by "admit there own pts" this is what I mean:
er provider calls ICU doc and says"mr. jones needs to be admitted for dka, etc"
ICU doc says" ok, I will have the pa come admit them"
pt is admitted to the service of dr xyz but the admission H+P and all procedures are done by the pa. the first time the icu doc sees them is next morning at am rounds. the pa follows them throughout their course, consults with the icu doc and other specialists as needed and follows them until they leave the unit.
new pa hires to the ICU go through an orientation process that lasts about 2 yrs with gradual increases in autonomy and scope of practice. they are not running their own pts with a high level of autonomy right off the bat.
some of the pa's attended critical care pa residencies that last 1-2 yrs after pa school before being hired. to see info on the residencies out there for pa's see
www.appap.org
this is an overview of the pa critical care residency at hopkins:
Modeled after the surgical MD resident program, you will follow similar schedule call requirements as the surgical and/or Anesthesia residents within the ICU. You will work closely with the existing ICU Physician Assistants and Nurse Practitioners. This relationship facilitates the intense mentoring and collaboration that is required for your growth and development in surgical, medical, and critical thinking skills.
Rotation schedules have been organized to provide the most educational and supportive environment in which to learn.
Intensive Care Unit Rotations may include but not be limited to the following:
* General Surgical ICUs includes trauma, transplant, vascular, oncology, craniofacial, orthopedic, hepatic, pancreatic, thoracic, endocrine, plastics, and other surgical patients
* Burn ICU
* Pediatric ICU
* Neurosurgical ICU
* Cardiac ICU
* Medical ICU
Residents will also have an elective rotation which could include repeating of an ICU rotation or time on a surgical or specialty service these will be personalized for each resident. Suggestions include:
* Infectious Disease
* Renal
* Cardiology
* Palliative Care
* Radiology
Didactic opportunities include:
* Core lectures in Intensive Care
* Surgical/Anesthesia Grand Rounds
* Morbidity and Mortality Rounds
* General Topics in Surgery and Anesthesia
* Intern and Resident conferences
* Weekly Residency Lectures
* Simulation Center sessions - brochoscopy, central line placement, simulated patients and scenarios
* Core Policy and Safety Modules
* Leadership Modules
* FCCS/ACLS/PALS courses
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