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PA Education COVID-19 Response Forum: Clinical Phase - Shared screen with speaker view
sheree piperidis
20:06
Sheree here from Connecticut
Elizabeth DiNapoli
20:07
Hello from NEW YORK!!!!!!
Amanda Reddy
20:10
Hello from Michigan!
Heather Neighbors
20:10
Hello form Birmingham, Alabama
Stephanie Keith
20:12
Hello from Mississippi College!
Laura Delaney
20:13
hello from Des Moines university
Courtney Fankhanel
20:14
hello from CT
Tiffani Burgin
20:16
San Antonio here.
Lesli Woodall
20:17
Hello from South Carolina
Olivia Ziegler
20:17
So nice to connect with everyone.
Matthew Ewald
20:18
Hello from South Carolina
Lisa Longoria
20:18
Hi from Texas
Melissa Murfin
20:18
Hey everyone from Elon PA!
LEIGH ANNE PICKUP
20:18
Hello from Nashville!
Amber Teigen
20:20
Hi from UAMS, Littlte Rock, AR
Laura Ernst
20:20
Hey LIZ!!
Riane Dodge
20:21
Hi from way up in northern NY!
Mia Hyde
20:22
Hello from Nebraska
Valerie Williams
20:23
Hello from Florida, Pembroke Pines
Donald Pidugu
20:26
Miami Dade medical PA
Pam Ruane
20:28
Hello from Pennsylvania!
Larry Collins
20:30
Hello from Tampa
Antonio Rivas
20:31
Hello from Miami
Christine Amendola
20:33
Hello from Westchester, NY!!!
Lesli Woodall
20:35
HI from Charleston, SC!
Jamie Heitzinger
20:35
Hello from North Carolina!
Edward Giarrusso
20:36
Edward Giarrusso Stony Brook University
Katie Gimbel
20:40
I cant hear anything
LISSETTE VALDES
20:40
Hello from Emory in Atlanta
Kim Stokes
20:43
Hello from Greenville NC
Asheley Goergen
20:44
Rosalind Franklin University in North Chicago,IL
Justin Goebel
20:44
hello from quarentine MS
Melinda Blazar
20:46
Hello from North Carolina. Happy to see so many familiar names/faces!
Lindsey Hoffmann
20:47
La Verne, California!
PAEA Learning
20:47
Glad you have all joined..
Gregory Selasky
20:49
Hi from West Virginia!
Mindy Staveteig
20:51
Greetings from North Dakota!
Lindsay Lyon
20:51
Hi from Asheville, NC!
David Fahringer
20:52
HI from the University of KY
Vanessa Rogers
20:52
Kettering College, OH
Heather Garrison
20:53
Greetings from High Point, NC!
Jenny Sena
20:54
Hello from Monmouth University, NJ
Angelica Sanchez
20:57
Hello from Albuquerque, NM
Melanie Bayles
20:58
Hello from Wichita State!
Loni Kearney
20:58
Hello from Springfield, Massachusetts!
Arianne Fredrickson
21:02
Hi from South University PA Program in Savannah!
Elizabeth Di Prospero
21:04
Hi from NJ
Mark Archambault
21:08
Hello from University of Lynchburg!
Lorraine Jamieson
21:13
Hello from Brooklyn NY
Cyndi Watkins
21:15
Cyndi at Augusta University
Genevieve DelRosario
21:16
Hello from Saint Louis!
Aimee Larson
21:27
Hello from Buffalo, NY and sending you all well-wishes
Kirsten Bonnin
21:28
Hi from AZ
Jacqueline Murray
21:29
Hello from Santa Clara UT
Marc Hawkins
21:51
Hello from MEDEX Tacoma/Hawaii
Arianne Fredrickson
21:53
Does anyone have audio on their web-based app?
Amy Wing
22:14
Yes, I have audio on web-based app.
Arianne Fredrickson
22:32
Got it! Thank you
PAEA Learning
22:32
You can control audio in the lower left hand side of the app.
PAEA Learning
22:37
Perfect!!
Nina Multak
22:41
Hello from Gainesville, Florida!!
Tom Earnhardt
22:57
Hi from Charlotte, NC
Heather Ontiveros
23:12
Hello form California!
Lindsey Hoffmann
23:23
Good morning HEather!
Elizabeth Massey
23:37
Hi Lindsey!
Vanessa Bester
23:38
Hi from Minneapolis, MN!
Sandra Fineman
23:39
Hi Heather and Lindsey!
Lindsey Hoffmann
23:48
Good morning Sandra:)
Heather Ontiveros
24:10
good morning ladies:)
ssaldivar
24:11
Morning, all!
Shannon Schellenberg
24:53
Thank you for organizing this!
Lisa Walker
24:57
Really curious how folks are interpreting and responding to the recent ARC statement.
David Areaux
25:09
What do we do for EOR if we cannot have a live proctor? Proctor U and Examity is not taking new schools
David James
25:09
Good afternoon to all.
Shalon Buchs
25:26
Hi everyone!
Kerry Birney
25:33
Question: Are programs planning to continue “End of Rotation/End of Clerkship” exams on schedule even though our students will only be seeing “patients” on a digital platform (like Aquifer or something similar?)
