Physician Assistant Program

Didactic Year Student Handbook

Mission StatementBethel University’s mission is to create opportunities for members of the learning community to develop to their highest potential as whole persons-intellectually,

spiritually, socially, and physically, in a Christian environment. It is Bethel University’s Physician Assistant Program’s specific mission to create

opportunities for the members of the learning community interested in health care to ultimately graduate as competent, caring healthcare professionals who practice

medicine within an ethical framework grounded in Christian principles.

Chapter One: General Information Pages 3 - 7

Introduction Page 3 Accreditation Page 3 Definition of a PA Page 3 History of PA Page 4 Program Overview Page 5 Office Hours Page 5 Faculty and Staff Contact Information Page 6 Organizational Chart Page 7

Chapter Two: Safety and Security Pages 8-10 Safety Issues Page 8 Occupational Health and Safety Page 8 Blood Born Pathogen/Needlestick Injury/Accident Page 8 Personal Safety Page 9 Preventative Measures Page 9 Sexual Harassment Page 9-10 Classroom/Building Access Page 10

Chapter Three: Academic Policies and Procedures Pages 11-24Advanced Placement/Academic Credit Page 11 Academic Standards Page 11 Remediation Page 11 Technical Standards Page 11-13 American Disabilities Act Statement Page 13 PA Professional Competencies Page 13-16 Attendance Policy Page 16 Grade Appeal/Academic Grievance Page 16 Test Question Review Page 16 Tuition, Fees, Expenses Page 17 Student Withdrawal/ Refunds Page 17-18 Progression/Graduation Requirements Page 18 Academic Computing Helpdesk Page 18 Electronic Communication/Media Policy Page 19 Course Preparedness Page 19 Course Schedules Page 19 Classroom Conduct Page 19 Academic Integrity Page 20 Plagiarism Page 20 Academic Resources Page 21 Faculty and Advisors Page 22 Delayed Progression Policy Page 22 General Exam Policies Page 23 Academic Course Offering Page 24

Chapter Four: Student Policies and Procedures Pages 25-30 Non Academic Grievance Page 25 Non Academic Probation Page 25 Personal Property Page 25 Health Care Page 25 Substance Abuse Page 26

Lines of Communication Page 26Work Policy Page 27 Student Records Page 27 Dress Code Page 27-28 Kitchen Policy Page 28 Parking Policy Page 28 Smoking Policy Page 28 Weather Conditions Policy Page 28 Fire, Bomb, Etc, Policies & Procedures Page 28 Eating/Drinking in Classroom Page 28 Restroom Policy Page 28 Drug Screen/Background Check/Tb Skin Test/Immunizations Page 28 Printing/Copying Page 29 Code of Ethics Page 29-30

Chapter Five: Scholarship Opportunities Pages 31-32

Chapter One: General Information

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Introduction Students enrolled in the physician assistant program at Bethel University are governed by the

policies and procedures dictated by the University. However, PA students may face unique situations that are not addressed in the University catalog. Therefore, the Didactic Year Physician Assistant Program Handbook was created.

This is a comprehensive manual; however, it may not address every possible situation. When confronted with something not covered, seek guidance from your mentor/advisor. This first year manual supersedes any other campus publication.

Publications that students are reminded to review for policies that may impact you during your enrollment are: The Bethel University Physician Assistant Program (BUPAP) Didactic and Clinical year student handbooks, individual course syllabi, the Bethel University Catalog, and on-line at www.bethelpa.com. You will be issued a username and password to access this site.

BUPAP students are issued the Didactic year student handbook during orientation week. Students will be issued the BUPAP Clinical year student handbook during the Clinical Orientation Week.

Bethel University ensures that all policies and procedures contained within the BUPAP handbooks have been reviewed by institutional administrators, the University legal counsel, and the Bethel University Board of Trustees to assure that its content is consistent with federal and state statutes, rules and regulations prior to publication. Handbooks are reviewed annually for relevancy and application during the annual Faculty retreat.

If you have questions or concerns regarding the application or meaning of any topics covered in this manual, contact your mentor/advisor or if unavailable, follow the “organizational chart” contained in this manual.

Accreditation Status and Implications of AccreditationThe current Bethel University Physician Assistant Program obtained full accreditation from ARC-PA effective March, 2008. Provisional accreditation is granted for a limited defined period of time to a new program that, at the time of the site visit, has demonstrated its preparedness to initiate a program in accordance with the Standards. Provisional Accreditation does not ensure any subsequent accreditation status (ARC-PA, Standards, page 8).Graduation from an accredited PA program is the only way to be eligible to sit for the National Certifying Exam (PANCE). For more information regarding the implications of accreditation please visit: www.arc-pa.org .

Definition of a Physician AssistantPhysician assistants are health care professionals licensed to practice medicine with physician supervision. As part of their comprehensive responsibilities, PAs conduct physical exams, diagnose and treat illnesses, order and interpret tests, counsel on preventive health care, assist in surgery, and write prescriptions. Within the physician-PA relationship, physician assistants exercise autonomy in medical decision making and provide a broad range of diagnostic and therapeutic services. A PA's practice may also include education, research, and administrative services. PAs are trained in intensive education programs accredited by the Accreditation Review Commission on Education for the Physician Assistant (ARC-PA). Because of the close working relationship that PAs have with physicians, PAs are educated in the medical model designed to complement physician training. Upon graduation, physician assistants take a national certification examination developed by the National Commission on Certification of PAs in conjunction with the National Board of Medical Examiners. To maintain their

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national certification, PAs must log 100 hours of continuing medical education every two years and sit for a recertification exam every six years. Graduation from an accredited physician assistant program and passage of the national certifying exam are required for state licensure (Source: www.aapa.org).

History of the Physician Assistant ProfessionIn the mid-1960s, Physicians and educators recognized that there was a shortage and uneven distribution of primary care physicians. To expand the delivery of quality medical care, Dr. Eugene Stead of the Duke University Medical Center in North Carolina put together the first class of PAs in 1965. He selected Navy corpsmen who received considerable medical training during their military service and during the war in Vietnam but who had no comparable civilian employment. He based the curriculum of the PA program in part on his knowledge of the fast-track training of doctors during World War II.Implementation Period (1966 to 1972) - Development and establishment of first formal PA educational programs and PA professional organizations; enactment of model legislation; establishment of accreditation and certification procedures; endorsement and support of professional, private and Federal organizations; and performance of first acceptance, productivity and role definitions studies on PAs. Evaluation and Standardization Period (1973 to 1980) - First AAPA conference held in Texas; first national certifying examination administered; continuing medical education (CME) and re-certifying examination requirements established; rapid expansion of baccalaureate PA educational programs stimulated by Federal training contracts; initial workforce studies conducted on PAs; establishment of AAPA House of Delegates; and enactment of PA enabling legislation by most states. Incorporation Period (1981 to 1990) - PA role expansion and increased specialization; positive recognition of PA contributions to the workforce; approval of reimbursement of PA services in certain settings under Medicare Part B; awarding PAs commissioned officer status in uniformed services; passage and revision of legislation including prescriptive privileges in most states. Maturation and Consolidation Period (1991 to 2000) - Health care reform provides new opportunities and risk for PAs; states continue to revise legislation, rules and regulations to reduce barriers to use PAs effectively in variety of health care settings; Veterans Administration Medical Centers, Military and other Federal sponsored health care institutions rely heavily on PAs to bolster medical staffs; HMOs recognize vital roles of PAs and NPs in reducing cost; steps are taken to foster and maintain close working relationships with organized medicine; rapid expansion of physician assistant programs and trend towards master's level education. Expansion and Integration Period (2001 to Present) - The number of accredited PA educational programs surpasses 140; the profession celebrates its 35th anniversary; international interest in the PA model of health care delivery grows; record numbers of new PA graduates take the PANCE; and reduced MD resident hours spurs employment and postgraduate learning opportunities for PAs in hospital inpatient settings. (Source: http://www.pahx.org/ )

Program Overview

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Bethel University is related to the Cumberland Presbyterian Church and is supported by the denomination. In turn, the University provides leadership to the denomination through its graduates. Southern Association of Colleges and Schools (SACS) is the regional accrediting body for the colleges and universities in this geographic region. Bethel University is, and has been accredited by SACS continuously since 1953.The Bethel University Board of Trustees, and the University President, authorized the development of the physician assistant program and requested provisional accreditation through the ARC-PA, which was granted in March 2008.

