agenda ncapa board of directors meeting saturday, april 23 ...€¦ · ncapa board book april 23,...

148
NCAPA Board Book April 23, 2016 Page 1 of 148 AGENDA NCAPA Board of Directors Meeting Saturday, April 23, 2016, 10:00 am 3:00 pm Stead Center, Durham, NC Mission Statement: NCAPA provides innovative solutions to empower our members to enhance their careers and advocate for optimal health care. Vision Statement: North Carolina PAs transforming health through equitable delivery of patient-centered, team-based care. Call to Order Welcome and Introductions (Wanda Hancock) Consent Agenda: (Wanda Hancock) Does anyone request that any report be removed from the Consent agenda? (Reports Included in the Consent Agenda are listed on Page 2 of this Agenda) (Reports should be removed if any discussion about a report is requested. Any reports remaining on the Consent Agenda will not be discussed at the meeting.) Action: After any reports are removed (if requested) the Board must vote to approve the remaining Consent Agenda. Presentations: Financial Review (Dawn Dees of Stancil & Company) (p. 3) NCCPA Regulations (Peg Robinson) (p. 21) Duke University (Julie McCracken, PA-S) East Carolina University (Ryland Bradley, PA-S) PA History Society Garden Restoration Project (Reg Carter and Lori Konopka-Sauer) (p. 30) Action Item Reports: Executive Committee (p. 36) Communications & Marketing Committee (p.38) Internal Audit Committee (p.39) For Discussion: House of Delegates (Wanda Hancock) Survey Results: Draft NCCPA Position Statement (Wanda Hancock) (p. 40) Speaking on behalf of the NCAPA (Wanda Hancock) (p. 92) Announcements (Wanda Hancock) NC Legislative Day June 15 PAPA Conference on October 15. NCAPA will host an evening social on Friday, October 14. FWEA Conference on October 8 NCAPA Board Meeting on August 14 at Myrtle Beach noon to 4:00 pm

Upload: others

Post on 06-Jul-2020

1 views

Category:

Documents


0 download

TRANSCRIPT

Page 1: AGENDA NCAPA Board of Directors Meeting Saturday, April 23 ...€¦ · NCAPA Board Book April 23, 2016 Page 32 of 148 Landscape Design Concept by Julieta T. Sherk, RLA, ASLA, Associate

NCAPA Board Book April 23, 2016 Page 1 of 148

AGENDA

NCAPA Board of Directors Meeting

Saturday, April 23, 2016, 10:00 am – 3:00 pm

Stead Center, Durham, NC

Mission Statement:

NCAPA provides innovative solutions to empower our members to enhance their careers

and advocate for optimal health care.

Vision Statement: North Carolina PAs transforming health through equitable delivery

of patient-centered, team-based care.

Call to Order

Welcome and Introductions (Wanda Hancock)

Consent Agenda: (Wanda Hancock)

Does anyone request that any report be removed from the Consent agenda?

(Reports Included in the Consent Agenda are listed on Page 2 of this Agenda)

(Reports should be removed if any discussion about a report is requested. Any reports

remaining on the Consent Agenda will not be discussed at the meeting.)

Action: After any reports are removed (if requested) the Board must vote to approve the remaining

Consent Agenda.

Presentations:

Financial Review (Dawn Dees of Stancil & Company) (p. 3)

NCCPA Regulations (Peg Robinson) (p. 21)

Duke University (Julie McCracken, PA-S)

East Carolina University (Ryland Bradley, PA-S)

PA History Society Garden Restoration Project (Reg Carter and Lori Konopka-Sauer) (p. 30)

Action Item Reports:

Executive Committee (p. 36)

Communications & Marketing Committee (p.38)

Internal Audit Committee (p.39)

For Discussion:

House of Delegates (Wanda Hancock)

Survey Results: Draft NCCPA Position Statement (Wanda Hancock) (p. 40)

Speaking on behalf of the NCAPA (Wanda Hancock) (p. 92)

Announcements (Wanda Hancock)

NC Legislative Day June 15

PAPA Conference on October 15. NCAPA will host an evening social on Friday, October 14.

FWEA Conference on October 8

NCAPA Board Meeting on August 14 at Myrtle Beach noon to 4:00 pm

Page 2: AGENDA NCAPA Board of Directors Meeting Saturday, April 23 ...€¦ · NCAPA Board Book April 23, 2016 Page 32 of 148 Landscape Design Concept by Julieta T. Sherk, RLA, ASLA, Associate

NCAPA Board Book April 23, 2016 Page 2 of 148

For informational purposes:

Thank you from the North Carolina Medical Society Foundation (p. 147)

Thank you from Southminster for Dean Minton Memorial (p. 148)

Adjournment

Reports for Consent Agenda:

Minutes from January 23 BOD Meeting (p. 93)

Executive Director Report (p. 99)

Governance Task Force (p. 101)

Officer Reports:

President (p. 102)

Treasurer (p. 103)

Secretary (p. 110)

President-Elect (p. 111)

Vice President (p.112)

Immediate Past President (p.113)

Standing Committee Reports:

Continuing Education (p.114)

Finance (p. 117)

Government Affairs (p. 119)

Health (p. 122)

Membership (p. 126)

Nominating (p. 128)

Regional Chapters (p.129)

Student Affairs (p. 130)

Liaison Reports:

NCMB Review Panel (p. 131)

OEMS (p. 132)

NCPHP (p. 134)

Student Board Representative Reports:

Campbell (p. 136)

Duke (p. 137)

East Carolina (p. 138)

Gardner-Webb (p.139)

UNC Chapel Hill (p. 140)

Wake Forest (p. 141)

Wingate (p. 143)

PA Program Director Reports:

Campbell (p. 144)

Duke (p. 145)

Regional Chapter Reports

Piedmont Association of PAs (p. 146)

Return to Top of Agenda

Page 3: AGENDA NCAPA Board of Directors Meeting Saturday, April 23 ...€¦ · NCAPA Board Book April 23, 2016 Page 32 of 148 Landscape Design Concept by Julieta T. Sherk, RLA, ASLA, Associate

NCAPA Board Book April 23, 2016 Page 3 of 148

Page 4: AGENDA NCAPA Board of Directors Meeting Saturday, April 23 ...€¦ · NCAPA Board Book April 23, 2016 Page 32 of 148 Landscape Design Concept by Julieta T. Sherk, RLA, ASLA, Associate

NCAPA Board Book April 23, 2016 Page 4 of 148

Page 5: AGENDA NCAPA Board of Directors Meeting Saturday, April 23 ...€¦ · NCAPA Board Book April 23, 2016 Page 32 of 148 Landscape Design Concept by Julieta T. Sherk, RLA, ASLA, Associate

NCAPA Board Book April 23, 2016 Page 5 of 148

Page 6: AGENDA NCAPA Board of Directors Meeting Saturday, April 23 ...€¦ · NCAPA Board Book April 23, 2016 Page 32 of 148 Landscape Design Concept by Julieta T. Sherk, RLA, ASLA, Associate

NCAPA Board Book April 23, 2016 Page 6 of 148

Page 7: AGENDA NCAPA Board of Directors Meeting Saturday, April 23 ...€¦ · NCAPA Board Book April 23, 2016 Page 32 of 148 Landscape Design Concept by Julieta T. Sherk, RLA, ASLA, Associate

NCAPA Board Book April 23, 2016 Page 7 of 148

Page 8: AGENDA NCAPA Board of Directors Meeting Saturday, April 23 ...€¦ · NCAPA Board Book April 23, 2016 Page 32 of 148 Landscape Design Concept by Julieta T. Sherk, RLA, ASLA, Associate

NCAPA Board Book April 23, 2016 Page 8 of 148

Page 9: AGENDA NCAPA Board of Directors Meeting Saturday, April 23 ...€¦ · NCAPA Board Book April 23, 2016 Page 32 of 148 Landscape Design Concept by Julieta T. Sherk, RLA, ASLA, Associate

NCAPA Board Book April 23, 2016 Page 9 of 148

Page 10: AGENDA NCAPA Board of Directors Meeting Saturday, April 23 ...€¦ · NCAPA Board Book April 23, 2016 Page 32 of 148 Landscape Design Concept by Julieta T. Sherk, RLA, ASLA, Associate

NCAPA Board Book April 23, 2016 Page 10 of 148

Page 11: AGENDA NCAPA Board of Directors Meeting Saturday, April 23 ...€¦ · NCAPA Board Book April 23, 2016 Page 32 of 148 Landscape Design Concept by Julieta T. Sherk, RLA, ASLA, Associate

NCAPA Board Book April 23, 2016 Page 11 of 148

Page 12: AGENDA NCAPA Board of Directors Meeting Saturday, April 23 ...€¦ · NCAPA Board Book April 23, 2016 Page 32 of 148 Landscape Design Concept by Julieta T. Sherk, RLA, ASLA, Associate

NCAPA Board Book April 23, 2016 Page 12 of 148

Page 13: AGENDA NCAPA Board of Directors Meeting Saturday, April 23 ...€¦ · NCAPA Board Book April 23, 2016 Page 32 of 148 Landscape Design Concept by Julieta T. Sherk, RLA, ASLA, Associate

NCAPA Board Book April 23, 2016 Page 13 of 148

Page 14: AGENDA NCAPA Board of Directors Meeting Saturday, April 23 ...€¦ · NCAPA Board Book April 23, 2016 Page 32 of 148 Landscape Design Concept by Julieta T. Sherk, RLA, ASLA, Associate

NCAPA Board Book April 23, 2016 Page 14 of 148

Page 15: AGENDA NCAPA Board of Directors Meeting Saturday, April 23 ...€¦ · NCAPA Board Book April 23, 2016 Page 32 of 148 Landscape Design Concept by Julieta T. Sherk, RLA, ASLA, Associate

NCAPA Board Book April 23, 2016 Page 15 of 148

Page 16: AGENDA NCAPA Board of Directors Meeting Saturday, April 23 ...€¦ · NCAPA Board Book April 23, 2016 Page 32 of 148 Landscape Design Concept by Julieta T. Sherk, RLA, ASLA, Associate

NCAPA Board Book April 23, 2016 Page 16 of 148

Page 17: AGENDA NCAPA Board of Directors Meeting Saturday, April 23 ...€¦ · NCAPA Board Book April 23, 2016 Page 32 of 148 Landscape Design Concept by Julieta T. Sherk, RLA, ASLA, Associate

NCAPA Board Book April 23, 2016 Page 17 of 148

Page 18: AGENDA NCAPA Board of Directors Meeting Saturday, April 23 ...€¦ · NCAPA Board Book April 23, 2016 Page 32 of 148 Landscape Design Concept by Julieta T. Sherk, RLA, ASLA, Associate

NCAPA Board Book April 23, 2016 Page 18 of 148

Page 19: AGENDA NCAPA Board of Directors Meeting Saturday, April 23 ...€¦ · NCAPA Board Book April 23, 2016 Page 32 of 148 Landscape Design Concept by Julieta T. Sherk, RLA, ASLA, Associate

NCAPA Board Book April 23, 2016 Page 19 of 148

Page 20: AGENDA NCAPA Board of Directors Meeting Saturday, April 23 ...€¦ · NCAPA Board Book April 23, 2016 Page 32 of 148 Landscape Design Concept by Julieta T. Sherk, RLA, ASLA, Associate

NCAPA Board Book April 23, 2016 Page 20 of 148

Return to Top

Page 21: AGENDA NCAPA Board of Directors Meeting Saturday, April 23 ...€¦ · NCAPA Board Book April 23, 2016 Page 32 of 148 Landscape Design Concept by Julieta T. Sherk, RLA, ASLA, Associate

NCAPA Board Book April 23, 2016 Page 21 of 148

Page 22: AGENDA NCAPA Board of Directors Meeting Saturday, April 23 ...€¦ · NCAPA Board Book April 23, 2016 Page 32 of 148 Landscape Design Concept by Julieta T. Sherk, RLA, ASLA, Associate

NCAPA Board Book April 23, 2016 Page 22 of 148

Page 23: AGENDA NCAPA Board of Directors Meeting Saturday, April 23 ...€¦ · NCAPA Board Book April 23, 2016 Page 32 of 148 Landscape Design Concept by Julieta T. Sherk, RLA, ASLA, Associate

NCAPA Board Book April 23, 2016 Page 23 of 148

Page 24: AGENDA NCAPA Board of Directors Meeting Saturday, April 23 ...€¦ · NCAPA Board Book April 23, 2016 Page 32 of 148 Landscape Design Concept by Julieta T. Sherk, RLA, ASLA, Associate

NCAPA Board Book April 23, 2016 Page 24 of 148

Page 25: AGENDA NCAPA Board of Directors Meeting Saturday, April 23 ...€¦ · NCAPA Board Book April 23, 2016 Page 32 of 148 Landscape Design Concept by Julieta T. Sherk, RLA, ASLA, Associate

NCAPA Board Book April 23, 2016 Page 25 of 148

Page 26: AGENDA NCAPA Board of Directors Meeting Saturday, April 23 ...€¦ · NCAPA Board Book April 23, 2016 Page 32 of 148 Landscape Design Concept by Julieta T. Sherk, RLA, ASLA, Associate

NCAPA Board Book April 23, 2016 Page 26 of 148

Page 27: AGENDA NCAPA Board of Directors Meeting Saturday, April 23 ...€¦ · NCAPA Board Book April 23, 2016 Page 32 of 148 Landscape Design Concept by Julieta T. Sherk, RLA, ASLA, Associate

NCAPA Board Book April 23, 2016 Page 27 of 148

Page 28: AGENDA NCAPA Board of Directors Meeting Saturday, April 23 ...€¦ · NCAPA Board Book April 23, 2016 Page 32 of 148 Landscape Design Concept by Julieta T. Sherk, RLA, ASLA, Associate

NCAPA Board Book April 23, 2016 Page 28 of 148

Page 29: AGENDA NCAPA Board of Directors Meeting Saturday, April 23 ...€¦ · NCAPA Board Book April 23, 2016 Page 32 of 148 Landscape Design Concept by Julieta T. Sherk, RLA, ASLA, Associate

NCAPA Board Book April 23, 2016 Page 29 of 148

Return to Top

Page 30: AGENDA NCAPA Board of Directors Meeting Saturday, April 23 ...€¦ · NCAPA Board Book April 23, 2016 Page 32 of 148 Landscape Design Concept by Julieta T. Sherk, RLA, ASLA, Associate

NCAPA Board Book April 23, 2016 Page 30 of 148

Update on Plans to Upgrade the Veterans Memorial Garden

at the Stead Center in Durham, NC

April 5, 2016

Plan: The PA History (PAHx) Society and the NC Academy

of Physician Assistants (NCAPA) are working to expand and

upgrade the John McElligott Veterans Memorial Garden

located at the Eugene A. Stead, Jr. Center for Physician

Assistants in Durham, NC. The NCAPA provided space to the

PA History (PAHx) Society to establish the gardens in 2007

when a bronze statue of a medic bandaging the wounds of a

fallen soldier was gifted to the Society to remember the

contributions of former military corpsmen as pioneers of the

PA profession. In gratitude for his support to preserve the

history and legacy of our profession, the garden was dedicated

in honor of Dr. John McElligott on Veterans Day November

11, 2008. At that time, a flag pole was placed adjacent to the statue.

Current Status: Unlike the formal garden behind the Stead Center, the veterans memorial garden is not

enclosed within a gated fence (see photograph). A fence is needed for security. The flag pole is not

lighted at night preventing the flying of the flag 24 hour, 7 days per week. The garden plot needs to be

landscaped to remove overgrown shrubs and trees that block visitors view of the statue and flag pole and

to make room for additions to the garden, such as, a brick bench and patio area to display the names of

veterans who have become physician assistants, especially, the former military corpsmen who helped

pioneer the PA profession. A walkway from the formal gardens to the statue area is needed for

wheelchair accessibility.

Estimated Cost:

Preliminary estimates indicate that the project will cost $35,000 to landscape, fence in and light the statue

and flag pole in the veteran garden and an additional $30,000 will be needed to add a “place of

remembrance” to the garden with additional brick walls, walkways and lighting. Total cost of the project

is estimated to be $67,000 including landscaping design plans.

Steps Completed as of April 5, 2016:

1. The NCAPA Board of Directors have agreed to partner with the PAHx Society’s Board of

Trustees to place a gated fence around the garden; to light the flag pole; to landscape the garden

with addition of bench, walkways, and memorial area to display names of veteran PAs. The

Veterans Caucus Board has been notified that we plan to establish a “place of remembrance”

within the garden that would include names of PAs who are veterans.

Page 31: AGENDA NCAPA Board of Directors Meeting Saturday, April 23 ...€¦ · NCAPA Board Book April 23, 2016 Page 32 of 148 Landscape Design Concept by Julieta T. Sherk, RLA, ASLA, Associate

NCAPA Board Book April 23, 2016 Page 31 of 148

2. A design planning team with representation from the PAHx Society, the NCAPA and the AAPA

Veterans Caucus has worked closely with Julie Sherk, a professor at NC State University, and

her students to develop landscape designs for consideration. Twelve landscape students from

NCSU visited the Stead Center for brief orientation on January 11, 2016. They observed the area

and took measurements. Two more meetings have been held with students at the Stead Center:

(1) A stakeholder’s workshop on January 27 from 2-4 PM and (2) a student design presentation

session on February 10 from 2-4 PM. Students presented various design concepts that were

evaluated by planning team. Professor Julie Sherk then prepared a final design concept that has

been reviewed and approved by the planning committee and has been sent to the landscaping

firm to determine final construction cost.

3. A fundraising team has approved a strategic fundraising plan to solicit funds from individuals,

organizations and foundations. The first goal is to raise $35,000 to $40,000 (50% or more of

total needed) through personal contacts by April 15, 2016 followed by a more aggressive, public

campaign May through October, 2016. Having 50% of funds in hand by April 15th will assure

that work can begin in late summer and fall of 2016 to have the veteran garden ready when the

Society’s BOT meet at the Stead Center in April 2017, to celebrate its 15th anniversary and to

“kick off” the 50th Anniversary of the PA Profession. The veteran garden will be rededicated and

the focus will be on honoring the pioneering PAs who were mostly former military corpsmen or

veterans.

4. Over $25,000 has been raised to date with another $11,000 secured in pledges. So the

fundraising team is close to reaching its April goal of having at least 50% of funds in hand before

going public with the campaign in May.

5. The design and fundraising planning teams have decided to move forward with a “place of

remembrance” in the garden. They are exploring a “pay as you go” process that will ask

individuals to purchase either 12x12 or 8x8 inch engraved pavers to cover the area surrounding

the bronze combat medic statue and flagpole and the walkway leading to the memorial. They

can purchase pavers for themselves or for others they wish to honor. The cost of the engraved

pavers will cover all expenses associated with purchase, engraving and placement of bricks

within the garden.

Next Steps: 1. Julie Sherk’s final landscape design plan has been submitted to Myatt Landscaping for then to

give us a more detailed cost estimate by April 15, 2016.

2. Fundraising team has submitted additional names of individuals to contact personally to raise 50

to 60% of funds needed by April 15; remaining funds by August 2016.

3. Develop and implement purchase engraved paver campaign with PA veterans; install by October

2016 (first phase; continuing project thereafter).

4. Begin phase one landscaping late summer and fall 2016.

5. Develop plans to rededicate veterans’ garden in April 2017 when PAHx Society Board of

Trustees meet at the Stead Center to celebrate the Society’s 15th anniversary and launch the 50

th

anniversary of the PA profession.

Page 32: AGENDA NCAPA Board of Directors Meeting Saturday, April 23 ...€¦ · NCAPA Board Book April 23, 2016 Page 32 of 148 Landscape Design Concept by Julieta T. Sherk, RLA, ASLA, Associate

NCAPA Board Book April 23, 2016 Page 32 of 148

Landscape Design Concept by Julieta T. Sherk, RLA, ASLA, Associate Professor Department of Horticultural Science College of Agriculture and Life Sciences NC State University

Landscape Plot Design Concept for Veterans Garden at Stead Center:

Tax deductible check should be made out to the PA History Society for Veterans' Garden Project and sent

to:

Lori Konopka-Sauer

Managing Director

PA History Society

12000 Findley Road, Suite 160

Johns Creek, GA 30097

Page 33: AGENDA NCAPA Board of Directors Meeting Saturday, April 23 ...€¦ · NCAPA Board Book April 23, 2016 Page 32 of 148 Landscape Design Concept by Julieta T. Sherk, RLA, ASLA, Associate

NCAPA Board Book April 23, 2016 Page 33 of 148

Page 34: AGENDA NCAPA Board of Directors Meeting Saturday, April 23 ...€¦ · NCAPA Board Book April 23, 2016 Page 32 of 148 Landscape Design Concept by Julieta T. Sherk, RLA, ASLA, Associate

NCAPA Board Book April 23, 2016 Page 34 of 148

Page 35: AGENDA NCAPA Board of Directors Meeting Saturday, April 23 ...€¦ · NCAPA Board Book April 23, 2016 Page 32 of 148 Landscape Design Concept by Julieta T. Sherk, RLA, ASLA, Associate

NCAPA Board Book April 23, 2016 Page 35 of 148

Veterans Garden

Fundraising Strategies

PA History Society

Purpose: Landscape and upgrade the Veterans Garden at the Stead Center making it a relaxing, tranquil

place of remembrance for those who have served their country in the uniformed services and especially

the PAs who were former military corpsmen who pioneered the PA Profession.

Goal: Raise $60,000 to $65,000 by August 1, 2016

Design Plans and Cost Estimates: Final Design Concept will be available from Associate Professor

Julieta Sherk and NC State University Landscape Students mid-March at

https://cals.ncsu.edu/hort_sci/people/faculty/pages/sherk.php

Landscape Firm: Todd and Scott Myatt – Myatt Landscape Concepts, 217 Technology Park Ln, Fuquay

Varina, NC 27526 at http://www.myattlandscaping.com/index.asp

Fundraising Taskforce: Reginald Carter (Historian Emeritus & Chair); Lori Konopka-Sauer (Managing

Director); Maryann F. Ramos (Secretary/Treasuer); Robert Wooten (Trustee); Paul Hendrix (NCAPA

BOD) and Mike Milner (AAPA Veterans Caucus BOD) [others]

Fundraising Advisors: John McElligott (major donor); Don Pedersen (major donor); [others]

Strategies:

1. Personal Contact – send email with information about project to all current and past board members

of the PA History Society, NCAPA and AAPA Veteran Caucus soliciting their support with goal to

raise 50 to 65% of $65,000 prior to going public in April 2016. Also, ask them to solicit personally

individuals that they know who may want to contribute to the project. Completion Date April 1,

2016.

2. Develop list of organizations, foundation and corporate donors who contribute to veteran memorials

and send request letters with information (make personal contact if possible). Completion Date: April

1, 2016

3. Develop fundraising informational packets that can be mailed to prospective donors and distributed at

AAPA meeting in May. Completion Date: April 15, 2016

4. Place article in spring issue of Historical Happenings about project with information about how to

donate. Completion Date: April 15, 2016

5. Secure mailing list for all veteran PAs or Pioneering PAs and send them informational packet

requesting individual donations of $25, $50, $100, $250 and $500 donations. Completion Date: June

1, 2016

Engraved Brick or Personalized Tile Fundraiser – Develop logistical plan with AAPA Veterans Caucus to

invite veterans to purchase bricks or tiles to be placed in wall or walkway for themselves and others they

wish to honor – consider profit sharing ideas. Completion Date: October 1, 2016 (ongoing)

Return to Top

Page 36: AGENDA NCAPA Board of Directors Meeting Saturday, April 23 ...€¦ · NCAPA Board Book April 23, 2016 Page 32 of 148 Landscape Design Concept by Julieta T. Sherk, RLA, ASLA, Associate

NCAPA Board Book April 23, 2016 Page 36 of 148

North Carolina Academy of Physician Assistants

Executive Committee Report April 23, 2016

Members:

Wanda Hancock, President and Chair

Truett Smith, President-Elect

Paul Hendrix, Treasurer

Marc Katz, Immediate Past President

Samantha Rogers, Vice President

Linda Sekhon, Secretary

Activities Since Last Board Meeting:

The Executive Committee (EC) has met three times by zoom meeting since the last Board meeting—on

February 17 and March 9—and will have met again on April 13 by the time of the Board meeting.

