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Post Graduate Medical Education

Veterans Administration Primary Care Residency

A proposal submitted by Virginia Joslin, PA-C, MPH and Norberto Fas, MD, MBA, Associate Chief of Staff at the Atlanta VA Medical Center, titled TheEmory/Atlanta VA Medical Center Partnership Triple Aim Training Model: A Model Physician Assistant Residency Program to Prepare Graduates to Become Effective Patient Aligned Care Team Members and Leaders serving the VA Population has been approved and fully funded to begin in 2012.   This project, will prepare two Physician Assistant graduates to become effective leaders and primary care team members in the VAMC system of community-based outpatient clinics (CBOC) delivering care to the VA patient population using the Patient Centered Medical Home (PCMH) model.  This training program,  the first PCMH-focused and primary care PA Residency in the country,  will include 12 months of didactic and clinical educational experiences in the focusing on the PCMH concepts, clinical leadership, systems-based practice, chronic disease management, practice process improvement, patient engagement in their own care, and seamless, timely transitions of care between primary and specialty care.  The goals of the project include the development of a model PA postgraduate curriculum in the PCMH, provide an outstanding educational experience for these PA residents to become VA employee leaders and change agents in patient centered care for improved outcomes in quality of care, patient and provider experience of care, and cost efficiency. Additionally, the VA seeks to increase the number and quality of PA employees at the VA using a “grow your own” PCMH prepared PA clinicians.  PA residents will participate in core rotations in community based primary care, Physical and Rehabilitative Medicine, Geriatrics, Urology, and Urology, and will select clinical rotations in such specialties as Behavioral Health, Pulmonary Medicine, GI Medicine, and Ophthalmology.  

The anticipated outcomes expected to be associated with this medical home project implementation include improved patient and staff satisfaction, improved health outcomes, reduced mortality, fewer preventable hospital admissions for patients with chronic diseases, reduced ER visits, and improved patient engagement and shared decision-making with recommended care.  

This project fits well with the newly funded VA Center for Excellence in Specialty Care in Women’s Health, which will increase opportunities for medical residents in Ob-Gyn, Psychiatry, Family Medicine, advanced practice nursing and PA students to participate in the VA Patient Aligned Care Teams in the community-based outpatient clinics.  Facilities at Ft. MacPherson will be renovated to serve as an inter-disciplinary and interprofessional clinical team training site. This Center of Excellence is a three-year collaborative project between the VAMC, Emory and Morehouse Schools of Medicine with the same goals to prepare and employ medical and health professions students for PCMH model team practice. Preference for admission to the VA Residency for PAs will be given to candidate who are new graduates from the Emory PA Program

Critical Care Medicine Residency

In February, 2012, the first two Emory PA Program graduates will begin a newly developed Affiliate Provider Residency Program in Critical Care Medicine (CCM) at Emory University Hospitals at Clifton Rd. and Midtown.  Dr Tim Buchman’s vision for addressing the growing shortage of CCM providers has led to the creation of this advanced educational program, which will include research in additional to advanced clinical training.  These Emory PA Program graduates have unique backgrounds in public health and biomedical technology, expanding the potential for this PA educational experience to develop academic medicine PA leaders. This project just received a $10.7 million innovations grant.

Cardiothoracic Surgical Residency

The Emory Physician Assistant (PA) Postgraduate Cardiothoracic Surgical Residency is an intensive one-year educational program that accepts two PA residents per year; one in January and another in August of each calendar year. Affiliated with the Emory University School of Medicine PA Program, the residency is comprised of concomitant didactic and clinical components intended to augment the PA's primary training with advanced training in cardiothoracic surgery. The didactic portion of the program, delivered via Blackboard.com, consists of pre-recorded lectures, scheduled readings, and power point presentations with subsequent written examinations. PA residents will also attend various clinical conferences, monthly grand rounds, and weekly lecture series with cardiothoracic surgical fellows. Cadaveric and animal laboratory training, vascular suturing, tissue dissection and closure, and endoscopic vessel harvesting techniques are also included in the clinical curriculum. Download the PDF Program Brochure.

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