Slide Presentation from the AHRQ 2008 Annual Conference
By Timothy Quigley, M.P.H., PA-C
On September 9, 2008, Timothy Quigley, made this presentation at the 2008 Annual Conference. Select to access the PowerPoint® presentation (714 KB; Plugin Software Help).
U.S. Preventive Services Task Force (USPSTF) Clinical Guidelines in a Physician Assistant Curriculum
Timothy Quigley, M.P.H., PA-C
Wichita State University
Physician Assistants (PAs)
Wichita State University (WSU) PA Program
- First class started in 1973.
- Focus on rural primary care.
- 84 students.
- 42 in didactic training.
- 42 in clinical training.
- 1,200 graduates.
- 45% in primary care.
- 30% rural.
- 25% medically underserved.
WSU PA Graduate Practice Settings, 1975-2006 (%)
This graph demonstrates how WSU graduates compare to the national PA population. You will notice that we have a much higher percentage of graduates practicing in the underserved community (25% versus 12%), the primary care community (45% versus 35%), and in the rural practice setting (30% versus 15%).
USPSTF in the WSU PA Curriculum
- USPSTF formally incorporated into curriculum in 1995.
- Now about 500 students skilled in it's utilization.
- Guide to Clinical Preventive Services required.
- Especially for Rationale, Recommendation Statements and Evidence Review.
- Required searches in Guide and Web site.
- Working familiarity with Recommendations in Guide.
- Personal Digital Assistants (PDAs).
- Required for clinical rotations.
- Linked to Electronic Preventive Services Selector through USPSTF.
Why We Value USPSTF Guidelines
- Independence of members.
- Experts in prevention and primary care.
- Rigorous evaluations of the literature.
- Transparency of the scientific evidence.
- Impartiality of panel and recommendations.
- Broad spectrum of recommendations for primary care (Screening, Counseling, Chemoprophylaxis).
- Clarity of Recommendations and Rationale.
- User-friendly Web site and guide.
- Use in Clinical Practice.
- How frequently do PA students and PA grads utilize the Guide or EPS?
- Use in Patient Education.
- Resources to discuss/explain recommendations.
- How do PA clinicians decide on which preventive service to offer (and when)?
Current as of January 2009
USPSTF Clinical Guidelines in a Physician Assistant Curriculum. Slide Presentation from the AHRQ 2008 Annual Conference (Text Version). January 2009. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/about/annualmtg08/090908slides/Quigley.htm