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Association Responds to CGFNS Proposed Standards

By Steven Lane

The Physician Assistant Education Association has reviewed the proposed standards for a developing visa screening process for foreign-trained physician assistants and provided its input to the agency overseeing the process. In December, the PAEA Board of Directors, with input from the Federal Affairs Council, sent a detailed list of comments to the International Commission on Healthcare Professions (ICHP), the agency charged by the federal government with developing standards for evaluating applicants to its new physician assistant screening process — VisaScreen™. ICHP is a division of the Commission on Graduates of Foreign Nursing Schools, which by statute is responsible for developing the screening program. The standards themselves were developed by the Physician Assistant Standards Committee, an advisory group of PA educators and admissions personnel that has included at different times PAs Sherry Stolberg, Dawn Morton-Rias, Laura Stuetzer, Geraldine Buck, Brown Manning, Bill Stanhope, and Marvis Lary, as well as Ana Nunez, MD; Joel Chinitz, MD; and Christine Greb.

The ICHP standards are intended to ensure that PA education obtained outside the United States is comparable to American PA education. Based to some extent on the standards of the Accreditation Review Commission on Education for the Physician Assistant, they cover academic prerequisites, accreditation of the educational institution, didactic coursework, clinical skills, clinical rotations, and English proficiency. The standards also require that the PA applicant be licensed as a PA in the applicant’s home country.

The proposed standards were sent to all PA faculty in November, with a request for review and comment. Approximately 20 faculty members responded with comments, which were reviewed and compiled into a document for the board by the Federal Affairs Council, chaired by David Asprey. This document was then sent to ICHP. Comments covered all areas of the proposed standards; most focused on clarifying the language of the standards to make interpretation and implementation easier and on ensuring that the education of applicants is in fact comparable to the education that US PA students receive.

It is important to note that a foreign-trained PA who receives a visa through this process is not eligible to practice as a PA in the United States. He or she would still have to attend an accredited US PA program and pass the Physician Assistant National Certifying Examination in the normal way.

APAP Update - January 2006