The Bethel University Physician Assistant Program will confer a Master of Science in Physician Assistant Studies degree upon completion of the 27 month educational program.

The program’s curriculum will follow the medical education model with instructional modules to include: problem based learning, traditional lectures, lab practicums, and clinical practice emphasizing evidence based medicine.

Integration of computer technology occurs throughout the program. Exposure to patient problems using case studies will begin early in the training to facilitate

the development of critical thinking skills. Educational presentations will correlate information from various parts of the curriculum so as

to prepare the future PA to think and evaluate a patient in a systematic fashion. The didactic year curriculum follows the NCCPA blueprint in regard to organ systems and task

areas. Following the didactic year, the student will spend 15 months in clinical rotations with

qualified preceptors learning “hands-on” medicine. The summative review, completed at the end of the clinical year, will evaluate the students

readiness to graduate by comprehensive knowledge and skills testing. Finally, the student will have the unique opportunity to learn from experts about the

“business” of medicine.

Office HoursFaculty and staff are available during office hours which are posted on the bulletin boards. Students can also schedule appointments outside of office hours if needed. To avoid disruption of work or class, e-mail use should be used for communication. Students are not allowed in offices on the second floor or program directors conference room or office without being announced by the program secretary. YOU MUST BE ANNOUNCED REGARDLESS OF SCHEDULED APPOINTMENT TIMES.

Staff office hours are: 8:30-12:00pm and 1:00-4:30 pm M-F

Faculty:Core faculty: Will be available during office hours

Adjunct faculty:Adjunct faculty will not have pre-established office hours. Anyone wanting to talk with an adjunct faculty member needs to do so immediately after class or set up an appointment.

Faculty and Staff Contact Information

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President Rev. R. Prosser, DL DD 731-352-4240 prosserb@bethelu.edu

Dean of Graduate StudiesDr. Dorothy Black 731-352-3214 blackd@bethelu.edu

Program DirectorJohnna Tanner, PA-C 731-352-4595 tannerj@bethelu.edu

Medical DirectorJoseph Hames, MD 731-352-0965 hamesj@bethelu.edu

Academic DirectorGwen Ferdinand-Jacob, PA-C 731-352-5768 ferdinand-jacobg@bethelu.edu

Clinical Director of EducationPat Cafferty, PA-C 731-352-7753 caffertyp@bethelu.edu

Full Time FacultyDavid Lutz, PA-C 731-352-0965 lutzd@bethelu.edu

Director of Admissions/Office ManagerSandy Atwill 731-352-5708 atwills@bethelu.edu

Clinical Director of CoordinationMisty Jez 731-352-7753 jezm@bethelu.edu

Academic CoordinatorKim Hammonds 731-352-4247 hammondsk@bethelu.edu

Assistant FacultyJeff Wilbert, PA-C 731-352-0965 wilbertj@bethelu.edu

Adjunct FacultyJC Carey, PA-C 731-352-4247 jccarey@charter.netJ. Turner, PhD 731-352-4247 turnerj@bethelu.eduP. Brinkman, PA-C 731-352-4247 brinkmanp@bethelu.edu

• The emergency contact number for the program is (731) 352-5708. If you can not reach someone at this number, dial (731) 352-4247 or (731) 352-7753.

• The phone number for the computer help desk is (731) 352-4040.• For emergencies- dial (731) 352-7599 for Bethel University Security

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Organizational ChartThe core PA faculty and administrative support staff provide a full range of academic and

administrative services. Refer to this chart to follow the proper chain of command. Pink highlight indicates support staff positions.

President Dr. Bob Prosser

Academic Director Gwen Ferdinand-Jacob, PA-C

Medical Director Joseph Hames, MD

Admissions Director/Office Manager

Sandy Atwill, B.S

Clinical Director of Coordination Misty Jez, B.S.

Clinical Director of Education

Patrick Cafferty, PA-C

Program Director Johnna Tanner, PA-C

Dean of Graduate Studies Dorothy Black

Academic Coordinator

Kim Hammonds, B.S.

Adjunct

Faculty

Guest Lecture

Chief Academic OfficerDr. Phyllis Campbell

Program Administrative

AssistantJanet Peeler

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Chapter Two: Safety and Security

Safety IssuesIn the event of any safety, harassment, conflict or other threatening situations, students are advised to use the following procedures.

First and foremost, if you feel imminent danger in any situation: clearly communicate your distress/situation via any means possible; remove yourself from the situation and call 9-1-1

Any incident of emergent need must be reported immediately to any staff or faculty personnel present, who will then take appropriate safety measures. If faculty or staff is not present, call 9-1-1.

Any incident concerning criminal or suspicious activities must be reported to campus security at 731-415-7599. BUPAP should be made aware as soon as possible of all incidents regardless of whom it was reported. Our Physical Address is: 647 Stonewall St. N, McKenzie, TN 38201

Occupational Health and SafetyOccupational health and safety is addressed on an annual basis: first, during orientation week of the matriculating class, and again, during introduction to the clinical year. Instruction will be given in a group environment concerning HIPPA, OSHA, and blood-born pathogens/universal precautions. In cases where students miss these lectures, individual orientation will be provided. In no case will a student be admitted to the next step in their education until these classes have been completed.

Blood Borne Pathogen and Accident PolicyReporting Procedures: Should you sustain a needle stick or exposure to a potentially infectious and/or hazardous substance during a lab or suffer any other injury:

If you are in a lab class and receive a needle stick, other exposure, or accident please proceed as follows: contact the course instructor to report the incident. Complete an incident report form and submit it to your advisor. If necessary, you will be taken to the local emergency department or medical clinic for immediate care and subsequent follow-up.

An incident report/accidental exposure form must be completed for any accident or incident that occurs. This form is available in the Acadmic and Clinical office and is on our website.

You have access to the building and lab resources after hours to practice skills; however, you absolutely are not to practice any skill that would involve sharps and therefor, should not sustain a needle stick injury afterhours. However, if you choose to disregard this policy and receive a needlestick injury, you should immediately call the program director to receive instructions.

NOTE: All students are required to have health and accident insurance. Students should notify the Program Director if the insurance company does not cover the entire cost. We will inquire about possible reimbursement on your behalf, however, this request may be denied.

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Personal SafetySecurity is very important on the Bethel University campus. The city of McKenzie has a very low incidence of crime. The rural setting lends itself to a secure environment that the community and students enjoy. A well-lit campus, campus security, proximity of college personnel and good communications with local law enforcement officials create a comfortable and safe environment. Copies of the University’s annual security report are available in the office of student development.

Please refer to the Bethel University Catalog, and on-line at www.bethelu.edu for instruction while on campus. Student’s security while at the physical location of BUPAP is addressed by:

a. If imminent danger is present, call 9-1-1b. If a non-imminent security issue is identified, notify your immediate supervisor (academic

or clinical) or if unavailable, any faculty or staff that is available or contact security at 731-415-7599.

c. The BUPAP building is accessible via security doors 24-7. d. Emergency evacuation information is posted throughout the department. e. BUPAP assumes no responsibility for personal property loss or damages during

enrollment.Campus Security phone numbers are 352-4200 or 4222. Campus Security cell phone numbers are 415-7598 or 4599.

Preventive MeasuresBethel University encourages members of the campus community to take responsibility for their actions in order to enhance the safety and security of all. Preventive measures may be taken which will increase personal security, as well as security of their vehicle and personal property. These preventive measures include, but are not limited to the following:

1. Exercise, travel, jog, etc, with a friend or partner. Tell someone where you are going and when you expect to return. Stay in well-lit areas, and do not walk alone at night. Remember there is safety in numbers.

2. Be aware of unusual or suspicious persons or conditions around you. Make it difficult for anyone to take you by surprise. Trust your intuition or “gut” instinct in your observations. It is better to be safe than sorry.

3. Call Bethel security to report crime or suspicious activity.4. Have in mind a plan of action in case your safety is threatened; waiting until a situation arises

may be too late.5. Never open the door to strangers (Maintenance and security personnel, or employees of the

BUPAP, have access to the building and would not have to ask you to let them in.). Ask to see their identification. If you are unsure, call security.

