Program Competencies and Program Performance Measures
PANCE Performance* *The CCPA program has received provisional accreditation The PANCE data will be available after the first anticipated class graduates and completes the exam. | ||||
Class | Graduation Year | Number first time takers | Program First Time Taker Pass Rate | National First Time Taker Pass Rate |
2023 | 2023 | —— | —— | —— |
2024 | 2024 | —— | —— | —— |
2025 | 2025 | —— | —— | —— |
2026 | 2026 | —— | —— | —— |
2027 | 2027 | —— | —— | —— |
Program Attrition
| Graduated Classes | ||
Class of 2023 | Class of 2024 | Class of 2025 | |
Maximum entering class size (as approved by ARC-PA) | 90 | 90 | # |
Entering class size | 90 | 90 | # |
Graduates | # | # | # |
* Attrition rate | # | # | # |
**Graduation rate | # | # | # |
*Attrition rate calculation: Number of students who attritted from cohort divided by the entering class size.
**Graduation rate: Number of cohort graduates divided by the entering class size.
# No data. The CCPA program anticipates the first class in 2023
CCPA Program Goals
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Goal 1: Recruit, matriculate and graduate a diverse class of culturally humble students.+
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Data
- CASPA/AMP data
- Program data summary
- Program attrition data
- Preceptor evaluations during clinical year rotations
- PAEA Annual program reports
- CCPA Cultural Humility Assessment
- CCPA Program Summative Exam
- Community Health Chartbook. National Association of Community Health Centers.
- Bradley-Guidry, C., Burwell, N., Dorough, R. et al. An assessment of physician assistant student diversity in the United States: a snapshot for the healthcare workforce. BMC Med Educ 22, 680 (2022). https://doi.org/10.1186/s12909-022-03717-9
Measures of success (benchmarks)
Diverse class of culturally humble students
Recruitment:
1. Increase the diversity of applicants each year
Cohort 2024 success of goal:
Differences in matriculant diversity from CO2023 to CO2024 [‘24 Stat (change from previous cohort)]
- Languages spoken or known: 30 (+3)
- Self-Identified Races and Ethnicities: 26 (-1)
- Percentage of students not identifying as white: 78% (+20%)
- Range of ages: 23-57 (+7 years range)
- Self-Identified Gender Identity: 78% female (+2%), 0% transgender (=)
- First Generation College: 54 (+35)
- Students from Historically Underrepresented Groups (aka Underrepresented Minority):49 (+27) [defined according to HRSA https://bhw.hrsa.gov/glossary#u]
- Economically Disadvantaged Students: 56 (+34)
- Number of Home States/Province (+3)Matriculate:
2. Improve the recruitment and admissions processes to matriculate students representative of underserved populations cared for at CHCs. Cohort 2024 success of goal:
US Pop. Nat. CHC Patient Pop. CCPA CO2023 CCPA CO2024 White (non-hispanic) 63% 42% 42% 22% Asian 6% 4% 18% 32% Native Hawaiian/Pacific Islander 0% 1% 0% 0.2% American Indian/ Alaska Native 1% 1% 0.1% 0.1% Multiracial 12% 3% 0.9% 12.2% African American/ Black 12% 21% 10% 17.8% Hispanic/ Latino 19% 31% 21% 33% Income At or Below 100% Fed Poverty Limit 13% 68% 24% (economically disadvantaged) 24% (economically disadvantaged)
Graduate:
3. The Program seeks to graduate a diverse class of students that are prepared to address the needs of a diverse society. Cohort 2024 success of goal: Commencement for the first cohort of CCPA students is expected in the Fall of 2023.
Culturally-humble:
4. 100% of students will show improvement over matriculation on the CCPA Cultural Humility Assessment over the course of study.
