Lifestyle factors (eg, smoking, diet) and compliance with screening recommendations play a role i... more Lifestyle factors (eg, smoking, diet) and compliance with screening recommendations play a role in cancer risk, and emerging technologies (eg, new vaccines, genetic testing) hold promise for improved risk management. However, optimal outcomes from cancer control efforts require better preparation of health professionals in risk assessment, risk communication, and implementing health behavioral change strategies that are vitally important to cancer control. Although physician assistants (PAs) are substantively engaged in cancer-related service delivery in primary care settings, few models exist to facilitate integration of cancer control learning experiences into the curricula used in intense, fast-paced, 24- to 30-month PA training programs.
The journal of physician assistant education, 2002
According to the U.S. Census Bureau, persons representing ethnic and racial minority populations ... more According to the U.S. Census Bureau, persons representing ethnic and racial minority populations will comprise almost half of all persons in the United States by 2050. A second significant trend involves the current and projected increase use of alternative therapies related, in part, to changing cultural beliefs and health-related practices of an increasingly diverse U.S. population. A body of literature suggests that the persistent and growing use of alternative therapies has left health professionals behind, confused and incapable of assisting their patients. The Collaborative for Patient-centered Care represents a partnership involving the Department of Physician Assistant Studies, 2 inner-city nonprofit community service agencies, Project Life and Mission Main, and the Maine Ambulatory Care Consortium. The goals of the CPCC are to (1) prepare a cadre of culturally competent and sensitive health care professionals to effectively provide patientcentered care to ethnically and racially diverse populations, and (2) augment the capacity of nonprofit, community-based agencies to better assist minority school children prepare for future health-related careers. Methods: The educational experiences offered students are designed to develop their ability to establish and be part of a therapeutic relationship with a diverse population of patients seeking health care services. This ability is being developed using multifaceted learning experiences that integrate the principals and practices of multiculturalism, alternative therapy, and health behavioral counseling with early applied service learning and required clerkship experiences with diverse populations of children and adults. A sevenmember CPCC Steering Committee comprising participants in the collaborative oversees all project activities. Four interdisciplinary work groups dealing with curriculum infusion, interpersonal communications, evidence-based medicine, and experiential learning are responsible for the development, implementation, and evaluation of the learning experiences provided students enrolled in the PAS program. The theoretical framework for the project is based on the explanatory model of Kleinman and colleagues, the transcultural assessment model of Giger and Davidhizer, and the concept of self-efficacy contained within the social learning theory of Bandura. Together, these models have been used to construct a cultural beliefs and alternative therapy practices (CBATP) history for use by students in the clinical setting. A transcultural self-efficacy tool is being used to measure students' perceptions of their ability to establish a therapeutic relationship with a culturally diverse population of individuals seeking health care services. Results: The products of the project include a community-based early service learning program involving inner city children for students in the preprofessional phase of the program; a crosscultural emphasis within the curriculum of the PAS program; a CBATP history that provides students a structure for listening, suspending judgement, and asking questions about patient self-care practices; cases for use in the program's BL curriculum that deal with cultural beliefs and alternative therapy practices grounded in evidence-based medicine; and a required community-based ambulatory medicine clerkship in rural Maine in settings caring for Native Americans.
Wolters Kluwer Health may email you for journal alerts and information, but is committed to maint... more Wolters Kluwer Health may email you for journal alerts and information, but is committed to maintaining your privacy and will not share your personal information without your express consent. For more information, please refer to our Privacy Policy. ... Skip Navigation Links Home > ...
Mail surveys of samples of dental hygienists (n = 90, 36% response), registered dietitians (n = 2... more Mail surveys of samples of dental hygienists (n = 90, 36% response), registered dietitians (n = 262, 52% response), and physician assistants (n = 289, 89% response) in Texas and certified nurse midwives (n = 143, 57% response) in the US provided data regarding their confidence that they possess skills and knowledge to counsel patients about selected areas of health promotion (self-efficacy). Also, the surveys gathered information regarding respondents' beliefs that patients will follow through on their recommendations (adherence expectation), and their interest in continuing education programs. Overall, respondents displayed highest self-efficacy with regard to counseling patients about blood pressure and smoking. Confidence was lowest in illicit drug abuse and mental health areas. Certified nurse midwives and physician assistants indicated confidence in many more areas than the other two groups. Respondents consistently expressed less certainty about patient adherence than about their own skills and knowledge. They generally indicated a high degree of interest in continuing education across the several health promotion topics. Modest relationships were observed between self-efficacy and interest in continuing education programs for physician assistants and registered dietitians, indicating that those with greater self-efficacy had a greater interest in building their skills. A similar pattern was observed among physician assistant respondents with respect to adherence expectations.