6. Know the evacuation route in case of fire or other emergency.

Sexual harassment in education is defined as: any unwelcome behavior of a sexual nature that interferes with a student’s ability to learn, study, work or participate in school activities. Sexual harassment can be peer-peer, by teachers/preceptors or other school employees. While sexual harassment is legally defined as “unwanted” behavior, many experts agree that even consensual sexual interactions between students and teachers constitutes harassment because the power differential creates a dynamic in which “mutual consent” is impossible.” (Dzeich et al, 1990) Therefore it is BUPAP’s policy that students are not to enter into an intimate relationship with faculty, staff, or

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preceptors. Incidents will be investigated and immediate action taken: up to and including dismissal from the program. Harassment is defined as: any conduct, physical, verbal, written or electronic, on or off campus, that has the intent or effect of unreasonably interfering with an individual’s or group’s educational or work performance at Bethel or that creates an intimidating, hostile or offensive educational, work or living environment. BUPAP has a zero tolerance policy regarding any type of harassment issues. Prevention is addressed by identifying situations and their causes, educating students on program policies and zero tolerance of violations.

If you have been a victim of sexual harassment, you need to seek assistance and make a report to your faculty advisor, if your harasser is the faculty advisor, then you need to report to the Program Director. You may also seek assistance from Mrs. Sandy Louden (731-352-4095, loudens@bethelu.edu), or Reverend Anne B. Hames (731-352-4066, hamesa@bethelu.edu). Both of these individuals serve as advocates for victims of sexual harassment for Bethel University.

If at any point you feel you need further assistance in dealing with a sexual harassment issue, please contact James Stewart, Dean of Students, who serves as the Sexual Harassment Mediator (731-352-4093, stewartj@bethel-college.edu).

Sexual Harassment ProceduresStudents should report instances immediately.

1. Official to whom an incident is reported will make a report to the program director, or as directed by the diagram in chapter one.

2. The program director, or other official, will initiate an investigation into the allegations in accordance with instructions of the Bethel University administration.

3. A decision will be made internally regarding the allegation and the resultant penalties if the charges are validated.

4. BUPAP has a zero tolerance policy regarding any type of harassment. If allegations made against a student of BUPAP are found to be factual (either by internal investigation or by a court of law), the accused will be dismissed from the program with no option to re-apply.

Classroom/Building Access Each student will be issued means of access to the BUPAP building. Students are allowed admission to the classroom, resource center 24/7. Students must be sure the building is secured (Doors are locked, not propped open, lights off, etc). In an effort to maintain a secure learning environment the building doors must remain locked between 5pm and 9am. Failure to comply will result in the review of this policy and may result in students losing this privledge.

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Chapter Three: Academic Policies and Procedures

Policies Regarding Advanced Placement and Academic Credit Advance placement is not possible. There is no credit for experiential learning. Transfer credits from other PA Programs are not accepted due to the variation of curriculum at other institutions.

Academic StandardsStudents in the BUPA graduate program must maintain at least a B average (80%) in each course during their didactic year in order to progress to the clinical year. Students must act professionally to everyone at all times while maintaining patient and practice confidentiality. Breeches of professional conduct may result in dismissal from the program.

Grading System Grades are assigned by the program on the following:a. Individual exams, practicums, check offs, etc.

i. You will find specific information in your course syllabi.b. Grading System:

i. 4.0... . A- Excellent (90-100)ii. 3.0. . . . B - Good (80-89)iii. Any grade below 80% (3.0) received by a student of the Bethel University PA Program is considered a failing grade.

Remediation Students must maintain a class average of 80% or greater at all times, if the running

average falls below 80%, the student will meet with the Retention committee to determine their future in the program.

If a student earns a grade of less than 78% on any test/exam, they will be offered tutoring, will meet with their advisor and primary course instructor to discuss their study habits and receive additional study material. They will retake a test over the same material. To proceed in the program, they must earn an 80% on the retake, failure to do so will result in a meeting with the Retention committee to determine their future in the program. The remediation exam will take place at the end of that unit of study.

Students will be allowed to remediate 2 times per course per semester or 5 times total before meeting with the promotions/retention/disciplinary committee to discuss your future in the program.

The original test grade will stand for averaging purposes. The intent of this policy is to assure that students have a basic understanding of every

component of medicine taught in the PA program.

Technical StandardsA candidate for the Physician Assistant Program at Bethel University must have abilities and skills in five categories: observation, communication, sensory/motor, intellectual, and behavioral/social. Reasonable accommodation for persons with documented disabilities will be considered on an individual basis, but a candidate must be able to perform in an independent manner. The use of a

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trained intermediary is not acceptable in many clinical situations, in that it implies that a candidate’s judgment must be mediated by someone else’s power of selection and observation. Furthermore, it is expected that the student will meet the technical standards throughout the duration of the program of study. It is incumbent on the student to notify the Program immediately if they are unable to meet one of the standards. The following skills are required with or without accommodation.

Observation: Candidates must have sufficient sensory capacity to observe in the lecture hall, the laboratory, the outpatient setting, and the patient’s bedside. Sensory skills adequate to perform physical examination are required. Functional vision, hearing, and tactile sensation must be adequate to observe a patient’s condition and to elicit information through procedures regularly required in a physical exam, such as inspection, auscultation and palpation. A candidate must be able to: observe a patient accurately, at a distance, and close at hand, with or without standard medical instrumentation; acquire information from written documents, and visualize information as presented in images from computer screens, paper, film, slides, or video. This includes, but is not limited to, information conveyed through physiologic and pharmacological demonstrations in animals, microbiological cultures and microscopic images of microorganisms and tissues in normal and pathologic states. In any case where a candidate’s ability to observe or acquire information through these sensory modalities is compromised, the candidate must demonstrate alternate means and/or abilities to acquire and demonstrate the essential information conveyed in this fashion. If the alternatives are acceptable, it is expected that obtaining and using such alternate means and/or abilities shall be the responsibility of the student.

Communication: Candidates must be able to communicate effectively in both academic and health care settings. A candidate must be able to speak, to hear, and to observe patients by sight in order to elicit information; describe changes in mood, activity and posture; and perceive nonverbal communication. Candidates must show evidence of effective written and verbal communication skills.

Sensory & Motor: The ability to participate in basic diagnostic and therapeutic maneuvers and procedures (e. g. palpation, auscultation) is required. Candidates must have sufficient motor function to execute movements reasonably required to provide care to patients. Candidates must be able to negotiate patient care environments, and must be able to move between settings, such as clinic, classroom buildings, and the hospital. Physical stamina sufficient to complete the rigorous course of didactic and clinical study is required. Long periods of sitting, standing, or moving are required in the classroom, laboratory, and clinical areas.

Intellectual: Candidates must be able to measure, calculate, reason, analyze, and synthesize. Problem solving, one of the critical skills demanded of physician assistants, requires all of these intellectual abilities. In addition, candidates should be able to comprehend three-dimensional relationships, and understand medical literature. In order to complete the PA degree, candidates must be able to demonstrate mastery of these skills, and the ability to use them in a timely and often critical fashion in medical problem solving and patient care.

Behavioral and Social Attributes: Candidates must possess the emotional health required for full utilization of their intellectual abilities, the exercise of good judgment, and the prompt completion of all academic and patient care responsibilities. The development of mature, sensitive and effective relationships with patients and other members of the health care team is essential. The ability to effectively function in the face of uncertainties that are inherent in clinical practice, along with flexibility, compassion, integrity, motivation, interpersonal skills, and concern for all, is required.

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Any student with accessibility needs should contact Sandy Louden. She can be reached at 731-352-4095 or at loudens@bethelu.edu.

American Disabilities Act StatementBethel University is committed to equal opportunity in education for all students, including those with documented disabilities. If you have a diagnosed disability, or if you believe that you have a disability that might require reasonable accommodation in this program, please contact Sandy Louden. Bethel University policy states that it is the responsibility of students to contact instructors to discuss appropriate accommodations to ensure equity in grading, experiences and assignments. Furthermore, the PA Program policy is that you will report a medically documented learning disability to the Program Director during orientation week.