Cohort 2024 success of goal: Desirable (strongly agree or agree) and uncertain responses on didactic course evaluations about training in cultural humility was provided by students:
- Class of 2023: 98.25% (non-negative responses)
- Class of 2024: 97.34% (-0.91%) (non-negative responses)5. Cohort median of Preceptor Evaluation of Student (Cultural awareness/Inclusion ) >=3.5/5.0
Cohort 2023 success of goal: For the Class of 2023, Average Preceptor Evaluation of Student scores on cultural awareness/inclusion ranges from 4.21 - 4.84 on a 1-5 scale.6. 100% of students do SCPE rotations in underserved areas
Cohort 2023 success of goal: 88-88 students are assigned to a community health center when completing outpatient SCPEs. All students complete core SCPEs in underserved communities. Of the CHC sites where students are based for CO2023, HRSA classifies these communities as dental health professions shortage areas (HPSAs) (68.75% of sites), mental health HPSAs (75%), primary care HPSAs (68.75%), and medically underserved areas or populations (MUA/Ps) (62.5%).7. 100% of students will pass the Program Summative exam cultural humility section
Cohort 2023 success of goal: The program summative exam will take place in the summer of 2023 for the Class of 2023.Progress in meeting our goals
The program defines diversity in the context of this program goal as diversity of identity and/or experience. Elements of identity such as gender identity or self-identified race and ethnicity, and elements of experience like economic hardship or living in a health professions shortage area, are examples of some of the elements of diversity the program affirms through a holistic admissions process.
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Goal 2: To develop life-long learners with the requisite medical knowledge and skills ready to deliver evidence-based, patient-centered health care.+
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Data
PANCE results:
- Several administrations of
- Preceptor evaluations of students during clinical year rotations
- Student Graduate Exit Survey
- CCPA Lifelong Learning Assessment
- CCPA Program Summative Exam
Measures of success (benchmarks)
Lifelong Learners:
1. 100% of students will show improvement on longitudinal CCPA Lifelong Learning Assessment over the course of study
Cohort 2023 success of goal: TBD2. 100% of students will pass Program Summative OSCE about Lifelong Learning
Cohort 2023 success of goal: TBD3. Cohort median of Preceptor Evaluation of Student (Cultural awareness/Inclusion ) >=3.5/5.0
Cohort 2023 success of goal:
Average score on Cultural awareness/Inclusion item in Preceptor Evaluation of Student by SCPE (out of 5):
- Emergency Medicine 4.58
- Behavioral Health 4.58
- Family Medicine 4.62
- Internal Medicine 4.65
- Pediatrics 4.7
- Surgery 4.33
- Women’s Health 4.51Evidence-based, patient-centered health care:
1. Preceptor Evaluation of Student (Evidence-based medicine skills) >=3.5/5.0
Cohort 2023 success of goal: For the Class of 2023, Average Preceptor Evaluation of Student scores on evidence-based medicine skills ranges from 3.95 - 4.5 on a 1-5 scale.2. Student Graduate Exit Survey (Preparation in Evidence-based medicine) >=3.5/5.0
Cohort 2023 success of goal: TBDMedical Knowledge & Skills:
1. - Preceptor Evaluation of Student (Knowledge/Skills) >=3.5/5.0
Cohort 2023 success of goal:
Average score on Knowledge/Skills items in Preceptor Evaluation of Student by SCPE (out of 5):
- Emergency Medicine 4.19
- Behavioral Health 4.33
- Family Medicine 4.25
- Internal Medicine 4.28
- Pediatrics 4.23
- Surgery 4.12
- Women’s Health 4.152. PANCE first-time taker pass rate at or above national average
Cohort 2023 success of goal: TBD3. Overall PANCE pass rate=100%
Cohort 2023 success of goal: TBD
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Goal 3: Foster recognition of ways in which the social determinants of health affect individuals and their respective communities.+
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Data
- Program Summative exam subsections regarding SDOH
- CCPA SDOH Assessment
- RDPAE evaluation of Student
Measures of success (benchmarks)
1. 100% of students complete several SCPEs based at CHCs
Cohort 2023 success of goal: 88 of 88 students are scheduled to complete 4 or more SCPEs at CHCs.2. Will show improvement on longitudinal CCPA SDOH Assessment over the course of study
Cohort 2023 success of goal: TBD3. Program median on student evaluations of courses and graduate evaluation will be >=3.5/5
Cohort 2023 success of goal: Cohort projected to complete program in Fall of 2023.4. Program median on student, faculty & staff evaluations of inclusion will be >=3.5/5
Cohort 2023 success of goal: Cohort projected to complete program in Fall of 2023.5. Program median on student, faculty & staff evaluations of equity will be >=3.5/5
Cohort 2023 success of goal: Cohort projected to complete program in Fall of 2023.