Issues discussed by the EC included:

Internal Audit Committee

President Hancock proposed the following appointments based on NCAPA previously approved

composition, which was approved by the EC:

Chair: Alisha DeTroye

NCAPA Board Member: Secretary Linda Sekhon

Ryan Vann: NCAPA Chair of Finance Committee

Committee Charge by President Wanda Hancock:

-Identify Committee Purpose/ and appropriate composition for this committee moving forward or if these

functions are already incorporated into other NCAPA policy and procedures. The final report will be

presented in August 2016 to facilitate planning.

Financial Review

The financial review will be completed in early April. The EC requested that Dawn Dees from Stancil

and Company attend the April board meeting to present the results. Paul Hendrix reported on the financial

status of the NCAPA at each meeting.

Endowment

The NCAPA Endowment is in the process of reviewing its bylaws. Marc Katz is the representative to the

Endowment and is serving on the taskforce. There was discussion about the fundraiser usually held by

the Endowment during the Summer Conference. No definitive plans have been made. Since the NCAPA

typically supports the golf tournament sponsored by the Endowment, a motion was made and

unanimously approved to contribute $1,500.00 to the Endowment in support of the summer fundraiser.

Member Survey about NCCPA proposed Changes

In conjunction with the Marketing Committee, the EC drafted and administered a survey to Academy

members soliciting their input on the proposed re-certification changes. The survey results will provide

member input into the development of the NCAPA position statement on the NCCPA proposed changes.

This position will be presented at HOD. In addition, Ms. Peggy Robinson, NCCPA Trustee, will give a

presentation at the NCAPA April board meeting to present the proposed changes.

Executive Director Transition

The Executive Committee provided support and oversight to staff during the period between Cathie’s

departure and Emily Adams starting on March 21st. Executive Committee reviewed the terms of the new

ED contract. EC and staff directed the orientation of Ms. Adams during her first week. All financial

transitions have been completed.

Page 37: AGENDA NCAPA Board of Directors Meeting Saturday, April 23 ...€¦ · NCAPA Board Book April 23, 2016 Page 32 of 148 Landscape Design Concept by Julieta T. Sherk, RLA, ASLA, Associate

NCAPA Board Book April 23, 2016 Page 37 of 148

Ratifications by the Board via Electronic Vote since the January 2016 Board meeting:

HOD Resolution - Dr. Reamer Bushardt and Suzanne Reich drafted a resolution entitled "PA Self-

Governance and Accountability to the Public". The Executive Committee presented the resolution

electronically for a unanimous vote by the board of directors. Ms. Hancock signed the resolution and

submitted it. Each of the NCAPA House of Delegates were contacted for review and endorsement.

The EC Endorsement of Gail Curtis for President of AAPA - NCAPA Executive Committee unanimously

approved to send to the board for an electronic vote the endorsement of Gail Curtis for President of

AAPA.

Action Items: 1. The Executive Committee recommends a $1500 contribution to the Endowment to assist with

their fundraising efforts during 2016 summer conference. This funding will be come from the

Special Projects fund.

2. The EC makes a motion to contribute $5000 to the PA History Society for the Veterans Memorial

Garden. This funding will be allocated from the Special Projects fund and is considered to be an

investment in the restoration of the landscaping of the Center.

Plans for Future Activities:

Review and present the NCAPA letter of response to NCCPA on the position of the Academy on the

proposed changes.

The Executive Committee will continue to meet monthly on the 2nd

Wednesday via Zoom at 8pm.

The EC will review the 2016 strategic plan accountability document at the May meeting.

The EC will identify next steps for planning of the 50th Anniversary Celebration.

Respectfully submitted,

Wanda Hancock, PA-C

President NCAPA

Return to Top

Page 38: AGENDA NCAPA Board of Directors Meeting Saturday, April 23 ...€¦ · NCAPA Board Book April 23, 2016 Page 32 of 148 Landscape Design Concept by Julieta T. Sherk, RLA, ASLA, Associate

NCAPA Board Book April 23, 2016 Page 38 of 148

North Carolina Academy of Physician Assistants

Communications and Marketing Committee Report April 23, 2016

2016 Members:

Co-Chairs: Don Metzger and Bowie Tran

Clifford Daub

Ken Harbert

Mary Elizabeth Horne

Truett Smith

Staff: Kat Nicholas

Survey:

The Communications and Marketing Committee was asked to create a survey to be sent to members

regarding the name Physician Assistant versus Physician Associate and whether a doctorate should be

required to be a PA. After the questions were created, it was realized that another survey was being

prepared by the Executive Committee regarding the newly proposed certification requirements. Kat

recommended combining the two surveys to get the best response rate. The survey was emailed to all

members on March 24th and closed on April 6

th. The information will be utilized by the Executive

Committee to inform them of members’ thoughts regarding topics that may arise at the AAPA HOD. The

survey was sent to over 1700 members and we had over 360 respondents, making it a 21% response rate –

which is great!

A general review of the results reveals that the majority of members do not think a doctorate is necessary,

they like the idea of Physician Associate, but admittedly feel that there are more important issues to

address, and of the proposed recertification changes, people are still struggling with the new SA/PI

requirements.

Legislative Day:

The CMC has also ordered a promotional give away item for PA Legislative Day. We will have ballpoint

pens that also have stylus and highlighter functions with the NCAPA logo.

PR Brochure:

Kat is drafting a brochure to be distributed to external stakeholders, beginning with the legislators at the

PA Legislative Day on June 15th. The goal is to inform these stakeholders about the history of the

profession, promote the value of PAs in healthcare, and introduce NCAPA. These brochures will be

general enough that they can be distributed for many years. Kat has received a cost estimates for the final

design of $850 from Michelle Vicarro at New Dawn Design and a cost estimate of approximately $600

for printing 1000 copies of the brochure from Laser Image. The CMC is seeking approval of these funds

from the Special Projects Fund. (See Action Item below)

Next Steps:

The CMC will be working with Kat and the Membership Committee to create a survey to be sent to all

members in June regarding their satisfaction with NCAPA, being a member, and any professional

development ideas they might have. The survey will be emailed out to all members by June 30th.

Action Item:

The CMC recommends the approval of $1450 from the Special Projects Fund to be used towards the final

design and printing of a brochure focused towards external stakeholders.

Respectfully submitted,

Don Metzger, PA-C, MHS and Bowie Tran, PA-C

Return to Top

Page 39: AGENDA NCAPA Board of Directors Meeting Saturday, April 23 ...€¦ · NCAPA Board Book April 23, 2016 Page 32 of 148 Landscape Design Concept by Julieta T. Sherk, RLA, ASLA, Associate

NCAPA Board Book April 23, 2016 Page 39 of 148

North Carolina Academy of Physician Assistants

Internal Audit Committee Report April 23, 2016

2016 Members: Alisha DeTroye, Chair

Members: Linda Sekhon, Ryan Vann

Staff: Sally Paille

Stancil and Company provided a financial review which was initially reviewed for accuracy by myself,

executive director Emily Adams, treasurer Paul Hendrix, finance committee chair Ryan Vann, and

accountant David Dew. Once all members of the audit review committee per policy had a chance to

review for accuracy, the report was sent to the Internal Audit committee for review. The committee feels

that the financial review is accurate and complete. Stancil and Company will provide their full financial

review to the board on April 23rd

and allow members time to ask questions.

Action Items:

The Internal Audit committee recommends the board of directors accepts the financial review as

prepared.

The Internal Audit committee recommends a repeat financial review in one year with plans for a full audit

at a 3 year interval.

Respectfully submitted,

Alisha DeTroye, MMS, PA-C

2016 Internal Audit Committee Chair

Return to Top

Page 40: AGENDA NCAPA Board of Directors Meeting Saturday, April 23 ...€¦ · NCAPA Board Book April 23, 2016 Page 32 of 148 Landscape Design Concept by Julieta T. Sherk, RLA, ASLA, Associate

NCAPA Board Book April 23, 2016 Page 40 of 148

MEMBERSHIP SURVEY

April 2016

Page 41: AGENDA NCAPA Board of Directors Meeting Saturday, April 23 ...€¦ · NCAPA Board Book April 23, 2016 Page 32 of 148 Landscape Design Concept by Julieta T. Sherk, RLA, ASLA, Associate

NCAPA Board Book April 23, 2016 Page 41 of 148

Page 42: AGENDA NCAPA Board of Directors Meeting Saturday, April 23 ...€¦ · NCAPA Board Book April 23, 2016 Page 32 of 148 Landscape Design Concept by Julieta T. Sherk, RLA, ASLA, Associate

NCAPA Board Book April 23, 2016 Page 42 of 148

Page 43: AGENDA NCAPA Board of Directors Meeting Saturday, April 23 ...€¦ · NCAPA Board Book April 23, 2016 Page 32 of 148 Landscape Design Concept by Julieta T. Sherk, RLA, ASLA, Associate

NCAPA Board Book April 23, 2016 Page 43 of 148

Page 44: AGENDA NCAPA Board of Directors Meeting Saturday, April 23 ...€¦ · NCAPA Board Book April 23, 2016 Page 32 of 148 Landscape Design Concept by Julieta T. Sherk, RLA, ASLA, Associate

NCAPA Board Book April 23, 2016 Page 44 of 148

Page 45: AGENDA NCAPA Board of Directors Meeting Saturday, April 23 ...€¦ · NCAPA Board Book April 23, 2016 Page 32 of 148 Landscape Design Concept by Julieta T. Sherk, RLA, ASLA, Associate

NCAPA Board Book April 23, 2016 Page 45 of 148

Page 46: AGENDA NCAPA Board of Directors Meeting Saturday, April 23 ...€¦ · NCAPA Board Book April 23, 2016 Page 32 of 148 Landscape Design Concept by Julieta T. Sherk, RLA, ASLA, Associate

NCAPA Board Book April 23, 2016 Page 46 of 148

Page 47: AGENDA NCAPA Board of Directors Meeting Saturday, April 23 ...€¦ · NCAPA Board Book April 23, 2016 Page 32 of 148 Landscape Design Concept by Julieta T. Sherk, RLA, ASLA, Associate

NCAPA Board Book April 23, 2016 Page 47 of 148

Page 48: AGENDA NCAPA Board of Directors Meeting Saturday, April 23 ...€¦ · NCAPA Board Book April 23, 2016 Page 32 of 148 Landscape Design Concept by Julieta T. Sherk, RLA, ASLA, Associate

NCAPA Board Book April 23, 2016 Page 48 of 148

Page 49: AGENDA NCAPA Board of Directors Meeting Saturday, April 23 ...€¦ · NCAPA Board Book April 23, 2016 Page 32 of 148 Landscape Design Concept by Julieta T. Sherk, RLA, ASLA, Associate

NCAPA Board Book April 23, 2016 Page 49 of 148

Page 50: AGENDA NCAPA Board of Directors Meeting Saturday, April 23 ...€¦ · NCAPA Board Book April 23, 2016 Page 32 of 148 Landscape Design Concept by Julieta T. Sherk, RLA, ASLA, Associate

NCAPA Board Book April 23, 2016 Page 50 of 148

Page 51: AGENDA NCAPA Board of Directors Meeting Saturday, April 23 ...€¦ · NCAPA Board Book April 23, 2016 Page 32 of 148 Landscape Design Concept by Julieta T. Sherk, RLA, ASLA, Associate

NCAPA Board Book April 23, 2016 Page 51 of 148

Page 52: AGENDA NCAPA Board of Directors Meeting Saturday, April 23 ...€¦ · NCAPA Board Book April 23, 2016 Page 32 of 148 Landscape Design Concept by Julieta T. Sherk, RLA, ASLA, Associate

NCAPA Board Book April 23, 2016 Page 52 of 148

Page 53: AGENDA NCAPA Board of Directors Meeting Saturday, April 23 ...€¦ · NCAPA Board Book April 23, 2016 Page 32 of 148 Landscape Design Concept by Julieta T. Sherk, RLA, ASLA, Associate

NCAPA Board Book April 23, 2016 Page 53 of 148

Page 54: AGENDA NCAPA Board of Directors Meeting Saturday, April 23 ...€¦ · NCAPA Board Book April 23, 2016 Page 32 of 148 Landscape Design Concept by Julieta T. Sherk, RLA, ASLA, Associate

NCAPA Board Book April 23, 2016 Page 54 of 148

Page 55: AGENDA NCAPA Board of Directors Meeting Saturday, April 23 ...€¦ · NCAPA Board Book April 23, 2016 Page 32 of 148 Landscape Design Concept by Julieta T. Sherk, RLA, ASLA, Associate

NCAPA Board Book April 23, 2016 Page 55 of 148

Page 56: AGENDA NCAPA Board of Directors Meeting Saturday, April 23 ...€¦ · NCAPA Board Book April 23, 2016 Page 32 of 148 Landscape Design Concept by Julieta T. Sherk, RLA, ASLA, Associate

NCAPA Board Book April 23, 2016 Page 56 of 148

Page 57: AGENDA NCAPA Board of Directors Meeting Saturday, April 23 ...€¦ · NCAPA Board Book April 23, 2016 Page 32 of 148 Landscape Design Concept by Julieta T. Sherk, RLA, ASLA, Associate

NCAPA Board Book April 23, 2016 Page 57 of 148

Page 58: AGENDA NCAPA Board of Directors Meeting Saturday, April 23 ...€¦ · NCAPA Board Book April 23, 2016 Page 32 of 148 Landscape Design Concept by Julieta T. Sherk, RLA, ASLA, Associate

NCAPA Board Book April 23, 2016 Page 58 of 148

Page 59: AGENDA NCAPA Board of Directors Meeting Saturday, April 23 ...€¦ · NCAPA Board Book April 23, 2016 Page 32 of 148 Landscape Design Concept by Julieta T. Sherk, RLA, ASLA, Associate

NCAPA Board Book April 23, 2016 Page 59 of 148

Page 60: AGENDA NCAPA Board of Directors Meeting Saturday, April 23 ...€¦ · NCAPA Board Book April 23, 2016 Page 32 of 148 Landscape Design Concept by Julieta T. Sherk, RLA, ASLA, Associate

NCAPA Board Book April 23, 2016 Page 60 of 148

Page 61: AGENDA NCAPA Board of Directors Meeting Saturday, April 23 ...€¦ · NCAPA Board Book April 23, 2016 Page 32 of 148 Landscape Design Concept by Julieta T. Sherk, RLA, ASLA, Associate

NCAPA Board Book April 23, 2016 Page 61 of 148

Page 62: AGENDA NCAPA Board of Directors Meeting Saturday, April 23 ...€¦ · NCAPA Board Book April 23, 2016 Page 32 of 148 Landscape Design Concept by Julieta T. Sherk, RLA, ASLA, Associate

NCAPA Board Book April 23, 2016 Page 62 of 148

Page 63: AGENDA NCAPA Board of Directors Meeting Saturday, April 23 ...€¦ · NCAPA Board Book April 23, 2016 Page 32 of 148 Landscape Design Concept by Julieta T. Sherk, RLA, ASLA, Associate

NCAPA Board Book April 23, 2016 Page 63 of 148

Page 64: AGENDA NCAPA Board of Directors Meeting Saturday, April 23 ...€¦ · NCAPA Board Book April 23, 2016 Page 32 of 148 Landscape Design Concept by Julieta T. Sherk, RLA, ASLA, Associate

NCAPA Board Book April 23, 2016 Page 64 of 148

We are very interested in your point of view. Please share your constructive

comments regarding the proposed recertification changes:

having more specialized tests for re-certification takes away form the main focus of being a PA,

which is being trained as a general practitioner to be able to be versatile in the medical field. I do

not believe we should take that away form our title as a PA. I also think being knowledgeable and

educated in all specialties of medicine can only benefit us as providers and also our patients. The

more we are educated on, the better providers we can be. Ultimately this change would limit our

scope of practice and change the meaning of being a PA

I think having a general recertification process keeps us as generalists and allows us the flexibility

to switch specialties. If we continue down the road of residencies and specialty recertification

only, we lose our employment flexibility.

Just don't make it more complicated. Changes in medicine are complicated enough to keep up

with.

It makes sense if most PAs are practicing in specialties to test them on their specialty. I am

curious as to how much depth of material will be covered per specialty. For example, if I worked

8 years in cardiology and then switched to ortho for 2 years and it is time for me to re-certify, will

I be taking an ortho exam even if I'm still sort of training in that field? And will the depth of the

material and level of difficulty for a specialty exam be the same level of difficulty as the general

exam for a general practitioner?

I think it's important to keep recertification general- I think this is necessary if PAs are moving

between specialties during their careers

I think creating specialty focused examinations will defeat the purpose of making PAs broad-

based clinicians; specialization will make it harder for clinicians to move from one area of

medicine to another.

If specialty recertification exams are implementing, it will restrict the flexibility of the profession.

The ability to switch specialties is a major benefit of choosing the PA profession.

I think it would be helpful to either have more specialty focused exams, or the option to have

open book primary care exams. Due to the nature of most specialties, a lot or the primary care

medicine is not practiced every day in those of us who are specialized.

I do like that idea of open book tests, I'm just concerned about the total amount of time

commitment that this will take in addition to the specialty focused exam.

Would rather test more often than do a self enhancement project.... To me just seems like a waste

of my time

Page 65: AGENDA NCAPA Board of Directors Meeting Saturday, April 23 ...€¦ · NCAPA Board Book April 23, 2016 Page 32 of 148 Landscape Design Concept by Julieta T. Sherk, RLA, ASLA, Associate

NCAPA Board Book April 23, 2016 Page 65 of 148

I feel specialty exams are more patient-centered and reflective of our day-to-day experiences as

providers.

Its too time consuming and costly in todays market to try and manage all of the recertifications.

After passing the PANCE no panre should be required because so few PAs even work in primary

care. but also specialty exams should not exist because it will inhibit the lateral mobility PAs

currently have

I am a gen surg PA who uses my CME requirement to learn and study surgery. My recertification

is when I study and refresh all the general medicine topics that as a PA I should study and know.

It is my responsibility to consistently study and I don't need more check boxes added of exams

and tests that may or may not benefit me in order to make me look better on paper. If PAs need to

improve in an area of practice or quality etc ... Then tell us the data and don't just add more to our

to do list!! Keep the generalist component so that we are competent in general practice ready to

perform as we are initially qualified to do so!

To summarize my thoughts briefly: The changes are a colossal waste of time, will only serve to

confuse the recertification process more, and will not have the effect the NCCPA thinks it will.

Not sure yet as a student.

PAs pride themselves on being able to specialize in different fields, however many who choose a

specialty chose not to change specialties. Such should not be required to re-certify until they

decide to pursue a different specialty. For family medicine, I believe re-certification is necessary.

I think that the NCCPA is making too many changes too quickly without validating the changes.

It seems like they should consider adding the specialty exams first.

I do not feel I am informed enough to make constructive comments at this time.

I believe the open book recertification exams are realistic given the use of uptodate regularly

A Psych CAQ is becoming required with pay bonus for my area of practice since NPs are already

required to be PNPs. Would like NOT to have to take General and CAQ each time.

I would suggest certain required CMEs during a 2 year cycle that cover several topics that are

frequently seen and treated with updates on best treatment and diagnosis option

I think open book testing with the ability to self learn works quite effectively (I went to Wake,

and we did a lot of problem based learning - that style works well for me to learn from mistakes)

The proposed recertification changes by the NCCPA are overkill and add too much certification

time and cost requirements to the average PA to have to attain or give up.

Page 66: AGENDA NCAPA Board of Directors Meeting Saturday, April 23 ...€¦ · NCAPA Board Book April 23, 2016 Page 32 of 148 Landscape Design Concept by Julieta T. Sherk, RLA, ASLA, Associate

NCAPA Board Book April 23, 2016 Page 66 of 148

If we change models, what happens to PAs in specialties that are not represented in the pathways

(like heme/onc)?

I believe with the SA/PI requirements already in place this places a large time as well as financial

burden for us to fulfill and with the proposed periodic take home exams I am afraid that this

would place and even bigger burden for us without really benefitting the PA's in terms of

retainable and clinical/practice relevant knowledge

There is no option to state that we have negative opinions regarding the proposed recertification

changes, only "most" and "least" beneficial, needs to be an option for "not beneficial"

I think at home exams would better reflect the way PA profession functions and reflect better the

daily ability to access resources and conduct research as the patients are evaluated

I think the generalist exam is important for PAs being seen as flexible and knowledgeable on a

wide variety of topics. While I think remediation would be convenient, and hopefully cost-

effective, I worry it will demote our standing in the eyes of other medical professionals. I do find

the QI and SA CME requirements to be cumbersome and expensive so I feel these should be

revisited.

Ongoing open-book test that PAs have to complete ensure regular continuing education in "bite-

size" pieces, so even specialty PAs can stay up to date on new developments and maintain

proficiency. This would actually be the perfect solution because it ensures PAs are completing

CME while submitting the results shows that they maintain proficiency

It is probably going to be quite expensive to develop. Am not in favor of a VERY expensive

exam. We already spend much $$$$ on CME. Unnecessary.

I believe recertification is a good thing and our physician colleagues have boards. I can

understand how PAs in specialty practice feel a general examination is not pertinent and how

some PAs are concerned taking specialty examinations will limit them. I believe a 10 year cycle

is fine. I would recommend PAs be able to take an examination of either general / primary care

knowledge or one that is specialized like ortho, surgery, psychiatry or dermatology. If a PA

chooses to specialize they can choose either examination to suit their needs. I'm not sure we need

to make everyone take a general test of primary care knowledge if they do not practice in that

setting. Let PAs choose if they want to take a general test or one pertinent to their specialty.

Page 67: AGENDA NCAPA Board of Directors Meeting Saturday, April 23 ...€¦ · NCAPA Board Book April 23, 2016 Page 32 of 148 Landscape Design Concept by Julieta T. Sherk, RLA, ASLA, Associate

NCAPA Board Book April 23, 2016 Page 67 of 148

I do not agree with the proposed changes the recertification nor do I agree with the already made

changes regarding SI/PI. I do not think that at home test (and open book) every 2 years are

beneficial in assessing medical knowledge. In addition, this only adds to an already packed

workload that comes with out jobs. I feel that all PAs are held responsible for maintaining a

broad range of medical knowledge (i.e. just because you work in oath doesn't mean you don't

have to know how to treat an AMI, that goes against what the PA profession is about) I would

much rather keep the recertification process as is, including the old CME requirements. I do not

feel that the SA/PI requirements are a worthwhile investment either. I know of someone who has

already completed an AAPA approved SI and found it worthless. In addition, the NCAPA cannot

adequately explain or provide information regarding these requirements so it is disappointing that

these changes have already been implemented and required of others. I have discussed the

above changes with numerous physicians that have all described this as similar to the changes

ABIM made years ago. They did not listen to the physicians concerns or complaints and had to

come back in 2015 and suspend changes because it did not work and physicians were not pleased.

I forsee this being a similar process and only deterring people from entering our profession or the

older generation not renewing their certifications given increased demands.

I find open book tests to be cumbersome and don't allow me to retain knowledge because there is

no studying involved. I think it is dangerous and detrimental to the PA career to only focus on

proctored specialty exams because PAs are supposed to be proficient in all general medicine. It

raises many questions about how easily and effectively PAs would change specialties in the

future. It strikes me as a threat to the "well rounded" nature of PA

I believe the frequent open book testing would be very beneficial as a way to stay current.

However I believe having a "specialty-focused" exam steers away from the idea of PA as a

general practitioner.

Q 10 yrs closed book on your specialty/field of practice + open book all else q 10 yrs

As a student, I have not gotten to the point where the recertification process directly affects me.

But I was very much a fan with the profession moved from a 6 to a 10 yr recertification.

Taking a general medicine exam every 10 years is not very meaningful to those in specialty care

(especially in surgical specialties as I am). Regular open book exams would ensure that I am

keeping up on general medical principles. Specialty-specific testing every 10 years would be

more appropriate and meaningful to the public regarding my specific skill set and knowledge

base. I really like the idea of feedback being provided for questions missed. This further

contributes to the learning process

I think a broad based exam is crucial to the fluid identity of PAs and is a huge reason of why I

applied to PA school. I want to ensure that PAs are able to be tested on a broad variety of

subjects. This is because I think that broad testing will protect the ability of PAs to move between

specializations.

