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Certified PAs are changing the face of healthcare today. They practice medicine, manage acute and chronic patients, perform complex procedures, prescribe medications and assist in surgery.

The PAs on this page have maintained certification by completing a substantial amount of continuing medical education and passing a rigorous national exam. Some of them have additional credentials as well. They are all skilled providers who share a common goal: to deliver the highest quality care possible to optimize each patient’s outcome and satisfaction.

If you are a patient or an employer, you will enjoy meeting each of them and reading their story.

Click here to read about more PAs and the exciting work they are doing!

If you are a PA and would like to share your information for this site, submit your profile here.

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Fighting Childhood Obesity

Justin Latino

Sheridan Healthcare at JFK Medical Center
Certified Physician Assistant (PA-C)
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As a PA in the emergency department, Justin too often sees the results of a sedentary lifestyle. In his spare time, he has turned his passion for health and fitness into a community resource to help children avoid and fight obesity.

EMPLOYER:

Employed by Sheridan Healthcare at JFK Medical Center in West Palm Beach, Florida

EDUCATION:

Master’s Degree in PA Studies, Nova Southeastern University

Fellowship in emergency medicine, Eastern Virginia Medical School.

NCCPA CERTIFICATIONS & CREDENTIALS:

Certified physician assistant (PA-C)

Certificate of Added Qualifications (CAQ) in Emergency Medicine

Justin’s blog (below) was previously published in Physicians Practice.

© Physicians Practice 2016

Certified PAs Can Help Fight Child/Adolescent Obesity

By Justin Latino, PA-C

As physicians know all too well, obesity is a major health issue, particularly when it starts in childhood. The statistics are startling when you consider that 17 percent of children and adolescents age 2 years old to 19 years old are considered obese, according to the CDC. Another fact physicians recognize is that obesity sets patients up for a lifetime of healthcare problems including cardiovascular disease, type 2 diabetes, and certain cancers.

As a certified PA working in emergency medicine, I sometimes see 13- and 14-year-old kids who weigh 200 pounds to 300 pounds and are already in need of medication for high blood pressure and diabetes. That is a concern to healthcare professionals as habits formed in childhood are hard to reverse later in life.

Because I am passionate about health and fitness, I decided to bring awareness to this issue and am planning the Kids Wellness Expo in West Palm Beach, Oct. 9, collaborating with Healthcorps, a national charity.

This is a free health fair for the whole family that include classes in fitness, nutrition, stress relief, and medical screenings for blood pressure and diabetes. We are raising sponsorship funds and the money will be used to implement a model in local high schools that directly impacts students'' overall wellness.

My point is, PAs in your office can impact this epidemic on a local scale by leading change in your private practice. A certified PA can be charged with developing simple screening protocols, basic nutrition and exercise information, and a list of community resources. If you have a significant number of patients with this condition, the PA could hold group educational appointments and bring in outside speakers.

Certified PAs routinely take histories and perform physicals during which they can assess the child or adolescent's current or potential obesity and his predisposition to diabetes and hypertension, based on family history.

In addition, they are educated in communications skills, which allows them to approach and discuss what can often be a sensitive subject, not only to the young patient but to parents as well.

What can we do to address the issue and begin to change behaviors?

• Educate both the patient and parent. Certified PAs in primary care are often in a position to discuss why it is important to have a healthy BMI not only while young but throughout life. Patients and parents are often not aware of the basic nutrition and exercise facts that we as medical professionals take for granted.

• Inspire the patient. Children need to see the value of changing eating and exercise patterns. For example, do they want to feel better by reducing or eliminating knee pain? Do they want to be faster in gym class or on the track? Do they want to play a sport that is leaving them behind? Are they self-conscious about their weight and want to look better? PAs are skilled at asking probing questions that can make kids realize they have the power to make changes in their lives.

• Discuss reducing screen time. As a population we are getting more sedentary. Everything is at our fingertips with remote controls and mobile devices. We all know these devices can be addictive. Explain why it is important to turn them off, walk away and spend time outdoors.

• Cover the basics of nutrition and exercise. Eat in moderation, keep healthy snacks in the home, and move more. Walking, swimming, and riding a bike are things kids can easily do in the summer to keep active. Encourage parents to look for opportunities for their children to play on community sports teams. Tennis, baseball/softball and soccer are standard offerings in many towns and usually affordable on a recreational level.