Laurie Hill
25:53
Yes, we had exams on this past Friday
Loni Kearney
26:28
How are you navigating the use of digital patients and ARC compliance?
PAEA Learning
26:31
Thanks everyone who has questions! There will be an opportunity Raise your Hand and be un-miced to ask questions in a little bit!
Zehra Ahmed
26:53
Woohooo!!!!!!! THANK YOU
Agnes Compagnone
27:01
Thank you!
Starr Newman
27:02
YAY!!!!!!!
PAEA Learning
27:03
Not a problem!
Vanessa Bester
27:20
Thank you!!
Christine Amendola
27:20
Awesome!!!
Sue Nyberg
27:24
Thanks!
Ami Steele
27:33
Thank you.
Elana Min
27:40
Amazing news, greatly appreciate it. THANK YOU!
Heather Ontiveros
27:51
does this mean we can use webex/zoom to monitor them
Tracy Jackson
27:52
Proctoring for PAEA EOR you ca have proctors remotely. They can be done by having gogle meet.. st
Elias Villarreal
27:57
Literally, I want to cry.
Laurie Hill
28:14
Hang in there ELi
Zehra Ahmed
28:22
I’m with you Elias
Tracy Jackson
28:25
This is great news!!!!!
Ami Steele
28:35
Me, too.
Reynold Jaglal
29:07
Please clarify. We do not need to use a remote proctor program to administer the EOR exams?
Saje Davis-Risen
29:28
We are using Zoom to proctor in house exams. students will have Zoom on their phones, and take the exams using our usual examsoft lockdown
Heather Grotke
29:46
anyone know how to interpret the Summative exam standard? We have already administered some components, but now with graduation potentially being delayed, unsure how this affects the 4 month requirement
David James
29:52
Did understand correctly, a remote secure proctor is not needed to give the EOR, I being a Faculty member can proctor and monitor the remote EOR being given.
PAEA Learning
30:01
Exam Information https://paeaonline.org/assessment/. 301-617-7820 • exams@PAEAonline.org
Lindsey Hoffmann
30:17
Questions will be done at the end…save your questions. They’re good questions:)
Pat Kenney-Moore
31:00
please consider doing questions using the chat function rather than by using audio.
carol gorney
31:04
how do we register
PAEA Learning
32:18
Heres the link to the upcoming webinars and how to register. https://paeaonline.org/resources/coronavirus-resources/virtual/
Kerry Birney
32:20
Agree with having a moderator take questions from chat rather than having us all trying to raise our hands to ask on-mic
Laurette Dekat
32:47
We had success with MonitorEDU to proctor EOR exam last week.
candra carr
33:08
Hi Grace!!
Olivia Ziegler
33:27
To answer the question to David for everyone: PAEA is waiving our proctoring policies for the End of Rotation exams effective immediately and until the end of June. You can administer End of Rotation exams to students at home without a remote proctor.
Elias Villarreal
36:37
Gracias!
Amanda Reddy
36:51
what are your module block themse?
Vanessa Bester
37:10
Go Lucy!!!
Zehra Ahmed
37:15
The following is what we were doing till we took all our students off rotations and would like some feedback please. We we looking at is the number of hours and if the student has met the objectives for each rotation – IF the student has met all the requirements for a rotation in less than the # of weeks they are supposed to be on one, we are taking them off. If the site will take on another student who needs the rotation, we put them in there.So for example – our rotations are 4 weeks [OB, PEDS, ED etc] of 8 weeks – [IM, FM and Gen Sx]. However, this is also in hours – so 144 hours for a 4 week rotation is what is required.We first make sure they have met all our requirements – the hours [not the weeks], patient logging, their ICD-10, CPT codes etc. The preceptor also MUST sign off on their evaluation which does state they have met the LO. There are various other requirements – H&P etc. etc. They may be able to do all this in less than the # of weeks.
Lorraine Cashin
37:41
that is what we are doing Grace as well
David Areaux
37:51
Am I correct that LockDown browser will not work with ExamDriver?
Jenn Griffith
37:59
Shout out to Dr. Lucy Kibe at Charles Drew!
Olivia Ziegler
38:13
Yes, you are correct, ExamDriver is not compatible with lockdown browsers
Katie Gimbel
38:28
what happens to student's loans if rotations are delayed?
Vanessa Bester
39:44
Thanks Grace! Good to see you!
Holland Taylor
39:45
I am really interested in what ARC-PA thinks about substituting clinical hours with online education in the clinical year
Ami Steele
39:56
KIM!!!!
Chrystyna Senkel
40:12
great ideas presented... but are we allowed to do these things?
Mirela Bruza
40:30
that is the issue Holland
Ami Steele
40:53
Would be nice to get more info from them to guide us.
Lindsey Hoffmann
41:07
I think that’s part of the plan...
PAEA Learning
41:10
Olivia Ziegler our chief assessment officer is on and answering some of your questions about the exams. Due the fast speed of the conversation, if we missed anyone at the end of the webinar, please reach out: 301-617-7820 • exams@PAEAonline.org
Bridget Calhoun
41:13
Please slow down!