PA Professional CompetenciesThe clinical role of PAs includes primary and specialty care in medical and surgical practice settings. Professional competencies for physician assistants include the effective and appropriate application of medical knowledge, interpersonal and communication skills, patient care, professionalism, practice-based learning and improvement, systems-based practice, as well as an unwavering commitment to continual learning, professional growth, and the physician-PA team, for the benefit of patients and the larger community being served. These competencies are demonstrated within the scope of practice, whether medical or surgical, for each individual physician assistant as that scope is defined by the supervising physician and appropriate to the practice setting.

The PA profession defines the specific knowledge, skills, and attitudes required and provides educational experiences as needed in order for physician assistants to acquire and demonstrate these competencies. The PA student will complete a competencies self-assessment at the end of the didactic year and clinical year.

Medical KnowledgeMedical knowledge includes an understanding of pathophysiology, patient presentation,differential diagnosis, patient management, surgical principles, health promotion, and disease prevention. Physician assistants must demonstrate core knowledge about established and evolving biomedical and clinical sciences and the application of this knowledge to patient care in their area of practice. In addition, physician assistants are expected to demonstrate an investigatory and analytic thinking approach to clinical situations. Physician assistants are expected to:

• understand etiologies, risk factors, underlying pathologic process, and epidemiology formedical conditions• identify signs and symptoms of medical conditions• select and interpret appropriate diagnostic or lab studies• manage general medical and surgical conditions to include understanding the indications, contraindications, side effects, interactions and adverse reactions of pharmacologic agents and other relevant treatment modalities• identify the appropriate site of care for presenting conditions, including identifyingemergent cases and those requiring referral or admission• identify appropriate interventions for prevention of conditions• identify the appropriate methods to detect conditions in an asymptomatic individual

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• differentiate between the normal and the abnormal in anatomic, physiological, laboratory findings and other diagnostic data• appropriately use history and physical findings and diagnostic studies to formulate adifferential diagnosis• provide appropriate care to patients with chronic conditions

Interpersonal & Communication SkillsInterpersonal and communication skills encompass verbal, nonverbal and written exchange of information. Physician assistants must demonstrate interpersonal and communication skills that result in effective information exchange with patients, their patients’ families, physicians, professional associates, and the health care system. Physician assistants are expected to:• create and sustain a therapeutic and ethically sound relationship with patients• use effective listening, nonverbal, explanatory, questioning, and writing skills to elicitand provide information• appropriately adapt communication styles and messages to the context of the individualpatient interaction• work effectively with physicians and other health care professionals as a member orleader of a health care team or other professional groups• apply an understanding of human behavior• demonstrate emotional resilience and stability, adaptability, flexibility and tolerance ofambiguity and anxiety• accurately and adequately document and record information regarding the care processfor medical, legal, quality and financial purposes

Patient CarePatient care includes age-appropriate assessment, evaluation and management. Physicianassistants must demonstrate care that is effective, patient-centered, timely, efficient and equitable for the treatment of health problems and the promotion of wellness. Physician assistants are expected to:• work effectively with physicians and other health care professionals to provide patient centered care• demonstrate caring and respectful behaviors when interacting with patients and theirfamilies• gather essential and accurate information about their patients• make informed decisions about diagnostic and therapeutic interventions based on patient information and preferences, up-to-date scientific evidence, and clinical judgment• develop and carry out patient management plans• counsel and educate patients and their families• competently perform medical and surgical procedures considered essential in the area ofpractice• provide health care services and education aimed at preventing health problems ormaintaining health

ProfessionalismProfessionalism is the expression of positive values and ideals as care is delivered. Foremost, it involves prioritizing the interests of those being served above one’s own. Physician assistants must know their professional and personal limitations. Professionalism also requires that PAs practice without impairment from substance abuse, cognitive deficiency or mental illness. Physician assistants must demonstrate a high level of responsibility, ethical practice, sensitivity to a diverse patient population and adherence to legal and regulatory requirements. Physician assistants are expected to

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demonstrate:• understanding of legal and regulatory requirements, as well as the appropriate role of the physician assistant• professional relationships with physician supervisors and other health care providers• respect, compassion, and integrity• responsiveness to the needs of patients and society• accountability to patients, society, and the profession• commitment to excellence and on-going professional development• commitment to ethical principles pertaining to provision or withholding of clinical care,confidentiality of patient information, informed consent, and business practices• sensitivity and responsiveness to patients’ culture, age, gender, and disabilities• self-reflection, critical curiosity and initiative

Practice-based Learning and ImprovementPractice-based learning and improvement includes the processes through which clinicians engage in critical analysis of their own practice experience, medical literature and other information resources for the purpose of self-improvement. Physician assistants must be able to assess, evaluate and improve their patient care practices. Physician assistants are expected to:• analyze practice experience and perform practice-based improvement activities using asystematic methodology in concert with other members of the health care delivery team• locate, appraise, and integrate evidence from scientific studies related to their patients’health problems• obtain and apply information about their own population of patients and the largerpopulation from which their patients are drawn• apply knowledge of study designs and statistical methods to the appraisal of clinicalstudies and other information on diagnostic and therapeutic effectiveness• apply information technology to manage information, access on-line medicalinformation, and support their own education• facilitate the learning of students and/or other health care professionals• recognize and appropriately address gender, cultural, cognitive, emotional and otherbiases; gaps in medical knowledge; and physical limitations in themselves and others

Systems-based PracticeSystems-based practice encompasses the societal, organizational and economic environments in which health care is delivered. Physician assistants must demonstrate an awareness of and responsiveness to the larger system of health care to provide patient care that is of optimal value. PAs should work to improve the larger health care system of which their practices are a part. Physician assistants are expected to:• use information technology to support patient care decisions and patient education• effectively interact with different types of medical practice and delivery systems• understand the funding sources and payment systems that provide coverage for patientcare• practice cost-effective health care and resource allocation that does not compromisequality of care• advocate for quality patient care and assist patients in dealing with system complexities• partner with supervising physicians, health care managers and other health care providers to assess, coordinate, and improve the delivery of health care and patient outcomes• accept responsibility for promoting a safe environment for patient care and recognizing

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and correcting systems-based factors that negatively impact patient care• apply medical information and clinical data systems to provide more effective, efficientpatient care• use the systems responsible for the appropriate payment of services

Attendance Policy 1. Classroom attendance is required except for emergencies.

a. Only in cases of family emergency, personal illness, or injury, will you be excused. b. Absences due to illness of two consecutive days or longer will require medical

clearance to excuse the absence and return to the program. c. Medical clearance must be completed by a licensed physician, PA or NP and submitted

to the academic coordinator. This can not be issued by a family/faculty member. d. The final determination of “true emergency” will be at the discretion of the program

director and/or the medical director. e. Being absent on the day of a test is an unexcused absence and you will receive a grade

of zero unless you can provide documentation that explains why the absence should be excused. (Physician’s note)

2. The Student MUST notify the academic coordinator the night before or by 8:45 the day of the absence by calling 731-352-4247 and leaving a message. The student must do this for every day that they are absent. Sending a message through a classmate is NOT acceptable.

3. The penalty for excessive absences will be determined by the program director and the retention committee.

a. The responsibility for notifying the program director of anticipated absences, reasons for emergency absences, and how all assignments will be completed, rests entirely on the student.

b. PA Program faculty is not expected to give make-up exams for unauthorized absences. c. Unexcused absences will not be tolerated and may result in a disciplinary action and a

failing grade. d. Business appointments, routine dental and medical appointments, weddings,

graduations, and other social events are NOT valid reasons for absenteeism. Pregnancy

A student who is pregnant at the time of matriculation or becomes pregnant at any time before graduation is required to inform the program director. A statement from the obstetrician regarding her ability to continue in the PA program is required. If an issue arises, the program will review each case individually. Missed course requirements due to pregnancy will be treated as any other absence.

Tardy Policy You are allowed one tardy per semester, being tardy a second time will result in a 2 point

penalty on the next exam in that class. A third tardy will result in a meeting with the promotions/retention/disciplinary committee.

o When you arrive tardy, you must first report to the program administrative assistant and sign a tardy slip and take it to class. You are expected to present the tardy slip to the primary instructor during the first break to be placed in your academic file. This includes morning and afternoon tardies. If the administrative assistant is unavailable, get another staff member to help you.

