating pain safely and effectively;
- Screen patients for opioid use disorder and provide or connect them with evidence-based treatment;
- Shape how the rest of the country sees addiction by talking about and treating it as a chronic illness.
To promote this effort, the Duke University School of Nursing is hosting a TurnTheTide tour stop in North Carolina. With a special state focus, they are launching TurnTheTideNC and will hear from Susan Orsega, Chief Nursing Officer of the United States Public Health Service, who will share the NC Strategic Plan to Reduce Prescription Drug Abuse and engage in a discussion about working together to fight opioid abuse.The NCAPA and all PAs who work in emergency medicine in the state have been invited to join the conversation.
Launch the TurnTheTideNC Initiative
March 6, 2017, 9:00 AM – 12:00 PM
Duke University School of Nursing, Pearson Building
If you are interested in attending, you can register here.
NCAPA is proud to announce a partnership with the North Carolina Folklife Institute (NC Folk) to host a series of photography exhibits at the E. Henry Estes Conference Center. The first, North Carolina at Work, will be shown in two parts; the first is on display from January 23, 2017-April 7, 2017 and the second part of the exhibit will be on display from April 17, 2017- July 7, 2017.
North Carolina at Work: Cedric Chatterley’s Portraits and Landscapes of Traditional Labor is a collection of 25 framed photographs by acclaimed documentarian Cedric Chatterley. The photographs portray North Carolinians across the state in their work environments — an oysterman thigh-deep in the sound, workers in a High Point furniture factory, apple pickers along the Blue Ridge Parkway. The photographs highlight the diversity of the physical landscapes and traditional labor in North Carolina, and honor the strong sense of connection to place found throughout the state.
We hope you will feel free to stop by the Estes Conference Center, located at the Stead Center, 1121 Slater Road in Durham, and enjoy this exhibit.
from Exam Master
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*Exam Master® has no affiliation with National Commission on Certification of Physician Assistants (NCCPA) or Federation of State Medical Boards (FSMB)
Welcome to our renewing and our brand new members!
The following members have joined or renewed their membership since our last issue. Thank you all for your support of NCAPA and all PAs in North Carolina!
Steven Anderson, Fleetwood
Susan Anspach, Canton
Sayeh Araghi, Fayetteville
Mark Archambault, Lewisville
Ginger Atkinson, Raleigh
Matt Babish, McLeansville
Jared Barton, Shelby
Jim Bethune, Greensboro
Melinda Blazar, Hillsborough
Janelle Bludorn, Carrboro
Janet Britt, West End
Ray Brown, Waxhaw
Sara Brown, Wilmington
Jill Calhoun, Mooresville
Jamie Campbell, Charleston, WV
Allison Capek, Salisbury
Linda Chilton, Liberty
James Clark, Raleigh
Mary Beth Weaver, Charlotte
Evan Cline, Charlotte
Alyssa Codrick, Winston Salem
James Coll, Raleigh
Kelly Conner, Clemmons
Dee Cottrell, New Bern
Lisa Davis, Pittsboro
William Davis, St. Pauls
Hannah Dawson, Shelby
Mary Clayton, Raleigh
Tom DeVito, Raleigh
John Dewar, Greensboro
Gregory Dion, Hampstead
Jeffre Dochow, Pittsboro
Brittany Donaldson, Winston-Salem
Nicole Drake, Hendersonville
Ashley Duncan, Shelby