Sue Reich
42:34
re: student loans---check with your university. we were told students must remain engaged with the curriculum in some way to verify they maintain "enrollment"
Edward Giarrusso
42:36
Great ideas, but are those on line experinces sufficent to repalce clinical hands on?
Lindsay Lyon
42:38
Kim, do these options in contingency plan take place of the clinical rotation? Or do they still make up the clinical rotation.
Jacqueline Sivahop
42:43
Hi Katie - There is information on the Federal Student Loans at https://studentaid.gov/announcements-events/coronavirus
PAEA Learning
42:45
A few said you’ll have questions but don’t want to get on the mic, please chat your questions to Kendall (PAEA Admin) and she’ll ask on your behalf.
Patrick Enking
43:01
I agree with Holland regarding substituting clinical experiences vs didactic online content
Petar Breitinger
43:03
Kim your resource posted is a great guide and one helping to create our ideas as well! Would encourage us all to post our creative ideas and resources to the Learning hub, thanks PAEA for creating this!
Sarah Shami
43:04
I thought you can't "substitute" clinical rotations as per ARC-PA?
Darlla Duniphin
43:44
Which alternative options are ARC-PA approved?
Sean Sreniawski
43:49
Solid work Kim!
Mark Archambault
43:51
Thank you Kim!
Ami Steele
43:57
You are fantastic, Kim!
Heather Matchik
44:11
The ARC-PA is put that message out initially but will they consider other options as we come up with them
Elizabeth Di Prospero
44:18
Thank you for the clarification Kim - exercises only for supplementing the 2 weeks but not for the full rotation
carol gorney
44:58
So ARC made a reivsed staement Friday to being more fluid to allow you to chagne as long as you meet all of your learning outcomes ..Think in terms of outcomes versus hours or weeks
Laura Gerstner
45:07
We are considering shortening our remaining rotations from 4 weeks to 3 with supplemental online courses to "make up this time"
Kim Stokes
45:07
We consider the 2 week contingency as a supplement/augmentation, not a true replacement. Students will not have to repeat Rot 3, but they do have to finish this coursework. WE will be using a checkpoint OSCE/OSLER as we get them back.
Lucy Kibe
45:45
Anyone in California wishing to join the California discussion, email me at lucykibe@cdrewu.edu
Grace Landel
45:56
At a prior program, we had a nonclinical faculty development elective rotation. Since it is an elective, it doesn't fit into a Standard. We are viewing this current "COVID-19 Elective" in the same light.
Donna Murray
46:00
One of our concerns is that sites will open up to students in a staggered manner. And that some will be quite delayed.
Alison Ismael
46:09
Hi Carol, definitely agree. Meeting learning outcomes vs. clinical hours
Saje Davis-Risen
46:10
Kim, will that be a face to face OSCE/OSLER? or will you do that distance based?
Ashley Larsen
46:13
We were at the very beginning of rotation 3, so our students will have to complete the 4 weeks later no matter what but we are still doing lectures/questions etc to keep them in the game until we can figure out a solution
Ami Steele
46:30
Will the schedule of webinars be made available?
Kim Stokes
46:33
When we get them back, face to face
PAEA Learning
46:42
Raise your Hand using the Raise Hand Feature to let us know if you’d like to talk!
Lindsey Hoffmann
46:45
@ashely Larsen..we are doing the same
Alison Ismael
46:45
Can you restate the question
Loni Kearney
47:02
How are programs managing SUMMA evaluations such as clinical skills virtually?
Sarah Shami
47:19
what was the question?
Patrick Enking
47:22
I don't have a raise hand feature
Kerry Birney
47:24
Agree with Loni
Kerry Birney
47:31
(I have the same question)
Lindsey Hoffmann
47:32
Missed the question, I don’t have the raise hand feature either
Amanda Gunter
48:15
On your screen, click on Participants and it should be at the bottom of the participants screen
Saje Davis-Risen
48:56
all: if you click the "participants" button at the bottom of your screen (looks like three people) a side bar will pop up with a few peoples names at the top. right under those names and befor the chat - that's where you will find "unmute" and "raise hand"
Heather Ontiveros
49:25
there are some really get Apps for iphone as well. 'Full code' has simulated cases, and 'Touch surgery' has simulated procedures. We are using those to adjuct. Looking for more simulated cases
Heather Grotke
50:07
how are people addressing "electives" creatively? Do we still need to have clinical hours for elective rotations?
Jenna Rolfs
50:25
vCases.com is offering a free year subscription to their simulation cases to as many programs as they can support
Michele Toussaint
50:52
We are creating a few non-clinical electives and running those up front to buy some time.
Ashley Larsen
50:58
Heather is there a cost to those Apps?
Zehra Ahmed
51:06
Thanks Carol
Kim Stokes
51:15
That's what we are thining of doing Michele Toussaint
Heather Grotke
51:25
Michele, so are you creating new syllabi for those rotations?
Michele Toussaint
51:44
yes- In the midst of this right now as the first one will start 3/30
Heather Ontiveros
51:52
'Full code' is free for 8 cases, but for full access it is $8/mo. 'Touch Surgery is free
Heather Grotke
51:53
thank you!