The journal of physician assistant education, 2010
Purpose: Although the benefits of primary and secondary prevention of cancer are well recognized ... more Purpose: Although the benefits of primary and secondary prevention of cancer are well recognized among health care providers, insufficient knowledge or skill often leads to inadequate assessment and management, particularly in the primary care setting. The scant literature on physician assistant (PA) cancer-related competencies suggests that PAs may not be well-prepared in this arena. Thus, curriculum reform in PA education is paramount for improving PAs' abilities to provide cancer risk assessment and management services. The Physician Assistant Cancer Education (PACE) project was designed for such a purpose. Following instrument development, baseline measurement of perceived abilities for cancer-related core competencies was assessed in a representative cohort of PA students. Methods: Literature search strategies, expert review, and a nationwide survey of PA program directors yielded the 26-item Competencies in Cancer Assessment and Management (C-CAM) instrument. Baseline self-efficacy data were gathered from students across eight PACE-affiliated PA programs. Statistical analysis focused upon instrument quality and comparisons of reported self-efficacy among respondent cohorts. Results: Data were collected from 544 PA students. Overall instrument reliability was excellent (Chronbach's alpha 0.97). Exploratory factor analysis identified three factors explaining 72.83% of response variance. Mean values varied somewhat across institutional cohorts. Clinical students demonstrated higher self-efficacy than preclinical students. Conclusions: The C-CAM is an effective instrument to assess PA student self-efficacy in cancer prevention, risk assessment, and risk management competencies. Although a trend toward higher self-efficacy was observed among clinical students, further research is required to assess the extent to which reported self-efficacy may be expected to change over time.
A health behavioral counseling curriculum grounded in Motivational Interviewing and the Transtheo... more A health behavioral counseling curriculum grounded in Motivational Interviewing and the Transtheoretical Model of behavior change was developed to enhance knowledge and clinical skill among physician assistant (PA) students in managing cancer risk behaviors. A literature and curriculum review informed course content, teaching strategies, and learning activities. The course was evaluated over two pilot years. Students demonstrated increased knowledge and skills regarding the basic principles of the intervention models. The course was integrated into the pre-clinical year of PA training and will be disseminated, beginning with a faculty development workshop for all PA training programs in Texas, USA.
... Ott & DcAtley, 1983). Their movement into these new practice settings and specialties... more ... Ott & DcAtley, 1983). Their movement into these new practice settings and specialties has been well-re-ceived because of their thorough preparation for their roles in clini-cal medicine (Curry & Luckie, 1984). One of the more ...
The Texas Consortium of Geriatric Education Centers was establisged in 1985. The primary goal of ... more The Texas Consortium of Geriatric Education Centers was establisged in 1985. The primary goal of the Consortium is the continued professional development of health professions faculty in gerontology and geriatrics. This article describes a multi-level program of institutional development which has been initiated to accomplish this goal. The components of the program include a strategic planning document (Institutional Action Plan), and a professional development program for faculty (Personal Action Plan). Since October 1985 a total of 63 health professions faculty from 9 academic institutions have enrolled in the two-year program. As designated trainees, these individuals are expected to complete a seven-unit Learning Module in Geriatrics, attend two content-intensive multidisciplinary institutes, and prepare a structured plan for the introduction of aging content within educational experiences provided students in health-related disciplines. The design of the instructional program provided faculty traine...
Although data on the subject are incomplete, available national data suggest that somewhat more t... more Although data on the subject are incomplete, available national data suggest that somewhat more than one million children with disabilities live in rural areas. These children face the special challenges of preparing for community life in environments where service systems are inadequate if not totally absent, funding for educational and other programs is typically meager, and persons with knowledge of disability-related services and issues—including the independent living philosophy and its application in the community—may be unavailable. It is important, therefore, that special education teachers become familiar with the independent living philosophy and its application for people with both physical and cognitive disabilities.