As a student, the idea of a remediation process is indeed interesting. Also, I think it is important

to maintain certification as a PA-C as being generalist in nature, but have the ability to take

specialty-related exams for CAQ if the individual so desires.

Page 68: AGENDA NCAPA Board of Directors Meeting Saturday, April 23 ...€¦ · NCAPA Board Book April 23, 2016 Page 32 of 148 Landscape Design Concept by Julieta T. Sherk, RLA, ASLA, Associate

NCAPA Board Book April 23, 2016 Page 68 of 148

The increase in testing will only increase the stress of the recert process while increasing the cost

to the average PA

I feel like it is adding more to an already complicated process.

There are too many changes at one time. This can lead to PA's not maintaining their proper

certification based on the confusion. The CME change seems to be motivated by money and the

constant need for CME funds. Our profession was flexible and now we are pigeon holing

ourselves with "specialty" testing. This is not what we were created for in the first place.

We should be allowed to continue with CMEs and Book related exams more focused on out

specific work related field .NPs take their exam once .In today's stressful market we seldom have

the time to study for a recertification exam and do our jobs and have any type work life balance .

I feel coming fresh out of school when all you've done is study is when you should take your

boards. We really never graduate it's like we are life long residents 😊

I have stated this for years. T%he test doesn't not test my clinical ability. It is a test more of my

test taking abilities. The items on the test questions in general as a practitioner leave you wanting

more information. The desired information is the information I obtain daily on a HPI and exam .

I consider my self a very knowledgeable practitioner with experience in FP, Orthopedics,

Emergency Medicine, Internal Medicine, Pain Management, and now Urgent Care Younger PA's

constantly seek me out for advice on their patients. However I have never felt good after taking

any of the examinations. Additionally moving it to ten years , I truly believe it will be harder to

pass.

There should be an end point. After having 20 plus years of practice experience and an

unblemished record, it is a waste of time and money to continually have to retake the test.,

The PI requirements seem unclear.

I have practiced for 13 years and saw no problem with the previous recertification process. I

haven't yet started to review the changes, but have now entered the first calendar year of my two

year cycle. From what I understand, the self-assessment is a time commitment that involves other

providers in the workplace, and as I have read it does nothing to improve my ability to practice as

a PA.

I feel that testing should be open book if you are going to test in all the different fields; I have

worked in pediatrics for 24 years; I am stressed about taking the PANRE next year. I did all take

home tests up to this point and did learn alot; please make these changes; I thing they will

benefit those of us who have stayed in one field.

Page 69: AGENDA NCAPA Board of Directors Meeting Saturday, April 23 ...€¦ · NCAPA Board Book April 23, 2016 Page 32 of 148 Landscape Design Concept by Julieta T. Sherk, RLA, ASLA, Associate

NCAPA Board Book April 23, 2016 Page 69 of 148

some of these questions do not have enough choices. I preferred the 6 yr cycle with the exam at

the end of 6 yrs and the CME maintenance the way it was before the 10 yr change. I have not

been provided data that supports the PI/SA helps in anyway, not have I figured out why only

those approved by the AAPA in some cases are allowed. that is why I did not answer #10-no

appropriate choice

I am currently a non-practicing PA. I was not very happy to learn of the new performance

improvement requirement, particularly since the only options for CE were relevant only to those

in practice. I called the NCCPA and asked what I was supposed to do as someone not practicing.

I was told that at SOME point, there will be some options developed for me. I am frankly very

disappointed! I again checked to see what options were available for non-practicing PAs and

only found 1 CE activity that I would be charged $250 for. It has to do with patient safety. As

someone not practicing, how is this relevant to me??? There needs to be some serious discussion

around what requirements make sense for those practicing and not practicing because the current

requirement is ridiculous.

Taking hours to research answers to an open book test does not validate my clinical competence

I have worked in GYN since graduation over 20 yrs ago and plan on staying in this field.

Spending time studying other specialities to pass certification does not help my daily practice or

competency.

I am open to open testing model but while it is likely good for a review it may not really test any

knowledge

I am not clear on all the recertification changes but I think open book testing would be good as

we all use books, internet to help with diagnosis and medications and testing required to evaluate

symptoms and condition

At the time of taking this survey, I admittedly have not delved into these current recertification

changes. It is difficult for me to opine over this not having all the information.

We are given the opportunity to change specialties and that is a benefit. I believe the new changes

would put us at a disadvantage if we wanted to change jobs/ specialties.

Having just entered into the 10 year cycle (2014) - I have yet to see how the revised

recertification process offers any benefit over the original 6 year recertification process. That

said, the proposed changes sound even more to me as just a checklist of things a busy PA has

even less time for. Testing more frequently isn't a measure of public protection or really for

increased knowledge for the PA. It is just a surge of effort in order to meet the requirements to

maintain a license. I found our original 6 year process with enough time to clinically practice and

focus on continuing education and then head into a strong focus for a generalist exam. The 10-

year process may be similar although so far, I have not found the SA process to be any different

in value than the normal CME process.

Page 70: AGENDA NCAPA Board of Directors Meeting Saturday, April 23 ...€¦ · NCAPA Board Book April 23, 2016 Page 32 of 148 Landscape Design Concept by Julieta T. Sherk, RLA, ASLA, Associate

NCAPA Board Book April 23, 2016 Page 70 of 148

We haven't even validated the value (or lack of) of SA and PI-CME. Moving into this new area

without compelling data is ridiculous. The constant corporate back talk NCCPA pushes every

time a criticism is made suggests they have defaulted on their integrity. It's unfortunate.

I believe the current process 6YR is fine. I think general core knowledge review and testing

allows more flexibility during professional life. I believe the process changes favor

subspecialization, the way NPs profession is, and this is a reason why I chose to become a PA.

PAs already have much more rigorous CME, and testing requirements than NPs. I do not think

subspecialization is a benefit. It will only limit us in practice and career path.

I think NCCPA has provided a thoughtful approach to the proposed plan, and have been

transparent in their plans for changing the process. I believe the logic behind their

recommendations are sound, and they truly do have the best interests of our profession and the

public in mind.

I think it's just more hoops to jump through to maintain certification and makes it more costly to

maintain without benefit.

I actually think that CME alone should be sufficient alone for active licensing and PA should not

be held to a different standard than all other medical providers

I have only taken the recertification exam once (3 days ago) and I work in an Urgent

Care/Primary Care setting. The results of my first PANRE may more strongly influence my

responses to these questions. I think the more seasoned PAs who have seen the evolution of the

recertification process or a PA in a specialty practice might have stronger opinions and I hope

their responses would be more weighted than mine

They should let the changes made4 years ago complete at least once cycle before making more.

Being in specialty practice, I see nothing wrong with the current recertification process. I like the

fact that I need to review topics that I don't have clinical practice in, in order to stay up to date.

as stated above. not sure what the answer is. the beauty of a PA is the generalist knowledge and

ability to change pathways along a career. however, there should be more focus on testing the

knowledge of the actual practice vs generalist to maintain a certification.

I may be a minority with the severity of my test anxiety but taking a test does not reflect my

knowledge base or how I treat and care for my patients. I understand the necessity of being tested

but I preferred the take home which allowed more time for test taking. I believe a combination as

suggested may be a solution worth exploring.

Page 71: AGENDA NCAPA Board of Directors Meeting Saturday, April 23 ...€¦ · NCAPA Board Book April 23, 2016 Page 32 of 148 Landscape Design Concept by Julieta T. Sherk, RLA, ASLA, Associate

NCAPA Board Book April 23, 2016 Page 71 of 148

I understand the reasoning for open book testing due to the apparent number of specialty PAs not

passing the PANRE, and I see both the positive and negatives. On one end if just continues to

improve our knowledge base as a midlevel practitioner. But as hectic as our daily lives are now I

can barely add in any extra on top of what I already do! I am a mother of 3 young children, a full-

time PA, homemaker, and wife. Outside of the regular CME, journals, and PA students that I

precept I have increased concerns of adding on more that has already been added to the new 10

year cycle....and tests to beat the band just to defend my competency. If anything, with the 10

year cycle, having completed the SI portion this year already, I was already impressed. The

PANRE I feel needs to have changes. The questions are outdated and not practical for the most

part to the practicing PA.

I will recert on my last 6 yr cycle at 60. I am extremely unlikely to recert again past then, so it

doesn't much matter to me.

Protecting the ability to change specialties in important.

I feel that we do more than other medical health professionals and do not need to add more work

to the process.

I am strongly opposed to a take home test- how would this measure anything? This is ridiculous-

we don't have the time outside of work to look up hard to find details about things that may or

may not apply to our specific positions.

There are still many providers who haven't even entered the "new" 10 year cycle with new CME

requirements and now they are wanting to make changes again. I have not personally entered into

the new cycle but colleagues that have are very unhappy with new requirements. With the

proposed new structure for testing I have many concerns. The open book structure was removed

years ago for not being effective and now it is being brought back, this in itself does not make

sense to me. Also, having more tests throughout the year puts more of a time burden and

constraint on practicing providers. Employers are putting more and more restrictions on

compensation in regards to money and time off to complete CME requirements and from what I

can tell these requirements will increase need for more of each or put more pressure on PAs to

pay out of pocket for these requirements.

As a PA in orthopaedics for 37 years it seems unreasonable for me to take the same exam as PAs

in general medicine. Albeit there are potential musculoskeletal manifestations with many or most

system ailments I do not believe I should be required to compete with other clinical based PAs.

There is little in this test that confirms my competence in orthopaedics and my daily practice. I

am retiring early partially due to this flawed system that I am very tired of. I addressed this

flawed process with the NCCPA and other colleagues 30 years ago and with little response and

progress. I have maintained my certification throughout my 37 years however.

Page 72: AGENDA NCAPA Board of Directors Meeting Saturday, April 23 ...€¦ · NCAPA Board Book April 23, 2016 Page 32 of 148 Landscape Design Concept by Julieta T. Sherk, RLA, ASLA, Associate

NCAPA Board Book April 23, 2016 Page 72 of 148

I have begrudgingly participated because I have to. I have waited to begin making the changes to

my own recert process because I knew there would be many hurdles and changes, and I have been

correct. Still waiting for the process to become more user friendly.

I don't understand the SA/PI requirements and I'm not excited about starting them. I like the CME

I and CME II breakdown. Most of my CME was CME I anyway and I think it would be really

hard to do a SA/PI in my specialty.

I am very upset that the NCCPA seems to be ramming this change down our throats. Their

response to many PA's pushback is to say that they know best, and it sounds like they've made up

their minds anyway. The system we are supposed to be evaluating is very poorly defined. The

scope of the take home exam is extremely vague,and could represent a huge undertaking. No one

liked take home exams in college because you could end up doing much more work than a

traditional test. There is no mention of what CME would be required, except for remediation for

not doing well on a specialty exam (and that is not defined either). So no more CME

requirement? Same as now? If there is no CME requirement, then the SA and PI new

requirements must not be worth much. I don't know what initiated such a drastic proposal. Are

patients being harmed at an increasing rate? Perhaps it's the fail rate. Many have complained

about the questions being esoteric or overly specialized (it's supposed to be a generalist test). Has

anyone thought about writing a better test? Some PAs would like to have independent practice,

but the reality is that we practice medicine with the supervision of physicians. They are the ones

to monitor our skill level with patients, not an exam. And if the concern is for patient safety, that

is the reason the NCMB exists. To me, certification means that I satisfied all the requirements to

become a PA. I'm not sure why we need a recert process. When I switched specialties I worked

closely with my supervising doc (14 hours a day for months) until my knowledge and skills were

up to par. That's why we can switch specialties, not because we take a test every 10 years. Thank

you for listening.

I feel that it is getting harder and harder to be in a specialty. Since I only see research patients,

there are very limited options even to attain the new CME requirements as none are relevant to

my practice. I don't think the proposed exam changes will be any different, which still leaves us

with the problem of a recertifying process that isn't relevant.

I certainly think there are benefits to the proposed changes. However, I do not know all the

specifics. I'm comfortable with the current testing, but it does test me on a number of things that I

never see in my day to day practice.

As long as it keeps the PA-C as a general practitioner who is able to function with specialists of

all stripes, I'll be happy

It seems to be adding more time and money we need to spend on tests and CME- and I don't think

testing really proves anyone's competence

Page 73: AGENDA NCAPA Board of Directors Meeting Saturday, April 23 ...€¦ · NCAPA Board Book April 23, 2016 Page 32 of 148 Landscape Design Concept by Julieta T. Sherk, RLA, ASLA, Associate

NCAPA Board Book April 23, 2016 Page 73 of 148

As a PA who has passed PANCE and PANRE several times, changed specialties without

problems and seen this process evolve, I find the new proposed changes disparaging. This

proposed model will only take time from patient care as we will spend more time making sure we

are on track with certification, testing. It will make us LESS desirable to employers who already

find NPs easier to hire and maintain their credentials. It will reduce retention of PAs - those close

to retirement will opt not to recertify due to the lengthy process. That will have repercussions on

PA education (lack of good seasoned PA preceptors and mentors). LASTLY, it will divert

students away from being PAs and towards NP because the process is so much simpler. I do

think it will completely undermine our profession. I do not think the current model is perfect.

However, making it more complicated is NOT the solution.

I feel that CME is more expensive now and more time consuming. Some of us have full schedules

and a family at home and now we will be required to spend more and take more time working on

"busy projects". I feel that it was easier to read journals on our own time and attend conferences.

NCCPA seems to be trying echo the program that the physicians are following and this is creating

havoc, legal action, petitions, boycotts. Why are we adding more to what is working well?

The SA/PI requirements seem to mirror physician requirements in both reception and

implementation. Most of the physicians I know feel that these requirements are merely a means of

generating revenue to sustain certification bodies. A10-year, 6-year or 5-year recertification cycle

is irrelevant when what you accomplish in the end is spending enough money to infuse your short

term memory long enough to sit for an exam evaluating you on something you don't do every

day. We are all interested in being respected professionals in our field and should strive to be

lifelong learners. That being said, I do not mind reading well written informative journal articles

daily and answering questions on topics at I don't see in practice to make me a more well rounded

provider. I do not mind being reviewed by my peers and supervising physician to check the

quality of my work and identify areas of improvement or excellence. The hard truth remains that

in a busy practice there is very little of this actually being done and most of the evaluation is

merely a rubber stamp to fulfill the requirement. Clinical experience hours, supervising physician

evaluations and continuing education should be more than enough to demonstrate competency.

Our profession was instituted on the basis of the relationship between the PA and the Physician

and scope of practice was determined through mutual agreement and demonstrated competency.

I believe that the timed exam as well as the non-timed exam should be open book. We utilize

resources including colleagues and research materials throughout the day so this best reflects our

practice. I do believe the timed exam should be general with an option to specialize for an

additional certification.

Page 74: AGENDA NCAPA Board of Directors Meeting Saturday, April 23 ...€¦ · NCAPA Board Book April 23, 2016 Page 32 of 148 Landscape Design Concept by Julieta T. Sherk, RLA, ASLA, Associate

NCAPA Board Book April 23, 2016 Page 74 of 148

HATE the PI portion of the current recert in particular. BUSY WORK which can be hard to put

together. And expensive. Not wild about SA either. Why institute all of these 2 year

requirements AND then ADD on more testing???

I do not believe an open test exam should be any more frequent than every 10 years. Most of the

cme we do annually is technically an open book exam. I do not want the focus on specialty

certification to keep me from changing fields. That is why I chose this field to start with.

More frequent testing is just a way to increase revenues.

I'd be all for the change to open book tests more frequently in place of a large 10 year test but as

it stands, all of my CME time would be used to take these tests every 2 years which doesn't leave

me time to get my CME requirements

My personal opinion is that NCCPA screwed up the process with the recent changes and they are

trying to "fix" it by adding more confusing and stupid requirements. We should make real

changes and drop the PANRE all together and maintain CME requirements. NPs take initial

exam and require 30 CME every 2 years and I do not hear any public outcry about them retesting!

Physicians do not retake USMLE ever after medical school.

Given the high percentages of PA's practicing in non primary care fields I believe the proposed

re-certification changes are important. My understanding is that the other physician extenders-

NPs do not have to re-certify, but do have to earn x amount of CEU's or CME's every so often

and was wondering why we have to re-certify?

Recertification if vital. It should be done as relevant to clinical practice as possible. The open

book method is aligned.

Keep the current model. Continue to advance the CAQ program to other specialties. No reason

for further changes being proposed. The generalist model works best as we can change specialties

without having employers worry about what we are currently certified in. The CAQ model was

brought in to address the concerns of people wanting to show their competence in a certain area

of study. Why change yet again and so quickly after it was started?

The cost is going to be an issue. It is very expensive to pay for the SA/PI requirements.

I don't think SI/PI will do much to further my continued medical learning.

The proposed testing requirement involve too much work to prepare for several tests within a 10-

year recertification period, in addition to SA/PI CME (which itself is a waste of time). Honestly,

if the NCCPA proposed changes are implemented, I will either retire or find another profession

before I have to recertify again. I am afraid the changes will push more people to become NPs vs

PAs, which will hurt our profession.

Page 75: AGENDA NCAPA Board of Directors Meeting Saturday, April 23 ...€¦ · NCAPA Board Book April 23, 2016 Page 32 of 148 Landscape Design Concept by Julieta T. Sherk, RLA, ASLA, Associate

NCAPA Board Book April 23, 2016 Page 75 of 148

The current regimen is very stressful, time consuming, expensive. I would prefer more frequent,

small doses with less stressful environment than a test center.

In a world of having technology at your fingertips - Pathway II open book formats make the most

sense for those working in subspecialties. If I can prove I know WHERE to get the answer and

HOW to get the answer, then I have proven my ability to practice evidence based medicine with

an acceptable level of competence. Being required to memorize diabetes management algorithms

for a PANRE format, only to never use it in a 10-yr cycle makes little sense in comparison.

I thought the pathway II exam was great.... Would like to see it come back. Don't think a

specialty exam is a great idea..... Who are we proving our competency to? My physician doesn't

care, other than me taking time away from work to study, go to conferences, etc.

I, like a majority of my PA colleagues, are tired of the constantly changing requirements and ever

increasing costs of maintaining certification.

It's a money making game in the name of better practice. Bullshit.

I could not answer #11 and #12 because I just entered this new 10 yr cycle and have not had the

time or energy being a full time working mother to figure it out yet. After just taking my

recertification exam for the 5th time since 1990 I feel like I should be exempt from having to

take it anymore and just keep up with my 100 CME hours/ 2 year cycle.

I have recently met many PAs who are now having problems passing the PANRE. Some of them

state it is because they are in a specialty however I am finding that it is more likely the test. As a

primary care PA with over 20 years experience in many different settings I found the test this

time not pertinent to what I do either. Many ER cases. Honestly in the Primary setting we

stabilize and transport. You have to have special training to do ER work. We have to know how

to analyze information after looking it up if need be. We also have to be aware of best practices.

We do need to know when to send for testing and what test. But the exam does not take into

effect what insurance will pay for--CT vs MRI. The test is not based in reality. Memorizing data

does not make for a good clinician. How the information is used even when we have to look it up

is more important. That being said one minute per question is too short. Some questions are

straightforward but others have subtle information that we need to have the time to analyze and

take into account. I read quickly but had difficult time finishing. My first exam back when it

was for two days was easier and more appropriate.

I do not like the SA/PI requirements. That is difficult if you are not a TREATMENT provider.

CME should be enough on a regular basis, even if this had to be changed to yearly.

Page 76: AGENDA NCAPA Board of Directors Meeting Saturday, April 23 ...€¦ · NCAPA Board Book April 23, 2016 Page 32 of 148 Landscape Design Concept by Julieta T. Sherk, RLA, ASLA, Associate

NCAPA Board Book April 23, 2016 Page 76 of 148

We are PA's. We are not doctors and I'm not at all interested in ( and I think it's straight up stupid)

to move towards a doctorate degree. Don't really care about certification, it's crap. I've seen

straight A stupid PA's in practice that smoked the boards. It's a process that makes someone feel

important and competent and I understand that's important for bureaucrats and liberals. I'm more

about competency and for that, I'm about testing your knowledge on things you will see and do

and not on a standardized test that is full of questions designed to meet the curve. Sorry, I've been

around a long time and most of this is pure bullshit. I practice and have been for almost 30 years,

I'm good at what I do and my MD peers will vouche for me. Some stupid test or a doctorate

degree won't change a damn thing. How's that for my honest opinion? Perhaps we should test

competency instead? Just a thought.

I applaud the efforts to for improving the process and obviously the NCCPA recognizes they have

a flawed system, otherwise this would not be an issue. Subjecting individuals to the possibility of

losing their jobs for not passing a recertification exam frankly angers me. Although I have never

failed the pathway I exam, the anxiety it produces does nothing to make me a better PA. Many of

our physician counterparts are required to recertify, but they do not lose their license to practice

medicine if they do not pass the exam. Nurse Practitioners are not subject to the same scrutiny as

PA's. What has our profession become? I am a believer is lifelong learning but not to the

detriment of the profession. As I am nearing the end of my career, it's sad that I gauge the

number of years left that I want to practice to the 10th year of my certification cycle so I avoid

having to take that brutal exam yet again.

A good step forward

I think the whole SA/PI is a money making deal and not helpful to our profession. I think there

should be an endpoint for testing. I think the new stuff is too confusing and not helpful for those

of us who want to move between specialties, esp at the ends of our careers

Develop pathway 2 focused exams

I would suggest that the timed PANRE be discontinued in favor of open book and required CME.

If a PA changes speciality a compentency exam in that specialty could be given.

I would like something that is simple and straightforward and covers the basic things. I'm not

interested in specialty areas.

The recertification process helps to validate our expertise and clinical acumen. General medicine

testing helps in career mobility and protects the patient as the provider in a specialty must be

cognizant of the whole medical picture of a patient thus being more than a quick fix technician.

I always preferred the CME meetings that were most specific to my type of practice. Saw no

value in the self assessment course I just took.

Page 77: AGENDA NCAPA Board of Directors Meeting Saturday, April 23 ...€¦ · NCAPA Board Book April 23, 2016 Page 32 of 148 Landscape Design Concept by Julieta T. Sherk, RLA, ASLA, Associate

NCAPA Board Book April 23, 2016 Page 77 of 148

We have not tested the change to a ten year cycle with SA/PI CME, why add changes now?

There is no evidence CME protects the public. It seems unwise to forge ahead with more costly

changes without scientific data to support it.

generalized testing with specialty testing included

I am a certificate only PA-C having worked for 42 years and i plan to retire within 2 to 3 years. I

used to believe national certification protected the public, but I find the new requirements baffling

and intimidating. I do not see the utility of same.

There is little to no evidence that the changes proposed will have a beneficial impact on patient

outcome

#10: none of the above. 11: none of the above. I am considering NOT recertifying for the last

time because of these. 14: Masters is coming if not yet here. 15: I would appreciate an

affordable, online doctorate option similar to NPs. 18. possibly..

I would rather take the recert every 6 years than add more CME

It is illogical to make major changes to a process when half of the PAs have yet to even enter into

the 10-year cycle. And no one is more than 2 years into the 10 year cycle---making changes

when all of us have essentially no experience in the "old" (but quite new, actually) process is

somewhat illogical.

I do not really know what the proposed changes are in a simple format so I can't really the

questions.

Unnecessary. Costly. It stimulates experienced PA-C to retire sooner. No other Health Sciences

associate degrees have to be tested to the MAX as PA's.

Taking exams more frequently? Working full-time, raising kids................very hard to study.

You did not give the choice on questions 10 and 11 to say that I don't think any of the proposal

from NCCPA is beneficial for me which is my opinion.

The current process tests basic primary care knowledge and insures that PAs meet basic

knowledge standards. The proposed changes are more time consuming and add little to improving

a clinical PA's skill sets.

this will be my last recert cycle as I am almost at retirement age

being designed by individuals that are not actively practcing in the real world.

10 year cycle is great, but the SA/PI portion seems daunting.

Page 78: AGENDA NCAPA Board of Directors Meeting Saturday, April 23 ...€¦ · NCAPA Board Book April 23, 2016 Page 32 of 148 Landscape Design Concept by Julieta T. Sherk, RLA, ASLA, Associate

NCAPA Board Book April 23, 2016 Page 78 of 148

all personal growth is driven by the person themselves and not by any forced cramming for

an exam or doing anything other than going and hearing people more current in their fields

than we are . All other testing is to document as a profession we police ourselves,

probably needed I suppose.