Ashley Larsen
52:08
Thank you Heather Ontiveros
Holland Taylor
52:12
Moving from sufficient exposure language to meeting program learning outcomes released that pressure to meet
Heather Ontiveros
52:52
You are very welcome
David Keahey
53:03
Over 64% of programs have already committed to having students (didactic or clinical) become MAT-waiver trained prior to graduation. As programs are scrambling to put online content together for both cohorts, these resources might be a mechanism to provide high quality content (24 hours) to your students at no charge—and may be applicable to behavioral health rotations. Of course, with their certificate of completion, Grads will be eligible for x-waivers after PANCE/licensing/DEA. etc.https://pcssnow.org/calendar-of-events/?tribe_eventcategory=12
David Keahey
53:09
https://elearning.asam.org/buprenorphine-waiver-course
Saje Davis-Risen
53:11
Michele and Kim: we are considering this for our first year students - so we have less overlap between those graduating and those entering
Lorraine Cashin
53:11
can you post your email? Carol?
Ellen Mandel
53:17
How are programs handling the supervisor’s sign off for competency for a CORE rotation, if this is a part of their documentation?
carol gorney
54:05
Carol Gorney, carol-gorney@uiowa.edu
Lorraine Cashin
54:21
thank you
Heather Ontiveros
54:35
SAje- can you repeat those..it was a little fuzzy coming though
Lorraine Cashin
54:38
i would love to join a small group
Alison McLellan
55:06
Saje is talking about ReelDx and i-Human
Kim Stokes
55:07
RealDx and iHuman is what she said
Donald Pidugu
55:26
me too thanks Carol for sharing your email.
Mark Archambault
55:27
Holland, Agree with you. Focus on learning outcomes and assessment. Exposure/logging (unless it involves a sign off of competency) plays a secondary role....
Heather Ontiveros
55:33
Thank you!
Alicia Quella
55:36
REEL DX cases aren’t really evidence based..a lot of them are of paramedics talking to patients and providers that use poor techniques (H/P)
Zehra Ahmed
55:37
lol
Heather Grotke
55:40
poor david!!!
Odoo McCallum
56:02
God speed David!!
Zehra Ahmed
56:06
Sorry David - we all feel for you
Kelly Headley
56:08
Thanks for that info, Alicia.
Lindsay Ferrington
56:09
Man what a start David!
Saje Davis-Risen
56:20
Alicia : We are weeding through the ReelDX: cases for those that are pertinent and well done.
Kim Stokes
56:20
alternative elective content: we are looking at something evidence based to bolster our outcomes for EBP
Ashley Larsen
56:24
Man that is rough David...we all feel for you!
Erin Lunn
56:34
David, we are providing an elective which includes a telehealth component, professional practice and development and PANCE prep
Erin Lunn
56:38
happy to share
Lorraine Cashin
56:54
how are you using telehealth
Heather Grotke
56:54
erin, can you share with me too? My email is hagscl@rit.edu
Lindsay Lyon
57:06
Erin, I would love for you to share this!
Mia Hyde
57:15
I would love to see too Erin- mia.hyde@unmc.edu
Kim Stokes
57:16
If someone has an alternative elective syllabus/plan of modules they could post in the digital learning hub, that would be great to give us some examples!
Heather Ontiveros
57:17
me too! hontiveros@calbaptist.edu
Vanessa Bester
57:21
Erin- me too! besterva@augsburg.edu
Michael De Rosa
57:23
We haven't yet reeached a body count that will move the ARC on in-person experiences. Fingers crossed.
Katie Caba
57:27
cabak@ohsu.edu
Bill Childers
57:30
simulation, scenarios, cases, all are great ideas to assist with learning BUT, is there any substitute for actual time and experience with patients? If we can’t prove sufficient exposure from Typhon in their family med rotation (for example), their graduation will have to be extended??
Lindsay Ferrington
57:35
I would like to see it as well Erin. lferri@lsuhsc.edu
Erin Lunn
57:52
We are still working on it but trying to have students either sit on site with the preceptor or for students to remote in with preceptors providing telehealth
ssaldivar
57:55
Ditto. thanks, Erin! ssaldivar@chapman.edu
Donald Pidugu
58:00
Donald dpidugu@mdc.edu
Kim Stokes
58:01
Virtual cases are great, but they are not real people, so I'm cautious on how much we use them.
Ashley Larsen
58:03
would love to see the syllabus that is providing alternatives for the elective
Mitzi D'Aquila
58:14
Same here. Please share Erin! daquila@med.usc.edu
Ashley Larsen
58:21
ashleylarsen@scuhs.edu
Terry Gruchow
58:22
Erin.would like to see. gruchow002@gannon.edu
Erin Lunn
58:23
Seems like a few people would like resource we’ve developed. Can you email me if you would like? I’m having trouble keeping up with everyone
Lorraine Cashin
58:26
Bill- that is my uderstanding
Erin Lunn
58:27
emcadams@southalabama.edu
Saje Davis-Risen
58:28
Bill: Agreed - they have to have sufficient contact with real patients - the crux will be - have they had enough patient exposure to meet program defined competencies.
