Master of Health Sciences Physician Assistant

Department of Family Medicine and Community Health, Division of Physician Assistant Studies Department Chair: Anthony Viera, MD, MPH PA

Division Chief & Program Director: April Stouder, EdD, MHS, PA-C

Medical Director: Kenyon Railey, MD

Faculty: Lovest Alexander, Jr., MHS, PA-C, DFAAPA; Lorraine Anglin, MHS, PA-C; Melinda Blazar, EdD, MHS, PA-C, Janelle Bludorn, MS, PA-C; Alicia Bolden, DMSc, MPH, MPAS, PA-C; Emily Douglas, DMSc, MSc, MSPAS, PA-C; Suzanne Hallquist, MSPH, MHS, PA-C; Megan Holmes, PhD; Kim Howard, MHS, PA-C; Nicholas Hudak, PhD, MPA, MSEd, PA-C; Quincy Jones, DrPH, MSW, LCSW, MHS, PA-C; Brittany Macon-Davis, DMSc, MHS, PA-C; Betsy Melcher, MS, ATC, MHS, PA-C; Jacquetta Melvin, MPH, PA-C; Perri Morgan, PhD, MEd, PA-C; Laura Okolie, DMSc, MBA, MHS, PA-C; Sandro Pinheiro, PhD; Rachel Porter, PhD

Website: medschool.duke.edu/education/health-professions-education-programs/duke-physician-assistant-program

Program Mission

The Duke Physician Assistant Program’s mission is to equip learners to deliver equitable patient-centered care by providing an innovative primary care-focused curriculum, expanding and strengthening community partnerships, and developing leaders in the PA profession.

The Physician Assistant Profession

Physician assistants (PAs) work in collaboration with physicians and healthcare teams and provide diagnostic and therapeutic patient care in virtually all medical specialties and settings. They take patient histories, perform physical examinations, order laboratory and diagnostic studies, and develop patient treatment plans. In all fifty states, PAs have the authority to write prescriptions. Their job descriptions are as diverse as those of their collaborating physicians and also may include medical education, healthcare administration, and research.

While PAs practice medicine, other tasks have been integrated into the role, particularly in the institutional and larger clinic setting. For example, PAs in the tertiary care setting are often involved in the acquisition, recording and analysis of research data, the development of patient and public education programs, and the administration of their departments’ clinical and educational services. Involvement in these other services has demonstrated the value of having PAs as part of the team and provided job advancement for PAs in these settings.

Additional nonclinical positions are developing for PAs. While these positions do not involve patient care, they depend on a strong clinical knowledge base. The Duke PA curriculum provides students with depth of knowledge in the basic medical sciences and clinical medicine, as well as skills in administration and research. With these expanded skills, graduates can take advantage of the wide diversity of positions available to PAs.

Program of Study

The curriculum is twenty-four consecutive months in duration and is designed to provide an understanding of the rationale for skills used in patient assessment, diagnosis, and management. The first phase of the program is devoted to preclinical studies in the basic medical, clinical and behavioral sciences, and the second phase to clinical experiences in primary care, medical and surgical specialties, and advanced study in evidence-based practice.

Each student is assessed a technology fee for both the first and second years. This fee includes access to an electronic platform, which hosts some of the required textbooks needed for the program. In addition, the program provides computers, which are used for communication and a variety of in-class and clinical assignments and activities. The preclinical curriculum is integrated to introduce students to medical sciences as they relate to specific organ systems and clinical problems. Learning strategies include the traditional lecture format, hands-on basic science labs, small group tutorials, and patient case discussions. Opportunities for early clinical exposures are an important part of the first-year curriculum.

As part of the clinical curriculum, students are required to complete supervised clinical practice experiences (SCPEs) in internal medicine, surgery, emergency medicine, primary care, pediatrics, obstetrics & gynecology, and behavioral medicine. In addition, two elective SCPEs are included in the clinical year schedule. At least one clinical experience must be completed in a medically underserved area. Students should plan to be out of the local area for a minimum of two rotations and housing is provided for rotations greater than 50 miles from the PA program. On average, clinical year students complete four assigned rotations greater than 50 miles from the PA program, with a maximum assigned distance of 250 miles. Any rotation assignments greater than 250 miles away, or any out of network rotation assignments, would be a result of a student preference or request, therefore the student is responsible for housing and transportation costs.

Across the program curriculum, standardized patient sessions using simulation and actors are incorporated for instructional and assessment purposes.