1. Postgraduate Training for Physician Assistants: Is it for Me? Give us a year. We’ll give you the opportunity of a lifetime.

2. Postgraduate PA Training When, Where and Why it Started Programs Available Accreditation Is Postgraduate Training for Me? Resources Question and Answer Session

3. When, Where, Why? Origin of the PA Profession First PA “Resident” Montefiore Medical Center - Bronx, NY Dr. Marvin Gliedman – Clara Vanderbilt Prediction of Surgeon Surplus Reduction of surgical residencies Norwalk Hospital/Yale University Dr. Malcolm Beinfield NOW…

4. Current Status ACGME Reduction in Physician/Resident Hours Resident Work Restrictions Created new opportunities Created new deficiencies Increasing Demand for Specialty PAs Primary care focus Complex specialties Technically demanding roles Increase in patient medical complexity requiring specialty skills

5. APPAP Association of Postgraduate PA Programs Organization for Postgraduate Programs Emerges in 1988 8 Members 2013 40 APPAP Programs

6. 41 APPAP Member Programs MEDICINE SUBSPECIALTY 29 Dermatology1 Critical Care5 Emergency Med.10 Hospitalist1 Neonatology2 Ob-Gyn2 Oncology1 Otolaryngology1 Psychiatry1 Trauma / Critical Care3 Urology2 SURGICAL SUBSPECIALTY 12 Cardiovascular / Thoracic 3 Surgery: General / Multi 6 Neurosurgery1 Orthopedic Surgery2

7. Postgraduate Accreditation ARC-PA Same Accreditation Commission for entry level programs Voluntary, Not Mandatory for postgraduate programs Accreditation = Met the ARC-PA Standards Accreditation of a program does not mean it is “better” than a postgraduate program that is not accredited 2 year process Spring 2008 First 2 Postgraduate Programs Accredited MD Anderson Oncology Program Johns Hopkins Hospital Surgical Residency Spring 2013 8 Programs now accredited IM, ENT, Ortho (2), ER, Sx (2), Onc

8. Is Postgraduate Training for Me?

9. Typical Program Particular Sub-Specialty 12-Months Certificate Average $52,700/year ACGME Guidelines Hours Restriction Call Restrictions In-House Hours Restriction Didactic Reading Testing Skill Development Clinical Functioning similar to an Intern Skill Development

10. Postgraduate Resident Expectations Exposure to a variety of complex patients Ability to triage patients effectively Enhanced skill development Exposure to multiple physician and PA practice styles Experience which typically takes years to obtain in only one year Competitive in job market Confidence Competence

11. Ask Yourself Some Questions… Why should I attend a residency/postgraduate program? What are my expectations? Why not just take a job in a specialty and learn from my employer? What would I be missing from this experience? What advantages with an organized specialty training program or residency offer me and how will it help my career? What are my long-term career goals?

12. If you answered “Yes” to any of those questions… Consider postgraduate training Research your options early Check the APPAP website Check the program’s website for application criteria Contact the Program Director of the program Show interest early Ask to speak with one of the current class members or past graduates of that program Visit the program Find your “fit”

13. Resources APPAP Booth in AAPA Exhibit Hall APPAP Website: www.appap.orgwww.appap.org Accreditation Questions: http://arc-pa.org/Post_Grad/post_grad.html http://arc-pa.org/Post_Grad/post_grad.html

14. Question and Answer Session

15. Thank You! Contact Information: Laurie Wilson, PA-C St. Luke’s University Hospital President, APPAP Wilsonla@slhn.org www.appap.org Give us a year. We’ll give you the opportunity of a lifetime.