Why must we recertify at all when MD's, NP's do not have to take any type of testing? Is not our

education, clinical experience, CME criteria, and supervision enough? Why are we held to a

different standard? The public has no idea that we take a test or that an MD or NP do not have to.

for me the changes would cost me more money. since i am one of the first PA's in the 10 year

cycle the self assessment and the pi is costing me more money. there are no self assessments or

pi's in my field of medicine. so i have to take specialize programs that have nothing to do with my

specialty. also these self assessments cost more money and one has to spend extra time trying to

pass these since they are not in your field of medicine.

I believe we should all be certified in General Practice, because of our mobility.

There should be a time limit whereby a PA does not have to recertify. In my opinion, the test

serves no purpose except to line the pockets of the NCCPA. In the early days of the PA concept,

perhaps it had some relevance. I graduated from PA program in 1977. Then the PA idea was a

new one and the certification exam probably helped patients feel better about being seen by a PA.

That is no longer the case. I think that for new graduates, it is reasonable for them to take the test

a couple of times in their first 8-10 years of practice but after that, it should not be necessary.

After that, it just becomes another hoop PAs have to jump through for no good reason. A PA

does not prove his/her competence in patient care by taking a test every 6-10 years. Competence

is proven in the marketplace for PAs the same as MDs. If you keep yourself sharp and take good

care of your patients that is all that matters. If you need a test every 6 years in order to do that,

then you probably don't need to be a PA at all.

It will be a relief to take an open book test. I will still learn through the process, but it takes the

pressure off of relearning other specialties.

Recertification is a money making process for NCCPA: all it does is shows if you test well. It has

no correlation to how well one preforms as a PA

I think that you should be given an option, to continue current recertification process or follow

the specialty recertification track.

Leave it alone....the 6 year cycle with the 100 hours every 2 years is fine. This is a money thing

only, and if you read the PA Huddle, that seems to be a consensus. Also, the requirements can

seen as a hardship to many. I think the NCCPA has a large disconnect. My next time to recertify

is when I turn 70, and I SERIOUSLY doubt I will put myself through the grind.

Page 79: AGENDA NCAPA Board of Directors Meeting Saturday, April 23 ...€¦ · NCAPA Board Book April 23, 2016 Page 32 of 148 Landscape Design Concept by Julieta T. Sherk, RLA, ASLA, Associate

NCAPA Board Book April 23, 2016 Page 79 of 148

Questions 11 & 12 do not provide a "none of the above" option. There is no credible data in the

literature supporting examinations/recertification as establishing provider competence or

protection of the public. Maintenance of Certification (MOC) has become a money-making

business as the ABIM and Pediatricians have discovered. Documentation of ongoing and regular

CME should be sufficient.

Page 80: AGENDA NCAPA Board of Directors Meeting Saturday, April 23 ...€¦ · NCAPA Board Book April 23, 2016 Page 32 of 148 Landscape Design Concept by Julieta T. Sherk, RLA, ASLA, Associate

NCAPA Board Book April 23, 2016 Page 80 of 148

What barriers to a name change might prevent you from voting to accept a

name change?

I do not think there would be any barriers. It’s an outdated and inaccurate title based on the

position and job PAs carry out and perform.

None. I honestly believe that changing the name from assistant to associate would greatly help the

movement forward of a PA. It would bring a more solidified appearance of the PA to a patient. I

think it more accurately describes our role in relation to our supervising physicians.

Confusion of the public on current physician assistant role

Being hyper focused on keeping the PA abbreviation. Associate Physician would be more

appropriate given how academia uses associate professor to denote a more limited education/role

professor

None. I also think getting a doctorate is degree-bloat. I did not become a PA to do research. I

did not become a PA to stay in school for as long as an MD. Just because the NPs went to

doctorate doesn't mean their curriculum is commensurate with any additional education that

justifies that designation.

A little more complicated to have to explain to patients and supervising MD why we are changing

it, however for future purposes I believe APP or physician associate/extender are more

appropriate terms.

I think we should use the medex term (ex. Medex Smith)

In general, there needs to be more promotion of the role PAs play and some patients are not even

aware of what "PA" even stands for.

I would accept it but i don't think its necessary and will just further confuse the public and

healthcare field.

Honestly, I think we should be re-branding the profession as just "PA." If we introduce ourselves

as "PA (insert last name)", I think it would carry more weight than changing "assistant" to

"associate." It makes it easier for the patient and similar to the way physicians introduce

themselves. I would not necessarily vote against the name change, but I am unsure of the actual

benefit it will give to the profession.

public confusion

Current widespread use of "physician assistant" by the public may make name change confusing

to general population.

One of the biggest concerns that I have about a name change is the confusion that accompanies

any name change.

Page 81: AGENDA NCAPA Board of Directors Meeting Saturday, April 23 ...€¦ · NCAPA Board Book April 23, 2016 Page 32 of 148 Landscape Design Concept by Julieta T. Sherk, RLA, ASLA, Associate

NCAPA Board Book April 23, 2016 Page 81 of 148

Pattends being confused of why there was a name change

Regardless of if the name changes or not, more public outreach should be done to educate the

general public about what PA are and what we do.

It's not going to change the way we practice or the perspective of patients and doctors, so why go

through the trouble of changing it?

I don't see any big problem to the name 'physician's assistant' or any reason to make the change-

along with re-education of physicians and patients that would come with the change.

None, I welcome the name change from Assistant to Associate.

The long and illustrious history of the name. We are what we are. If it isn't broke, don't fix it!

especially just for pride.

As much as I do not like the title "Physician Assistant" I also do not like "Physician Associate".

Why do we have to have the word "physician" in our title at all? I wish there was a novel word

just for our profession. If I had to pick between these two options, I would pick Physician

Associate - but if the profession moves towards a doctorate degree I would want to avoid having

the doctorate title be "Doctorate of Physician ___ Studies" and instead relate to Medical Science.

The recent proposition from the AAPA to just use "PA" seems ridiculous to me. It has to stand

for something and we've worked hard to get the recognition of PA so we shouldnt change it

completely. That is why I think physician associate is more in line with what we do

professionally and shows a little bit more respect. Our programs should award doctorates because

NPs going to doctoral programs basically force us to do so. Otherwise it sounds like their training

is superior and above ours despite it being far from the truth.

We have fought to make people aware of what a Physician Assistant is. We have name

recognition and I think the window of opportunity for name change has passed.

I would be in full support of the name change

People are finally beginning to accept and understand what a physician assistant is. Be patient,

the time will come when a physician assistant is as distinguished a a 'doctor'. Do you get the

point? We have more important issues to solve.

Page 82: AGENDA NCAPA Board of Directors Meeting Saturday, April 23 ...€¦ · NCAPA Board Book April 23, 2016 Page 32 of 148 Landscape Design Concept by Julieta T. Sherk, RLA, ASLA, Associate

NCAPA Board Book April 23, 2016 Page 82 of 148

None really. AAPA has committed to rebranding the profession as "PA" versus "physician

assistant" and this is the term that I utilize when I introduce myself to patients, or even when

discussing my profession with someone that I meet in passing. When asked to clarify what a

"PA" is and does, I give a brief description of my day-to-day job responsibilities and duties, as

well as my education. I also will typically highlight the difference between myself and a MD.

Changing the profession name to "physician associate" will not change the way that I do this.

My primary concern with the name change would be from a legislative angle. What would this

mean for the laws that currently state "physician assistant" as a qualifying provider that

can/cannot perform certain acts or see certain types of patients, etc. . Similarly, for insurance

companies, how would this change reimbursement, if at all?

Many of my patients don't use the correct term when they address me currently and I think

changing the name may cause more confusion than benefit. I like the term associate over

assistant, I just feel that it will not be result accepted by others

new title, new education towards public

Time it takes for the public to be knowledgeable on the career itself, there are still patients out

there that do not know what a physician assistant is

The fact that all the legislation regarding PA practice from the last 50 years would have to be

rewritten to reflect the name change. I recommend working to integrate the physician associate

nomenclature into new and existing legislation and then change the name. I don't want to see our

profession set back due to semantics.

Physician associate is not much better than physician assistant and it's possible that it would only

cause more confusion about the role of a PA. Physician associate almost sounds like an

administrative or legal role.

Old school physicians and NP'

The confusion for patients will prevent me from voting for this change. I also do not feel the

name change will have a positive impact on compensation for PAs.

Current degree is Master's of Physician Assistant Practice so Associate may cause confusion

when posting degree in office for some.

The general public is already confused about our role in the health care system. This may just be

another confusing point for them

Anything that is demeaning.

After change there is always a long time until new changes are accepted widely

cost (very expensive to get the laws changed) and unnecessary

there is always the debate if the practice laws in every state would have to be re-opened to allow

the name change or not - that is the main point of contention that i've heard in the past

Page 83: AGENDA NCAPA Board of Directors Meeting Saturday, April 23 ...€¦ · NCAPA Board Book April 23, 2016 Page 32 of 148 Landscape Design Concept by Julieta T. Sherk, RLA, ASLA, Associate

NCAPA Board Book April 23, 2016 Page 83 of 148

If it will alienate our physician collaborators or if it will cost too much, I would be hesitant to

accept.

None, I think the name needs to change. I often feel uncomfortable saying Physician Assistant

around patients because they lump us in the "medical assistant" category and not the provider-

patient category!

its all semantics. just give us tools to be the best we can be.

state-level legislature: might require edits to multiple laws regulating PA's

I do not see a need for name change

There would have to be a lot of public education. Patients are already confused about

terminology: PA, NP, midlevel provider,...

Only something better than "physician associate". physician assistant is terrible. Needs to be

changed. Question is: is physician associate the right choice (it's ok, not great) I get the PA thing

If the name is no better at describing our profession. It's unfortunate we're so tied to "PA" because

we would be better served being called Medical Practitioner instead, but at least Physician

Associate is better than anything with the title "assistant" in it.

There's already confusion for patients and some physicians on what a PA is and capable of doing.

Im not sure that a name change would fix that issue, but I wish something could be done

I do not see a need to change the name of our profession. It does not change anything about our

clinical practice and would, I think, cause confusion for patients and colleagues. I feel that the

NCAPA has "bigger fish to fry" at this point in time (i.e. the recertification process)

Cost

If opening that part of the bill up for change also opens other parts (prescribing rights etc) that

might end up being voted on by higher powers and restrict us in the end. If it opens that can of

worms then I am fine being called "assistant" even if it's a misnomer

I have a comment to make on the questions about a doctoral degree. It seems absolutely

ridiculous to me that people are even considering a doctoral degree for the profession. There is no

benefit. Why after two and a half years of getting our Masters would we want to go back and

pursue another degree? We did not go to medical school for a reason and I think having a

doctorate, for any reason other than you want to teach, is ludicrous. It isn't like we could use it to

credential ourselves we would still be PA Jones, etc.

Is it worth the name change. Many times people do not know what PA stands for so will the

change make a big enough difference to be worth the work to have the name changed?

Page 84: AGENDA NCAPA Board of Directors Meeting Saturday, April 23 ...€¦ · NCAPA Board Book April 23, 2016 Page 32 of 148 Landscape Design Concept by Julieta T. Sherk, RLA, ASLA, Associate

NCAPA Board Book April 23, 2016 Page 84 of 148

I think that the term "associate" has a less professional connotation than "assistant."

While I have mixed feelings about transitioning to a doctorate program, I fully heartedly embrace

the transition to the tittle Physician Associate.

I just think there would be too much confusion with the change.

I think it might bring confusion initially from all medical professions and the patients as well.

However, the current name, Physician Assistant, already creates confusion for those not as

familiar with the profession. Most of my patients (and even nurses and ancillary positions)

assume that I'm just an assistant to a Physician (like an MA or even a secretary) and do not have

significant medical training.

Patients are used to "Physician Assistant" and may be confused by a new title. Also, I feel that

there are more important issues on which to expend our energy that the name change.

Whether the hassle is worth the effort. My understanding is that if we "open the books"

regarding legalities of the profession (ie, changing the name), then that open period could also

leave other aspects of PA practice-law open for change/alteration, and without really specific

oversight and management, that could be catastrophic. It could also be really amazing and

beneficial for the profession. I think we need an aggressive board -- I feel like the national

nursing board has a reputation for being more aggressive than the PA governing board is. Why is

that? How can we change? If the title Physician Associate would take one step in the direction of

being more competitive in the profession, then let's do it. I think the name is less important than

our presence, the quality of our care, and education the public and other health care providers

about our invaluable role.

I don't have enough outside clinical experience to inform my choices on a name change.

None at this time. I believe this proposed amendment is overdue and would be highly beneficial

to the institution of the PA practice and patient care in NC.

I do not think there would be a problem with the change however I believe medical practitioner

would give much more of a positive light on the PA profession and accurately describe our

medical role.

Creates even more confusion with the general public. All of us old PAs have built this profession

into an accepted profession and we got into it knowing we would be called assistants. If you want

to be a doctor,go to medical school. There are tons of openings because we PAs have done a great

job.

A name change is meaningless.

Page 85: AGENDA NCAPA Board of Directors Meeting Saturday, April 23 ...€¦ · NCAPA Board Book April 23, 2016 Page 32 of 148 Landscape Design Concept by Julieta T. Sherk, RLA, ASLA, Associate

NCAPA Board Book April 23, 2016 Page 85 of 148

None the name has been out dated for a long time . We need to have a higher level of degree to

keep pace with the NP program or our profession will die. NPs are becoming more independent

where's has we are dependant on physicians and the Medical Core does not advocate for us or

NPs to be independent for fear of losing jobs. But in today's cost effective market with NPs

becoming independent of physicians they will be more marketable than us. Why hire a PA who

needs a Physician to cosign there charts when you can hire a NP. Just my 1 cents.

Simple; I vote no, as I have for years. Leave it alone . I am proud to be a Physician ASSISTANT!

Seriously, with all the issues that surround health care, we are going to worry about a name?

How about getting the laws changed so that PAs have the same authority as a NP? How about

PAs being able to sign for things like home health care and such? I hardly think a name change

should be debated and we sure do not need to spend the money on these things. If a PA needs a

name change to feel accepted, then there are deeper issues.

None. I would vote in support of the name change.

I agree with the change

there are already to many ways of labeling us as it is, advanced practitioners, mid-level providers,

physician assistants, this would just add to the number and confusion surrounding what we do, in

my opinion. I would be interested to know if it is "newer" graduates of PA programs that are

wanting these changes, or those of us that have been doing this in the trenches for many years.

Bigger legislative and reimbursement issues

I can not think of any barriers in particular.

I can't think of any barriers

I don't think there would be any barriers

We are what we are... We are Physician Assistants! We assist the Physician(s). Why are we

making it so complicated??? If you want to be a Physician, go to medical school!

We already have to explain ourselves so why add any further confusion.

Would wonder if there would be legal or payment issues with a name change.

Page 86: AGENDA NCAPA Board of Directors Meeting Saturday, April 23 ...€¦ · NCAPA Board Book April 23, 2016 Page 32 of 148 Landscape Design Concept by Julieta T. Sherk, RLA, ASLA, Associate

NCAPA Board Book April 23, 2016 Page 86 of 148

While I believe my physician partners and patients would accept a name change, I don't believe it

would actually clarify my role in health care or offer any practical benefit. I believe it has been a

very long patient educational process to learn what a Physician Assistant is, and I think it may be

equally lengthy process to adapt to Physician Associate. Also, I do worry with the political

atmosphere and competing interests that opening up legislation would also open up the door to

negative setbacks for the profession. That said, perhaps those risks are worthy if in fact a title

change is felt to broaden the way towards remaining competitive in this healthcare market. I

would support a doctorate degree mainly to remain competitive in the healthcare market and I

feel not having it could be negative for the PA profession because most health care industries are

nurse-driven/nurse administratively run.

I won't support a name change; we have too many other priorities to get derailed on unimportant

detours like this

It should have been this from the start.

I think it could have potential legislative implications regarding scope of practice for PA in

states/at the federal level.

we have bigger and more important battles to fight

I don't see any benefit. There are associates in several retail stores. State legislatures could have

problems and affect current privileges.

financial obligations

I like the name because it is what we (myself, patient's, docs) are used to saying but I do believe,

as a PA who runs a clinic and is the only provider in the clinic, that it is a misnomer

Financial cost. Opportunity cost. Confuse patients. Confuse insurers. Who ties their value and self

worth into a name? PA is a internationally know term, lets stick with that.

I like to stick with the historical name. As a Physician Assistant, I am highly aware of my

training and skill and I am responsible for educating patients and supervising physicians on my

training and skill too. Being an "assistant" is not derogatory to me.

don't know that assistant or associate make much of a difference. i know i provide high level care

for my patients and that is good enough for me

The profession is 50 years old there may be a general resistance to change.

difficulty with acceptance of physician's and re-educating the public

Page 87: AGENDA NCAPA Board of Directors Meeting Saturday, April 23 ...€¦ · NCAPA Board Book April 23, 2016 Page 32 of 148 Landscape Design Concept by Julieta T. Sherk, RLA, ASLA, Associate

NCAPA Board Book April 23, 2016 Page 87 of 148

I think initially it would be difficult for people to process, but hey... They are also asking us to

consider testing every other year too. I would be concerned about the process of changing the

certifications, some physician approval along with other PA approval. But did we not have

Physician Associate title in the past for a short time?

The opportunity cost of changing the name may prevent other important advances such as

improving reimbursement and expanding scopes of practice.

Anything that would negatively reflect on the profession or require a great expense

Patients have become familiar with Physician Assistant and changing the name might be

confusing to them.

We have been working hard to explain our role as a Physician Assistant and educating providers

and patients for years and are finally making some head way. We would be reinventing the wheel

and starting from square one on all the work we have done to change to another name that still

doesn't better describe our role.

I don't think a name change would matter to anybody but PA's

I think that a more appropriate term would be "adjunct" rather than "associate." Like "assistant,"

"associate" can be linked to a menial level job, such as "sales associate."

If there was evidence (as opposed to fear) that doing so would create legislative problems for

PAs.

Too much change. We have always been called physician assistant and patient's would just be

more confused.

This argument has been circulating longer than I've been practicing and I've been doing this for

22 years. If we were going to have any true or lasting affect on how we're viewed because of our

name, it should have been done a very long time ago. It seems more like an exercise in futility at

this point.

Only logistics. If those in leadership think they can do it, it's fine with me.

PA's have worked hard to establish their position in healthcare. I think a title change would

confuse the public and cause many to wonder where the physician assistant went.

Legislative and policy logistics - not a good use of our time and energy.

There are no barriers. This change is long overdue.

Page 88: AGENDA NCAPA Board of Directors Meeting Saturday, April 23 ...€¦ · NCAPA Board Book April 23, 2016 Page 32 of 148 Landscape Design Concept by Julieta T. Sherk, RLA, ASLA, Associate

NCAPA Board Book April 23, 2016 Page 88 of 148

It's been 40 years. With the growth of the profession, patients are just starting to understand PA-

Cs and what they do. Why confuse it now? Why are we trying to alienate the physicians (like

the APNs are doing)? Let's not move backward and shoot ourselves in the foot by biting the hand

that feeds us.

It's not a huge deal but i feel it would largely confuse the population. Id like to hear why folks

think its a good idea

Poor roll out/implementation and perceived missteps would cause me to vote against.

costs for chapters, practices. State statues must change. Public relations programs must increase

(which isn't a back thing) and could be an opportunity.

I think there are many other issues to worry about now rather than this.

Money-- this is a huge undertaking and is confusing to patients and other providers

The problem is not really with the name so much as the practice laws in some states and the way

we are required to practice. Does the name prevent some of the practice laws from moving

forward? Possibly. The other issue is name recognition keep switching and will have to reeducate

patients and staff about who/what we are and what we do. I would support name change if that is

what profession desires.

I don't think it's necessary, as it doesn't change the way we function, our colleagues won't care

and patient's won't know the difference.

If there were mechanisms in place to nationalize the changes, it would not matter to me. I don't

want to have to go back to square one and apply all over again.

The public and other professions might view a name change as a step towards seeking

independent practice, which we DO NOT want as a profession. Also, a name change of the

profession will be time consuming and cause little actual change in terms of patient care. It is a

lot of work for very little benefit.

bigger issues to address within organized medicine that are more urgent for policy and

reimbursement

None. Yale, where I attended PA school already uses Physician Associate - much more

appropriate.

It needs to carry an implication of GROWTH - not just a "name change."

Confusion among patients, colleagues, legislators, and payors.

None, it's been a long time practical and realistic truth.

Patients have finally accepted the PA concept and changing may confuse them

Page 89: AGENDA NCAPA Board of Directors Meeting Saturday, April 23 ...€¦ · NCAPA Board Book April 23, 2016 Page 32 of 148 Landscape Design Concept by Julieta T. Sherk, RLA, ASLA, Associate

NCAPA Board Book April 23, 2016 Page 89 of 148

It may reinforce in patient's mind that you are a 'doctor" if you say you are "Dr. Brown's

Associate"

The fact that I think it's stupid might be a barrier. I think we should spen more time on working

with promoting what we do and getting reimbursement for it than trying to look important with

another title or name. We got to this place in time by working hard and proving ourselves. It's

time to demand better pay. No further name change or degree is needed. I know a lot of really

stupid MD's and PH.D's. The title doesn't impress me, competency is where the money is at!

No barriers. This should have been done many years ago. The PA program at Emory University

actually had the name "Associate" dating back to the early 1980's. The term "assistant" has

plagued our profession for many years and a name change long overdue.

Disruption in the MD-PA partnership model due to push back from medical groups.

resources: financial, time, people and the risk of opening the medical practice act in all 50 states

People are now comfortable with the old name-- it took a long time to get here. associate sounds

like a term the foreign med grads would use-- NOT A FAN

None, my concern would be, what would it matter to the patient?

Monetary

None in my view. The medical establishment may give some push back.

Alienation of our physician partners, the fact that the change opens up every rule in every state

and could cause more restrictive practices or other unintended rule changes. Let's think about the

potential risk, which to me, far outweighs any gain or stroke of ego the title change might bring.

I do not feel this is an important issue.

Cost to everyone to make the change, including the cost of dedicating the public.

Misunderstanding a Physician Associate for a physician colleague of those with whom they

practice

I don't care...my work currently speaks for my role as a PA-c. The NCCPA is not my friend, yet I

must pay to play, sounds like a RICO violation to me. I'm too old for this kind of nonsense that

interferes with so many levels of "professional " life. I think the schema has been promulgated by

educational institutions and professional societies that all assume that advanced degrees make

better practitioners...not true in my humble opinion.

state legislation/authority

Page 90: AGENDA NCAPA Board of Directors Meeting Saturday, April 23 ...€¦ · NCAPA Board Book April 23, 2016 Page 32 of 148 Landscape Design Concept by Julieta T. Sherk, RLA, ASLA, Associate

NCAPA Board Book April 23, 2016 Page 90 of 148

the expense and vast amount of time and other resources to change the name in laws and

regulations. Opening up practice laws in some states may be quite dangerous for PA scope of

practice in places that are not as PA-friendly. Depending on the outcome of the national and state

elections, there could be some limitations on practice--so let's not open up laws for a title change

that has absolutely nothing to do with the clinical care we provide. Better to spend our time and

effort improving access to care and continuing high quality care.

not needed. There is a program out there that is medical associate, means Tech, Vital sign/ clean

the exam room job. Not what we are. Just means more confusion and possible legal issues as

laws at present say Physician Assistant to change laws opens up all that we worked for to have to

be reexamined/ limited by nursing.

No difference. I am more concern about the changes for recertification. Thank God I am closer to

retirement.

My patient's know my name and know what I do for them. They do not care if I'm assistant or

associate; they care if I'm there to care for them and they know what I'll do and how I'll do it. My

title/label makes no difference. In fact most call me "Doc" and I have to correct them. It's easier

to ask them to address me by my name.

Effort and money diverted from more important issues facing the PA profession. Risk of

unintended consequences from opening the medical practice act.

The multiple legal and administrative changes which would be involved.

when I trained there were some programs graduating "associates". I've heard the arguments pro

and con. what really matters is that patients understand our role in the healthcare team.

why? this has been an issue for years.

Tremendous risk of opening medical practice laws to "unintended" modifications and the

enormous cost associated with the transition.

