group of healthcare professionals meeting

Clinical

Your second year will be spent in clinical practice.

During supervised clinical practice experiences (SCPE), students apply the knowledge, interpersonal, clinical and technical skills, professional behaviors, and clinical reasoning and problem-solving abilities acquired in the didactic phase of the program.

Clinical Phase

Under the supervision of clinical preceptors, you will acquire the competencies needed for clinical PA practice. You are exposed to diverse patient populations across the lifespan in the disciplines of family medicine, internal medicine, pediatrics, surgery, ob/gyn/women's health, emergency medicine, and behavioral health.

Beginning in the fourth semester, you will participate in nine supervised clinical practice experiences (SCPEs) over approximately 12 months. The nine SCPEs consist of seven required disciplines and two electives. Clinical rotations are assigned by the program: students are not required to provide or solicit clinical sites or preceptors.

During each SCPE (clinical rotation), you gain patient experience through medical or surgical disciplines. As an integral part of the interdisciplinary healthcare team, the PA student is assigned to and supervised by a clinical preceptor. The PA student obtains medical histories, performs physical examinations, develops working differential diagnoses/assessments, orders and interprets appropriate laboratory and other diagnostic tests, performs therapeutic procedures, determines a final diagnosis and develops a comprehensive treatment plan.

Supervised clinical practice experiences occur within out-patient and in-patient settings such as hospitals, clinics, private practices, emergency departments, and long-term care facilities. We have a wide variety of excellent clinical sites in the Los Angeles area where students interact with diverse patient populations.

Semester 4

PACC 660-PACC 689 | Rotation #1 (5 Credits)

PACC 660-PACC 689 | Rotation #2 (5 Credits)

PACC 660-PACC 689 | Rotation #3 (5 Credits)

Semester 5

PACC 660-PACC 689 | Rotation #4 (5 Credits)

PACC 660-PACC 689 | Rotation #5 (5 Credits)

PACC 660-PACC 689 | Rotation #6 (5 Credits)

MPAC 646 - Medical Research Methods and Literature Review (3 Credits)

Students will gain knowledge and skill in research methodology, experimental design, statistical analysis, and critical evaluation of the medical literature. Students will develop the skills to formulate research questions, develop research protocols, hypotheses, study designs, and their comparative strengths and limitations. Students will gain the knowledge and skills to effectively use and analyze bio-statistics in different research design and data analysis, to conduct computerized searches, and to understand, review and critically analyze medical literature and professional journal articles and its application to clinical practice. Topics include choosing correct statistical methods and study designs in research and practice, descriptive statistics, probability and probability distributions, estimation and hypothesis testing. Ethical issues in research will be discussed, including informed consent and the function of an IRB.

Semester 6

PACC 660-PACC 689 | Rotation #7 (5 Credits)

PACC 660-PACC 689 | Rotation #8 (5 Credits)

PACC 660-PACC 689 | Rotation #9 (5 Credits)

MPAC 664 - Evidence-Based Medicine (3 Credits)

This course aims to introduce practitioners to principles of evidence-based practice and policy, practice guidelines, and information utilization for practice modeling. Increasingly, Physician Assistants are presented with new information about recent findings from research and professional consensus statements regarding best practice guidelines. This information pertains to practice assessment, intervention, and the evaluation of outcomes. This course focuses on preparing students to engage in evidence-based practice, providing the skills needed to critically evaluate new information that is available from research findings and professional consensus statements. Furthermore, the course provides skills for integrating this new information into the student’s own, personalized approach to practice.

Semester 7

MPAC 636 - Clinical Skills/Summative Evaluation (1 Credit)

This formal course is designed to evaluate and test the student’s ability to adequately perform a history and physical examination, develop an assessment and management plan, and critically think through a case scenario. Each student is required to demonstrate his/her ability to perform at least two problem-oriented physical examinations during the course of the clinical year. The student is also required to take and pass a comprehensive written examination (summative evaluation) at the conclusion of the clinical phase to be eligible for graduation and/or to sit for the boards.

MPAC 642 - Health Care Delivery Systems (3 Credits)

The course is designed to instruct students on general concepts of health care delivery and the characteristics and functions of some important delivery systems. Emphasis will be placed on decentralized, community-based and primary care systems, ambulatory care systems, as well as long term care systems. The student will be exposed to financial and ethical issues that challenge today’s system and ways to address it.

MPAC 659 - Master's Capstone (3 Credits)

This course is designed as a “capstone” to the program. Students will work with a faculty advisor, to formulate a clinical question and perform a literature search on the topic. This will allow an opportunity to demonstrate analytical ability and comprehensive understanding of a subject. The research work will allow the student to conduct a literature review, explore and analyze a problem, and design a study to answer a clinical question.

P/FP/FMPAC 668 - Community Service (1 Credit)

In keeping with the Touro College mission to serve the larger community, students in the School of Health Sciences are required to complete an independent study that involves a minimum of twenty-five (25) hours of community service with individuals disadvantaged due to illness, disability, or other circumstance. The purpose of this requirement is to (1) provide students in the School of Health Sciences with an opportunity to learn from, and give back to, the larger community; (2) enhance awareness of how a disability or illness impacts the individual, family, friends, caregivers, and community. Through this experience, students may interact with people from different cultural and socioeconomic backgrounds, with people who have iMPACrments leading to functional limitations in the physical, cognitive, and/or social-emotional domains, or with people who struggle with issues related to poverty, homelessness and hunger. The specifics of the experience and project undertaken are negotiated on an individual basis between the student and the department faculty advisor.

MPAC 694 - Culminating Semester Elective (5 Credits)

This elective course of 5 weeks' duration gives students the opportunity to analyze and synthesize medical information, reinforce their clinical skills and apply the concepts of medical decision-making and problem-solving to complex patient presentations.

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