Kim Stokes
58:33
The PAEA digital learning hub is the easiest way to share with everyone.
Roberto Canales
58:34
I appreciate that we are going to do our best to provide a quality education and get students graduated. However, i think it is also important to acknowledge that at some point, the only solution is - delayed graduation
Loni Kearney
58:35
Ashley agreed, very interested in a syllabus for virtual elective
Kerry Birney
58:38
I noticed that European countries are actually graduating physicians and nurses EARLY to help with the crisis. Hopefully ARC realizes that we will need PAs working clinically and we shouldn’t be delaying graduation!
Lorraine Cashin
58:38
Erin please share as well lcashin@mercy.edu
Lorraine Cashin
58:41
thank you so much
Kelly Smart
58:48
I am curious if sites/preceptors are still accepting students, are you still sending them to try and get as many clinical hours as they can?
Tracy Jackson
59:01
Erin, I would also like to hear how you utilize telehealth tracy.jackson@wagner.edu. Thank you!
Starr Newman
59:34
Erin - if you could share :) newmans@trine.edu thank you so much!
Kim Stokes
59:36
There are a few of our students still willing, but our university (more than our program) says no. And I think that is smart to decrease vectors and decrease their personal risk.
Julie Lonetto
59:47
me too Erin, thanks! joestreich@css.edu
karen hills
59:54
PAEA is planning a webinar on Telemedicine/Telehealth. Please look for more information coming soon.
Jacquelyn Borst
01:00:04
We also have a few willing preceptors but thus far administration has stated no students to be on rotations.
Loni Kearney
01:00:13
Our legal counsel advised to pull students from rotations
Michael Ramcharan
01:00:13
Hello, is there a way to save this chat conversation, so much great information on here?
Amy Baker
01:00:23
I've seen a lot of PAs lamenting being laid off from specialty rotations. Just something to consider that some of these sites may not be available even once students are permitted back on rotations.
Amy Baker
01:00:29
Yes, the chat will be saved.
Mirela Bruza
01:00:59
that’s very true Amy
Heather Ontiveros
01:01:22
We are also using Medscape CME cases, and the students submit certificates as accountability. Medscape also has simulated patients that are free.. I havn't checked them out yet
Elias Villarreal
01:01:28
I have all students placed. No student opted out given the option. Preceptors want them and we allow it as long as PPE is available and no exposure to COVID+ patients. Interestingly, our rural/remote sites are really stepping up. Some sites are taking multiple students because they need the extra help triaging and doing H&Ps.
Ami Steele
01:01:29
WE recently severed our agreement with iHuman because it was inconsistent and often incorrect. Created more confusion and frustration that it was worth.
Ashley Larsen
01:01:42
I am nervous about exactly that when they are able to go back, how many of our sites will actually accept them...
Elias Villarreal
01:01:55
ER and SURGERY is out though…need to solve that problem.
Sean Sreniawski
01:01:58
What platform is Lisa speaking about?
Loni Kearney
01:02:08
ihuman
Katie Gimbel
01:02:09
I think its important to think that this will likely be effecting us all summer
Saje Davis-Risen
01:02:17
Elias: have you looked at JOMI for surgery cases?
Ashley Larsen
01:02:20
I agree Katie!
Heather Ontiveros
01:02:25
thats grea tto hear Eli, her ein California, most of us went as long as we could. But PPE's are in short supply
Elias Villarreal
01:02:31
I havne’t…great idea Saje
Pat Kenney-Moore
01:02:41
How is everyone managing angry and frustrated students who are upset that their timeline has been altered?
Saje Davis-Risen
01:02:45
the video is amazing!
Lorraine Cashin
01:03:09
our partners want our students as volunteers but our university will not sponsor it.
Kim Stokes
01:03:14
Our students have been amazingly patient with us but we are keeping contact with them regularly
Lorraine Cashin
01:03:17
they do not want the respoositibilty
Heather Ontiveros
01:03:17
Angry frustrated students... i am listening and trying to encourage persepctive
Kim Stokes
01:03:39
I should also mention on top of our contingency assignment, we are meeting with students once a week in small groups per rotation to run through cases.
David Bunnell
01:03:44
We had a virtual Town Hall with our class at noon. We highlighted that they are now PA pioneers in a new world. PAs solve problems.
Elias Villarreal
01:03:45
I keep saying the same thing to them. Not our fault. Not anyone’s fault. And their anger is acknowledged but outbursts and unprofessional behavior is neither helpful nor useful.
Darlla Duniphin
01:03:46
Thoughts regarding some students fulfilling rotations with a few community preceptors that will still take students with remaining of the class using alternative rotations? In this scenario, the students wouldn't have the "same experience".
Ashley Larsen
01:03:47
Our students have been understanding so far, they are disappointed but know that this is not our fault
Richard Gilbert
01:03:49
Sorry, for some reason my mic was not working. I wanted to point out that if you are having trouble financing something like Aquifer or Ihuman, medscape has medsims for free. I also think it is important to discuss with your university when a student has to have completed their requirements to graduate on time. At this point our university requires that all requirements must be completed within 30 days after graduation. Just wanted to make sure everyone was aware that some universities may allow students to graduate on time, as long as they complete their courses by that time frame
Lorraine Cashin
01:03:51
the students are going to volunteer but it doesn't count as contact hours
Holland Taylor
01:04:00
Great question, Heather! Can we also add to the question about Simulation exercises?