Educating others on why it was done. Spending g time and energy when it might not even make a

difference. Might be better to just educate the public A LOT on what a PA is rather than changing

the name.

not sure it is needed .

Because it will take another 40 years to explain what a physician associate does or is.

I have been a PA for 25 years and am perfectly fine leaving it as Physician Assistant. That is

what I went to school to be and I am proud of it.

Sounds like working at WALMART: absolutely disagree with "Associate"

Can't say at this point. Would have to see how things work out.

Page 91: AGENDA NCAPA Board of Directors Meeting Saturday, April 23 ...€¦ · NCAPA Board Book April 23, 2016 Page 32 of 148 Landscape Design Concept by Julieta T. Sherk, RLA, ASLA, Associate

NCAPA Board Book April 23, 2016 Page 91 of 148

Not sure that it is necessary. There is a lot of history and experience tied to the current title.

Does it open a bag of worms in the state's regulatory laws that impact PAs?

It took 50 years to get the acceptance of Physician Assistant, changing now would not help any.

Makes no difference

Return to Top

Page 92: AGENDA NCAPA Board of Directors Meeting Saturday, April 23 ...€¦ · NCAPA Board Book April 23, 2016 Page 32 of 148 Landscape Design Concept by Julieta T. Sherk, RLA, ASLA, Associate

NCAPA Board Book April 23, 2016 Page 92 of 148

Speaking on Behalf of NCAPA

From current NCAPA Policies and Procedures:

2000 Official Position Statements

2000.1 The NCAPA prohibits any person holding him/herself out as speaking for the Academy without

sanction of the Board of Directors or its agents. This applies to verbal, written and electronic

communications. Guidance: If approached to offer a statement or opinion, within the context of your role with NCAPA,

(applies to BOD, chairs, committee members, etc.) you must forward the request to the Executive

Director for vetting and approval. He/she will consult with the Executive Committee and provide

guidance. This applies to media requests, student interviews or other external requests. In the event that

you choose to share your personal viewpoint, you must include the following disclaimer: “The views I am

expressing are mine and do not reflect the viewpoints of NCAPA and should not be considered the

position of the NCAPA”.

Return to Top

Page 93: AGENDA NCAPA Board of Directors Meeting Saturday, April 23 ...€¦ · NCAPA Board Book April 23, 2016 Page 32 of 148 Landscape Design Concept by Julieta T. Sherk, RLA, ASLA, Associate

NCAPA Board Book April 23, 2016 Page 93 of 148

DRAFT MINUTES

NCAPA Board of Directors Meeting

Saturday, January 23, 2016 10:00 am – 11:15 am

Video Conference Call

Mission Statement:

NCAPA provides innovative solutions to empower our members to enhance their careers

and advocate for optimal health care.

Vision Statement: North Carolina PAs transforming health through equitable delivery

of patient-centered, team-based care.

ATTENDANCE

Board Members Present:

Wanda Hancock, President

Truett Smith, President-Elect

Marc Katz, Immediate Past President

Samantha Rogers, Vice President

Paul Hendrix, Treasurer

Linda Sekhon, Secretary

April Stouder, Director-At-Large

Chris Barry, Director-At-Large

Rick Ulstad, Director-At-Large

Ashlyn Bruning, Director-At-Large

Eric Langhans, Student Director-At-Large

Will Ashby, Student Director-At-Large

Board Members Absent:

Frank Caruso, Director-At-Large

Student Representatives Present:

Ryland Bradley, ECU

Autumn Eliason, Wake Forest

Jessica Jansson, Wingate

Julie McCracken, Duke

Scottie Springer, Elon

Committee Chairs and Liaisons Present:

Alisha DeTroye, Regional Chapters Committee & IAC Task Force

Paul Hendrix, Continuing Education Committee

Marc Katz, Government Affairs, NCMB Review Panel, & Governance TF

Sandy Pierce, Membership Committee

Molly Calabria, Student Affairs Committee

Ryan Vann, Finance Committee & Nominating Committee

Bowie Tran, Communications and Marketing Committee

Daniel Mattingly, NCPHP Liaison

Rob Bednar, OEMS Liaison

Robert Wooten, Endowment

Rick Edwards, Nominating Committee

Page 94: AGENDA NCAPA Board of Directors Meeting Saturday, April 23 ...€¦ · NCAPA Board Book April 23, 2016 Page 32 of 148 Landscape Design Concept by Julieta T. Sherk, RLA, ASLA, Associate

NCAPA Board Book April 23, 2016 Page 94 of 148

Regional Chapter Presidents Present:

Roger Austin, Unifour PA/APRN

Ashlyn Bruning, PAPA

Guests:

Tom Peluso, Government Affairs Committee member

Elmira Powell, Government Affairs & Health Committee member

Staff Members Present:

Cathie Feild, Executive Director

Kat Nicholas, Director of Membership & Marketing

Carin Head, Director of Conferences & CME

Sally Paillé, Business Manager

CALL TO ORDER

WELCOME AND ROLL CALL

CONSENT AGENDA: The following report was removed from the Consent Agenda:

Endowment

Action: A motion was made to approve the remaining Consent Agenda. Seconded. Approved

unanimously by a voice vote. (See list of reports contained in the Consent Agenda at the end of the

Minutes.)

AGENDA: The two student presentations were moved to the April meeting and the Endowment report

was moved to “For Discussion”. The Search Task Force report was moved from “For Discussion” to

Action Item Reports.

Action: A motion was made to approve the Agenda, as amended. Seconded. Approved unanimously

by a voice vote.

ACTION ITEM REPORTS

Governance Task Force

The revised bylaws were approved by the Board at the November meeting. After a review of NCAPA’s

policies and procedures, it was determined that only one vote was needed by the Board before the bylaws

are sent to members for a vote. Since the November meeting, the Governance TF realized that another

small change was needed to correct Article IX, Section 1. Proposed edit shown below in red:

Section 1. Number and Election. The Academy will have delegates to the AAPA House of Delegates. The

number of delegates who may vote will be determined by the AAPA. The total number of delegates to be

elected will be determined by the Academy’s Board of Directors in a manner specified in policy.

Delegates will be elected by plurality vote by Fellow Members of the Academy, in accordance with the

provisions of Article X.

Motion: Adopt changes to Article IX “Delegates to AAPA House of Delegates”, Section 1 “Number and

Election” as specified in the Governance Task Force Report.

Motion: Seconded

Discussion: None

Vote: Voice vote; passed unanimously.

Follow-up Action: The revised bylaws will be sent to the membership for a vote. If approved, they will be

effective on June 1, 2016. The Task Force will now start reviewing and revising the NCAPA’s Policies

and Procedures.

Page 95: AGENDA NCAPA Board of Directors Meeting Saturday, April 23 ...€¦ · NCAPA Board Book April 23, 2016 Page 32 of 148 Landscape Design Concept by Julieta T. Sherk, RLA, ASLA, Associate

NCAPA Board Book April 23, 2016 Page 95 of 148

Regional Chapters Committee The Chair reported that there were a few updates since the Committee’s report was submitted. Outer

Banks Physician Extenders and Fayetteville Area Physician Assistants have stated they will not have

representatives on the Regional Chapters Committee. Metrolina and Cape Fear Regional Chapters have

not confirmed if they will have a representative on the Committee.

Motion: Approve the re-chartering applications for Cape Fear, FWNCPEA, Outer Banks, TAPA,

Fayetteville and Unifour, as they have fulfilled all requirements.

Motion: Seconded

Discussion: The Chair clarified that the regional chapters are not required to have representatives on the

Regional Chapters Committee. It is optional.

Vote: Voice vote; passed unanimously.

Motion: Approve the re-chartering applications for Metrolina and PAPA with the condition that all of

their officer memberships are current by April 1st (to allow for employers who pay on the member’s

behalf).

Amendment: Wording change requested: “Conditionally” approve the re-chartering applications for

Metrolina and PAPA. . .

Amendment: Seconded

Discussion on Amendment: None

Vote on Amendment: Voice vote; passed unanimously.

Motion: To approve the motion as amended.

Motion: Seconded

Discussion: None

Vote: Voice vote; passed unanimously.

Treasurer

Motion: Contract with Stancil & Company to perform a formal review of the NCAPA’s 2015 finances

with the final report scheduled for presentation at the April BOD meeting.

Motion: Seconded

Discussion: None

Vote: Voice vote; passed unanimously.

Communications & Marketing Committee

Motion: Adopt the NCAPA Guidelines for Web, Blog and Social Media Postings as outlined in the

Committee’s report.

Motion: Seconded.

Discussion: The Committee was commended for its excellent work on developing the much needed

guidelines.

Vote: Voice vote; passed unanimously.

Executive Director

The Executive Director explained that the quoted cost of the audio visual equipment upgrade in the ECC

conference room was expected to be $11,000 rather than $6,108.35 as stated in her report. The increase

was due to three items: 1) an improved 20x zoom camera, 2) the purchase of wireless microphones, and

3) modifications necessary to make all of the components HDMI compatible.

Motion: Approve an expenditure of approximately $11,000 from the Special Projects Fund to upgrade the

audio visual equipment in the ECC conference room to allow video conferencing.

Motion: Seconded.

Discussion: It was pointed out that someone would be needed to run the equipment during video

conferencing. The proposed camera will be controlled with a remote control. A picture of the wireless

table top and hand-held microphones was shared.

Vote: Voice vote; passed unanimously.

Page 96: AGENDA NCAPA Board of Directors Meeting Saturday, April 23 ...€¦ · NCAPA Board Book April 23, 2016 Page 32 of 148 Landscape Design Concept by Julieta T. Sherk, RLA, ASLA, Associate

NCAPA Board Book April 23, 2016 Page 96 of 148

Government Affairs

Co-Chair of the Committee explained that the committee had not made a recommendation earlier on the

need for a lobbyist and government affairs consultant in 2016 because it wanted to see if the new

Executive Director was qualified to assume more of the duties and responsibilities. Now that the new

Executive Director has been selected, the Committee recommends maintaining the current arrangement

with John bode and McGuire Woods Consulting for 2016.

Motion: Retain John Bode and McGuire Woods contracts for 2016.

Motion: Seconded.

Discussion: None

Vote: Voice vote; passed unanimously.

Internal Audit Committee Task Force

The President questioned if the Task Force’s recommendations needed to come forward as a motion. The

Executive Director pointed out that the recommendations are counter to current policy and, as a result,

require a Board vote to supersede existing policy.

The Chair of the Task Force reported that the past Chair of the Internal Audit Committee did not

participate in the Task Force’s conference call. She was also given an opportunity to respond to the

recommendations before they were presented to the Board, but she did not provide input.

The Task Force recommends the following:

1. For 2016, revise the composition of the IAC so that it is comprised of the following three people:

The President will appoint one NCAPA officer to serve on the IAC; the Finance Committee Chair

will serve on the IAC, and one member of the Academy who is not on the Board will also serve

on the IAC. NCAPA’s Business Manager will serve as the staff liaison to the committee.

2. The IAC will be charged to examine its role and purpose over the course of 2016 and make a

recommendation about whether NCAPA needs to continue to have an IAC beyond 2016 or

whether the functions of the IAC are, or could be, assigned to another committee. If the IAC is to

continue after 2016, the committee should make a recommendation to the Board about what the

duties are of the IAC and what the composition of the committee should be.

Motion: Adopt the two recommendations as set-forth in the Task Force’s report

Motion: Seconded.

Discussion: It was asked when the new committee would make their recommendations to the Board

about how to proceed in 2017. The Chair of the Task Force stated that the committee could make a

decision by August on the need for the continuation of an Internal Audit Committee and, if it does

continue, what its duties and composition should be going forward.

Vote: Voice vote; passed unanimously.

Follow-Up Action: The President will appoint, by early February, one NCAPA officer and one non-Board

member to serve on the Internal Audit Committee, along with the Chair of the Finance Committee.

Page 97: AGENDA NCAPA Board of Directors Meeting Saturday, April 23 ...€¦ · NCAPA Board Book April 23, 2016 Page 32 of 148 Landscape Design Concept by Julieta T. Sherk, RLA, ASLA, Associate

NCAPA Board Book April 23, 2016 Page 97 of 148

Search Task Force

The Chair of the Search Task Force expressed appreciation for the work of the Task Force. The Task

Force has been working since November 2015 and reviewed a total of 53 resumes for the Executive

Director position. The Task Force interviewed three final candidates at the Stead Center on January 9th,

and staff members also participated in this process. The Search Task Force made an offer to Emily Adams

and she accepted. A brief bio and a photo of Emily were shared with the Board. Emily’s start date is

March 21, but she will attend the upcoming Networking Social on Feb. 19, and Saturday and Sunday of

the Winter Conference.

Motion: Approve the hiring of Emily Adams as the new Executive Director.

Motion: Seconded.

Discussion: none

Vote: Voice vote; passed unanimously.

REPORTS FOR DISCUSSION

Endowment

The NCAPA Endowment President, Robert Wooten, reported that a meeting was held on January 19 of an

Endowment Task Force appointed to work on revising the Endowment’s bylaws. Those on the Task

Force are: Robert Wooten, Sue Reich, Jim Hill, and Marc Katz. Wooten also reviewed the Endowment’s

financial position at the end of 2015. The Golf Tournament’s financial viability is being re-evaluated. The

Board was encouraged to help publicize the availability of grants for PA students. The NCAPA Pulse is

running a series featuring previous grant winners. The Endowment provided grants to five students to

attend the AAPA Leadership & Advocacy Summit next month using monies from the Lanny Parker

Fund. The NCAPA Board members were asked to make contributions to the Endowment and to donate

their time and ideas for fundraising. Wanda Hancock reported that she had reappointed Marc Katz as the

NCAPA representative to the Endowment Board.

ANNOUNCEMENTS

AAPA Leadership & Advocacy Summit, Feb. 4-6, Arlington VA. NCAPA is funding Detra

Chambers and Tom Peluso to attend. The Summit will focus on the NCCPA proposed

certification changes.

Executive Director Cathie Feild’s last day is Feb. 12, 2016. The Board thanked the Executive

Director for putting the Academy on solid footing. The Executive Director thanked the Board

and said it was a privilege to work for them.

Networking Social at the Stead Center on Feb. 19, 6:00 – 9:00 pm. Everyone is invited to attend.

RSVP with the Director of Membership and Marketing.

SA CME Workshop with John Bielinski scheduled for March 12 in Charlotte.

The Executive Committee will meet on March 9 using Zoom video conferencing.

PA History Society Veteran’s Memorial Garden Project. The NCAPA’s representative on the

committee, Paul Hendrix, stated that the work is proceeding.

The next meeting with be on April 23 at the Stead Center. The President asked the Board to give

consideration, before the meeting, to three items that will be addressed at the AAPA House of

Delegates: 1) name change of the profession, 2) NCCPA proposed certification changes, and 3)

education degree advancement.

Page 98: AGENDA NCAPA Board of Directors Meeting Saturday, April 23 ...€¦ · NCAPA Board Book April 23, 2016 Page 32 of 148 Landscape Design Concept by Julieta T. Sherk, RLA, ASLA, Associate

NCAPA Board Book April 23, 2016 Page 98 of 148

REPORTS APPROVED BY CONSENT AGENDA:

Minutes from November 2015 BOD Meeting

Officers’ Reports:

President

Secretary

President-Elect

Vice President

Immediate Past President

Standing Committee Reports:

Continuing Education

Executive

Finance

Health

Membership

Nominating

Student Affairs

Liaison Reports:

NCMB Review Panel

NCPHP

OEMS

Student Board Representative Reports:

Campbell

Duke

East Carolina

Wake Forest

Wingate

PA Program Director Reports:

Campbell

Duke

Regional Chapter Reports

PAPA

ADJOURNMENT There being no further business, the meeting was adjourned.

Respectfully Submitted By,

Cathie Feild, Executive Director

On behalf of Linda Sekhon, Secretary

Return to Top

Page 99: AGENDA NCAPA Board of Directors Meeting Saturday, April 23 ...€¦ · NCAPA Board Book April 23, 2016 Page 32 of 148 Landscape Design Concept by Julieta T. Sherk, RLA, ASLA, Associate

NCAPA Board Book April 23, 2016 Page 99 of 148

North Carolina Academy of Physician Assistants

Executive Director Report April 23, 2016

Executive Director Introduction and Orientation Activities

Prior to official start date of 3/21

- Attended the Winter Conference Social Reception on Friday, 2/19

- Attended a portion of the Winter Re-certification Conference on Saturday, 2/20; met with Wanda

Hancock and introduced to attendees.

- Participated in Executive Committee Call on 3/9 and drafted minutes

Official start date 3/21

Introduction emails to key stakeholders including: Board, Committee Chairs, PA Program

Directors, Regional Chapter Chairs and key vendors

Finance:

o Met with Paul Hendrix and Paragon Banking Representative and David Dew for financial

operations overview

o Met with Dawn Dees from Stancil regarding audit review and Form 990 preparation

o Call with Ryan Vann re: Finance Committee

Government Affairs: o Met with Sarah Wolfe from MWC for update on work and brainstorm around 50

th

anniversary opportunities with regards to GA.

o Met with John Bode to get historical context of NCAPA lobbying work and discuss

upcoming legislation.

Executive Committee: o Met with Wanda to discuss AAPA Conference, Endowment, NCCPA, and Health

Committee concerns

o Met with Wanda, Marc, Sam and Paul

o Scheduled meeting with Truett on 4/23

Health Committee: o Rescheduled Peer Mentor Task Force meeting

o Conducted review of peer mentor program and general health committee activity

Nominating Committee: o Call with Ryan Vann re: current status of nominating committee

o Reviewed Elections Online system for use with 2016 election

Central Office Operations

o Payroll processes

o Invoice coding and check approvals/signing

o Opening/Closing procedures

o CVENT use for look up

AAPA o Met with AAPA staff Penny Galliard and Stephanie Radix

o Working with AAPA to finalize logistics for AAPA awards.

o Registered for conference and made travel arrangements

Staff Meetings

Met with individual staff members about current work and historical information on programs

and projects

Held staff meeting on 3/23 and established bi-weekly staff meeting schedule

Page 100: AGENDA NCAPA Board of Directors Meeting Saturday, April 23 ...€¦ · NCAPA Board Book April 23, 2016 Page 32 of 148 Landscape Design Concept by Julieta T. Sherk, RLA, ASLA, Associate

NCAPA Board Book April 23, 2016 Page 100 of 148

ECC Use

3/22-3/23- BCBS Foundation held two-day training

4/1 - Lenoir-Rhyne students visited Stead Center for tour PA History talk from Reginald Carter and Ken

Harbert – ED sat in on portions of the talk for educational purposes.

Internet and Phones

New teleconferencing equipment installed 4/4 for use at 4/23 board meeting

April Board Meeting

RSVP email sent out 4/1

Board Reports due 4/11

Board Book posted 4/15

Committee Meeting Participation

Board Governance Task Force – 3/30

Scheduling Nominating, Health and Peer Mentor Taskforce and will participate in meetings

Equipment Purchase

Given the age and performance of the three NCAPA laptops and the demands at both winter and summer

conference, I am purchasing three new laptops for NCAPA staff, board and committee use. Currently,

staff report chronic issues with functionality and reliability of two of the laptops, and therefore, the only

computer that is used is the former Executive Director’s laptop computer

The laptops are most used during conference to support the business office and for some conference

sessions. They are also used for meetings and for remote work.

50th

Anniversary Brainstorming

During 2017, to raise awareness of the 50th anniversary of the profession and the promote PAs in NC,

NCAPA would host tours and meetings with local legislators at each of the 11 PA programs in NC. This

proposal would involve many NCAPA stakeholders: the PA programs, Regional Chapters, local NCAPA

members and students. NCAPA will provide food and planning support. This would allow legislators to

meet with PAs in their districts and gain firsthand experience about what PAs do and how they are

trained.

Respectfully Submitted,

Emily Adams, NCAPA Executive Director

Return to Top

Page 101: AGENDA NCAPA Board of Directors Meeting Saturday, April 23 ...€¦ · NCAPA Board Book April 23, 2016 Page 32 of 148 Landscape Design Concept by Julieta T. Sherk, RLA, ASLA, Associate

NCAPA Board Book April 23, 2016 Page 101 of 148

North Carolina Academy of Physician Assistants

Governance Task Force Report April 23, 2016

Members: Marc Katz, Chair, Jeff Katz, Detra Chambers, Samantha Rogers, Wanda Hancock, Kondie

Lykins, MJ Leonardi, Emily Adams, Staff Liaison

The Task Force continues to meet and is currently reviewing NCAPA policy and procedures. A detailed

report will be given to the Board after all of these have been reviewed.

Respectfully Submitted

Marc Katz, PA-C

Return to Top

Page 102: AGENDA NCAPA Board of Directors Meeting Saturday, April 23 ...€¦ · NCAPA Board Book April 23, 2016 Page 32 of 148 Landscape Design Concept by Julieta T. Sherk, RLA, ASLA, Associate

NCAPA Board Book April 23, 2016 Page 102 of 148

North Carolina Academy of Physician Assistants

President Report April 23, 2016

Report From: Wanda Hancock, President

Activities Since Last Board Meeting:

Finalized the contract and transition of the new Executive Director.

Appointed Internal Audit Committee as directed by the board of directors.

Attended the Winter Conference on February 19 – 21, 2016.

Developed a pilot survey of conference attendees concerning NCCAPA proposed changes which

was used as a foundation for the development of another survey developed by the Executive

Committee for our membership.

AAPA Roundtable conference call January 11, 2016 and STAR conference call March 17, 2016.

NCAPA Endowment for 2016.

o Appointed Marc Katz to serve as representative for 2016

o Ongoing discussions about fundraising activities during the Summer Conference and

NCAPA support of those activities.

Government Affairs Task Force – Began review and revision of the Policy and Procedure

manual. Meeting via video conference Feb 16, 2016

Executive Committee conference calls (report submitted).

o February 17, 2016

o March 9, 2016

o Planned April 13, 2016

Met with Executive Director weekly by telephone, daily by email.

Attended Urological Association of PA conference in Orlando, FL March 31 – April 3, 2016,

board of directors and conference attendee.

Plans for Future Activities/Goals:

Finalize a letter to the NCCAPA concerning the NCAPA position on the current proposed

changes for recertification.

Develop a summary of HOD resolutions for the NCAPA membership for review and comment.

Review of strategic plan with Executive Committee in May

Continue monthly Executive Committee zoom meetings.

Continue work on GA Task Force for review and revision of the Policy and Procedure Manual

Attend AAPA House of Delegates as Chief Delegate and AAPA Conference as Constituent

Organization President

Begin development of 50th Anniversary plans with Executive Director and President Elect.

ACTION ITEM(s): None

Respectfully submitted,

Wanda C. Hancock, MHSA, PA-C

NCAPA President, 2016

Return to Top

Page 103: AGENDA NCAPA Board of Directors Meeting Saturday, April 23 ...€¦ · NCAPA Board Book April 23, 2016 Page 32 of 148 Landscape Design Concept by Julieta T. Sherk, RLA, ASLA, Associate

NCAPA Board Book April 23, 2016 Page 103 of 148

Page 104: AGENDA NCAPA Board of Directors Meeting Saturday, April 23 ...€¦ · NCAPA Board Book April 23, 2016 Page 32 of 148 Landscape Design Concept by Julieta T. Sherk, RLA, ASLA, Associate

NCAPA Board Book April 23, 2016 Page 104 of 148

Page 105: AGENDA NCAPA Board of Directors Meeting Saturday, April 23 ...€¦ · NCAPA Board Book April 23, 2016 Page 32 of 148 Landscape Design Concept by Julieta T. Sherk, RLA, ASLA, Associate

NCAPA Board Book April 23, 2016 Page 105 of 148

Page 106: AGENDA NCAPA Board of Directors Meeting Saturday, April 23 ...€¦ · NCAPA Board Book April 23, 2016 Page 32 of 148 Landscape Design Concept by Julieta T. Sherk, RLA, ASLA, Associate

NCAPA Board Book April 23, 2016 Page 106 of 148

Page 107: AGENDA NCAPA Board of Directors Meeting Saturday, April 23 ...€¦ · NCAPA Board Book April 23, 2016 Page 32 of 148 Landscape Design Concept by Julieta T. Sherk, RLA, ASLA, Associate

NCAPA Board Book April 23, 2016 Page 107 of 148

Page 108: AGENDA NCAPA Board of Directors Meeting Saturday, April 23 ...€¦ · NCAPA Board Book April 23, 2016 Page 32 of 148 Landscape Design Concept by Julieta T. Sherk, RLA, ASLA, Associate

NCAPA Board Book April 23, 2016 Page 108 of 148

Page 109: AGENDA NCAPA Board of Directors Meeting Saturday, April 23 ...€¦ · NCAPA Board Book April 23, 2016 Page 32 of 148 Landscape Design Concept by Julieta T. Sherk, RLA, ASLA, Associate

NCAPA Board Book April 23, 2016 Page 109 of 148

Return to Top

Page 110: AGENDA NCAPA Board of Directors Meeting Saturday, April 23 ...€¦ · NCAPA Board Book April 23, 2016 Page 32 of 148 Landscape Design Concept by Julieta T. Sherk, RLA, ASLA, Associate

NCAPA Board Book April 23, 2016 Page 110 of 148

North Carolina Academy of Physician Assistants

Secretary Report April 23, 2016

Activities Since Last Board Meeting: The following motions were approved by a unanimous vote of

the Board via email:

Motions:

1. HOD Resolution - Dr. Reamer Bushardt and Suzanne Reich drafted a resolution entitled "PA

Self-Governance and Accountability to the Public". The Executive Committee presented the

resolution electronically for a unanimous vote by the board of directors. Ms. Hancock signed the

resolution and submitted it. Each of the NCAPA House of Delegates were contacted for review

and endorsement.