Lifestyle factors (eg, smoking, diet) and compliance with screening recommendations play a role i... more Lifestyle factors (eg, smoking, diet) and compliance with screening recommendations play a role in cancer risk, and emerging technologies (eg, new vaccines, genetic testing) hold promise for improved risk management. However, optimal outcomes from cancer control efforts require better preparation of health professionals in risk assessment, risk communication, and implementing health behavioral change strategies that are vitally important to cancer control. Although physician assistants (PAs) are substantively engaged in cancer-related service delivery in primary care settings, few models exist to facilitate integration of cancer control learning experiences into the curricula used in intense, fast-paced, 24- to 30-month PA training programs.
The journal of physician assistant education, 2002
According to the U.S. Census Bureau, persons representing ethnic and racial minority populations ... more According to the U.S. Census Bureau, persons representing ethnic and racial minority populations will comprise almost half of all persons in the United States by 2050. A second significant trend involves the current and projected increase use of alternative therapies related, in part, to changing cultural beliefs and health-related practices of an increasingly diverse U.S. population. A body of literature suggests that the persistent and growing use of alternative therapies has left health professionals behind, confused and incapable of assisting their patients. The Collaborative for Patient-centered Care represents a partnership involving the Department of Physician Assistant Studies, 2 inner-city nonprofit community service agencies, Project Life and Mission Main, and the Maine Ambulatory Care Consortium. The goals of the CPCC are to (1) prepare a cadre of culturally competent and sensitive health care professionals to effectively provide patientcentered care to ethnically and racially diverse populations, and (2) augment the capacity of nonprofit, community-based agencies to better assist minority school children prepare for future health-related careers. Methods: The educational experiences offered students are designed to develop their ability to establish and be part of a therapeutic relationship with a diverse population of patients seeking health care services. This ability is being developed using multifaceted learning experiences that integrate the principals and practices of multiculturalism, alternative therapy, and health behavioral counseling with early applied service learning and required clerkship experiences with diverse populations of children and adults. A sevenmember CPCC Steering Committee comprising participants in the collaborative oversees all project activities. Four interdisciplinary work groups dealing with curriculum infusion, interpersonal communications, evidence-based medicine, and experiential learning are responsible for the development, implementation, and evaluation of the learning experiences provided students enrolled in the PAS program. The theoretical framework for the project is based on the explanatory model of Kleinman and colleagues, the transcultural assessment model of Giger and Davidhizer, and the concept of self-efficacy contained within the social learning theory of Bandura. Together, these models have been used to construct a cultural beliefs and alternative therapy practices (CBATP) history for use by students in the clinical setting. A transcultural self-efficacy tool is being used to measure students' perceptions of their ability to establish a therapeutic relationship with a culturally diverse population of individuals seeking health care services. Results: The products of the project include a community-based early service learning program involving inner city children for students in the preprofessional phase of the program; a crosscultural emphasis within the curriculum of the PAS program; a CBATP history that provides students a structure for listening, suspending judgement, and asking questions about patient self-care practices; cases for use in the program's BL curriculum that deal with cultural beliefs and alternative therapy practices grounded in evidence-based medicine; and a required community-based ambulatory medicine clerkship in rural Maine in settings caring for Native Americans.
Wolters Kluwer Health may email you for journal alerts and information, but is committed to maint... more Wolters Kluwer Health may email you for journal alerts and information, but is committed to maintaining your privacy and will not share your personal information without your express consent. For more information, please refer to our Privacy Policy. ... Skip Navigation Links Home > ...
Mail surveys of samples of dental hygienists (n = 90, 36% response), registered dietitians (n = 2... more Mail surveys of samples of dental hygienists (n = 90, 36% response), registered dietitians (n = 262, 52% response), and physician assistants (n = 289, 89% response) in Texas and certified nurse midwives (n = 143, 57% response) in the US provided data regarding their confidence that they possess skills and knowledge to counsel patients about selected areas of health promotion (self-efficacy). Also, the surveys gathered information regarding respondents' beliefs that patients will follow through on their recommendations (adherence expectation), and their interest in continuing education programs. Overall, respondents displayed highest self-efficacy with regard to counseling patients about blood pressure and smoking. Confidence was lowest in illicit drug abuse and mental health areas. Certified nurse midwives and physician assistants indicated confidence in many more areas than the other two groups. Respondents consistently expressed less certainty about patient adherence than about their own skills and knowledge. They generally indicated a high degree of interest in continuing education across the several health promotion topics. Modest relationships were observed between self-efficacy and interest in continuing education programs for physician assistants and registered dietitians, indicating that those with greater self-efficacy had a greater interest in building their skills. A similar pattern was observed among physician assistant respondents with respect to adherence expectations.