Matthew Dunlap, Charlotte
Meg Dunlap, Huntersville
Earl Echard, Garner
Beth Edgerton, Rocky Mount
Clyde Edwards, Raleigh
R. Elizabeth Edwards, Chapel Hill
Stephanie Edwards, Cornelius
Rhonda Elliott, Gold Hill
Amy Esterwood, Greensboro
Elissa Farmer, Concord
Patrick Feron, Aberdeen
Taylor Fischer, Candler
Tom Freeman, High Point
Renee Fritz, Greenville
Dalan Garcia, Hickory
Bryan Geigler, Lewisville
Kristin Giudice, Charlotte
Jacqueline Greene, Charlotte
Charlotte Gregory, Charlotte
Sanders Guignard, Charlotte
Lesley Hammontree, Shelby
Allison Hanley, Huntersville
Laura Harduk, Greensboro
Gale Harkness, Winston Salem
Stephen Harris, Jonesville
John Harrison, Concord
J. Edgar Hernandez, Asheville
Tim Heusey, Pittsburgh, PA
Sherry Hinson, Elkin
Carole Holt, Winston-Salem
Sheila Honeycutt, New Bern
Katie Houmard, Durham
Cheryl Huang, Raleigh
Ronald Hutson, Falling Waters, WV
Laura Ivey, Carolina Beach
Brittany James, Burgaw
Elizabeth Jobe, Lumberton
April Jones, Zebulon
Geoff Jones, Asheville
Rosa Jou-Zhang, Lumberton
Savannah Junkins, Knightdale
Candice Key, Ararat
Amanda Kiker, Norwood
Phillip Killian, Newton
David Kleczek, Henderson
David Lange, Valdese
Mark Langefeld, Asheville
Dawn Langley, Fairmont
Rita Langworth-Brewer, Wake Forest
Sara Larios, Durham
Mark Law, Salisbury
Paul Layman, Rutherfordton
Jonathan Lechner, Concord
Jim Lee, Saluda
Beth Lisi, Apex
Justin Loucks, New Bern
Pamela Love, Greensboro
David Lowe, Raleigh
Kim Lowe, Washington, GA
Colleen Mahar, Greensboro
Rebecca Maphis, Kure Beach
W. Ashley Marion, Dobson
Wade Marion, Mount Airy
Linda Markley, Hickory
Heather Matthews, Kinston
Martin Mayer, Greenville
Rebecca McClough, Monroe
Hannah McDougal, Fuquay-Varina
David McGuire, Greenville
Tracey McKinzie, Wilmington
Grace McLaurin, Hickory
Don Metzger, Lumberton
Karla Miller, Creedmoor
Kimberiey Milliam, Knightdale
Ashton Mitchell, Shelby
Esther Murray, Hampstead
David Myers, Fayetteville
Joshua Newton, Spruce Pine
Allyson Norwood, Charlotte
Malisa Nuzzi, Astoria, NY
Kimberly O’Brien, Greenville
Lisa Ogata, Huntington Station, NY
James Oles, Little River, SC
James O’Reilly, Wilmington
Rebecca Owens, Greensboro
Miguel Pagan, Fort Meyers, FL
Roger Page, Elon
Christine Patrocinio Massinga, Cramerton
Jimmy Patterson, Mt. Gilead
Laura Phipps, Longwood, FL
Amanda Picerno, Carthage
Sandy Pierce, Selbyville, DE
David Pitonzo, Oak Ridge
Joanna Read, Lumberton
Suzanne Reich, Winston-Salem
Shannon Reilly, Charlotte
Josef Rivero, Raleigh
Brian Robinson, Boone
Amy Rodriguez, Chapel Hill
Angela Rogers, Christiansburg, VA
Kimball Royster, Hickory
Teresita Ruoff, Fayetteville
JD Rutledge, Rochester, MN
Lindsay Shade, Charlotte
Whitney Shamp, Fort Mill, SC
Anna Shtymak, Asheville
Cynthia Simmons, High Point
Wendy Simmons, Wilmington
Kristi Small, Locust
Stephanie Solosko, Raleigh
Jessica Stevens, Asheville
Bryson Stilwell, Thomasville
Joel Stoia, Durham
Maria Stone, Rocky Mount
Annamarie Streilein, Durham
Kevin Sullivan, Clayton
Allison Taylor, Durham
Lindsey Taylor, Mount Holly
Eunice Thomas, High Point
Richard Truslow, Charlotte
Jill Vanarthos, Cary
Barbara Veilleux, Canton
Johnnie Waataja, Fort Mill, SC
Temple Walker, Rocky Mount
Alicia Warrick, Greensboro
Mary Deakle, Lewisville
Sean Wilson, Erwin
Robert Wooten, Winston Salem
Daniel Young, Newnan, GA
Jessica Zehr, Greensboro