Program Details

Mission

The University of Kentucky PA Critical Care residency is dedicated to training Physician Assistant graduates in the field of critical care to provide exceptional healthcare to the critically ill patient.

Purpose

  • To educate and prepare recent PA graduates for transition into critical care practice
  • Meeting the healthcare needs for providing critical care 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 critical care 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-specialize care in the hospital industry

Program Goals

  • To prepare the physician assistant (PA) to deliver healthcare in the field of critical care that is beyond the newly graduated level to an advanced level of knowledge and skills
  • Educate competent critical care 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 critical care patients 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
    • Acute and Chronic Respiratory Failure as well as Ventilatory-Associated Events
    • Shock/Resuscitation
    • Acute Kidney Injury
    • Trauma and Burns
    • Cardiac Disorders of Critically-ill Patients
    • Neurologic Disorders of Critical-ill Patients
    • Gastrointestinal (GI) Disorders of Critically-ill Patients
    • Liver Failure
    • Nutritional support
    • Infectious Diseases of Critically-ill Patients
  • Patient care
    • Respiratory Failure
    • Shock/Resuscitation
    • Acute Kidney Injury
    • Trauma and Burns
    • Cardiac Disorders of Critically-ill Patients
    • Neurologic Disorders of Critical-ill Patients
    • Gastrointestinal (GI) Disorders of Critically-ill Patients
    • Liver Failure
    • Infectious Diseases of Critically-ill Patients
    • Nutritional support
    • Procedural Competencies
  • Systems-Based Practice
    • Administrative Responsibility
    • Coordination and Transitions of Care
    • Billing and Coding
  • 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

  • 2 months Anesthesiology – Surgical ICU
  • 2 months Anesthesiology – CV ICU
  • 2 months Anesthesiology – Neuroscience ICU
  • 1-month Medical Trauma ICU
  • 1-month Medical Surgery ICU
  • 1-month Medical Neuroscience ICU
  • 2 months Medical CV  ICU
  • 1-monthth Elective - Nephrology, infectious disease, Interventional Radiology (IR), Point-of-care (POC) Ultrasound in the ICU, Extracorporeal membrane oxygenation (ECMO), Interventional Pulmonology, Pulmonology Consultation

12 months Total

Essential Experiences

  1. Swarm/Patient Safety Training
  2. Extracorporeal Life Support (ECLS Course)
  3. Ventilator orientation/School with Respiratory Therapy educator (if possible)
  4. Sim Lab scenarios
  5. Performance improvement project
  6. Outpatient Trauma clinic

Conferences

  1. Critical Care Conference (daily M, W, R, F)
  2. Multi-D Critical Care Conference (Tuesday, weekly)
  3. Grand Rounds (Wednesday, weekly 6:45 to 7:45 am. In MN 463)
  4. Morbidity and Mortality (Thursday, weekly 6:45 to 7:45 am in MN 263)
  5. Quarterly APP Journal Club (with other APP’s on the team, with APP topic)
  6. Monthly sim lab scenarios with other residents, (First Friday of the month 1 to 5)
  7. Recommend one national conference