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Grade Appeal/Academic Greivance 1. To appeal a test, project or final grade you must do so in writing to the Academic Director,

stating the reasons for differing with the assigned grade. 2. The Academic Director will take the appeal to the PA Academic Committee for a final decision

on the grade. 3. The Academic Director will respond as soon as a review of the grade has been made. 4. If the student continues to appeal the grade he/she may appeal to the Dean of Graduate

Studies who may send this to an appointed committee for review and recommendation.

Test Question ReviewAll test scores will be reported after test item analysis is complete. Questions that are missed by 85% of the class will be reviewed by the instructor and may be removed from the test or allowed to stand based on a review of the testable material. All tests may be reviewed, after they have been completed by the entire class, either as individual exam review by the student or as a group test review

Tuition, Fees, and ExpensesTuition and fees are determined on a yearly basis by the Univeristy's Board of Trustees. The University reserves the right to change tuition and fees at any time without prior notice.

TuitionTuition is based on full-time studies and covers our 27 month program. Tuition is $61,250.00 or $8750.00 per semester. (Note: our program consists of 7 semesters.)

Fees and Expenses $70 graduation fee $2500 for lab coats, books, and scrubs Health Insurance

It is mandatory that all students have health insurance while enrolled in our program. This health insurance must be maintained through the entirety of our program. You must provide proof of medical insurance coverage before enrollment, and you must be able to provide proof that you are maintaining that insurance at any time you are asked during your enrollment in the program.

Additional expenses that may occur during enrollment in the BUPAP 27 month program are the responsibility of the student. This may include but is not limited to traveling to assigned clinical sites, lodging, meals, etc. At this time, BUPAP does not provide housing for students during clinical rotations. There may be reduced cost housing available at some, but not all sites. Rotations may be anywhere within 150 miles of Bethel University and the student is expected to incur the expense of travel to and from the rotation site, lunch and/or housing. Please plan for these additional expenses ahead of time.

Policies and Procedures for Student Withdrawal

Withdrawal Policies and ProceduresIf a student wishes to withdraw during the didactic phase of the BUPAP, the student must complete the following formal withdrawal process to avoid unwarranted failing grades and unwanted financial obligation. A student cannot withdraw after the fifth week of any semester. Exceptions will be

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considered and final determination made by the program director. Failure to complete any step of the procedure may result in failing grades and/or financial obligations.

1. Discuss the situation with your mentor/advisor2. Submit a written request to the program director3. Secure a withdrawal form from the registrar’s office and complete it4. Secure all required signatures5. Deliver the completed form to the registrar’s office. 6. There is a $5.00 fee for withdrawal

Note: Withdrawal during the didactic phase of the program will result in the student having to re-apply to the program for the next matriculating class. There is no guarantee that you will receive an interview or have a seat reserved for you in the next class.

Withdrawal GradesIf a student withdraws before mid-term, the student grade will be reported to the registrar as a withdrawal. If midterm has passed, the student grade will be reported to the registrar as withdrawal pass or withdrawal fail. No student can withdraw from any class in which an “F” has been received due to a violation of any policy.

Policies and Procedures for Refunds of Tuition and Fee’sIf a student withdraws from the program, and subsequently receives a withdraw pass/fail, no refund will be offered. If a student is dismissed from the program, no refund will be issued.

Bethel University Tuition Refund PolicyWithdrawal during first week of semester……………………..100% of tuition refundedWithdrawal during second week of semester…………………80% of tuition refundedWithdrawal during third week of semester…………………….60% of tuition refundedWithdrawal during fourth & fifth weeks…........................ 50% of tuition refundedNO REFUND AFTER THE FIFTH WEEK

Delinquent AccountsStudents are required to pay all tuition and fees at the beginning of each term. Registration is not complete until all fees are paid. In addition, students are responsible for any damages to university property. Students may not register for another semester, graduate, or receive a transcript, until all debts to the college have been paid.Delinquent accounts are subject to late fees and external collection agency involvement. If external collection efforts are utilized, the student is responsible for all collection costs, attorney fees, and any other charges necessary for the collection of all debts owed the college.

Progression and Graduation RequirementsTo qualify for progression and graduation with the Master of Science in Physician Assistant Studies (MSPAS) degree, students must:

1. Follow the approved course of study, satisfactorily completing all courses. 2. Complete all courses with a cumulative GPA of at least 3.00 with no course or rotation grade

below 80%. 3. Demonstrate proficiency in all PA competencies.4. Settle all financial accounts with the University 5. Successfully complete the Senior Summative Evaluation upon completion of the clinical year.

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Academic Computing HelpdeskLocation: Campbell Hall, Room 108Hours: M-F, 8:00 a.m.-4:30 p.m., closed 12-1 dailyPhone: 731-352-4040, email: helpdesk@bethelu.edu

Academic Computing will provide technical support (Helpdesk) and training to all students, faculty, and staff using the computing systems at Bethel University. Academic computing will also provide technology-enriched learning by offering educational services adequate to allow students to achieve their educational goals. The Helpdesk staff will provide all technical support to students.

Electronic Communication/Media Policy• All electronic communication devices must be turned off during class (includes: Ipods, MP3 players,

etc) • IM, texting, email etc must be turned off during class• Non-class related surfing of the internet, playing games, etc, is not allowed during class• Headsets or ear buds are not to be worn during class• Violations will be handled accordingly by the academic director and program director- repeated

failure to comply with this policy may result in loss of computer/electronic device privlideges in the classroom or dismissal from the program.

Course Preparedness• Students should have the following available for class on a daily basis: laptop, physical exam

equipment, consultation coat, textbooks, other curriculum supplies, and completed assignments. • Students must come to class prepared to answer questions in regard to reading or homework

assignments.• Desks will be cleared during exams except for laptop, a blank sheet of paper, and a pen or pencil. • You must check course web sites daily for announcements, power points, handouts, etc.

Course Schedules• Class is never dismissed without being formally announced by the program.• Class times/schedule are posted on www.bethelpa.com. • Changes in classes will be announced via email, www.bethelpa.com, and when possible in the

classroom.

Classroom Conduct• Maintain professionalism. • Respect your fellow students, faculty, visitors, and staff.• Disrupting class (tardiness, talking, joking around, etc) is not tolerated.• Students must maintain a clean desk area.• Students are required to participate in group discussions and activities as assigned.

Academic Integrity

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Academic honesty is an essential condition for the health of the BUPAP and is vital to the achievement of its intended objectives. Consequently, any effort on the part of a student to submit work that is not his or her own in fulfillment of course or examination requirements will not be tolerated.

BUPAP has a zero tolerance policy regarding academic dishonesty. The first offense of academic dishonesty will result in a grade of “zero” for that assignment. The student will be placed on academic probation for the duration of the program. Any subsequent occurrence of academic dishonesty ,in any course of the BUPA program, will

result in dismissal from the program.

Specifically, academic dishonesty includes, but is not limited to; looking at or copying another student’s work, using crib notes or cheat sheets during assessments, duplicating answer sheets during or after assessments, altering testing materials after the completion of an exam, or leaving the testing area without permission during a test. In addition, the presence of a student in a restricted area without prior permission may be considered academic dishonesty. Due to the increased usage and availability of electronic media, BUPAP administers most assessments online. The following procedures outline both acceptable and unacceptable behavior while tests are being given:

Cell Phones, I-pods, tape recorders, Palm pilots (handheld devices), cameras, e-mail programs, listening devices, or any other device which can be used to save, send or communicate information must be off during testing.

Prior to starting any test, students should have the desk clear of all material not directly related to taking the test. Allowed items are limited to a laptop, a blank piece of paper, and a writing utensil, unless otherwise instructed.

Laptops are allowed on a student’s desk during testing. However, while taking any form of assessment, all other programs must be completely closed regardless of content. Furthermore, online exam materials must be displayed on “full screen” so that no other icons, toolbars, or commands are visible to the student during testing. There will be no “accidents” during the testing procedure, where another program is revealed. Any deviation from this instruction will be considered cheating.

Upon conclusion of test, students are to exit testing software, close their laptops, and leave the classroom, not to return until every student has completed the test.

Conversations, questions, discussions, or any other means of communicating with other students is not allowed during testing.