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Goal 4: Utilize innovative evidence-based educational methods aided strongly by technology and focused on equity and inclusion.+
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Data
- Didactic curricular lesson plans
- White papers
- Student course evals
- Student, faculty & staff inclusion survey
- Student, faculty & staff equity survey
Measures of success (benchmarks)
1. CCPA Program Faculty will produce at least 3 white papers annually on evidence-based educational methods and technology
Cohort 2023 success of goal: The program deferred publishing of white papers during the initial cohorts in order to focus on establishing and conducting self-assessment of educational methods and technologies.2. Annual curricular assessment will show focus on innovative educational delivery methods
Cohort 2023 success of goal: TBD3. Program median on student evaluations of courses and graduate evaluation will be >=3.5/5
Cohort 2023 success of goal: Cohort projected to complete program in Fall of 2023.4. Program median on student, faculty & staff evaluations of inclusion will be >=3.5/5
Cohort 2023 success of goal: Cohort projected to complete program in Fall of 2023.5. Program median on student, faculty & staff evaluations of equity will be >=3.5/5
Cohort 2023 success of goal: Cohort projected to complete program in Fall of 2023.
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CCPA Program Graduate Competencies
Clinical and Technical Skills (CTS)
CTS_1. Gather essential and accurate information about patients and their health status through history taking, physical examination, and the use of laboratory data, imaging, and other diagnostic modalities
CTS_2. Perform medical and surgical procedures with appropriate supervision.
Clinical Reasoning and Problem- Solving Abilities (CRPS)
CRPS_1. For patients of all ages, differentiate between the normal and the abnormal in anatomy, physiology, laboratory findings, and other diagnostic data
CRPS_2. Discern among, and provide appropriate care for, patients with acute, chronic, and emergent disease states
CRPS_3. Evaluate and address issues of ongoing signs, symptoms, or health concerns that remain over time without clear diagnosis despite evaluation and treatment
CRPS_4. Identify the appropriate site of care for presenting conditions, including identifying emergent cases and those requiring referral or admission to including ensure continuity of care
CRPS_5. Apply established and emerging principles of clinical sciences to diagnostic and therapeutic decision making, clinical problem solving, and other aspects of evidence-based health care
CRPS_6. Apply principles of social–behavioral sciences to provision of patient care, including assessment of the impact of psychosocial–cultural influences on health, disease, care-seeking, care compliance, and barriers to and attitudes toward care
CRPS_7. Recognize the cultural norms, needs, influences, and socioeconomic, environmental, and other population-level determinants affecting the health of the individual and community being served, and incorporate them into evaluation and management of the patient
CRPS_8. Recognize the potential impacts of the social community, environment, biology, and genetics on patients and incorporate them into decisions of care
CRPS_9. Apply principles of epidemiological sciences to the identification of health problems, risk factors, treatment strategies, resources, and disease prevention/health promotion efforts for patients
CRPS_10. Locate, appraise, and integrate evidence from scientific studies related to their patients’ health problems
CRPS_11. Recognize the need for, and methods for locating/providing, assistive services/ technologies that patients may require for physical, mental or emotional disabilities
CRPS_12. Use the full scope of knowledge, skills, and abilities of available health professionals to provide care that is safe, timely, efficient, effective, and equitable
CRPS_13. Recognize and explain legal and regulatory requirements, as well as the appropriate role, of the physician assistant
CRPS_14. Demonstrate an understanding of, and ability to apply, ethical principles pertaining to provision or withholding of clinical care, confidentiality of patient information, informed consent, and business practices
CRPS_15. Apply medical information and clinical data systems to provide more effective, efficient patient care
CRPS_16. Practice cost-effective health care and resource allocation that does not compromise quality of care
CRPS_17. Incorporate knowledge of etiologies, risk factors, underlying pathologic process, and epidemiology for medical conditions into diagnosis, management, and patient education
CRPS_18. Order and Interpret laboratory data, imaging studies, and other diagnostic tests for general clinical practice
CRPS_19. Formulate plan for management of general medical and surgical conditions, as they present across the lifespan, including pharmacologic and other treatment modalities
CRPS_20. Describe and apply interventions for prevention of disease and health promotion/maintenance