Ashley Larsen
01:04:22
I called each of my students individually to let them know they were displaced which helped a lot
Ian Vanderwoude, PA-C
01:04:51
Wondering if any programs have been operating with clinical rotations continuing with most students, but having others follow alternatives. My program is nearing not having enough rotation sites for all students, so would be short 1 or 2, but want to maintain equity among all students. Delaying all rotations for being short a few preceptors/sites is a hard pill to swallow
Loni Kearney
01:05:16
We are holding class zoom meetings to address their stress and questions which has been helpful. One of the counselors from the campus counseling center is also willing to have a group meeting to discuss the stress of graduation more likely being delayed
Jacquelyn Borst
01:05:18
Heather, I discussed that with our dean (a former ARC-commissioner). His impression was that due to the extenuating circumstances, there will likely be some flexibility in that time requirement for summatives. We are in a similar boat with our summatives occurring this week and the potential for delay of graduation. Just some thoughts from discussions that I've had!
Jenna Rolfs
01:05:26
Same at UL. It takes time, but the personal individual video conferences with the students has seemed to help tremendously!
Theresa Riethle
01:05:36
Pat we have done Zoom meetings with the class to discuss the issues with them and being honest about where we stand. It has allowed them to voice their concerns and actually offer come solutions. I think open communication has worked best for us. It won't prevent upset students but it has helped us.
Heather Grotke
01:05:39
Thank you, Jacquelyn
Kim Stokes
01:05:41
We are not allowing volunteering/shadowing, etc b/c we don't want students coming back later saying how many hours they did somewhere. The university says no, so we are saying no. I don't need a news headline saying an ECU PA student has COVID and was in medical clinics despite what the university said
Lesli Woodall
01:05:48
Will you be providing a follow-up communication with the answers to the questions needing “circling back” e.g. Summative Evaluation 4 month window/ARC-PA view of if this window can be elongated for programs who had already started portion of the Summative?
Laura Ernst
01:06:02
Has anyone considered shortening their clinical rotations (when we come back), to help catch up to the standard timeline, when we come back?
Katie Gimbel
01:06:06
thank you
Kim Stokes
01:06:26
Laura Ernst---yes, several programs are considering htat
Reamer Bushardt
01:06:29
We are seeing barriers in availability of health screens, immunization, and drug screening — even though we use a large national vendor. Just sharing in case other programs need to revisit policies and consider flexibility.
Zehra Ahmed
01:06:34
Yes considered shortening rotations for sure. I’m not sure ARC will be ok with that mid year though
Darlla Duniphin
01:06:38
We are thinking about shortening to 3 weeks from 4.
Katie Compagni
01:06:40
We are planning on shortening rotations from 6 weeks to 4 weeks, after a almost 8 week removal of students.
Heather Neighbors
01:07:15
I agree- will ARC approve shortening rotations mid-year?
Kim Stokes
01:07:19
I have problems shortening rotations b/c sites have already accepted students for specific date ranges. I can't mess with the timeline
carol gorney
01:07:26
We promise to meet our learning outcomes. We use simulation and assignments already so we are just changing the delivery to meet current resources to continue to meet the outcomes
Laura Ernst
01:07:29
Zehra - The good news is that ARC doesn't have any guidelines or standards on the length of rotations - as long as they can meet the learning outcomes
Christopher Forest
01:07:37
Has PAEA leadership reached out ARC-PA to start a dialogue about this unique situation?
Terry Gruchow
01:07:54
With the mention of Ihuman,, Aquifer Real Dx or Medsim is one more consistent and definitve than others
Debra Kimball-Christie
01:07:59
We have discussed decreasing from 5 weeks to 4 weeks but have not done anything to this point.
Genevieve DelRosario
01:08:06
We are thinking about shortening rotations by a week or two, moving all end of rotations except exams to the next few weeks, AND moving electives to the end of the year, so that if we need to overlap classes, we can do it, since none of our students begin on clerkships.
Lorraine Cashin
01:08:21
thank you kim i wiil bring that to my administration
Amy Baker
01:08:27
There are options for students to volunteer through state or national response teams if they are looking for things to do that would not be through the university.
Darlla Duniphin
01:08:29
What is the best way to do remote testing?
Lorraine Cashin
01:08:30
i think that is a good idea
Lorraine Cashin
01:08:44
thanks Amy
Amy Baker
01:08:48
In Pennsylvania, there is SERVPA
Amy Baker
01:09:02
I know I'm on call in the Philly area
Nathalie Ortiz Pate
01:09:03
Michael Ramcharan - I'm typing up minutes including questions/answers that I can share if anyone is interested, I can post on PAEA Learning Hub
Zehra Ahmed
01:09:16
Hi Laura Ernst. Thank you. But don’t we have to stick to our current syllabi or can I change those now?
Lindsey Hoffmann
01:09:21
ARC needs to clarify a lot, I think....
Saje Davis-Risen
01:09:30
Thank you Nathalie!