Approved: 3/3/2016; Motion carries.

2. The EC Endorsement of Gail Curtis for President of AAPA - NCAPA Executive Committee

unanimously approved to send to the board for an electronic vote the endorsement of Gail Curtis

for President of AAPA.

Approved: 3/14/2016; Motion carries.

3. AIC Composition: President Hancock recommends the following individuals be appointed to the

Internal Audit Committee:

Chair-Alisha DeTroye, (appointed member-at-large)

Ryan Vann (Chair of the Finance Committee)

Linda Sekhon (NCAPA officer)

Approved: 3/2/2016; Motion carries.

Plans for Future Activities/Goals: N/A

ACTION ITEM(s): None

Respectfully submitted,

Linda Sekhon, PA-C, Secretary

Return to Top

Page 111: AGENDA NCAPA Board of Directors Meeting Saturday, April 23 ...€¦ · NCAPA Board Book April 23, 2016 Page 32 of 148 Landscape Design Concept by Julieta T. Sherk, RLA, ASLA, Associate

NCAPA Board Book April 23, 2016 Page 111 of 148

North Carolina Academy of Physician Assistants

President-Elect Report April 23, 2016

Report From: Truett Smith, MPAS, PA-C

President-Elect

Committees- Executive, Finance, Continuing Education, Marketing and Communications

Activities Since Last Board Meeting: Participated in NCAPA Strategic Planning at January Board

meeting. Participated in the NCAPA Welcome Reception at the Winter Conference. Participated in

monthly Executive Committee meetings and email correspondence. Participated in email correspondence

with Finance Committee. Participated at the NCAPA Winter Conference as a Continuing Education

member. Participated in email correspondence with Continuing Education Committee. Participated in

email correspondence with Marketing and Communications Committee.

Plans for Future Activities/Goals: Continued involvement in Committees and Roles, as above.

Represent NCAPA as a Delegate to the AAPA HOD in San Antonio. Increased involvement in the

planning of the 50th Anniversary of the PA profession in conjunction the Duke University PA Program.

ACTION ITEM(s): None

Respectfully submitted,

Truett Smith, MPAS, PA-C

Return to Top

Page 112: AGENDA NCAPA Board of Directors Meeting Saturday, April 23 ...€¦ · NCAPA Board Book April 23, 2016 Page 32 of 148 Landscape Design Concept by Julieta T. Sherk, RLA, ASLA, Associate

NCAPA Board Book April 23, 2016 Page 112 of 148

North Carolina Academy of Physician Assistants

Vice President Report April 23, 2016

Activities since Last Board Meeting:

Executive Committee

Participated in monthly conference calls. We have discussed many issues and brought them to the Board

for voting when needed. Also completed search for new Executive Director.

Governance Task Force

Revision of the Policies and Procedures Manual has begun. Meetings are via Zoom and are

approximately twice a month.

Student Affairs

Committee member- participated in Conference Call on January 26th.

Respectfully submitted,

Samantha D. Rogers, PA-C

Vice President

NCAPA

Return to Top

Page 113: AGENDA NCAPA Board of Directors Meeting Saturday, April 23 ...€¦ · NCAPA Board Book April 23, 2016 Page 32 of 148 Landscape Design Concept by Julieta T. Sherk, RLA, ASLA, Associate

NCAPA Board Book April 23, 2016 Page 113 of 148

North Carolina Academy of Physician Assistants

Immediate Past President Report April 23, 2016

Summary of my activities since last Board Meeting:

Conference Management Panel

I was an active volunteer throughout the Winter Conference including desk assignment,

moderating and assisting with other activities as directed by our Conference Director. I was also in

attendance at the networking social the evening prior to the meeting.

PDRP

Participated in the PowerPoint presentation reviews before the Winter Conference. Participated in

video conference call that established schedule for the summer conference.

Government Affairs

See separate report. I also participated in the Physician Assistant Advisory Council meeting on

March 16. Summary of this meeting is in the GA report.

Governance Task Force

See separate report.

Finance

Continue to review and monitor Academy finances as directed by out Finance Chair. Participated

in the Feb 10 conference call.

Endowment

Attended Endowment meeting on March 16. The Endowment Trustees have not yet approved the

proposed revised Endowment bylaws.

Nominating Committee

As Immediate Past president I am a member of this committee. I have contacted potential leaders

to determine their interest of serving on the NCAPA Board.

Executive Committee

I remain an active participant in our monthly meetings.

Respectfully Submitted,

Marc S. Katz PA-C

Immediate Past President NCAPA

Return to Top

Page 114: AGENDA NCAPA Board of Directors Meeting Saturday, April 23 ...€¦ · NCAPA Board Book April 23, 2016 Page 32 of 148 Landscape Design Concept by Julieta T. Sherk, RLA, ASLA, Associate

NCAPA Board Book April 23, 2016 Page 114 of 148

North Carolina Academy of Physician Assistants

Continuing Education Committee Report April 23, 2016

CONFERENCE MANAGEMENT PANEL

The Conference Management Panel makes decisions regarding changes and improvements to NCAPA’s

two existing annual conferences. Members volunteer at conference, run beach events at summer

conference onsite, and work registration desk.

Conference Management Panel Members: Paul Hendrix (Chair), Ray Brown, Roger Page, Bill Vaassen,

Josh Smith, Laura Geraghty, Marc Katz, Staff Liaison: Carin Head

The CMP had a meeting on Sunday, February 21 at the February Recertification conference. On

the agenda were beach tournament captains, Endowment Golf Tournament, and plans to celebrate

the 40th Anniversary of the conference with a special item given to all conference attendees.

Giveaway items are currently being researched and a final decision will be made by the

committee when pricing is available.

PROFESSIONAL DEVELOPMENT REVIEW PANEL

The Professional Development Review Panel (PDRP) recommends, reviews, & selects speakers for

NCAPA’s two existing annual conferences. They also review lecture content to ensure high quality

educational standards.

PDRP Members: Josh Smith (Chair), Gail Curtis, Laura Geraghty, Marc Katz, Angela Meredith, Don

Metzger, Linda Sekhon, Staff Liaison: Carin Head

The PDRP had a conference call on Wednesday, March 23 to select speakers for the 2016

Summer Conference. Speakers are currently being scheduled and the online agenda will be

updated as speakers have been confirmed. The PDRP would like to have all speakers confirmed

by May 1, 2016.

EDUCATIONAL DEVELOPMENT PANEL

The Educational Development Panel ensures that NCAPA offers the most current CME-such as online

CME & research, and recommends new types of CME including new NCCPA certification standards (SA

and PI CME). Recommends speakers and approves learning objectives and presentation content for all

CME or other educational workshops offered outside of NCAPA’s two annual conferences.

Educational Development Panel Members: April Stouder (Chair), Alisha DeTroye, Charlene Morris,

Samantha Rogers, Joel Stoia, Staff Liason: Carin Head

The EDP has been communicating via emails to schedule the remaining regional CME events

throughout NC. A Joint Injection Workshop is being planned for June 25, 2016 in the Piedmont

area, and an exact location is currently being worked on. We plan to hold another Self-

Assessment workshop at the Stead Center on September 17, 2016. Finally there will be a Joint

Injection workshop scheduled in October 2016 in the Eastern Part of the state.

Page 115: AGENDA NCAPA Board of Directors Meeting Saturday, April 23 ...€¦ · NCAPA Board Book April 23, 2016 Page 32 of 148 Landscape Design Concept by Julieta T. Sherk, RLA, ASLA, Associate

NCAPA Board Book April 23, 2016 Page 115 of 148

WINTER RECERTIFICATION CONFERENCE

The annual Winter Conference and Recertification Exam Review was held at the Sheraton Imperial Hotel

in Research Triangle Park, NC, Feb 20-23, 2016. A total of 378 PAs and NPs participated. The

conference, now in its 30th year, draws PAs and NPs from all over the country; this year,22 states were

represented. The format was switched to have part of the conference over the weekend this year, and

attendance was up 20% over last year. Conference evaluations are detailed below and the preliminary

Winter Conference P & L is attached.

W16 OVERALL EVALUATIONS

Excellent Good Fair Poor

Conference Registration 75.8% 24.2% 0% 0

Educational Content 79.0% 19.4% 1.6% 0

Conference Facilities 62.9% 30.6% 6.5% 0

Audio Visuals 64.5% 33.9% 1.6% 0

Overall Conference Evaluation 71.0% 26.2% 3.3% 0

Likely to Recommend Conference 79.0% 19.4% 1.6% 0

W16 P & L

Revenue $196,660.00 Registration Fees

8,500.00 Exhibitor Fees

Grants

$202,510.00 Total Revenue

Expenses $136,695.41

Net Revenue $ 65,814.59

SELF-ASSESSMENT WORKSHOP

An Acute Care Medicine Self-Assessment workshop was held in Concord, NC on Saturday, March 12,

2016. 67 practitioners were in attendance including 58 PAs and 9 NPs. The workshop was approved for

20 Category 1 Self-Assessment credits by the AAPA. This workshop will also be offered at the Summer

Conference and on September 17, 2016 at the Stead Center.

Revenue $11,725.00

Expenses 5,749.49

Net Revenue $ 5,975.51

Page 116: AGENDA NCAPA Board of Directors Meeting Saturday, April 23 ...€¦ · NCAPA Board Book April 23, 2016 Page 32 of 148 Landscape Design Concept by Julieta T. Sherk, RLA, ASLA, Associate

NCAPA Board Book April 23, 2016 Page 116 of 148

2016 SUMMER CONFERENCE

Our 40th Annual Summer Conference is scheduled for August 21-26, 2016. The conference takes place at

The Kingston Plantation, a Hilton and Embassy Suites Resort, in Myrtle Beach, SC. Conference

registration is now open.

The Conference Program, featuring 29 + Hours of Category I CME, will conclude in the early afternoon

each day to allow you and your family plenty of time to enjoy Myrtle Beach. Conference highlights will

include a 5K Fun Run on the beach, a Sand Sculpturing Contest, and Pier Fishing, Horseshoe, Volleyball,

& Cornhole tournaments.

In addition to the 29 Category 1 CME hours offered in the general sessions we plan to offer 31 hours of

Category 1 CME for the following workshops BLS, ACLS, Dermatology, Joint Injections, Orthopaedic

Exam, and Suturing. We will also offer Self-Assessment CME (20 hours of credit) and a PI CME project.

The hotel room block is open and you can reserve your room via the link on the Summer Conference

webpage. Please make your reservations early, accommodations WILL sell out. Room rates start at $97

for a one-bedroom lake view lodge and go up to a two-bedroom oceanfront condo for $287.

For more details about accommodations or to make your reservations, call 1-800-876-0010 with group

code AOP or visit:

http://www.hilton.com/en/hi/groups/personalized/M/MYRBHHH-AOP-

20160817/index.jhtml?WT.mc_id=POG

.Please visit our web site www.ncapa.org for additional information. If you have

questions, please contact NCAPA at 1-800-352-2271 or [email protected].

See you at the Beach!!!

Paul C. Hendrix, MHS, PA-C

Conference Chairman

Return to Top

Page 117: AGENDA NCAPA Board of Directors Meeting Saturday, April 23 ...€¦ · NCAPA Board Book April 23, 2016 Page 32 of 148 Landscape Design Concept by Julieta T. Sherk, RLA, ASLA, Associate

NCAPA Board Book April 23, 2016 Page 117 of 148

North Carolina Academy of Physician Assistants

Finance Committee Report April 23, 2016

Committee Members:

Ryan Vann, Chair

Wanda Hancock

Paul Hendrix

Marc Katz

Emily Adams, NCAPA Staff Contact

Sally Paillé, NCAPA Staff Contact

1. Review of 2015 End-Of-Year Financial Statement: On February 10, 2016, the committee met by

videoconference to review the FY2015 end-of-year financial statement. Overall, the Academy is in a

healthy financial position at this time. Due to variety of factors – including higher than expected

Summer Conference attendance and lower than expected overall expenditures – the NCAPA ended

2015 with $160,064.36 in revenue over expenses. In recognition of this significant excess, the

committee decided to move $100,000 into a 26 week CD. In addition to allowing a small amount of

interest to accumulate, this action also provides an easy way for the NCAPA to move the Paragon

checking account balance closer to the FDIC limit (currently $250,000). In addition, the committee

decided to move $30,000 each to the NCAPA’s newly-created Building Maintenance and Special

Project funds. For a further description of these funds, please see the following excerpt from the

Finance Committee’s January 2016 Board report:

“Building Maintenance and Special Project Funds: In addition to the FY16 budget, the BOD

also approved the creation of separate Building Maintenance and Special Project Funds. The

Maintenance Fund was created with the idea that the Stead Center and the equipment within will,

over time, require the outlay of significant funds for repair, replacement, etc. It is difficult to

predict, however, when we will need to spend this money. For example, if an air handler needs

replacing, we often will not know until equipment breaks, and we will need to have the repair

performed in a timely fashion. It is difficult and impractical to budget for such large “just in case”

expenses. The new Maintenance Fund provides for that. This fund will initially be seeded with

$50,000 (money we already have) and, over time, the Finance Committee will work to increase

the amount within the fund to be sure that we can quickly cover large maintenance and repair

expenses. Expenditures from this fund will be proposed by the Executive Director [and/or

Business Manager – this statement added for the April 2016 report], and the Treasurer and

Finance Committee Chair will provide approval. The BOD will be kept up-to-date whenever this

fund is accessed.

“The Special Projects Fund was created for those instances when committees (or others) have

new or one-time projects for which they want to request funds. Since the budget primarily

provides for monthly and other well-established expenses, the Special Projects Fund provides a

“pot” of money for projects and other expenses that don’t fit those categories. If money is

requested from the Special Projects Fund, an action items will need to be presented to the BOD

for a vote. This fund will initially be seeded with $25,000 (again, money we already have).”

2. Monthly Review of Committee Budgets: Each month, the committee reviews a financial statement

prepared by our accountant. From this statement, our accountant generates pie charts for each

committee that show what portion each committee’s budget has been utilized. We hope that

committees find this information useful as they plan their expenditures throughout the year. If your

committee has suggestions as to how this information could be more useful to you, please do not

hesitate to contact Ryan Vann (Finance Committee Chair) at [email protected].

Page 118: AGENDA NCAPA Board of Directors Meeting Saturday, April 23 ...€¦ · NCAPA Board Book April 23, 2016 Page 32 of 148 Landscape Design Concept by Julieta T. Sherk, RLA, ASLA, Associate

NCAPA Board Book April 23, 2016 Page 118 of 148

3. Review of Schwab Reserve Accounts: The committee reviews reserve account statements monthly.

It is the NCAPA’s policy that a minimum of $1.15 million is kept in these accounts. As of February

29, 2016, our reserve totaled over $1.19 million. Because we have these funds split into two separate

accounts, the Committee continues to review each of these and regularly evaluates whether changes

should be made in regards to allocation of funds.

4. Quarterly Review of Banking/Checking Accounts: As directed by the BOD in November 2010,

the Treasurer, Chief Executive, and Finance Committee chair review the Academy’s

banking/checking accounts each quarter to ensure that funds in excess of $250,000 are moved into

our CDARS accounts. This helps to ensure that our accounts will be fully FDIC insured in the event

of bank failure/financial catastrophe. Our account balances have not recently required such fund

reallocation. Emily and Sally will continue to monitor our accounts on a regular basis and will let us

know if our balance approaches/exceeds $250,000.

Action Items: None.

Respectfully Submitted,

Ryan Vann, MHS, PA-C

Committee Chair

Return to Top

Page 119: AGENDA NCAPA Board of Directors Meeting Saturday, April 23 ...€¦ · NCAPA Board Book April 23, 2016 Page 32 of 148 Landscape Design Concept by Julieta T. Sherk, RLA, ASLA, Associate

NCAPA Board Book April 23, 2016 Page 119 of 148

North Carolina Academy of Physician Assistants

Government Affairs Committee Report April 23, 2016

COMMITTEE MEETINGS

The committee held a conference call on January 25 and discussed the following topics:

Responsibilities of a GAC member

Possibility of a “PA Day” at the legislature in 2016 and/or 2017

Opioid Treatment Program Issue (see “Additional Activities”)

AAPA’s model legislation

The political landscape in 2016

NORTH CAROLINA LEGISLATURE

“PA DAY” AT THE LEGISLATURE SCHEDULED

The GAC secured the proper permits to hold a “PA Day” at the North Carolina General Assembly on

Wednesday, June 15. All interested NCAPA members are invited to come to Raleigh on June 15 to

promote the PA profession by meeting with their local legislators and volunteering at an informational

booth in the legislative building.

JOINT LEGISLATIVE OVERSIGHT COMMITTEE ON HEALTH & HUMAN SERVICES

(HHS Oversight)

Throughout the interim, the HHS Oversight committee discussed the possibility of changing the law to

allow for advance practice registered nurses to have independent practice. The Medical Society is

opposed to this potential change. NCAPA has not taken an official stand on this issue, but has been

watching it very closely.

JOINT LEGISLATIVE OVERSIGHT COMMITTEE ON MEDICAID & NC HEALTH CHOICE

(Medicaid Oversight)

The Medicaid Oversight committee met several times to receive updates from the Department of Health

& Human Services on progress of Medicaid reform. NCAPA has continued to monitor the Medicaid

reform process in order to ensure that PAs can continue to work at the top of their licenses and are fairly

reimbursed.

NORTH CAROLINA MEDICAL BOARD MEETINGS

MARCH NCMB MEETING

The Physician Assistant Advisory Committee (PAAC) discussed PA terminology (collaboration vs.

supervision), the record retention rule for PAs, site visits, and the relevancy of QI language. GAC

member Tanya Darrow and Government Affairs Consultant Sarah Wolfe attended the meeting. GAC Co-

Chair Marc Katz participated in the meeting as a member of the PAAC.

The Allied Health Committee heard from a representative of the EMS Disciplinary Committee on a

request to change the statute concerning the membership of the EMS Disciplinary Committee. No other

items were up for discussion. GAC members Tanya Darrow and Christian Schulz and Government

Affairs Consultant Sarah Wolfe attended the meeting.

Page 120: AGENDA NCAPA Board of Directors Meeting Saturday, April 23 ...€¦ · NCAPA Board Book April 23, 2016 Page 32 of 148 Landscape Design Concept by Julieta T. Sherk, RLA, ASLA, Associate

NCAPA Board Book April 23, 2016 Page 120 of 148

The Policy Committee reviewed the following positions: Sexual Exploitation of Patients and Care of the

Patient Undergoing Surgery or Other Invasive Procedure. GAC members Tanya Darrow and Christian

Schulz and Government Affairs Consultant Sarah Wolfe attended the meeting.

The Executive Committee discussed the draft rule for the controlled substances CME requirement.

Government Affairs Consultant Sarah Wolfe attended the meeting.

ADDITIONAL ACTIVITIES

DHHS WORKING GROUP ON NPI

GAC Co-Chair Marc Katz and Government Affairs Consultant Sarah Wolfe participated in a conference

call held by the NC Department of Health and Human Services on a discussion about CFR 455.500 –

National Provider Identifier (NPI). The topic of discussion was the requirement that all claims for

payment for items and services that were ordered or referred must contain the NPI of the provider who

ordered or referred such items or services. This group is continuing to meet but its focus is more on

claims.

PROPOSED RULE CHANGE

Last year, the GAC constructed a public comment to the NC Board of Podiatry examiners, requesting

them to consider a modification to 21 NCAC 52 .0208 – Continuing Education. The public comment

requested the rule be amended to include a licensed PA, as it only included a licensed physician.

At the February 18, 2016 meeting of the Rules Review Commission, the modification to 21 NCAC 52

.0208 was unanimously accepted and has been officially codified into the Administrative Code.

OPIOID TREATMENT PROGRAM ASSISTANCE REQUEST

The Government Affairs Committee, in conjunction with the Health Committee, wrote a letter to the U.S.

Center for Substance Abuse Treatment requesting their assistance within North Carolina. The State

Opioid Treatment Authority took the position that Opioid Treatment Program patient admissions may

only be performed by physicians, not PAs or nurse practitioners.

Federal Treat Act (S1455)

Members of the Executive Committee and the GA chairs were contacted by AAPA staff to elicit our

support in contacting Senator Richard Burr (Chair Senate HELP Committee). The Senate HELP

Committee is considering legislation that will permit PAs and NPs to prescribe buprenorphine for the

treatment of opioid addiction. The amended TREAT Act (S. 1455) does not include a demonstration

program. It amends federal law to affirmatively authorize PAs to prescribe buprenorphine, treating PAs,

NPs, and physicians in the same manner, while deferring to State law. Before receiving a waiver to

prescribe buprenorphine for the treatment of opioid addiction, all qualified providers (PAs, NPs, and

physicians) must complete 24 hours of training in the treatment and management of opiate-dependent

patients. AAPA is listed as one of the organizations who can provide the training.

Page 121: AGENDA NCAPA Board of Directors Meeting Saturday, April 23 ...€¦ · NCAPA Board Book April 23, 2016 Page 32 of 148 Landscape Design Concept by Julieta T. Sherk, RLA, ASLA, Associate

NCAPA Board Book April 23, 2016 Page 121 of 148

Additionally, the Senate HELP Committee will consider Mental Health Reform legislation, which

recognizes the interface between primary care and behavioral healthcare, as well as the critical role of

PAs in behavioral healthcare through the following provisions:

• Includes PAs in the mental health career development strategic plan

• Acknowledges PAs among the healthcare providers who may serve on mental health/substance abuse

advisory councils established through the legislation

• Identifies PAs with experience treating serious mental illness as potential members of a new Inter-

Departmental Serious Mental Illness Coordinating Committee

• Adds PAs in the development of model programs and materials for training healthcare providers on

appropriate disclosures to family, friends, or other caregivers of individuals suffering from mental

illness or substance abuse disorders.

We will keep the Board posted about this important piece of legislation.

Return to Top

Page 122: AGENDA NCAPA Board of Directors Meeting Saturday, April 23 ...€¦ · NCAPA Board Book April 23, 2016 Page 32 of 148 Landscape Design Concept by Julieta T. Sherk, RLA, ASLA, Associate

NCAPA Board Book April 23, 2016 Page 122 of 148

North Carolina Academy of Physician Assistants

Health Committee Report April 23, 2016

Report From: Health Committee; Sandra Alexander -chair

Members: Sandra Alexander (Chair), Daniel Mattingly (PHP Liaison), Jane Girskis, Elmira Powell,

Roger Austin, Robert Paul, Charles Kober, Gail Curtis, William Cabaniss, Katherine Dancel.

Andrea Dubocq Bernstein (student)

Tayla Howard (student)

Oswald Ganley, Member Emeritus

Corey Richardson, Volunteer Consultant

Activities Since Last Board Meeting:

1. NC PHP/ Health Committee joint meeting February 22nd

, 1230-230pm at Stead Center

2. Health Committee Mentor Program Task Force conference call (Corey, Daniel, Gail, Bob, Ossie)

to develop goals and procedures for NCAPA mentor program. Scheduled for Tuesday, April 12 8

pm- 9 pm.