CRPS_21. Describe, order, and/or perform screening methods to detect conditions in an asymptomatic individual
CRPS_22. Utilize history and physical findings and diagnostic studies to formulate and narrow differential diagnoses
Interpersonal Skills (IS)
IS_1. Apply principles of social–behavioral sciences to provision of patient care, including assessment of the impact of psychosocial–cultural influences on health, disease, care-seeking, care compliance, and barriers to and attitudes toward care
IS_2. Demonstrate techniques to develop therapeutic rapport with patients and their families
IS_3. Counsel and educate patients and their families to empower them to participate in their care and enable shared decision making
IS_4. Describe and demonstrate cultural humility
IS_5. Deliver health information so that patients can understand and make meaning out of the information conveyed to them
IS_6. Provide effective, equitable, understandable, and respectful quality care and services that are responsive to diverse cultural health beliefs and practices, preferred languages, health literacy, and other communication needs
IS_7. Organize and communicate information with patients, families, community members, and health team members in a form that is understandable, avoiding discipline-specific terminology when possible, and checking to ensure understanding
IS_8. Develop professional relationships and effectively communicate with physicians, other health professionals, and health care teams
IS_9. Demonstrate sensitivity, honesty, and compassion in difficult conversations
IS_10. Demonstrate respect for the dignity and privacy of patients while maintaining confidentiality in the delivery of team-based care
Medical Knowledge (MK)
MK_1. For patients of all ages, differentiate between the normal and the abnormal in anatomy, physiology, laboratory findings, and other diagnostic data
MK_2. Discern among, and provide appropriate care for, patients with acute, chronic, and emergent disease states
MK_3. Incorporate knowledge of etiologies, risk factors, underlying pathologic process, and epidemiology for medical conditions into diagnosis, management, and patient education
MK_4. Order and Interpret laboratory data, imaging studies, and other diagnostic tests for general clinical practice
MK_5. Formulate plan for management of general medical and surgical conditions, as they present across the lifespan, including pharmacologic and other treatment modalities
MK_6. Describe and apply interventions for prevention of disease and health promotion/maintenance
MK_7. Describe, order, and/or perform screening methods to detect conditions in an asymptomatic individual
MK_8. Utilize history and physical findings and diagnostic studies to formulate and narrow differential diagnoses
MK_9. Make informed decisions about diagnostic and therapeutic interventions based on patient information and preferences, up-to-date scientific evidence, and clinical judgment
Professional Behaviors (PROF)
PROF_1. Describe and demonstrate cultural humility
PROF_2. Accurately articulate one’s role and responsibilities to patients, families, communities, and other professionals
PROF_3. Develop professional relationships and effectively communicate with physicians, other health professionals, and health care teams
PROF_4. Demonstrate respect for the dignity and privacy of patients while maintaining confidentiality in the delivery of team-based care
PROF_5. Use the full scope of knowledge, skills, and abilities of available health professionals to provide care that is safe, timely, efficient, effective, and equitable
PROF_6. Recognize and explain legal and regulatory requirements, as well as the appropriate role, of the physician assistant
PROF_7. Demonstrate an understanding of, and ability to apply, ethical principles pertaining to provision or withholding of clinical care, confidentiality of patient information, informed consent, and business practices
PROF_8. Apply medical information and clinical data systems to provide more effective, efficient patient care
PROF_9. Apply information technology to manage information, access online medical information, and support their own education
PROF_10. Demonstrate methods for removing barriers to health
Provide health care services aimed at wellness and prevention of health problems
PROF_11. Identify and describe personal and professional limitations in providing care, formulating possible solutions, and recognize learning activities that address one’s gaps in knowledge, skills, or attitudes
PROF_12. Recognize the value of the work of monitoring and reporting for quality improvement
PROF_13. Articulate and apply the legal, ethical and evidence- based, scientific basis of standard of care practice
PROF_14. Recognize one’s physical and emotional limits and establish healthy boundaries to support healthy partnerships
PROF_15. Identify and describe the funding sources and payment systems that provide coverage for patient care
PROF_16. Describe the PA’s responsibility for promoting a safe environment for patient care and recognizing and correcting systems-based factors that negatively impact patient care
PROF_17. Provide health care services aimed at wellness and prevention of health problems