Olivia Ziegler
01:09:31
Darlla PAEA can walk you through remote testing options for PAEA exams, other programs can share what they are doing for non-PAEA exams.
Starr Newman
01:09:36
Thanks Nathalie!
Ashley Larsen
01:09:36
I think ARC is vague and we need more direction..
Danielle Fournier
01:09:40
@nathalie, yes please
Lindsey Hoffmann
01:09:48
@ashely. I totally agree
Katie Gimbel
01:10:41
@Ashely, Yes
Starr Newman
01:10:43
ARC needs to step up and provide direction
Heather Neighbors
01:10:58
Agree with Starr and Lindsey!
Amy Baker
01:11:05
Also, for students looking for things to do, and feel the need to help or ways to direct their frustration, there are PAs looking for student help to try to advance legislature for disaster response to allow PAs to be involved.
Reamer Bushardt
01:11:10
I wouldn’t rule out asking for institutional support to revise program curricula or programs of study, if normal timelines can be expedited and overall learner outcomes can be preserved.
Laura Delaney
01:11:12
are people referring to learning outcomes - talking about the program learning outcomes or the course objectives?
Katie Gimbel
01:11:23
I am hopeful people will be generous when this is over and take more students
Evelyn Graeff
01:11:32
I hope so as well
Heather Ontiveros
01:11:36
I have a contingency plan for prolonged time, but do not know how to raise my hand
Danielle Fournier
01:11:37
We've thought about a lottery type distribution of sites
Lorraine Jamieson
01:11:48
Cody can you please let us know if simulation, I Human, real Dx are appropriate substitutions for clinical clerkships. Based on ARC-PA statement none of these can be used in place of Clinicals but some programs are using them. I am still a bit confused.
David Bunnell
01:11:52
To synthesize comments from a few questions - one pathway seems to be creating an “Academic Elective” which satisfies the learning objectives listed in your elective syllabus.
Ashley Larsen
01:11:53
Some of my preceptors said they would take more students but I don't think this will be in the majority :(
Kelly Smart
01:11:55
Ian- yes. We are shorted all rotations by a few days to make a bonus rotation at the end. If anything falls through for any rotation, they will fall into this bonus rotation
Jacquelyn Borst
01:11:58
I had preceptors already offer to do that (take extra students when rotations resume)! Hopefully that's a trend
Lorraine Cashin
01:11:59
great ideas Amy- so appreciated
Jenn Griffith
01:12:24
We thought of that Ian. Our students were set to start their 7th rotation today. Last Monday we had 1 rotation drop out. Within 36 hours, we had 9 sites drop out. We were worried what it would look like after the rotation started. Ultimately the rotations were postponed for all students.
David Fahringer
01:13:00
Sorry I have to start my 2pm on line class. My first time to go on line for class. Good luck everyone.
Mia Hyde
01:13:23
good luck David
Laura Ernst
01:13:46
Great question, Loni
Lorraine Cashin
01:13:58
great quesito
Lorraine Cashin
01:14:02
question
Heather Ontiveros
01:14:33
If there is a large chunk of time off...5-7 weeks. Determine how much time is acceptable with independent study. We have 3.5 rotations of 5 weeks left. we are allowing independent study for one week of the remaining rotations. They will do a week of independent study for each of the rotations they have remaining during the time they have off. We will then shorten to 3-4 weeks depending on when we get back
Darlla Duniphin
01:15:13
Any possible time line for ARC PA answers?
Michael De Rosa
01:15:17
soften stance on board certificaation? Allow a fraction of outcomes to be checked off on simulated patients?
Lorraine Cashin
01:15:18
thank you Mary JO
Erin Lunn
01:15:24
thx
Mark Archambault
01:16:37
For ARC-PA communication, advocating for a similar Zoom call between ARC-PA and PDs from each program would be valuable and is what is happening in other health professions. For example, pharmacy schools with their accreditation agency.
Vanessa Bester
01:16:42
Agreed, Bill!
Elias Villarreal
01:16:44
Time is not competency unless you defined competency as time-dependent
Lindsay Lyon
01:16:52
I see a large variety of length of clinical rotations and how programs are modifying the clinical rotations once students are able to return - forgive me as I am new to academia, but does ARC have a minimum number of hours or weeks of rotation?
Michael De Rosa
01:16:57
Both NP and DPM are allowed to use simulated patients to count for clinical experiences so they have figured it out
Kirsten Bonnin
01:17:08
Great suggestion Mark
Julie Lonetto
01:17:09
me too Erin, thanks! joestreich@css.edu
Shalon Buchs
01:17:09
Good point, Eli
Kerry Birney
01:17:16
Bill asked the golden question. Either we are going to “lower our standard” for education, or we are going to delay graduation
Zehra Ahmed
01:17:21
That’s right Elias. And it isn’t the number of procedures etc. either
Melanie Bayles
01:17:30
Would it be possible to schedule another webinar next week, as more questions arise?
Ashley Larsen
01:17:30
ARC does not say how long or time, but once you say what you are going to do they expect you to do it, not sue if they will be flexible with the current state of affairs
Mitzi D'Aquila
01:17:38
Interesting comment Mike! Good to “see”you!
aimee lamb
01:17:46
Exactly, the elephant in the room!