Students are NOT to reproduce the content of any test by any means. This includes the “Print Screen” button. If a student has questions regarding a particular question they should write the question number on a blank piece of paper. Their test and answers will be accessed by faculty and staff for review purposes after testing is complete.

PlagiarismPlagiarism is defined as presenting someone else’s work, including the work of other students, as one’s own. Any ideas or materials taken from another source for either written or oral use must

be fully acknowledged, unless the information is common knowledge. What is considered “common knowledge” may differ from course to course. A student must not adopt or reproduce

ideas, opinions, theories, formulas, graphics, or pictures of another person without acknowledgment.

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A student must give credit to the originality of others and acknowledge indebtedness whenever:

1. Directly quoting another person’s actual words, whether oral or written; 2. Using another person’s ideas, opinions, or theories; 3. Paraphrasing the words, ideas, opinions, or theories of others, whether oral or

written; 4. Borrowing facts, statistics, or illustrative material; or 5. Offering materials assembled or collected by others in the form of projects or

collections without acknowledgment.

Academic ResourcesStudents will have 24 hour, seven day a week access to the BUPA program resource center/classroom. This access will be guaranteed via security entrance issued during orientation week.

Burrough’s Learning Center (Library)Location: Behind Campbell Hall, Next to Log CabinHours: Monday – Thursday: 8am - Midnight; Friday: 8am - 5pm; Saturday: 10am – 6pm Sunday – CLOSEDJill Whitfill, B.A., M.S Undergraduate Education and Medical Sciences Librarian731-352-4083 email: whitfillj@bethelu.edu

The Library welcomes the opportunity to assist students. The Library provides reference works, periodicals, and books in print and electronic form. Burroughs Learning Center also provides computer stations, and laptop friendly locations, printers and a quiet place to study and work.

The Bethel University library is a member of an inter-library loan program with access to large databases and library research engines. The databases include StatRef which brings the leading medical resources together in one integrated online service to help our students efficiently find the latest medical information, research medical topics. This will assist them in making better treatment decisions. This database includes the top journals: JAMA, NEJM, Lancet, Annals of Internal Medicine, Pediatrics and BMJ as well as The Clinics. Full text is available online. Today the internet is the window to the universe and maximal integration of web resources into medical practice is a necessity. The internet has an unlimited supply of peer reviewed information available. BUPAP students will have access via Stat!Ref and Access Medicine, in addition to all of the other Bethel University library resources.

There is a medical library housed in the PA building, this library includes a variety of full medical text to be utilized at the PA Program. For more information on the Burrough’s Learning Center, go to www.bethelu.edu/library.

Advisor Definition/RoleAn advisor is a core faculty member who is assigned to a student during orientation week and is available to that student during the didactic and clinical phases of the program according to published office/available hours. Advisors are available for counseling, assistance, and facilitating a productive learning environment. They offer advice on academics and professional concerns and will be involved in the remediation process. They are available to communicate with the student and monitor specific areas of experience/education needed by the student to meet the educational goals of the program

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and to facilitate the development of the individual from the student to the professional PA. Assistance is individualized as much as possible to meet the needs of the individual student.

Faculty RoleThe responsibility of the Program faculty is to ensure a quality educational experience for each physician assistant student. The PA Program faculty is administratively responsible for implementing, coordinating, and evaluating the entire Program curriculum. In addition the faculty serve on University committees, conduct scholarly research and see patients in a variety of clinical settings. The faculty also participate in the national organization for PA educational programs (PAEA), as well as the American Academy of Physician Assistants (AAPA) and its local and state chapters. Every faculty member is cognizant of the sacrifices necessary to achieve success as a PA student and can personally relate to the experience. As students progress in their education, they may need to talk about issues related to being a student at Bethel. Please feel free to contact any of the faculty, as each is here to help. Students should view the faculty as a resource during their time at the BUPAP.

Advising ScheduleEach advisor will meet on a regular basis with their advisee; however, students are strongly encouraged to meet with their advisors more frequently as issues arise. The advisor will utilize the progress report prepared by the Academic Coordinator to guide monthly advising. The progress report contains a summery of grades, professional issues, attendance and committee meeting notes. An advisor will report incidents, conflicts, and harassments; and provide individual assistance, as necessary. Your advisor is your guide through the educational process and should be made aware of all situations which may influence your training. Advisors are available to assist students in understanding and abiding by program policies and procedures. While the program cannot solve every problem, the student should seek guidance from their advisor if needed. The student should consider that similar problems may have been encountered by program faculty in the past. The PA program wants to support and assist students in program success. Confidentiality of all problems is maintained, except when there is threat of harm to the student or another individual.

Delayed Progression PolicyBUPAP may offer delayed progression when a student experiences medical or personal issues that require them to miss more than 1 week of class. The student must be in good standing with the program at the time. Occasionally, students may be offered delayed progression as an alternative to dismissal, if the Program feels it is in the student’s best interest to take time to handle personal issues and return to the program at the next matriculation date. The definition of delayed progression is to be removed from the program and resume studies at the next matriculation date. The student must resume classes from the beginning of the program, any classes that have been completed in the academic year, must be repeated regardless of the previous grades.

Students dismissed from the program for academic failure may reapply to the program; however, it is incumbent on the student to prove that they have made significant changes in their study habits or other academic performance issues when they reapply. This is not considered delayed progression.

General Examination PoliciesCourse Completion All required course components, both graded and non-graded, must be satisfactorily completed

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before the final course grade is issued.

Absence from Examinations Each student is personally responsible for the consequences of their absence from an examination. Generally, only an acute illness may be considered an acceptable reason for absence from an examination. Any absence from an examination due to illness must be documented in writing by the student’s health care practitioner. Failure by a student to provide to theacademic coordinator, upon the day of the student’s return, written documentation of an illness which is acceptable to the program faculty will result in an examination score of zero (0) being recorded for that student. An absence, without prior notification (Refer to the general “Attendance” section of this handbook for related information) to the academic coordinator, is unexcused, and will result in a score of zero (0) for the missed exam.Lateness to Examinations Students arriving more than five (5) minutes late to an examination will not be admitted to sit for that examination, and must contact the course director during the first break. A student who believes that he or she has valid circumstances for being late must present an explanation to the course director who has the discretion to excuse the lateness and reschedule a make up examination. Administration of ExaminationsThe PA Program has a standardized procedure for the administration of examinations:

Only one blank sheet of paper, pencils, pens, erasers, or other test-related materials specifically authorized by the professor, are permitted.

All books, papers, book bags, purses, electronic items, etc. must be removed from the desk top during testing.

All materials on the floor must be upside down so they cannot be read. All books on the floor must be closed. Students should signify the need for assistance during an examination by raising their hands.

Students should continue working on the examination until the professor arrives. Students are not allowed to be out of their seat or leave the classroom during an exam Do not re-enter the classroom for any reason after you have finished the exam. The beginning and ending times of the examination will be announced when the professor

begins the examination. No additional time will be given to students that are permitted to test after arriving late (See

tardy section under attendance policy in this handbook.).Re-examinationsExaminations are given only once, with the exception of specifically designated tests, such as some practical and oral exams. Such exceptions are indicated in the course syllabi.Makeup ExaminationsExaminations for students with officially excused absences will be equivalent examinations over the same range of subject material as covered by the original examination. Students given make-up examinations will take them when scheduled by the professor. Students absent from the scheduled make-up exams will receive scores of zero (0) for those exams. Make-up examinations are not administered for unexcused absences or lateness.Examination SecurityAll examinations are the property of the Program. Copying of examinations and related materials for any reason will be regarded as cheating, as well as theft, and disciplinary action will be instituted against the offenders. Any other students receiving, viewing, or duplicating such stolen examination materials, will be treated as accomplices to cheating, and will also be subject to disciplinary actions.

