Timelines
Jay: We're going to explore these models in greater detail tomorrow. I'm Jay Smethurst and I'm with InnovationLabs. We've been working with a small sponsor team to work with us to identify the objectives and the activities we're going to do.
We'll do a more formal introduction tomorrow. Tonight we want to explore the context of this meeting a bit more. The first activity involves pairing up. Please pair up with someone you don't know very well. The first activity is a timeline. It spans from 1980 until 2030. There are six tracks - economy, technology, the PA profession, society, healthcare and education.
In your pair, introduce yourself and then look at the three phases and identify three or more significant events that are impacting society and our culture and the profession as a whole. What are the trends, milestones, forces, etc? Put three or more in each phase.
After you are done come back and have a seat and we'll move on to the next activity.
Assignment Part 1
A History and a Future
Good evening and welcome!
Our first activity will be in pairs.
Key Events that have Influenced the Development of the PA Profession in the Context of American Life and Culture
First, pair up with someone that you do not know very well, and introduce yourselves. Then, as a pair, please find the marker boards with the Timeline on them. The walls are separated into three sections: the past (1980 until 2005), the present (2005 – 2015) and the future (2015 until 2030). We have also labeled the timeline with six horizontal tracks: Economy, PA Profession, Healthcare, Society, Education, and Technology.
Working as a pair, please identify three or more of the most significant events impacting American life and culture between 1980 – 2005 in any of these categories. Write the events directly on the timeline using a dry erase marker.
Then, please write three or more of the most significant events are impacting today, 2005 – 2015, and three more in the future in any of the six categories. Again, write these events on the Timeline using a dry erase marker.
You have 30 minutes for this activity. When you are finished, please have a seat in the large group, and you will be given the next assignment.
Results
Click the thumbnail to see a larger version of the white wall...
Assignment Part 2
Big Ideas
Continue working in the same pair for this activity.
Please explore this room and take a look at the information that’s posted on the walls.
Make sure you look at the timeline that we just created, as well as the various posters and items in the Gallery.
Your objective is to identify three ideas that you feel are the
most significant
most interesting, and/or
most important
for the future of the PA Profession.
Write each idea you choose on a separate post-it note, and stick the post-it on the wall labeled “Big Ideas.” Try to place each post-it near others that are related by theme or content.
You have 20 minutes for this activity.
After you are finished please have a seat in the large group.
Big Idea Results
Post-it notes:
Most interesting: exploration of bridge programs
Most significant: overwhelming reaction to the clinical doctorate: "NO"
Most important: maintain access and quality
Most interesting: the re-emergence of the bridge concept - bridging PA to MD
Most important: Baylor-Army program successful implementation of doctoral degree for PAs
Task force to identify, anticipate, future medical needs of US - World to identify and plan PA role
Formal preparation for non-clinical roles of PAs; certificate programs
Most significant: consistency of negative feedback to the question of clinical doctorate
Recognition by the public and other healthcare professionals that the PA profession is indefensible to the delivery of healthcare to Americans in the 21st Century
PAs fill the gap in the projected workforce shortage through the expansion of current and future programs
Willingness to retrain & incorporate new technology changes into the delivery of healthcare; ex EMR use
Graying of PA profession
Most interesting: undersupply of medical providers
PAs remain dependent providers
Time to change the culture. Doctor ≠ Physician. Whether PAs are doctors or not, doctors should be allowed to call themselves doctors
Realization of reliable bridge - PA -> MD programs
Focus on primary care and family medicine
Failure to 'control' PA doctorate will increase disenfranchised
Think carefully about racial, ethnic, and economic diversity
Implementing of profession in medical school
Can this help to expand access to care?
New models for funding PA education
Globalization of PA profession
To specialize or not to specialize... that is the question!
Most important: Lack of buy-in from medical directors and practicing PAs
Return to patient care as primary mission for health care provision
Residency training for all PAs
Most significant: growth of graduate programs
PAs think a bridge program is a good solution to the PA doctorate
Why do over 50% of current practicing PAs want to be physicians?
Technology/genetics changes provider practice
Support options - access, practice, degree, etc.
Dual PA / Genomics education
The clinical doctorate will have an overall negative impact on physician - PA relationships
The proliferation of doctorate degrees does seem to improve medical care; just makes it more prohibitive and expensive to enter the job market
Most interesting: Idea of bridge PA -> MD program
Blended physician PA residency programs
Bridge program
Most important: bridge PA to MD/DO
Need to distinguish between clinical doctorate and best way for PAs to advance in non-clinical roles
*clinical track in current workplace* | transition program for current master's level PAs must allow PAs to be able to work / buy in!
More PAs in research
Movement to clinical doctorate
Doctorate
Over half of survey respondents do not support a clinical doctorate for PAs
PA of the future is essential to universal health care
Pursue bridge
Stop recertification by exam
Increasing capabilities of clinicians
More exposure of PA profession in undergraduate & high school education
Expansion of PA role beyond clinical care
Increasing demands; decreasing resources; providing competent, quality care to meet the needs of an aging population
Present and future pressures and patient load on all health care providers
Universal coverage
Question of independent practice
Cap on total health care expenditures as % of GDP
Discussion
Jay: Come on in please. Take a seat.
For 8:30 at night that's a lot of energy.
We get better when it gets later.
We'll discuss this tomorrow morning. Take a look through these ideas. We have a lot of work to do. We have a lot of passion. Thank you for all your energy and hard work. We as a facilitation team learn about a group from this kind of activity. What gets included and excluded in these timelines.
Breakfast will be at 7:30AM and we'll start promptly at 8:00AM.