The journal of physician assistant education, 2010
Purpose: Although the benefits of primary and secondary prevention of cancer are well recognized ... more Purpose: Although the benefits of primary and secondary prevention of cancer are well recognized among health care providers, insufficient knowledge or skill often leads to inadequate assessment and management, particularly in the primary care setting. The scant literature on physician assistant (PA) cancer-related competencies suggests that PAs may not be well-prepared in this arena. Thus, curriculum reform in PA education is paramount for improving PAs' abilities to provide cancer risk assessment and management services. The Physician Assistant Cancer Education (PACE) project was designed for such a purpose. Following instrument development, baseline measurement of perceived abilities for cancer-related core competencies was assessed in a representative cohort of PA students. Methods: Literature search strategies, expert review, and a nationwide survey of PA program directors yielded the 26-item Competencies in Cancer Assessment and Management (C-CAM) instrument. Baseline self-efficacy data were gathered from students across eight PACE-affiliated PA programs. Statistical analysis focused upon instrument quality and comparisons of reported self-efficacy among respondent cohorts. Results: Data were collected from 544 PA students. Overall instrument reliability was excellent (Chronbach's alpha 0.97). Exploratory factor analysis identified three factors explaining 72.83% of response variance. Mean values varied somewhat across institutional cohorts. Clinical students demonstrated higher self-efficacy than preclinical students. Conclusions: The C-CAM is an effective instrument to assess PA student self-efficacy in cancer prevention, risk assessment, and risk management competencies. Although a trend toward higher self-efficacy was observed among clinical students, further research is required to assess the extent to which reported self-efficacy may be expected to change over time.
A health behavioral counseling curriculum grounded in Motivational Interviewing and the Transtheo... more A health behavioral counseling curriculum grounded in Motivational Interviewing and the Transtheoretical Model of behavior change was developed to enhance knowledge and clinical skill among physician assistant (PA) students in managing cancer risk behaviors. A literature and curriculum review informed course content, teaching strategies, and learning activities. The course was evaluated over two pilot years. Students demonstrated increased knowledge and skills regarding the basic principles of the intervention models. The course was integrated into the pre-clinical year of PA training and will be disseminated, beginning with a faculty development workshop for all PA training programs in Texas, USA.
... Ott & DcAtley, 1983). Their movement into these new practice settings and specialties... more ... Ott & DcAtley, 1983). Their movement into these new practice settings and specialties has been well-re-ceived because of their thorough preparation for their roles in clini-cal medicine (Curry & Luckie, 1984). One of the more ...
The Texas Consortium of Geriatric Education Centers was establisged in 1985. The primary goal of ... more The Texas Consortium of Geriatric Education Centers was establisged in 1985. The primary goal of the Consortium is the continued professional development of health professions faculty in gerontology and geriatrics. This article describes a multi-level program of institutional development which has been initiated to accomplish this goal. The components of the program include a strategic planning document (Institutional Action Plan), and a professional development program for faculty (Personal Action Plan). Since October 1985 a total of 63 health professions faculty from 9 academic institutions have enrolled in the two-year program. As designated trainees, these individuals are expected to complete a seven-unit Learning Module in Geriatrics, attend two content-intensive multidisciplinary institutes, and prepare a structured plan for the introduction of aging content within educational experiences provided students in health-related disciplines. The design of the instructional program provided faculty traine...
Although data on the subject are incomplete, available national data suggest that somewhat more t... more Although data on the subject are incomplete, available national data suggest that somewhat more than one million children with disabilities live in rural areas. These children face the special challenges of preparing for community life in environments where service systems are inadequate if not totally absent, funding for educational and other programs is typically meager, and persons with knowledge of disability-related services and issues—including the independent living philosophy and its application in the community—may be unavailable. It is important, therefore, that special education teachers become familiar with the independent living philosophy and its application for people with both physical and cognitive disabilities.
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Papers by Carl Fasser