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Academic Course Offering

SPRING COURSE CREDIT HOURS CLINICAL MEDICINE I 8

PHARMACOLOGY I 3

ANATOMY,PHYSIOLOGY & PATHOPHYSIOLOGY I 3

PHYSICAL DIAGNOSIS I 3

CLINICAL SKILLS I 3

DIAGNOSTICS I 2

MEDICAL TERMINOLOGY 1

THE PA PROFESSION 2

GENETICS 2

Total for Semester 27

SUMMER COURSE CREDIT HOURSCLINICAL MEDICINE II 8

PHARMACOLOGY II 3

ANATOMY,PHYSIOLOGY & PATHOPHYSIOLOGY II 3

PHYSICAL DIAGNOSIS II 3

CLINICAL SKILLS II 3

DIAGNOSTICS II 2

EKG INTERPRETATION 1

BEHAVIORAL SCIENCE 1

GERIATRIC MEDICINE 2

Total for Semester 26

FALL COURSE CREDIT HOURSCLINICAL MEDICINE III 8

PHARMACOLOGY III 3

ANATOMY,PHYSIOLOGY & PATHOPHYSIOLOGY III 3

PHYSICAL DIAGNOSIS III 3

CLINICAL SKILLS III 3

DIAGNOSTICS III 2

RADIOLOGY 1

CRITICAL THINKING 2

PEDIATRIC MEDICINE 2

Total for Semester 27

Chapter Four: Student Policies and Procedures

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Non Academic Grievance

Reporting: In the event of non-academic, personnel, program or student grievance, the student should first informally discuss the matter in question with the person most directly involved. If the student feels the matter in question hasn’t been resolved, the student should discuss the issue with their advisor.Action: The advisor to whom the incident is reported will document the incident using the student grievance form.Process: The report will be reviewed by the appropriate committee and will make recommendations as to action required. Administration: The administration will institute/apply the recommendation.Appeal: Any individual has the right to appeal the decision to the Program Director. If further appeal is desired by the student they may then appeal to the Dean of the Graduate College. There is no assurance that such an appeal will be approved.

Non Academic ProbationRegardless of the student’s calculated grade for a particular course, if the faculty or staff have identified serious deficits in any area of the student’s performance, including professionalism, the disciplinary, promotion and retention committee, after investigation, may take action ranging from counseling the student, to a recommendation for dismissal. Students encountering these types of problems may be placed on non- academic probation for the remainder of the semester.

Personal PropertyBUPAP assumes no responsibility for personal property loss or damages during the students enrollment in the program.

Health Screening, Immunization, and Regular Healthcare• Student healthcare services are currently provided by the University for undergraduate students

only. Graduate students and employees can access the student health clinic for a fee. • The PA program supplies the clinical personal for the student health clinc.• According to ARC-PA “D”standards- core faculty are not allowed to provide health care services for

our students.• BUPAP has entered into an arrangement with the McKenzie Medical Center (MMC) to provide an

equivalent student health service to our students. When presenting to MMC, the student should show their PA-S ID and will pay a $25 fee to be seen for clearly minor complaints. This is identical to the services provided by the BU student health clinic. If the complaint is more intensive, then the student will have the option of becoming a MMC patient or being referred to another clinic, at which time their personal insurance will be billed for services, again, this is identical to the care provided at the BU student health clinic.

• Medical emergencies are handled through the McKenzie Regional Hospital, or the nearest emergency department.

• This is a small community. The student may encounter core faculty employed in local emergency rooms.

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• All students are required to have immunizations that are current and consistent with CDC regulations for healthcare students. No immunizations or health screenings may be conducted by program personnel.

• All students are required to maintain health insurance for the duration of the program.

Substance AbuseAlcohol and Drugs

The University expects its students to obey the law. Therefore, a violation of alcohol or drug laws, while admitted to the University, wherever this may occur, is a breach of the University’s policies.

Further, it is a violation of the University’s expectations for a student to drink, possess, or be impaired by drinking alcoholic beverages, or to possess, use, or be under the influence of, illegal drugs, on campus, or at any event sponsored by the University or by a University approved student organization.

Violation of this policy may result in any sanction deemed appropriate by the University, including, but not limited to, required participation in a drug or alcohol treatment or rehabilitation program, suspension, or expulsion.

Lines of CommunicationE-Mail

Program correspondence is primarily conveyed by electronic mail. Students are required to check their e-mail on a daily basis. If you have any difficulty accessing your account, please notify the Program faculty/staff as soon as possible. All students must use their Bethel University email address that will be assigned to them during orientation week. There are no exceptions to this rule! Lack of internet availability at your home or apartment is not a reason to violate this policy.

Bethel PA Student Web SiteThis is the private, password protected site, which is available to students. It’s located at www.bethelpa.com. Announcements, class assignments and other means of contact will be posted and updated here. Students are required to check this website on a daily basis.

AppointmentsFaculty members, advisors, and staff will gladly accept appointments to meet with students. Students may contact them through e-mail or by office number. If no one is available, please leave a message for a return call.

Class MeetingsThe Program Director and the Academic Director will meet with the class on a regular basis. This promotes good communication between the Program administration and the students, provides a forum for discussion, and is an appropriate time to share significant thoughts about the Program.

Current Address and TelephoneIt is essential that each student keep both the program and the University advised of his or her current mailing address, and telephone number, so that important mailings or messages can be delivered in a timely fashion. Change of address forms are available in the Registrar’s Office. If you change your

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address, you must notify both the Registrar’s Office and the PA Program. Difficulties arising from a student’s failure to keep the program informed of this information are the responsibility of the student, and he or she bears the sole responsibility for failing to provide current address and telephone information.

Student Work PolicyStudents enrolled in the MSPAS Program are not prohibited, but are strongly discouraged from working during the didactic year due to the intense and rigorous nature of the program. Students are not required to work for the program. If you choose to work and are unable to fulfill program requirements due to a work conflict you will be dismissed from the program.Students enrolled in the BUPAP are prohibited from working during the clinical year due to the intense and vigorous nature of the program. Students are not required to work for the program. Students are not to receive or accept compensation for any work performed within the preceptor’s clinical site or practice. Students may only render services as part of the clinical phase of their education. If you choose to disregard the work policy and are unable to attend scheduled clinical rotations due to a work conflict you will be dismissed from the program.

Student RecordsUpon enrollment, each PA student is assigned a Bethel University email account, a bethelpa web site password, a user id, and their own page on the bethelpa web site. Students of the PA program, and Bethel University employees, according to security clearance, will be able to communicate and view individual grades, test results, assignments, etc, through these media. Technological security measures are utilized to ensure confidentiality. Passwords are to be protected, and under no circumstances are those passwords to be shared. Any violation of this may result in dismissal from the program. Records for each student enrolled in the PA program are maintained by the program in secured locations indefinitely. The transcripts are retained by the registrar permanently. A copy of all requested health records will be maintained in a separate file within the student records. Confidentiality of the health record is assured by those documents being kept in a double lock environment with limited security access. Only designated program faculty and staff have access to these records except for immunization and Tb skin test results.

The Family Educational Rights and Privacy Act (FERPA) afford students the right to consent to disclosure (release) of personally identifiable information with respect to their educational records. Bethel University designates the following categories of student record information as public or directory information: student’s name, address, telephone number, date and place of birth, previous school(s) or college(s), dates of attendance, class, major field of study, awards, honors, degree(s), expected date of completion, full or part time enrollment status, past and present participation in officially recognized activities and sports, and weight and height of athletes.

Students of the BUPAP are required to sign a release of information form that allows the program to release the results of the student’s certified background check, drug screen, immunizations record, and health status to any clinical facility utilized as a training facility by the program.

Dress CodeLab Coat/Name Tag/Certified Background Check ID:While at clinical sites you should wear a short white lab coat with the Program patch on the pocket and name tag identifying you as a Physician Assistant student from The Bethel University PA Program.

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If the nametag breaks or is lost, please call the Program to order a new one. Attach your certified background check badge to your name badge so that it is clearly visible.Monday - Wednesday: Dress in a professional manner. Examples of inappropriate dress includes but is not limited to: jeans, shorts, cutoffs, t-shirts, tube tops, halter tops and “recreational clothing”. Nor, should you wear clothing that exposes large areas of your chest, cleavage, abdomen, midriff or back. Thursday: This is the day that clinical skills and physical exams are practiced. The student is allowed to wear matching scub shirt and pants on this day only.Friday: Casual attire is permitted on Friday’s during the didactic year. Jeans and a collared shirt are considered acceptable casual attire. Shoes: Please use good judgment in the type of shoes you wear. Comfort is key, but sneakers and rubber clogs should be reserved for the O.R. or emergency department. Sandals, flip flops, and “open toed shoes” must not be worn. Hair/Jewelry/Fingernails: You should avoid wearing perfumes or colognes, as they may cause untoward reactions in your patients. Jewelry should be kept to a minimum. No body piercing should be visible with the exception of pierced ears. Artificial/Acrylic nails are not allowed in medical institutions.

