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Wed Sep 3 16:58:25 BST 2003

You have to have an MD/DO on site for a PA to practice in LA? According to
the AAPA web site it states. 

LOUISIANA
Qualifications: Graduation from accredited PA program and current NCCPA
certification. 
Application: By PA for license; by physician for approval to supervise.
Possible interview for initial license if discrepancies exist. 
Scope of practice: Medical services within the PA's education, training and
experience which are delegated by the supervising physician. 
Supervision: Continuous but does not require the physical presence of
supervisor at time and place services are rendered. 
Participation in regulation: Three PAs serve on a five member PA advisory
committee. 
Louisiana State Board of Medical Examiners, PO Box 30250, New Orleans, LA
70190-0250; (504)568-6820. 
 <http://www.lsbme.org> www.lsbme.org 

Many other locals especially in rural areas only have to have a MD/DO
availible by some form of telemedicine device (phone computer smoke signal
whatever) for PA's to practice. 

Scott P. Sherry, PA-C

-----Original Message-----
From: Krin135 at aol.com [mailto:Krin135 at aol.com]
Sent: Wednesday, September 03, 2003 2:06 PM
To: trauma-list at trauma.org
Subject: Re: kepping Tetanus cold on car units

In a message dated 23-Aug-03 04:20:10 Central Daylight Time,
rlwigle at yahoo.com writes:

It will be informative to see how this works out. What, if
I may ask, are you doing about supplementary training.
About 30 years ago (sigh) I ran a somewhat similar program
in the military to utilize our medics and nurses (this was
before nurse practitioners) to offset an acute doctor
shortage in the Air Force. AF wide it was an abysmal
failure but I must say my few selected folks performed more
than admirably and proved their worth multi fold. Remember
you are about to enter the very treacherous area of no
continuity of care although I suspect you will actually
find yourself developing a small practice in fact.

Col Wigle, are you talking about the AMIC/AMOSIST program? I suspect that
part of the problem there (which, IIRC has not happened with the USN's
Independent Duty Corpsman or US Army's SF Medic programs) was that they
attempted to take folks off the street and put them through the 91 Bandaid
and 91 Charlie Short (Pt Care Assistant) courses and then directly into the
Acute Minor Illness Clinic (Automated Medical Systems) training course.

This lead to problems as folks were just depending on book learning and
algorithms and hadn't even had the chance to get an appreciation for the
range of normal, much less be guided into any sort of clinical judgment.

The feeling that I'm getting on these Paramedic Providers is more that they
are taking experienced medics and making them something closer to a PA. This
would not work here in Louisiana, as PA's cannot function in a medical
capacity unless they have a supervising physician physically in the facility
with them.

ck

ck

Charles S. Krin, DO 

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kepping Tetanus cold on car units