Plans for Future Activities/Goals:

1. Quarterly HC Peer Review Meeting May 5th 8pm via Zoom

2. 12-step meetings Summer Conference

3. HC/PHP booth at Summer Conference

NCAPA strategic plan coordination with committee goals:

OBJECTIVE 1C: Promote healthy behaviors among Physician Assistants for their own well-being and

the health and safety of the public.

Strategy 1C-1: Collaborate with the NC Physician’s Health Program on issues pertaining to impaired

Physician Assistants.

Strategy 1C-2: Make 12-step meetings available for attendees at NCAPA conferences.

Strategy 1C-3: Promote wellness activities through NCAPA’s communication mechanisms.

1. Quarterly Peer review in coordination with PHP for PAs on contract (1C-1)

2. Coordinate PA list/availability for PHP assessments (1C-1)

3. Continue to revise PA mentor program to roll out for 2016 in coordination with PHP (1C-1)

4. 12-step meeting Summer/Winter Conference (1C-2)

5. Continue to educate HC members on materials to lead 12 step meetings to increase access for

trained volunteers for future meetings (1C-2)

6. Continue mission as PArtners in Health, Wellness and Recovery support for NC PAs and

possibly expand wellness arm of Health committee as membership and time allows. (1C-3)

GOAL 5: PROVIDE MEMBER VALUE

7. HC display at regional and Winter/Summer conferences to be manned when possible (5A-1)

8. HC brochures of mission and services offered to NC PAs (5A-1)

9. HC visits to PA schools as prevention and education measure (5A-3)

HC Goal(s) miscellaneous:

10. Improve process for donation funds to Kober grant

11. Addiction speaker proposal for future NCAPA conferences (ongoing)

ACTION ITEM(s): NONE

Respectfully submitted,

Sandra Alexander, PA-C (chair)

Attachment

Page 123: AGENDA NCAPA Board of Directors Meeting Saturday, April 23 ...€¦ · NCAPA Board Book April 23, 2016 Page 32 of 148 Landscape Design Concept by Julieta T. Sherk, RLA, ASLA, Associate

NCAPA Board Book April 23, 2016 Page 123 of 148

Draft Minutes

NCAPA Health Committee Meeting

February 22, 2016 1:00 pm - 3:10 pm Committee

3:20 pm - 4:00 pm Peer Review

In attendance:

Sandra Alexander (Chair)

Corey Richardson (Consultant)

Daniel Mattingly (PHP Liaison)

Gail Curtis via Zoom

Oswald Ganley

Tayla Howard

Andrea Bernstein

Warren Pendergast (NCPHP)

Joe Jordan (NCPHP)

Sally Paillé (Staff liaison)

I. Introductions

Sandra welcomed everyone to the meeting and made introductions.

II. NCPHP Update

Warren Pendergast

Warren announced that he is stepping-down in June as CEO of NCPHP. He has been with the

organization for seventeen years.

Joe Jordan, Executive Director, Report

Pharmacy Provider Program. NCPHP has a new contract with the NC Board of Pharmacy and

the organization already has three referrals. A compliance committee has been formed for the

pharmacy program. The NCPHP by-laws are being revised to include pharmacy members on

the NCPHP Board of Directors.

Website. NCPHP’s website is being completely revamped. A communications firm was hired

to examine the organization’s messaging and design a new logo. The new website will

include a speakers’ bureau. NCPHP would like to include one or two PAs in the speakers’

bureau. The revamped website will also include a link to the NCAPA website the NCAPA

Health Committee blog. The website is expected to be finished in June or July.

Outcomes for PAs in Treatment. There are currently 28 PAs in the NCPHP program. Daniel

and Sandra are paid consultants for PAs. Everyone concurred that having a PA present when

PAs are met is important. There is a need to provide more names of PAs willing to support

the NCPHP mission. Sandra asked the committee to think about who would be a good mentor

to someone going under contract. The NCPHP is very happy with its clinical staff. Identified

areas for improvement are turn-around times and messaging.

NCAPA Peer Mentor Program

Corey Richardson shared a PowerPoint on the proposed Health Committee Peer Mentor Program.

The task force of Health Committee members, working on the development of goals and procedures

for this program, has met once. Corey emphasized that even though the mentors are not therapists

or sponsors, their role is more developed than that of a monitor. A discussion followed on several

issues that need to be addressed:

The need for a training program.

How experienced mentors would need to be in substance abuse.

Page 124: AGENDA NCAPA Board of Directors Meeting Saturday, April 23 ...€¦ · NCAPA Board Book April 23, 2016 Page 32 of 148 Landscape Design Concept by Julieta T. Sherk, RLA, ASLA, Associate

NCAPA Board Book April 23, 2016 Page 124 of 148

The need to define roles and what is hoped to be accomplished: mentor should be sought out

and not assigned, the mentor is not a field case worker, will the mentors be reporters or

entirely informal, the need to be careful about information given to mentors in reports, don’t

want the PA under contract to receive too many messages from too many people giving them

the opportunity to “pick and choose”.

A mentor contract will need to be developed and legally reviewed. The contract will provide

specifics on roles, boundaries and reporting requirements. There was agreement that the

reporting needed to be simple – perhaps just a checklist – to avoid the pitfalls of the past.

There was agreement that the mentor program would have great value and development will be a

long process. Even though there is a clear line between the mentor program and NCPHP, the

NCPHP will be kept “in the loop” as the program develops.

Sandra asked if the people on the task force wished to remain (members: Corey Richardson-chair,

Daniel Mattingly, Gail Curtis, Oswald Ganley and Robert Paul). All those present, said they did

(Robert Paul was absent).

Follow-up item: Doodle poll to set-up a meeting for the task force.

Communication with PA Programs

The NCPHP does not include students – it only works with licensed professionals. The Health

Committee would like to talk to schools about available resources. The committee has offered

informal consultations in the past. There are liability issues that will require thought. This is a topic

that will be addressed at the next Health Committee meeting. The NCPHP will be kept informed.

III. Health Committee Meeting

Minutes from the October 21, 2015 meeting were unanimously approved.

New Members/Student Members

Sandra welcomed the two new student members: Andrea and Tayla. There are also five new

members: Katherine Dancel, Elmira Powell, Jane Girskis, Robert Paul and Roger Austin. The

Health Committee now has twelve members and two student members.

Consultant Report

Blog. Corey received an email from Bethany, a PA in recovery, after his article appeared in

JAAPA. It was put on the blog.

Publications. A validated survey tool will be sent to the NCPHP Board of Directors for

approval. The survey will be sent to PAs under contract. There currently is no research on

PAs in recovery. The survey data will be pulled together in June.

Miscellaneous. The Health Committee table was a success at the 2016 Winter Conference.

Twelve-Step Meeting

More details about the twelve-step meetings are needed in the Conference programs and

announcements. At the Winter Conference, there was one person who attended on Saturday, no one

on Sunday and one on Monday. The meeting on Saturday was not what the attendee expected. The

meeting facilitators need to have more training and, at a minimum, have attended a twelve-step

program, if they are not themselves in recovery. A desire was expressed to make sure people not in

recovery are included. Coverage will be needed for the 2016 Summer Conference.

Follow-up item: Doodle poll to determine what the meeting facilitator requirements and training

should be.

Page 125: AGENDA NCAPA Board of Directors Meeting Saturday, April 23 ...€¦ · NCAPA Board Book April 23, 2016 Page 32 of 148 Landscape Design Concept by Julieta T. Sherk, RLA, ASLA, Associate

NCAPA Board Book April 23, 2016 Page 125 of 148

NCMB Proposal on Controlled Substances CME Hours

A law has passed requiring MDs and PAs to have a given amount of CME hours in controlled

substances. Oswald asked if the NCPHP or the NCAPA Health Committee had taken positions,

during the open comment period, on the regulations. It was suggested that the NCPHP be contacted

about their position. Discussion ensued about requesting the NCAPA to provide CME targeting the

new requirement. Gail shared that she is on the Professional Development Review Panel that

recommends, reviews and selects speakers for the two annual conferences. It was agreed that an

action item should be brought to the NCAPA Board of Directors at its April meeting requiring that

a member of the Health Committee be on the Conference Planning Committee. Before the action

item is presented, however, there was consensus that the Health Committee should have a candidate

ready.

Follow-up item: Doodle poll to determine which member of the Health Committee should be put

forth as a member of the Conference Planning Committee.

Kober Treatment Fund

Elmira Powell and Sue Reich (Endowment Treasurer) worked to make sure online donations ear-

marked for the Kober Treatment Fund are received by the fund. The Health Committee

recommended testing it periodically. Daniel contributed $1 to the fund during the meeting, and told

the committee he would let them know if it was properly processed.

Addiction Speaker for the 2016 Summer Conference

The due date for speaker submissions to the Professional Development Review Panel, for the 2016

Summer Conference, is March 4. Corey has someone he would like to speak on addiction at the

Summer Conference. Corey will follow-up with this person. Sandra mentioned that Thomas Colletti

has a moving meditation program. She would like to include an event that focuses health and

wellness. Sandra will contact Thomas to see if he would be willing to do a break-out session.

Rest of the Agenda was tabled due to time

2016 Budget

Future Health Committee meeting dates

Future goals, meeting, conference calls and goals

Meeting adjourned at 3:10 pm.

Alexander moved to go into closed session for Peer Review at 3:20 pm. Everyone left the meeting except

for Sandra, Daniel and Oswald.

Respectfully submitted,

Sally Paillé, Business Manager

On behalf of Sandra Alexander, Chair

Return to Top

Page 126: AGENDA NCAPA Board of Directors Meeting Saturday, April 23 ...€¦ · NCAPA Board Book April 23, 2016 Page 32 of 148 Landscape Design Concept by Julieta T. Sherk, RLA, ASLA, Associate

NCAPA Board Book April 23, 2016 Page 126 of 148

North Carolina Academy of Physician Assistants

Membership Committee Report April 23, 2016

2016 Members: Sandy Pierce, Chair

Members: Alisha DeTroye, Sharyn Gates, Jane Girskis, Regina Gurley, Nathalie Ortiz-Pate

Staff: Kat Nicholas

Activities since last Board Meeting:

Membership Renewals and Recruitment:

At the end of February, Kat compiled a list of all Associate and Fellow members who were 2015

members but had not renewed for 2016. There was a total 453 names on the list. These were divided

among committee members who then contacted these lapsed members, either via phone call or email,

encouraging them to renew. As of 4.11.2016, 20 of those individuals have renewed.

First Networking Social of 2016:

NCAPA hosted a networking social on February 19th, the Friday night prior to the Recertification Exam

Review Conference. We had a great turnout! Of those that signed in, 24 were PA students, 39 practicing

PAs, 5 retired or guests, and 4 staff, for a total of 73 attendees. We received great feedback and everyone

seemed to have a good time. The membership committee plans to continue holding socials throughout

the year, and the Friday prior to Recertification will become the “kick-off” social each year. At this time,

there are plans to hold an event in the Asheville area, Winston-Salem, and hopefully the Greenville area

before the end of the year.

Membership Committee:

The committee is working on coming up with questions to be included in the Members Survey to be sent

out by the end of June. The survey will be using a lot of the same questions as last year’s member survey

(so that results can be compared) and will also include questions regarding professional development.

Membership Stats: 2016 membership numbers are comparable to 2015, with the only real increase in the number of students.

That being said, the number of licensed PAs in NC has steadily increased over the years, meaning that the

percentage of those PAs who are members of NCAPA has actually decreased. See stats attached.

Respectfully submitted,

Sandy Pierce, PA-C

2016 Membership Committee Chair

Page 127: AGENDA NCAPA Board of Directors Meeting Saturday, April 23 ...€¦ · NCAPA Board Book April 23, 2016 Page 32 of 148 Landscape Design Concept by Julieta T. Sherk, RLA, ASLA, Associate

NCAPA Board Book April 23, 2016 Page 127 of 148

Return to Top

Page 128: AGENDA NCAPA Board of Directors Meeting Saturday, April 23 ...€¦ · NCAPA Board Book April 23, 2016 Page 32 of 148 Landscape Design Concept by Julieta T. Sherk, RLA, ASLA, Associate

NCAPA Board Book April 23, 2016 Page 128 of 148

North Carolina Academy of Physician Assistants

Nominating Committee Report April 23, 2016

Committee Members:

Ryan Vann, Chair

Chris Barry

Ashlyn Bruning

Rick Edwards

Marc Katz

Emily Adams, NCAPA staff contact

The Nominating Committee has begun its work for 2016. Activities to date have included a video conference

meeting for organizational purposes, and continued efforts to recruit members to run for office for 2017.

Nominations through the Nominating Committee for Board of Directors candidates are due on or before May 15,

2015. Self-nominations are accepted until August 1, 2015. Terms begin on January 1, 2017. The following

offices are available: President-Elect, Vice President, Secretary, Director At Large (2 seats), and Nominating

Committee At Large (1 seat).

If you have questions about any of the available positions, or if you would like to nominate yourself or someone

else for an available position, please feel free to contact us. I may be reached at [email protected].

Action Items: None

Respectfully Submitted,

Ryan Vann, MHS, PA-C

Nominating Committee Chair

Return to Top

Page 129: AGENDA NCAPA Board of Directors Meeting Saturday, April 23 ...€¦ · NCAPA Board Book April 23, 2016 Page 32 of 148 Landscape Design Concept by Julieta T. Sherk, RLA, ASLA, Associate

NCAPA Board Book April 23, 2016 Page 129 of 148

North Carolina Academy of Physician Assistants

Regional Chapters Committee Report April 23, 2016

2016 Members: Alisha DeTroye, Chair

Members: Roger Austin-Unifour, Ashlyn Bruning-PAPA, Jane Girskis-FWNCPEA, Peter Gunn-TAPA, Sandy

Pierce

Staff: Kat Nicholas

Re-chartering for 2016:

All regional chapters are current and up to date with regards to re-chartering for 2016.

Activities since last Board Meeting:

Conference call was held on April 11, 2016. Each of the chapters present reported on their monthly activities.

The majority of chapters are meeting at least monthly for a combination of CME 1 and 2 meetings as well as

social gatherings. Ideas were shared for membership recruitment, officer development, and community service

activities. The committee decided it would be beneficial to consider having a workshop to discuss these ideas in

more depth. Due to many members attending the summer conference, plans for a Regional Chapter meeting the

Sunday of the summer conference will be explored.

Discussion was held about ways to advertise Regional Chapter events on the NCAPA website and Pulse

newsletter. This can serve as a tool for membership recruitment as well as offer networking opportunities for

members in other regions who may be visiting.

Sandy Pierce reported on activity from the Smoky Mountain area and interest to reconvene a group. There is

still a need to identify leaders in the area who may desire to be mentored by the Regional Chapters Committee to

reform a formal chapter of NCAPA.

Far West PEA will host their annual conference on 10/8/16 at the Balsam Mountain Inn and PAPA will host

their annual conference in Winston-Salem 10/15/16. Both of these events offer 6 hours of Category 1 CME for

free.

Information was given to chapter presidents regarding the NCAPA Endowment Regional Chapter grant and

NCAPA Regional Chapter funds available to support Category 1 CME meetings. This will be disseminated to

all chapters.

The committee agreed to meet again by conference call in June to plan for the August in-person meeting.

Respectfully submitted,

Alisha DeTroye, MMS, PA-C

2016 Regional Chapters Committee Chair

Return to Top

Page 130: AGENDA NCAPA Board of Directors Meeting Saturday, April 23 ...€¦ · NCAPA Board Book April 23, 2016 Page 32 of 148 Landscape Design Concept by Julieta T. Sherk, RLA, ASLA, Associate

NCAPA Board Book April 23, 2016 Page 130 of 148

North Carolina Academy of Physician Assistants

Student Affairs Committee Report April 23, 2016

Members:

Molly Calabria, PA-C, Chair

Laura Gerstner, PA-C

Samantha Rogers, PA-C

Josh Woody, PA-S (Campbell)

Julie McCracken, PA-S (Duke)

Ryland Bradley, PA-S (ECU)

Jessica Clark, PA-S (Elon)

Andrew Rushlow, PA-S (Gardner-Webb)

Christina Saldanha, PA-S (High Point)

Alejandro Rendon, PA-S (Lenoir-Rhyne)

Brian Rose, PA-S (Methodist)

Autumn Eliason, PA-S (Wake Forest)

Jessica Jansson, PA-S (Wingate)

Natalie Ford, PA-S (UNC)

Staff: Kat Nicholas

PA Programs Update:

New PA programs have been visiting the Stead Center. The new class at UNC visited the Stead Center in

January and Lenoir-Rhyne students and staff visited the building on April 1st. Both were presented with

information from Dr. Reginald Carter and Ken Harbert was also onsite for the Lenoir-Rhyne visit.

Kat and Marc Katz plan to visit with Gardner-Webb’s first class of graduating students on Wednesday, April

27th.

Challenge Bowl:

The Annual Medical Challenge Bowl will be held on Saturday, April 16th*. There will be 35 students

participating from various PA programs across the state, our largest group yet.

*By the time of the BOD meeting, the event will have passed; a recap will be included in the August board

report.

Student Leadership Retreat:

An initial planning meeting has been scheduled to discuss the 2016 Student Leadership Retreat. The SAC hopes

to have an agenda planned prior to the August BOD meeting and will provide the information at that time.

Student Grants:

The NCAPA Endowment Student Grant cycle is underway. Kat has sent notices to all students, as well as in The

Pulse, advertising the grants and plans to follow up with each PA program director to encourage students to

apply for the grants. The deadline for grant applications is June 11th.

Action Items: None

Respectfully submitted,

Molly Calabria, PA-C

Student Affairs Committee Chair

Return to Top

Page 131: AGENDA NCAPA Board of Directors Meeting Saturday, April 23 ...€¦ · NCAPA Board Book April 23, 2016 Page 32 of 148 Landscape Design Concept by Julieta T. Sherk, RLA, ASLA, Associate

NCAPA Board Book April 23, 2016 Page 131 of 148

North Carolina Academy of Physician Assistants

NCMB Review Panel Liaison Report April 23, 2016

Members: N. C. Medical Society: Devdutta (“Dev”) G. Sangvai, MD (Review Panel Chair) , Paul R.

Cunningham, MD, Michelle Jones, MD, John Reynolds, MD

Old North State Medical Society: James Smith, MD

N.C. Osteopathic Medical Association: Charlotte Paolini, DO

N.C.A.P.A.: Marc Katz, PA-C (Review Panel Vice Chair)

N.C. Nurses Assoc Council of N.P.s: Dennis A. Taylor, DNP-C, MSN, ACNP-BC

Public Member serving on NCMB: Michael Arnold

The Review Panel met and interviewed interview candidates for the PA and the NP seat on January 30, 2016. 7

PAs and 4 NPs were interviewed.

Candidates sent to Governor McRory for consideration were:

Physician Assistants:

Reamer Bushardt, PA-C

Varnell McDonald-Fletcher, PA-C

Nurse Practitioners:

Helen Meelheim, FNP-BC

Jerri Patterson, NP

The Governor ultimately decided on Mr. Bushardt for the PA seat and Ms. Patterson for the FNP seat.

The representative from the NC Osteopathic Association has changed and will be Charlotte Paolini, DO.

She is Chair of Family Medicine at Campbell.

I was again elected Vice Chair of the Panel.

The Review Panel is soliciting candidates for 2 physician seats. Applications will be open until July 1,

2016 . The next meeting and interviews will be on August 6, 2016.

Respectfully Submitted,

Action Item: None

Return to Top

Page 132: AGENDA NCAPA Board of Directors Meeting Saturday, April 23 ...€¦ · NCAPA Board Book April 23, 2016 Page 32 of 148 Landscape Design Concept by Julieta T. Sherk, RLA, ASLA, Associate

NCAPA Board Book April 23, 2016 Page 132 of 148

North Carolina Academy of Physician Assistants

OEMS Liaison Report April 23, 2016

Activity:

NC EMS Advisory Council Meeting

February 9, 2016

http://www.ncems.org/

http://www2.ncdhhs.gov/dhsr/EMS/advcouns.htm

Compliance Report

o Mr. Robert Poe, appointed committee chair

o 296 Applicants reviewed

o 25 Formal Complaints

o East Region-8; Central Region-12; West Region-5

o 19 Cases

8 sent to Disciplinary for review

Unprofessional conduct and performance issues main cases

o 191 Legal Recognitions

o 1474 New credentials

o 1839 Renewed credentials

o EM Today Conference scheduled for 9/30-10/5/2016

o Rules update

o .216d (weapon-safe storage)

o .216e (locked in Safe)

Injury

o Carolinas HealthCare System-Cleveland Renewed Level III Trauma Designation (02/29/2020)

o 1st designated Level III trauma center in 1997

o Cone Health-Moses H. Cone Memorial Hospital Renewed Level II Trauma Designation (02/29/2020)

o American College of Surgeons Joint Review

o Verified by ACS as Level II since 1984

o Developing Geriatric Trauma Service

Multidisciplinary team to care for this subset of population.

Hospital Preparedness Report

o FY16-17 $5.9 million

o Improve support ancillary facilities (assisted living/SNF)

o Coordination across DHSR Divisions

o “Pathogens of High Consequences”

o New name for threats such as Ebola

o CDC Division of High-Consequence Pathogens and Pathology

Page 133: AGENDA NCAPA Board of Directors Meeting Saturday, April 23 ...€¦ · NCAPA Board Book April 23, 2016 Page 32 of 148 Landscape Design Concept by Julieta T. Sherk, RLA, ASLA, Associate

NCAPA Board Book April 23, 2016 Page 133 of 148

Agency Report/ OEMS Medical Director

o EMS Course in High Schools

o Emergency Medical Technology I & II

o 270 hour program

o 41 High School Public Safety Academies

(4) EMT

(7) EMS/Fire

o Scope of Practice

o Capnography/ Blind Insertion Airway Devices to be added to EMT-B

o Pediatric Airway 55% 1st pass rate 65-70% overall

o Developing a Statewide Pediatric Airway Curriculum

o Developing an Online Capnography troubleshooting class

Next EMS Advisory Council Meeting Tuesday, May 10, 2016 (11:00am) at Brown Building, Dorthea Dix

Campus; Raleigh.

NO ACTION ITEMS

Respectfully Submitted,

Rob Bednar, MHS, PA-C, NRP

NC OEMS Advisory Liaison

[email protected]

Return to Top

Page 134: AGENDA NCAPA Board of Directors Meeting Saturday, April 23 ...€¦ · NCAPA Board Book April 23, 2016 Page 32 of 148 Landscape Design Concept by Julieta T. Sherk, RLA, ASLA, Associate

NCAPA Board Book April 23, 2016 Page 134 of 148

North Carolina Academy of Physician Assistants

NCPHP Liaison Report April 23, 2016

Report From: Daniel Mattingly, NCPHP Liaison

Activities Since Last Board Meeting:

1. NCPHP Board of Directors (BOD) conference call February 3, 2016.

A. Announcement of departure of Dr. Warren Pendergast, NCPHP CEO, scheduled to take place in June,

2016.

B. Dr. Greg Taylor, BOD Chair, gave a brief overview of agenda for upcoming BOD meeting on February

17, 2016, and stated the purpose of the conference call was to allow time and opportunity for BOD to

absorb information about Dr. Pendergast’s retirement prior to the meeting.

2. NCPHP Compliance Committee Meeting February 17, 2016.

3. NCPHP Board of Directors Meeting February 17, 2016.

A. Review of bylaws revisions:

i. Incorporation of NC Board of Pharmacy (NCBOP) and NC pharmacy personnel into NCPHP,

including establishment of 2 new directors on NCPHP BOD, to be appointed by the NCBOP, and a

Pharmacy Compliance Committee;

ii. Expansion of the means used for conducting NCPHP BOD and Committee business beyond in-

person meetings, by adding, “remote access including teleconferencing, email or other such

electronic means.”

B. Continuation of ongoing review of policies and procedures. Several P&P updates were voted on and

approved.

