Development of a Family Medicine Oriented Competence Profile for a Curriculum “Physician Assistant“

DOI: 10.3238/zfa.2020.0414-0421

german translation / full article

Nicola Buhlinger-Göpfarth, Tanja Marschall, Marianne Difflipp-Eppele, Jürgen Herbers, Adelheid Glott, Marcus Hoffmann

Keywords: Physician Assistants competences family medicine outpatient/primary care study modules

BackgroundThe Baden-Württemberg Cooperative State University (DHBW) Karlsruhe established the first Physician Assistant (PA) program at a public university in Germany in 2010. The number of universities in Germany offering PA-study programs has grown continuously and, since 2017 exponentially. So far, the PAs have been predominantly trained in a hospital setting. Among other things, this is due to the fact that a curriculum aimed specifically at the work of PAs in family practice has so far been missing. The aim was therefore to identify and develop study modules, which can be nationwide used in PA-study programs.An expert group has developed the curriculum based on Kerns basic model. According to the ECTS standard (ECTS = European Credit Transfer and Accumulation System), which is uniform for Europe, a Bachelor‘s programme comprises a workload of 180 ECTS points on average. A joint working group of the German Medical Association (Bundesärztekammer/Kassenärztliche Bundesvereinigung) has already worked out recommended study contents for general PA study programmes amounting to 140 ECTS points. Accordingly, at least another 40 ECTS points are available for the design of a GP specialization in the course of study. ResultsA total of eight study modules, five ECTS points each, were designed and developed: psychosomatics/depression/communication, e-health/formalities /documentation, key symptoms/consultation reasons, accounting/examination techniques, geriatrics/palliative medicine/polypharmacy, „The chronically ill patient“/DMP (disease management program)/chron. wounds/wound care, advice, transition management.ConclusionsThe modules include all the essential content necessary to prepare PA to work in the outpatient/family physician setting. By introducing these modules, universities offering PA programs can ensure that PAs can provide high-quality patient care in a family practice as part of the treatment team.KeywordsPhysician Assistants; outpatient/primary care; family medicine study modules; competences

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