Program Details

Mission

The University of Kentucky Internal Medicine/Peds PA Academic residency is dedicated to training Physician Assistant graduates in the field of adults and children to provide exceptional healthcare to patients.

Purpose

  • To educate and prepare recent PA graduates for transition into a combination of adult and pediatric medicine
  • Meeting the healthcare needs of adults and children in the community
  • Changing how PAs are educated in the everchanging healthcare delivery system from a physician training on the job of a new graduate in the field of Internal Medicine/Pediatrics to now meeting the demands of employers (hospitals) to be ready to practice at a higher level of competency

Benefits

  • Readiness to start working at a higher level of competency
  • Competitive advantage in employment
  • Meeting the need for sub-specialized care in the hospital industry

Program Goals

  • To prepare the physician assistant (PA) to deliver healthcare in the field of adult and pediatric medicine that is beyond the newly graduate level to an advanced level of knowledge and skills
  • Educate competent Internal Medicine/Pediatrics physician assistant to function at a higher level than a generalist PA
  • The education of the physician assistant for the practice of managing and caring for patients in the outpatient clinics encompasses education in basic science, training in cognitive and technical skills, development of clinical knowledge, and maturity in the acquisition of clinical care thinking and judgment

Program Objectives

  • Medical Knowledge:
    • Peds
      • Newborn Management
      • Neonatal Jaundice
      • Developmental milestones
      • Identifying signs and symptoms of child abuse
      • Infectious Rashes
      • Allergies
      • Infectious Disease in Children
      • Conditions of Ears, Nose and Throat
      • Upper and Lower Airway
      • GI
      • Musculoskeletal conditions
    • Adult
      • Cardiology
      • Pulmonology
      • Gastroenterology (GI)
      • Neurology
      • Nephrology
      • Endocrinology
      • Rheumatology
      • Dermatology
      • Infectious Disease
      • Mental health
      • Pain management
      • Elder Care
      • Preoperative & Perioperative Medicine

Patient care

  • Peds
    • Newborn management
    • Neonatal ICU
    • Well Child checks
    • Childhood vaccinations
    • Preventable Trauma
    • Child Abuse
    • Treatment and management of Allergies
    • Management of Seizures
    • Orthopedics – sprains, fractures, and growth-related injuries
    • Management of Sickle Cell Disease
    • Treatment and management of acute and chronic Otitis Media and Otitis Externa
    • Management acute onset of Croup and Epiglottitis
    • Treatment of Retropharyngeal Abscess and Peritonsillar Abscess
  • Adult
    • Chronic heart disease
    • Management of Stroke
    • Acute and Chronic management of Seizures
    • Mental Health issues
    • Management of Acute and Chronic Back Pain
    • Tremors
    • Headaches – Acute and Chronic  
    • Management of Chronic Diabetes
    • Early signs and symptoms of Dementia
    • Dizziness
    • Sepsis
    • Substance use disorder – Alcohol and drug withdrawal
    • Lifestyle changes
    • Nutritional support
    • Weakness
    • Syncope
    • Seizures
    • Elder Care
    • Procedural Competencies
  • Systems-Based Practice
    • Administrative Responsibility
    • Coordination and Transitions of Care
    • Billing and Coding
    • EMR training
  • Practice-Based Learning and Improvement
    • Improvement of Care
    • Teaching
    • Self-Directed Learning
    • Clinical skills and procedures
  • Professionalism:
    • Professionalism and Personal Behavior
    • Ethical Issues in Critically-ill Patients
    • Personal Responsibility
    • Healthy Work Environment
  • Interpersonal and Communication Skills:
    • Effective Communication with Patients and Families
    • Effective communication with the Healthcare Team

Rotation Schedule

  • 1st month:      Orientation & introduction to Med/Peds Medicine – Clinic (Core didactic – Review of ACLS, PALS conditions) Internal Medicine clinic
  • 2nd month:     Internal Medicine Clinic (Elder Care woven in the clinic)    
  • 3rd month:      Pediatrics - Clinic
  • 4th month:      Pediatrics – Clinic
  • 5th month:      Pediatrics – Inpatient
  • 6th month:      Internal Medicine Clinic (call rotation shifts to start)
  • 7th month:      Internal Medicine – Inpatient
  • 8th month:      Internal Medicine Clinic/Nursing home
  • 9th month:      Cardiac Clinic
  • 10th month:    Pulmonary Clinic
  • 11th month:    Elective (may request from the Clinical Director your choice)
  • 12th month:    Internal Medicine Clinic

12 months Total

Procedural Competencies

  1. Joint injections
  2. I & D
  3. Splinting
  4. Laceration closure
  5. Imaging interpretation CT, MRI scans & Ultrasound (POCUS)
  6. ECG interpretation and telemetry monitoring

Essential Experiences

  1. Swarm/Patient Safety Training

Conferences

  1. New born/Peds Round (as admissions dictates)
  2. Hospital Staff Medical Office will have the scheduled hospital lectures and conferences
  3. Quality Council (monthly)
  4. Recommend one regional/national conference