Title

Laboratory and Diagnostic Studies Skills (B4.02a, B4.03a)

The program expects the learner to demonstrate further refinement in the performance, ordering and interpretation of specific diagnostic and therapeutic skills during the clinical phase. The listed table below provides such skills and which rotation will most likely provide the opportunity to demonstrate entry-level competency of each skill. Learners are expected to proactively seek these opportunities and provide documentation that the skill was performed with entry-level competency (procedure log on clinical logging platform, clinical preceptor mid-rotation and end of rotation evaluation.) Moreover, the highlighted skills will be evaluated randomly through Objective Structured Clinical Evaluations (OSCEs) during the End of Rotation days and the Summative Evaluation. If the opportunity to perform a required skill in the clinical setting does not present itself by Clinical Rotation #6, the program will seek to provide a clinical experience where the learner may do so. The Director of Clinical Education through the learner’s procedure log will monitor this. If despite the learner’s and/or the PA program’s efforts, the learner does not have the opportunity to perform the required skill in the clinical setting then the learner will perform the required skill in the Simulation Lab.

The program has also identified skills where the learner should have a working knowledge of the indication and performance of the procedure. Although these skills are considered optional, if the opportunity to participate in the performance of the skill arises, the learner is encouraged to do so under the supervision of their clinical preceptor.

Diagnostic and Therapeutic Skills

Screening Tests FM IM PEDS/ADOLESCENT WH/OBGYN SURG EM BMHC
Anxiety Screening (e.g., GAD 7, SCARED) * * * *   * *
Depression Screening (e.g., PHQ 2, PHQ 9, Postpartum) * * * *   * *
ADD/ADHD Screening (e.g., Connor, NICHQ Vanderbilt Assessment Scale) *   *       *
Visual Screening *   *        
Auditory Screening *   *        
Developmental Screening (e.g., MCHAT, SWYC) *   *        

Vascular Access and General Skills FM IM PEDS/ADOLESCENT WH/OBGYN SURG EM BMHC
Venipuncture * *   * * *  
Arterial puncture   *       *  
Peripheral IV catheterization * *   * * *  
Intramuscular, subcutaneous, intradermal, and intravenous injections *   * * * *  
FAST U/S           *  
Vital signs (Temperature, Blood pressure, Pulse, Respiration, Pulse oximetry) * * * * * * *
Specimen collection (i.e., blood, urine, cervical, vaginal, urethral, sputum, wound, etc.) for laboratory testing (i.e., culture and sensitivity, antigen testing, dipstick, guaiac, etc.) * * * * * *  

Ordering and Interpretation of Laboratory Studies FM IM PEDS/ADOLESCENT WH/OBGYN SURG EM BMHC
CBC with differential and indices  * * * * * * *
Pregnancy test * * * * * *  
Chemistry profiles * * * * * * *
Rapid strep test * * *     *  
PT/PTT * *     * *  
Cultures and sensitivities * * * * * *  
Urinalysis * * * * * * *
Cardiac enzymes * *       *  
Arterial blood gases   *       *  
Glycosylated hemoglobin * *   * *    
Lipid profiles * * *       *
HIV antibody testing * * * * * *  
Liver/Hepatitis profiles * * * *   * *
Rapid Flu/COVID * * * *   *  

Ordering and Interpretation of Diagnostic Imaging Skills FM IM PEDS/ADOLESCENT WH/OBGYN SURG EM BMHC
Echocardiogram * * * * * *  
Plain X-rays * * *   * *  
CT Scan * * *   * *  
MRI * * *   * *  
Ultrasound * * * * * *  

EENT SKills FM IM PEDS/ADOLESCENT WH/OBGYN SURG EM BMHC
Wood’s lamp corneal examination (with fluorescein staining) *   *     *  

Cardiovascular Skills FM IM PEDS/ADOLESCENT WH/OBGYN SURG EM BMHC
Perform and interpret 3-lead (rhythm) and 12-lead electrocardiogram (ECG) * * *     *  
Identify the following heart sounds: S1, S2, gallops, and murmurs * * * * * *  

Respiratory Skills FM IM PEDS/ADOLESCENT WH/OBGYN SURG EM BMHC
Pulmonary function testing (spirometry) * * *     *  
Endotracheal intubation   *     * *  
Laryngeal Mask Airway (LMA) placement   *       *  

GI/GU Skills FM IM PEDS/ADOLESCENT WH/OBGYN SURG EM BMHC
Urinary bladder catheterization   * *   * *  
Naso-/oro- gastric intubation   *     * *  

Orthopedic Skills FM IM PEDS/ADOLESCENT WH/OBGYN SURG EM BMHC
Splinting *   *   * *  
Casting              
Arthrocentesis/intraarticular injection of the large joints (knee, shoulder, hip) *         *  
Bursa/joint aspirations and injections *         *  

Reproductive Health Skills FM IM PEDS/ADOLESCENT WH/OBGYN SURG EM BMHC
Pelvic exam for collection of urethral, vaginal and/or cervical specimens for STI testing * * * *   *  
Pelvic exam for collection of vaginal and cervical specimens for cytology (PAP) examination * * * *      
Clinical breast exam *   * * *    

Surgical Skills FM IM PEDS/ADOLESCENT WH/OBGYN SURG EM BMHC
Aseptic technique * * * * * *  
Administration of local anesthesia * * *   * *  
Wound closure with sutures, liquid skin adhesive, steri-strips and staples * * * * * *  

Life Support Skills FM IM PEDS/ADOLESCENT WH/OBGYN SURG EM BMHC
Basic life support (BLS) procedures   *     * *  
Advance cardiac life support (ACLS) procedures   *     * *  
Pediatric advanced life support (PALS) procedures         * *  

Optional Diagnostic and Therapeutic Skills FM IM PEDS/ADOLeSCENT WH/OBGYN SURG EM BMHC
Anterior nasal packing *   *   * *  
Doppler assessment of peripheral or prenatal fetal pulses and US * *   * * *  
Needle decompression of a pneumothorax   *     * *  
Thoracentesis and chest tube placement   *     * *  
Anoscopy * *       *  
Lumbar puncture   *       *  
Superficial wound incision and drainage and packing *   *   * *  
Wound care, debridement, and dressing * *     * *  
Skin punch, excisional and shave biopsy procedures * *     *    
Toenail removal/wedge resection *       * *  
Chemical and electrical cauterization *   *   * *  
Cryotherapy of skin lesions *   *   *    
Electrodessication of skin lesions *   *   *    
Subungual hematoma trephination *   *     *  
Ventilator Management   *          
Central Line (insertion and management)   *       *  
Intraosseous Line (insertion and management)           *  
Bladder catheterization * * * * * *