C. Financial updates were presented, including:

i. A summary and review of NCPHP finances for 2015;

ii. Changes in fundraising approaches and procedures to adapt to the amalgamation of community health

care organizations into relatively few large parent organizations, resulting in far fewer donors to

NCPHP;

iii. NCPHP Treatment Scholarship Fund update. (This is separate from the NCAPA’s Kober Treatment

Grant Fund, available to eligible PAs.)

D. The BOD met in executive session to discuss plans for restructuring company executive leadership, as

recommended by the state audit, and to fill vacancies. A Search Committee was formed to identify and

vet prospective candidates for CEO. Committee members were selected to represent all of the major

stakeholders, including the NCAPA Liaison.

4. Search Committee met with Jordan, PhD, NCPHP Executive Director on March 2, 2016 to interview him for

the position of CEO.

5. NCPHP Compliance Committee: next meeting scheduled April 20, 2016.

6. A NCAPA Health Committee Task Force is developing a mentoring program for PA participants. Work is

in progress via telecommunication, email and face-to-face meetings of task force members and NCPHP

staff. A conference call is scheduled for April 12, 2016.

Page 135: AGENDA NCAPA Board of Directors Meeting Saturday, April 23 ...€¦ · NCAPA Board Book April 23, 2016 Page 32 of 148 Landscape Design Concept by Julieta T. Sherk, RLA, ASLA, Associate

NCAPA Board Book April 23, 2016 Page 135 of 148

NCPHP PA Participants:

As of the last NCAPA BOD meeting February 20, 2016 there were 29 PA participants. One participant has a

PA mentor. The next meeting with NCPHP staff to obtain an update is scheduled later this month. Updated

information will appear in the next Board report.

Plans for Future Activities/Goals: Continuing responsibilities of NCPHP Liaison.

Action Item: (None)

Respectfully submitted,

Daniel Mattingly

Return to Top

Page 136: AGENDA NCAPA Board of Directors Meeting Saturday, April 23 ...€¦ · NCAPA Board Book April 23, 2016 Page 32 of 148 Landscape Design Concept by Julieta T. Sherk, RLA, ASLA, Associate

NCAPA Board Book April 23, 2016 Page 136 of 148

North Carolina Academy of Physician Assistants

Campbell University Student Representative Report April 23, 2016

Josh Woody, PA-S1; NCAPA Student Director for Campbell University PA Program

The first quarter of 2016 has passed very quickly for the Campbell university Class of 2017. We completed

Block 3 and are half way through Block 4. Block 3 was very busy academically, we covered Cardiology, GI,

Oncology and Surgery. Now into Block 4 we are working on Orthopedics, Endocrine and Renal systems.

Despite the academic load we also managed to stay busy with the Wallace Student Society hosting several

fundraisers. We have had a few successful fund raisers to help support students who will be attending the AAPA

national conference in San Antonio.

In February we took part in the Harnett Smiles event. This was a collaboration with Eastern Carolina University

School of Dental Medicine, Campbell University Public Health and Central Carolina Community College Dental

Hygiene. Free dental check-ups, cleanings and fluoride treatments (applied by Campbell university PA students)

were provided to local children in Harnett County.

Later in February our class organized and staffed a “Paws for a cause” dog washing event. In conjunction with a

local dog grooming store, who allowed us use of their facility, this event raised funds for the Harnett County

Animal shelter.

In February we joined our colleagues at Methodist University to attend a presentation by John Bielinski from

CME4LIFE. It was a great talk that included not only some excellent tips for interpreting EKGs but also some

motivational reminders on how important our role as PAs is to our patient’s health and well being. Many thanks

to the Methodist University PA program for hosting this event and inviting Campbell University to attend.

During Spring Break students went on medical mission trips. One group went to Honduras where they were

joined by colleagues from the Pharmacy, Physical Therapy, and Osteopathic Medicine programs. Joined by

Physician and PA faculty as well as local Physicians they provided medical care to five villages in Honduras that

lacked any medical service.

Another trip went to Guatemala. Their mission was to provide cooking stoves to families to help them transition

from traditional wood burning cooking fires. Using wood fires indoors poses a health issue due to breathing in

the smoky air, by providing new stoves and education they helped to alleviate this problem.

In March PA students volunteered at a Diabetes health education event, in conjunction with the Pharmacy

program and local community vendors. The event was hosted in Erwin, NC and gave the community an

opportunity to learn more about the management and treatment of diabetes.

The most recent service event took place on April 9th when

Campbell University hosted the Inasmuch day of

service health fair. PA students were available to take blood pressures, obtain blood glucose measurements and

provide education on diabetes and hypertension.

Looking forward preparations are in full swing for Make-a-wish golf tournament and the Mass Casualty Incident

event which are being held this Summer.

Respectfully Submitted by,

Josh Woody

PA-S1, Campbell University

Return to Top

Page 137: AGENDA NCAPA Board of Directors Meeting Saturday, April 23 ...€¦ · NCAPA Board Book April 23, 2016 Page 32 of 148 Landscape Design Concept by Julieta T. Sherk, RLA, ASLA, Associate

NCAPA Board Book April 23, 2016 Page 137 of 148

North Carolina Academy of Physician Assistants

Duke University Student Representative Report April 23, 2016

Report From: Julianna McCracken, Duke University PA Program Student Representative

Activities Since Last Board Meeting:

The Duke University Physician Assistant Class of 2017 is finishing the spring semester, and will be

going into the summer term at the end of the month. We have continued diagnostic methods, pharmacology, and

clinical medicine courses, and completed a surgery course. After learning the full physical exam last semester, it

has been exciting to start taking histories and doing physical exams on standardized and hospitalized patients.

The next semester will include further diagnostic methods, pharmacology, and clinical medicine courses, and we

will start working with patients more in-depth.

Our class has continued to be active in community projects over the past few months. Almost all of us

have been supporting the St. Baldrick’s Foundation, via individual fundraising pages, raffles, and attending

restaurant fundraising nights. A group of us were also able to attend the Durham Crop Walk this year. Earlier in

April we were able to put on an event for a Durham elementary school, Burton elementary. It was a fun

afternoon teaching two fourth grade classes about the importance of nutrition, dental health, self-esteem, hand

washing, and physical activity. In our smaller Duke community, we had another successful clothing fundraiser

selling Duke PA fleeces. We have also continued to learn more about the diverse backgrounds of our peers,

through a cultural potluck and a lunch time discussion from the veterans in our class.

Plans for Future Activities/Goals:

For the upcoming semester, we’re looking forward to continuing St. Baldrick’s fundraising. The

culminating event will include a 5k, an auction, and a head-shaving event in conjunction with one of the local

restaurants at the beginning of May. We are planning on a second blood drive in June. Many students in our

class also look forward to attending the AAPA conference!

The second semester was successful for the class of 2017, due to an incredible amount of teamwork for

many of the projects. Our upcoming semester should also include some great opportunities.

Respectfully submitted,

Julianna McCracken, PA-S

Return to Top

Page 138: AGENDA NCAPA Board of Directors Meeting Saturday, April 23 ...€¦ · NCAPA Board Book April 23, 2016 Page 32 of 148 Landscape Design Concept by Julieta T. Sherk, RLA, ASLA, Associate

NCAPA Board Book April 23, 2016 Page 138 of 148

North Carolina Academy of Physician Assistants

East Carolina University Student Representative Report April 23, 2016

Class Notes:

2015

The Class of 2015 has achieved 100% first-time pass rate on the PANCE, which makes four consecutive years of

100% first-time pass rate. The entirety of the class is currently working as PA-Cs, the majority have remained in

North Carolina.

2016

Having started in January, the Class of 2016 is well into their clinical rotations. I have spoken to quite a few

students about their experiences and have heard nothing but positive experiences (except maybe for the hours of

surgery rotations). It has been exciting to hear about the various procedures that students have performed,

including lots of suturing, some digital nerve block injections, lumbar punctures, and many more. A number of

students I spoke with have also been surprised to find that the clinical rotations they were not necessarily the

most excited about have been some of their favorites thus far. The majority of our students are placed at sites

within an hour’s drive from Greenville, NC, which allows for frequent site checks by our clinical coordinator.

However, ECU also places 5-10 students in the Wilmington, NC area each year to help extend our reach to the

underserved areas in the Coastal region of the state.

2017

The Class of 2017 has just passed the midway point of the second semester of our didactic year. The pace of

learning continues to be a challenge, but I think everyone has achieved a better handle on time management as

the semester has progressed. Our class has also continued to have a very collaborative approach to learning and

has made extensive use of our shared Google Drive account. This has allowed us to easily share helpful study

materials and collectively approach learning difficult material; it has really been an invaluable tool. Our current

class schedule currently includes: History and Physical Exam II, Clinical Medicine I, Pharmacology and

Pharmacotherapeutics, and Diagnostic Methods I. We have just turned in our clinical preference forms and we

are eager to find out what and when our rotations will occur. We just got word of the 8 students that will be

moving to Wilmington in December.

Several of our students (myself included) are looking forward to the NCAPA Quiz Bowl, which is conveniently

timed directly before one of our less weeks. At the national level, our SAAAPA representative is looking

forward to traveling to San Antonio for the 2015 AAPA Conference.

2018

The Class of 2018 has been chosen and we are beginning to send out surveys to the incoming students. The

Class of 2017 will partner with incoming students to help transition them into the ECU PA Family and support

them throughout their journey.

Respectfully Submitted,

Ryland Bradley, PA-S

Return to Top

Page 139: AGENDA NCAPA Board of Directors Meeting Saturday, April 23 ...€¦ · NCAPA Board Book April 23, 2016 Page 32 of 148 Landscape Design Concept by Julieta T. Sherk, RLA, ASLA, Associate

NCAPA Board Book April 23, 2016 Page 139 of 148

North Carolina Academy of Physician Assistants

Gardner-Webb University Student Representative Report April 23, 2016

Report From: Gardner-Webb University Student Representative

Members: Andrew Rushlow PA-S

Activities Since Last Board Meeting: Our class is continuing to help at the Shelby Soup Kitchen. We are

taking blood pressures and helping set up for the event.

Plans for Future Activities/Goals: Gardner-Webb is going to continue to work at the Soup Kitchen but the

current class is about to start clinicals and the class of 2018 will be taking over for the current class.

ACTION ITEM(s): None

Respectfully submitted,

Andrew Rushlow PA-S

Return to Top

Page 140: AGENDA NCAPA Board of Directors Meeting Saturday, April 23 ...€¦ · NCAPA Board Book April 23, 2016 Page 32 of 148 Landscape Design Concept by Julieta T. Sherk, RLA, ASLA, Associate

NCAPA Board Book April 23, 2016 Page 140 of 148

North Carolina Academy of Physician Assistants

UNC Chapel Hill Student Representative Report April 23, 2016

Activities Since Last Board Meeting:

Inaugural class began January 2016

First semester classes include:

o Physiology, Foundations of Medical Science, Clinical Medicine I, Wellness, Diagnostic

Methods, Pharmacology, Anatomy, History & Physical Exam, Professionalism

Wellness class once a month with a health coach, the most recent session

included time management skills

Hospital encounters with various patients to practice history taking

Pelvic Exam training with Men’s and Women’s Teaching Groups

Involvement with Pre-PA UNC Society to increase awareness of program and educate on PA

school preparation

o Joint Relay for Life participation

Class activities including potlucks and outings

Plans for Future Activities/Goals:

Working to increase community involvement

o Incorporating PA students into volunteer opportunities with SHAC-Student Health

Action Coalition

Presenting on public health information related to underserved counties in NC

o Student pairs assigned to various counties and tasked to reach out to local PAs and health

departments to gather information concerning health parameters

Recruitment for Class of 2018 underway: Admissions applications close August 1st and

interviews will begin in September

Respectfully submitted,

Natalie Ford, PA-S

NCAPA Student Representative

UNC School of Medicine

Department of Allied Health Sciences

Division of Physician Assistant Studies

Return to Top

Page 141: AGENDA NCAPA Board of Directors Meeting Saturday, April 23 ...€¦ · NCAPA Board Book April 23, 2016 Page 32 of 148 Landscape Design Concept by Julieta T. Sherk, RLA, ASLA, Associate

NCAPA Board Book April 23, 2016 Page 141 of 148

North Carolina Academy of Physician Assistants

Wake Forest University Student Representative Report April 23, 2016

Report From: Wake Forest University Student Representative

Members: Autumn Eliason

Activities since Last Board Meeting:

Faculty and Program News

o Wake Forest Department of PA Studies joined with the American Academy of PA’s

Center for Healthcare Leadership and Management to host a 2-day healthcare

administration and executive leadership conference for PA’s. The focus of this

conference was on Healthcare Administation and Executive Leadership. This conference

hosted 118 PA’s and provided a great opportunity to discuss emerging trends in PA

administration.

First Year Students Class of 2017

o First year students have begun their last didactic unit which includes Nephrology and the

Urogenital systems. They are looking forward to clinical rotations and have recently

received their rotation schedules! Rotations will begin June 27th and students will have

the opportunity to travel to various states for their rotations, including Hawaii!

o The students recently attended a lecture on leadership from Counselman Montegomery.

This was an insightful lecture that helped remind students of their roles as leaders in the

community and as future medical providers.

o Wake Forest is proud to be the first PA program to support a Christan Medical & Dental

Chapter (CMDA) for their students. The next meeting will be held this month at the

Winston-Salem campus.

Second Year Students Class of 2016

o The second year students are in their last of eleven rotations! They are enjoying the

challenges of rotations, studying for the PANCE, attending interviews and looking into

contracts to sign for jobs after graduation!

o In their callback to campus in March, second year students completed their Graduate

Project defense and will present their posters at a Graduate Project Symposium on May

5th, 2016.

Student Activities

o Students in Boone recently volunteered at the Hospitality House of Boone by helping to

cook, prep and serve food for those staying at the house.

o Students in Winston-Salem have continued to serve their community by participating in

Habitat for Humanity on April 2nd

and in the Brenner’s Auction by helping to check in,

set up the event and sell raffle tickets on April 8th.

Page 142: AGENDA NCAPA Board of Directors Meeting Saturday, April 23 ...€¦ · NCAPA Board Book April 23, 2016 Page 32 of 148 Landscape Design Concept by Julieta T. Sherk, RLA, ASLA, Associate

NCAPA Board Book April 23, 2016 Page 142 of 148

Plans for Future Activities/Goals:

There is an upcoming Wilderness Medicine trip planned for the weekend of April 16th in which

students will spend a weekend camping and learning how to provide medicine in the wilderness.

Students will continue to participate in elective courses that Wake Forest offers students in

addition to the normal curriculum. This includes a humanities elective called “Sacred Seven” and

an elective Leadership course. These courses help students become well-rounded providers that

consider all aspects of medicine.

First year students are ready to welcome the Class of 2018 and to start our mentoring program of

providing new students with Big Brothers and Sisters!

Students are looking forward to attending the AAPA conference in May and are working to

finalize fundraisers for this event.

Respectfully submitted,

Autumn Eliason

NCAPA Student Representative

Wake Forest University School of Medicine

Department of Physician Assistant Studies

Return to Top

Page 143: AGENDA NCAPA Board of Directors Meeting Saturday, April 23 ...€¦ · NCAPA Board Book April 23, 2016 Page 32 of 148 Landscape Design Concept by Julieta T. Sherk, RLA, ASLA, Associate

NCAPA Board Book April 23, 2016 Page 143 of 148

North Carolina Academy of Physician Assistants

Wingate University Student Representative Report April 23, 2016

Academics:

The class of 2017 is preparing to complete our final exams next week and start our summer

session. It is hard to believe that we will begin rotations in about 4 months. This semester provided a few

unique opportunities for our students. A few students were able to volunteer at a refugee clinic alongside

a PA student from the class of 2016. All the students who were lucky enough to have this opportunity

said that they really enjoyed getting to learn from the class of 2016, and practice what they have learned

during didactic year. Students were also given the opportunity to observe autopsies in groups of four at

the Mecklenburg County Medical Examiners office located in Charlotte, NC. Everyone indicated that

they left the experience having a deeper understanding and appreciation of human anatomy.

The class of 2016 has thoroughly enjoyed their second clinical semester. Each month they come

back to Wingate to take their end of rotation exams and present unique patient cases. The class of 2017

has been fortunate enough to attend some of these presentations, and have learned a lot about patient care

and disease presentation.

Fundraising:

The class of 2016 held Wingate’s first “PA prom” on January 16th. This formal was a huge

success and raised enough for our AAPA representative to be able to attend the national conference in

Texas this May. We were most excited about donating $1,000 of the funds raised to the Sandbox

organization. As indicated in the last board report, this organization is local to Charlotte and helps host

events, give support, and raise money for families in the area with children fighting cancer or other life

altering illnesses. We hope that the PA prom can become a tradition for Wingate’s PA Program.

Community Service:

A representative from the Sandbox came to Wingate and trained many of our students to be

certified volunteers. This means that our students will be able to help out with events that the Sandbox

holds. We all hope to be able to volunteer at their “prom” they hold for their families in September.

Some of our first year students volunteered at the Men’s Shelter in Charlotte, providing BP

screening and HEENT exams under the supervision of one of our professors. Students loved being able to

give back to the community and practice their physical exam skills in preparation for rotations. We hope

to make this an annual event.

On April 16th, the class is sponsoring the “5K Against Human Trafficking” which will be held at

in Charlotte, NC. Some students are running in the race, while others are planning on setting up a snack

table for runners/walkers. The class is looking forward to this opportunity to give back to the community

prior to finals starting.

Respectfully Submitted,

Jessica Jansson, PA- S

Return to Top

Page 144: AGENDA NCAPA Board of Directors Meeting Saturday, April 23 ...€¦ · NCAPA Board Book April 23, 2016 Page 32 of 148 Landscape Design Concept by Julieta T. Sherk, RLA, ASLA, Associate

NCAPA Board Book April 23, 2016 Page 144 of 148

North Carolina Academy of Physician Assistants

Campbell University PA Program Director Report January 23, 2016

TOM COLLETTI, DHSC, MPAS, PA-C; CHAIR & DIRECTOR CAMPBELL UNIVERSITY PA

PROGRAM

ACTIVITY REPORT

Students Activities:

Class of 2015 achieved a 98% First Time Pass rate on the PANCE

Students and faculty are planning a Mass Casualty Incident event for June 18. CapRAC will

participate and bring the mobile hospital and tents. Local EMS will participate. WakeMed

medevac will participate. The event is held on the ground of Levine Hall.

CASPA admissions cycle opens third week in April

o 45 Seats filled for the Class of 2018

Two PAS-1 students, Maegan Hewett and Alexandra Miller, accompanied by Mr. Pineiro went

on the very successful CU Mission trip to Honduras over Spring Break

Faculty Activities:

Faculty Publications:

o Colletti, T.; Salisbury, H.; Hertelendy, A.; & Tseng, T. Relationship between Physician

Assistant Program Length and PANCE Pass Rates. J Physician Assist Educ.

2016:27(1):3-6.

o Colletti, T. Physician assistant postgraduate education. JAAPA. 2016; 29(3): 41-46.

Mrs. Gerstner served as a facilitator for the Clinical Coordinators PAEA Workshop in March

Mrs. Gerstner will be the MC for the NCAPA Student Challenge Bowl next month

All CUPA faculty completed BLS recertification.

Dr. Colletti attended the NCMB Physician Assistant Advisory Council meeting March 16

Mrs. Pope was on the CPHS Planning Committee for the CME presentation “Hypertension

Management Update” on March 1, 2016

Departmental Activities:

The PA program will move into the new Smith Hall on the Health Sciences Campus in May

2016. This building is shared with PT and Nursing.

Progress Report on Work Plan Assignments: N/A

ACTION ITEM: N/A

Respectfully submitted,

Thomas Colletti, DHSc, MPAS, PA-C

Chair & Director

Campbell PA Program

Return to Top

Page 145: AGENDA NCAPA Board of Directors Meeting Saturday, April 23 ...€¦ · NCAPA Board Book April 23, 2016 Page 32 of 148 Landscape Design Concept by Julieta T. Sherk, RLA, ASLA, Associate

NCAPA Board Book April 23, 2016 Page 145 of 148

North Carolina Academy of Physician Assistants

Duke University PA Program Director Report January 23, 2016

Report From: Duke University PA Program

Activities Since Last Board Meeting:

Alumni Update

An alumni reception will be held at the AAPA conference in San Antonio, TX

Class of 2015

Have a 99% PANCE pass rate to date.

Class of 2016

Are in rotation # 9. They will receive their MHS degree May 15th.

Six members of the class are joining faculty Perri Morgan and Karen Hills along with several

alumni in a Primary Care in Cuba course that will include a people to people exchange the week

of April 23rd

.

Class of 2017

Students have participated in a number of service projects including the Durham CROP Walk and

are raising money to fight childhood cancer with a St. Baldrick’s Fundraiser.

Faculty and Staff

Maria Ayscue has joined the PA program team as a staff specialist.

Plans for Future Activities/Goals:

Admissions for the class of 2018 wrapped up. Students will matriculate in August.

Respectfully submitted,

Karen J. Hills, MS, PA-C

Program Director

Associate Professor

Return to Top

Page 146: AGENDA NCAPA Board of Directors Meeting Saturday, April 23 ...€¦ · NCAPA Board Book April 23, 2016 Page 32 of 148 Landscape Design Concept by Julieta T. Sherk, RLA, ASLA, Associate

NCAPA Board Book April 23, 2016 Page 146 of 148

North Carolina Academy of Physician Assistants

Piedmont Association of Physician Assistants (PAPA) Report January 23, 2016

2015 Officers

President: Ashlyn Bruning, PA-C

Vice President: Sunnie Flowers, PA-C

Secretary: Brandon Blank, PA-C

Treasurer: John Cain, PA-C

Directors at Large: Jill Connor, PA-C, Aly Codrick, PA-C, Andrea Whitley, PA-C

Student Representative: Megan Smith, PA-S1 (WFU), Christina Saldanha, PA-S1 (HPU)

Webmaster: Courtney Hughes, PA-C

PAPA Membership:

Fellows: 94 total: 81 PAs, 13 NPs

PA Students: 32

Chapter Activity in 2015 to date:

Maintained 501c6 and incorporation status

CME committee has worked diligently to secure educational grants for this calendar year,

however, the climate seems to have become more difficult again and funds have not been

obtained as of yet, despite continued attempts.

Planning underway for the 19th Annual Fall Seminar – October 15

th 2016 at Forsyth Medical

Center Conference Center – In the process of recruiting Speakers and Exhibitors.

Member Education:

CME- I AAPA Approved Meetings

2-2-16 "Evaluation and Management of the Dizzy Patient"

3-24-16 "Evaluation and Management of Hypercalcemia"

4-5-16 "Dysfunctional Uterine Bleeding"

5-3-16 (scheduled) “Asthma: A Current Update”

CME- II Meetings

1-14-16 “Immunization Update: Pneumoccocal vaccination”

1-26-16 “Asthma and Allergic Rhinitis Management: Treatment Options and Advances”

2-9-16 “IBS-D: Understanding the Patient, the Diagnosis and a New Treatment Option”

2-16-16 “Tresiba Clinical Overview”

2-25-16 “Toujeo: A Basal Insulin to Improve Glycemic Control in Adults with Diabetes”

3-8-16 “Gout: Evaluation and Treatment Options”

3-17-16 “The Science of Obesity and Appetite Regulation”

3-29-16 “Non-obstructive and Microvascular Angina”

4-12-16 “Understanding Unplanned Pregnancy and Use of Contraceptives”

4-21-16 “The Effect of a Once Weekly Injectable Therapy on the Treatment of Type 2 Diabetes”

4-28-16 (scheduled) “ Efficacy and Safety of Ranexa”

Respectfully submitted,

Ashlyn Bruning, MMS, PA-C

PAPA President

Return to Top

Page 147: AGENDA NCAPA Board of Directors Meeting Saturday, April 23 ...€¦ · NCAPA Board Book April 23, 2016 Page 32 of 148 Landscape Design Concept by Julieta T. Sherk, RLA, ASLA, Associate

NCAPA Board Book April 23, 2016 Page 147 of 148

Return to Top

Page 148: AGENDA NCAPA Board of Directors Meeting Saturday, April 23 ...€¦ · NCAPA Board Book April 23, 2016 Page 32 of 148 Landscape Design Concept by Julieta T. Sherk, RLA, ASLA, Associate

NCAPA Board Book April 23, 2016 Page 148 of 148

Return to Top