Kitchen PolicyThe use of the kitchen is made available to the students of BUPAP and is considered to be a privilege. Abuse of this will result in kitchen access being restricted. It is up to the individual class to ensure that fellow students comply with the policies posted in the kitchen.

Parking PolicyStudents may park in any area not designated for faculty/staff or handicapped. Violators can be issued a citation and/or towed at owner’s expense. Parking by the back door wall is reserved for faculty/staff.

Smoking PolicySmoking is not allowed indoors at Bethel University. You will find a smoke station located in the breezeway. PLEASE USE IT.

Weather Conditions Policy• Students may call the University emergency number, (731) 352-6450, to check on extreme

weather.• Announcements of class closings will be made by the Program Director on the website. Students

may choose to set up a phone tree in the beginning of the semester to notify each other of class closing.

• Additionally, the University staff will have a voice mail greeting with closing announced. • Unless conditions are extreme, classes will be held. • Students are advised to use caution and common sense in deciding whether or not to attend.• Such absences will be excused in accordance with the attendance policy.

Fire, Bomb, Threat, Tonado Policy & ProcedureFour fire extinguishers are located in the PA building. The procedures for what to do in case of an emergency are posted near the exit doors on the first and second floors of the building.

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Eating/Drinking in Classroom PolicyEating and drinking in the classroom is permitted as long as it is not distracting to other students and/or faculty. Please do not leave cans, candy wrappers, potato chips bags, etc. on your desk.

Restroom PolicyThe restrooms are cleaned twice a week by housekeeping. Please help to maintain a clean appearance in the interim. If you are in need of toilet paper, paper towels, or soap, or if there are maintenance issues, please contact the program secretary.

Drug Screens/Background ChecksEach student is responsible for getting a drug screen and a background check before enrolling in the PA Program. You must use CertifiedBackground.com for both. The results are sent directly to the program. A second drug screen and Tb skin test will be completed at the end of the didactic year and the student responsible for the cost incurred.

Printing/CopyingPlease have all printing and/or copying done before class starts. There is a copier leased to the BUPAP student society in the classroom. You may use it for your copying needs. If you do not own a printer or copier, they are available in the library on campus and in the classroom at the PA Program. Program staff are not allowed to print/copy or fax items for the students.

Code of Ethics The Tennessee Academy of Physician Assistants recognizes its responsibility to support Tennessee physician assistants and the profession in maintaining high standards in the delivery of quality, cost-effective, and accessible health care services for Tennessee. The following principles describe the standards governing the conduct of Tennessee physician assistants in their professional interactions with patients, colleagues, other health professionals and the general public. Realizing that no code can list all ethical responsibilities of the physician assistant, this does not constitute a list of all possible obligations.

Tennessee physician assistants shall be committed to providing competent medical care, assuming as their primary responsibility the health, safety, welfare, and dignity of all humans.

Tennessee physician assistants shall extend to each patient their complete ability as dedicated, empathetic healthcare providers and shall assume responsibility for the skillful discharge of their professional duties.

Tennessee physician assistants shall deliver healthcare services without regard to sex, age, race, creed, socio-economic, and political status.

Tennessee physician assistants shall adhere to all state and federal laws governing informed consent concerning the patient’s health care.

Tennessee physician assistants shall seek consultation with their supervising physician, other health providers, or qualified professionals having special skills, knowledge or experience whenever the welfare of the patient will be safe-guarded or advanced by such consultation.

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Tennessee physician assistants shall take personal responsibility for being familiar with and adhering to all federal/state laws applicable to the practice of their profession.

Tennessee physician assistants shall provide only those services for which they are qualified via education and/or experiences and by pertinent legal regulatory process.

Tennessee physician assistants shall not misrepresent their skills, training, professional credentials, identity or services.

Tennessee physician assistants shall uphold the doctrine of confidentiality regarding privilege patient information, unless required to release such information by law or such information becomes necessary to protect the welfare of the patient or the community.

Tennessee physician assistants shall strive to maintain and increase the quality of individual health care service through continuing education.

Tennessee physician assistants shall have the duty to respect the law, to uphold the dignity of the physician assistant profession and to accept its ethical principles.

Tennessee physician assistants shall not participate in or conceal any activity that will bring discredit or dishonor to the physician assistant profession and shall expose any illegal or unethical conduct in the medical profession.

Tennessee physician assistants shall use their knowledge and experience to contribute to an improved community.

Tennessee physician assistants shall place service before material gain and guard against conflicts of professional interest.

Tennessee physician assistants shall strive to maintain a spirit of cooperation with their professional organizations and the general public. This information was copied from the Tennessee Academy of Physician Assistant web site at www.tnpa.com/codeofethics.asp.

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Chapter Five: Scholarships

Scholarship OpportunitiesTennessee Physician Assistant FoundationNell and Pat Kilpatrick Memorial ScholarshipThe Tennessee Physician Assistant foundation will award a minimum of one scholarship yearly in the amount of $500.00, with the discretion to award more based on the level of charitable contributions from the previous 12 months. The Tennessee Physician Assistant Foundation awards scholarships to 1st or 2nd year physician assistant students. Students interested in learning more about this scholarship should contact the Program Director

The Society of Army Physician Assistants (SAPA)Captain Sean P. Grimes Physician Assistant Educational Scholarship AwardThis scholarships intent is to award financial assistance to an individual who is seeking initial training as a physician assistant or to a PA seeking a baccalaureate, masters or doctoral degree. The amount of award is $3,000.00 annually for the first ten years provided funds are available; then the amount may be reevaluated at the discretion of SAPA BOD. Any army veteran, army active duty solider, any army national guard solider, and any army reservist solider is eligible to apply for this scholarship. Students interested in learning more about this scholarship should contact the Program Director

Physician Assistant FoundationThe PA Foundation (PAF) is a charitable organization that operates exclusively for educational, scientific, literary, and research purposes. The PAF has developed several programs that can assist students as they strive to reach their goals in school and in their professional practice. In total, the Physician Assistant Foundation has awarded over $1.4 million to deserving PA students across the country. Scholarships are awarded on the basis of financial need, academic achievement, extracurricular activities, and future goals as a PA. The deadline to apply is January 15. Students interested in learning more about this scholarship should contact the Program Director

Tennessee Rural Health Loan ForgivenessThe Tennessee Rural Health Loan Forgiveness Program is established as part of the system of lottery-funded scholarships and is administered by the Tennessee Student Assistance Corporation. Recipients must agree to maintain satisfactory progress in the program of study, complete the medical or dental program within the allocated five (5) years and practice medicine or dentistry in a health resource shortage area after becoming a Tennessee licensed physician, osteopathic physician, physician assistant, dentist, or after receiving a Tennessee certificate of fitness as a nurse practitioner, for one (1) year for each year of funding provided by a Tennessee Rural Health Loan Forgiveness award. Students must be a citizen of Tennessee and be a resident of Tennessee for one (1) year immediately preceding the date of application. Students interested in learning more about this scholarship should contact the Program Director

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National Health Service Corp. (NHSC)The NHSC is dedicated to improving the health of the Nation’s underserved. NHSC clinicians practice in a broad range of community-based systems of care operating in rural and urban federally designated health professional shortage areas. The Scholarship Program is highly competitive. Applicants who are selected to participate receive payment of tuition and fees, books, supplies, and equipment for up to 4 years of education and a monthly stipend. For each year of support you receive, you will be required to serve 1 year in an approved practice site, located in a federally designated health professional shortage area of greatest need. There is a minimum service commitment of 2 years, which must begin upon completion of your health professions training. The Loan Repayment Program is highly competitive. Applicants who are selected to participate agree to provide full-time primary care services in an approved practice site, located in a federally designated health professional shortage area. For the 2 year minimum service commitment, the NHSC will pay up to $50,000.00 based on the participant’s qualifying educational loans. Opportunities to continue participating in the program beyond 2 years may be available. Students interested in learning more about the programs offered by the NHSC should contact either the Program Director or the Clinical Director of Coordination.

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