Like most PAs, I chose this career because it affords a good work/life balance. I realize it's not the money that is most important — it is the impact I make and the legacy that I leave behind. The childhood obesity epidemic is a national challenge and physicians and PAs have the opportunity to empower change and make a real difference.

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Patients Benefit from Continuing Medical Education

Patients Benefit from Continuing Medical Education

Focused on Performance Improvement

Certified PAs at the University of Michigan Health System are developing performance improvement studies as part of their continuing medical education (CME) requirements for recertification.

PAs want to improve patient care and their practice environment and allowing them to customize their CME activities to their practice maximizes the benefits to their patient population.

For example, in the otolaryngology department, certified PAs Brian Kilbarger, Alexandra Tiefel and Janet Urban designed a study to see if they could improve patient outcomes by better directing patients to the follow-up care they need.

This team measured current referrals, implemented a plan to increase referrals where indicated and compared the results.

1) First, they identified a problem. Many patients who came to them for evaluation for ear pain often had another condition such as problems with the jaw (TMJ), grinding/crunching of teeth, muscle spasms in neck area etc. The goal was to find a way to improve referrals to the providers who could actually treat these conditions.

2) In September 2015, the PAs generated a baseline measurement. Through the department’s Electronic Health Records, they identified 41 patients who came in with one of those conditions as a primary or secondary diagnosis. They discovered only 52 percent of these patients were referred to a dentist, physical therapy or a combination of both for treatment.

“We had to ask ourselves why only half of these patients were being seen by someone who could help them,” said Kilbarger. “Whether it was long wait times, lack of access or provider education, we had to find ways to eliminate these barriers.”

3) The result was an increase in referrals from 52 percent to 88 percent within three months -- a direct impact on patient outcomes in terms of treatment and symptom relief. What did the team do to achieve these results?

• They met with the Director of the TMJ Program to discuss seeing patients on an expedited basis since wait times for the TMJ clinic were up to one year. The team created “Smart Orders” with the name of therapists who see TMJ patients and copied the director. The Smart Orders were a flag that his person needs prompt attention.

• They created a “Smart Phrase” in the orders that said “prescribed soft diet and anti-inflammatory.” This Smart Phrase was a trigger for providers to realize there was a Smart Order for this patient.

• In addition to educating providers, they asked who else they could meet with to be effective and began engaging and educating residents and scribes on Smart Orders and Smart Phrases.

“This shows that with focus and simple interventions, significant changes can be made,” concludes Kilbarger. “As PAs we like to do these things because we are natural problem solvers and caring for patients is our calling.”

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Managing HIV

Sam Wijesinghe

Adventist Health Central Valley Network
Certified Physician Assistant (PA-C)
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Sam practices Family Medicine at Adventist Health Central Valley Network in California in a small, rural community. He is the HIV specialist in the office and has been an advocate for HIV testing throughout hospitals in his region. He is also a faculty member at Pacific AIDS Education & Training Center.

EDUCATION:

HIV/AIDS Clinical Fellowship UCSF, Fresno, Master of Physician Assistant Studies (MPAS), Union College, M.S. in Management Information Systems, U. of Nebraska, B.S. in Health Care Management, Bellevue University

NCCPA CERTIFICATIONS & CREDENTIALS:

Certified physician assistant (PA-C)

AAHIVS - American Academy of HIV Specialist

Physician’s Quote:

“There is a lack of providers in Central California, particularly in rural areas, that are able to effectively manage HIV in a primary care setting and the PA is a viable solution to fill this gap in service. Under the supervision of a Physician, the Physician Assistant examines patients, orders and interprets tests, diagnoses and treats illnesses, prescribes medications, and counsels patients on preventive health care. The addition of an HIV specialty certification contributes to PAs’ ability to adequately provide this same scope of disease management and preventive care access to a group of patients that are in need of and have historically been marginalized in receiving quality primary care services.”

--Ivan Gomez M.D., AAHIVS

Read Sam’s blog below about making a difference in the fight against HIV. This blog was previously published in Physicians Practice.

Certified PAs Make a Difference in the Fight against HIV

About a year after I started practicing family medicine at Adventist Health in California, the medical director invited me to work with local counties as the HIV testing coordinator. The first patient I met was a little girl about my daughter's age who was born with HIV. This unwitting victim touched my heart, and that connection helped me realize that someone had to step up and get involved to help these patients.

At the end of my first year as the HIV testing coordinator, I was invited to do one-year HIV clinical fellowship at UCSF, Fresno, in the family medicine department. After completing the fellowship, I took a national exam and become credentialed as a Practicing HIV Specialist (AAHIVS). This is the same exam that physicians and nurse practitioners must pass to also earn the AAHIVS credential.