Laurie Hill
01:17:50
Great points Eli
Lindsay Lyon
01:17:52
thank you Ashley!
Darlla Duniphin
01:17:52
One of the major difficulties is that we can't follow what we said in our syllabi - which can definitely get us in hot water with ARC-PA.
Michael De Rosa
01:17:54
Lots of love, Mitz
Lorraine Cashin
01:17:55
that is what we are sturglling with Bill
Katie Compagni
01:18:05
My concern is that ARC statements indicates some flexibility on "time" as long as learning outcomes are met. However, what about B30.07 when students have to have SCPE with board certified specialists...this will be a challenge.
Holland Taylor
01:18:17
Some competencies need to be accomplished in surgery settings or other specific areas. Not all of the competencies or program learning outcomes are generic. Good point, Bill!
Reamer Bushardt
01:18:19
75% of clinical experiences have been experiential in NP training with 25% allowed via simulation, noting total hours is much lower than most PA programs
Cindy Laux
01:18:25
I forgot about the time zone difference! Was this meeting recorded?
Darlla Duniphin
01:18:28
I agree with Katie and very concerned.
scott french
01:18:32
Erin, I would like to see that as well. Scofrench@southuniversity.edu
Aimee Larson
01:18:34
That's a very good point Mark. I would happily reach out to ARC if you will all be doing the same. Are we suggesting greater impact in numbers, or will PAEA advocate for PDs with ARC-PA on our behalf?
Susan Cappelmann
01:18:40
Yes ….what do to about new students coming in for us in July??
Ashley Larsen
01:18:56
I agree Alicia, this can be a domino effect..
PAEA Learning
01:18:57
Cindy, We have recording today’s meeting and it will be sent to all attendees and posted in the Digital Learning HUB.
Melissa Bowlby
01:19:03
@alicia Quella- We are currently considering this. I would be happy to discuss with you.
Heather Ontiveros
01:19:10
thanks everyone!
Lorraine Cashin
01:19:10
thank you Cody
Natalie Weber
01:19:10
Alicia - we are discussing delaying matriculation.
PAEA Learning
01:19:17
Please remember to register for the upcoming webinars https://paeaonline.org/resources/coronavirus-resources/virtual/
Zehra Ahmed
01:19:17
Thank you so much!! All of you
Marie Meckel
01:19:20
thanks everyone - this is so helpful !
Mitzi D'Aquila
01:19:20
Thank you so much for this webinar!
Susan Cappelmann
01:19:21
Do we delay taking in the new class/
Michael De Rosa
01:19:22
Also discussing delayed matriculation
Kim Stokes
01:19:28
Thanks, Cody and faculty dev MAC!
Kirsten Bonnin
01:19:34
Thanks!
Jeanne-Marie Pennington
01:19:37
Thank you this was very helpful!
Lucia Lopez
01:19:39
Thank you!
Olivia Ziegler
01:19:39
Thank you Cody!
Sarah Shami
01:19:40
Thank you for this
Natalie Martinez
01:19:41
Thank you....stay safe and well!
Gloria Mabry
01:19:43
Thank you, very helpful.
Petar Breitinger
01:19:45
Cody great job moderating!
Gregory Selasky
01:19:46
Thank you all!
Evelyn Graeff
01:19:47
thank you
Nina Multak
01:19:48
Thanks Cody, FD MAC.PAEA and fellow faculty members!!
Lorraine Cashin
01:19:50
stay safe and healthy everyone
Heather Neighbors
01:19:52
Thank you!
Mitzi D'Aquila
01:19:54
Thank you Cody!
Tracy Jackson
01:19:54
Thank you PAEA
Bonnie Minton
01:19:55
Thank you for organizing!
Christie Bewley
01:19:55
Thank you!
Jacqueline Murray
01:19:59
Thank you all!
Jacqueline Sivahop
01:19:59
Thank you Cody and PAEA!
Charles Regan
01:20:01
Thank you all! stay healthy and stay safe!
Aimee Larson
01:20:02
Thanks to everyone who put this together and posed outstanding discussion points. This has been helpful to us as a developing program as well!
Shalon Buchs
01:20:13
Thank you! Stay safe everyone!
Mindy Staveteig
01:20:16
Thank you!!!
Elizabeth Massey
01:20:19
THank you!
Cindy Goetz
01:20:28
thanks! much appreciated.
Nathalie Ortiz Pate
01:20:30
Thank you for organizing this PAEA and MAC! I'll post minutes when I get them organized =)
Erin Lunn
01:20:32
Thanks so much for structuring this1
Mary Jo Pilat
01:20:41
Appreciate knowing we are all in this together! Thank you all!
Ellen Mandel
01:20:42
Thanks to all!
Donna Murray
01:20:45
Thank you!
Sarah Shami
01:20:47
cheers for a hope of 2021 to be a great year
Emilio Vazquez
01:20:48
Thank you PAEA and everyone on the call.
Susann Galloway
01:20:49
Thanks you. Job well done. There is alo to do but remaining positive. Be safe. Take care.