That being said, there is tremendous opportunity to make a positive impact on the fight against HIV within family practice without become a full-time specialist in this area. In fact, 90 percent of my own patients are still in family medicine, and I have a loyal patient panel typical of that specialty. Managing HIV patients is just 10 percent of my practice. All certified PAs in family medicine can make a big difference in reducing the spread of HIV/AIDS. There are simple steps that can bring positive change to all communities.

• It starts with testing. The CDC recommends opt-out HIV screening for all patients 13 years old to 64 years old. That means the provider makes HIV testing routine along with other necessary screening labs unless the patient opts out. The U.S. Preventive Service Task Force recommends HIV screening for all patients 15 years old to 65 years old. This is a "grade A" recommendation. That means the net benefit is substantial with routine HIV testing. If the age seems too young, consider this: There are about 50,000 new cases every year and one-third of them are in the 13-year-old to 29-year-old age group. Many patients don't know they have HIV, and this age group is more likely to engage in risky behavior.

• It continues with education. Certified PAs are educated in communication skills. They know how to ask questions and deliver information about the disease, how to reduce the spread of infection and how to maximize the patient's own health and maintain wellness. Education leads to patient understanding about why treatment is important. Currently, only 30 percent of patients have viral suppression because the others are still undiagnosed, not linked to care, not taking medicine or not going to appointments. When patients are treated and the disease is controlled, there is a 96 percent reduction rate in transmission.

• It challenges all providers. There is still a stigma around this disease. Yet, you may already have HIV patients and don't know it. Estimates show 13 percent of the HIV population remains undiagnosed. If testing becomes routine, people talk about it, learn about it and stop fearing it. You just have to treat HIV patients like all other patients. Confidentiality is important and is already covered by HIPPA.

• In family medicine, treat it as just another chronic condition like diabetes or hypertension. Treatments have advanced greatly for HIV. Patients used to have to take three to four medications a day. Now it is just one pill and there are six choices for that pill based on patient history, kidney function, etc.

I encourage PAs to work with a physician already treating HIV patients. Once they have experience, they can manage medications and patients' long-term care on their own. Also, PAs can connect with the American Academy of HIV Medicine for tools and information, and make it point to direct some of the ongoing CME credits required to maintain PA-C certification in the area of infectious disease and HIV.

There is big shortage of HIV providers. A 2012 survey showed there were 4,500 HIV providers, and about 50 percent of them planned to retire in the next 10 years. The expectation is that primary-care providers will fill the void and care for HIV patients.

However, primary-care physicians are also in short supply and overburdened. We must remain vigilant and considerate about this disease. Certified PAs have always stepped up to the plate to fill the void in family medicine and underserved areas, whether it be caring for the homeless or Medicaid patients. Managing HIV patients is one more area where we can make a big difference.

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Caring for the Littlest of Patients

Lauren Donaldson

Certified Physician Assistant (PA-C)
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Lauren has four years of experience as a PA in pediatric emergency medicine and care and support of abused children.

PERFORMS PROCEDURES INCLUDING:

Diagnoses various diseases and implements a plan of care in collaboration with a physician • Patient triage in the ED setting • Provides prescription medication and referrals to appropriate treatment modalities if needed • Review of abnormal labs and patient follow up • IV placement on children and adolescents • Performs acute forensic rape examinations in children • Performs pelvic exams on adolescents including use of colposcopy • Bladder catheterization • Laceration repair • Splint placement • Lumbar punctures • Endotracheal intubation • Interosseous IV placement • Conscious sedation

EDUCATION:

Masters of Health Sciences, University of Oklahoma • B.A. in Anthropology, University of Oklahoma

NCCPA CERTIFICATIONS & CREDENTIALS:

Certified physician assistant (PA-C)

Certificate of Added Qualifications (CAQ) in Pediatrics

“Lauren has become an integral part of the pediatric emergency medicine department. She is invaluable at providing patient care and is particularly talented with everyday pediatric procedures, such as suturing, LPs and splinting, and she performs them in a manner that is comforting to the patients and their families. Her background in not only general pediatrics but emergency pediatrics and that has been particularly beneficial to our pediatric emergency medicine group.” – John H. Stuemky, MD, FAAP

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Repairing Joints & Sports Injuries

Mark Wright

Maine General Medical Center in Augusta, Maine
Certified Physician Assistant (PA-C)
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Mark has over 20 years of experience as both a civilian and military PA. He is the lead PA in an orthopaedic practice with eight surgeons and six PAs at Maine General Medical Center in Augusta, Maine. He is also a Colonel and aeromedical PA in the Army National Guard specializing in aviation medicine.

PERFORMS PROCEDURES INCLUDING:

Has an office panel of patients for initial, pre-operative, post-operative and follow-up evaluations • Acts as first surgical assist in traumatic fracture procedures, joint arthroplasty and sports medicine procedures. His role as first assist moving between two operating rooms improves surgical productivity by approximately 50%. • Performs intra-articular joint aspiration and injections • Reduces non-operative fractures • Completes flight physicals and aviation waivers for the Army Aeromedical unit • Signs aviation medical recommendation for flying • Sutures superficial wounds • Performs arterial puncture • Debrides superficial wounds • Excises simple skin lesions • Inserts/removes drains • Performs venipuncture

EDUCATION:

Master of Science in Physician Assistant Studies, Chicago Medical School • Graduate Certificate in Physician Associate Studies, Yale University School of Medicine • B.S. in Health Science, Charter Oak College

NCCPA CERTIFICATIONS & CREDENTIALS:

Certified physician assistant (PA-C)

Certificate of Added Qualifications (CAQ) in Orthopaedic Surgery

“Mark is the utmost professional, totally self-motivated and dedicated to the pursuit of mastering the art of patient care through self-learning and formal education. I value his technical skills and abilities.” – Anthony Mancini, M.D

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Saving Lives in Cardiac Care

Brad Ledzian

Florida Hospital in Orlando
Certified Physician Assistant (PA-C)

Brad Ledzian is a certified PA at Florida Hospital in Orlando. He has been certified for 13 years and has deep experience in critical care, cardiac thoracic surgery and transplant.

PERFORMS PROCEDURES INCLUDING:

• Conduit vessel harvesting (Open & Endoscopic Saphenous Vein & Radial artery) • Sternotomy, sternal re-entry, sternal/thoracotomy closure, Surgical first/second assist, Organ procurement for transplantation, Arterial line placement/removal, Intra-aortic balloon placement/removal • Central venous pressure line placement/removal • Pulmonary artery catheter (Swan-Ganz) placement/removal • Epicardial pacemaker management/setting, adjustment and removal • Intravenous pacer wire insertion/removal • Transcutaneous pacing & Cardioversion • Chest tube placement/removal, Thoracentesis • Pleurodesis • Nasogastric & feeding tube placement • Diagnostic ultrasonography

EDUCATION:

M.H.S., Advanced Physician Assistant Studies, Drexel/MCP Hahnemann University, Certificate of Surgical Residency Multidisciplinary Surgery, Norwalk Hospital/Yale University School of Medicine, B.S. Physician Assistant Studies, MCP Hahnemann University/School of Health Professions, B.A. Biological Sciences, Rutgers College, Rutgers University

NCCPA CERTIFICATIONS & CREDENTIALS:

Certified Physician Assistant (PA-C), Certificate of Added Qualifications (CAQ) in Cardiovascular & Thoracic Surgery, Certificate of Added Qualifications (CAQ) in Hospital Medicine

"Brad is an extremely knowledgeable and highly skilled clinician who collaborates with our team to deliver advanced heart failure surgical treatment options. He is integral in both the operative and critical care unit settings, delivering compassionate and comprehensive care for patients that are a complex blend of physiology and technology. As his CAQ demonstrates, he is fully qualified to care for cardiothoracic patients, regularly performing the full complement of specialty specific duties and procedures.” - Scott Silvestry, M.D.

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Stabilizing Trauma Patients

Fred Wu

Certified Physician Assistant (PA-C)
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Fred Wu is a certified PA and has 11 years of experience in emergency medicine and is the lead PA in an emergency department that treats over 90,000 patients a year..

AS PART OF HIS ROLE, FRED PERFORMS PROCEDURES INCLUDING:

Intubation, Central venous access, Lumbar puncture, Tube thoracostomy, Laceration repair, Paracentesis, Fracture/dislocation reduction, Incision and drainage, Arthrocentesis, ENT procedures

EDUCATION:

Masters of Health Sciences, Quinnipiac University

B.A., The Colorado College

Paramedic Education, UCLA-Daniel Freeman Hospital

NCCPA CERTIFICATIONS & CREDENTIALS:

Certified physician assistant (PA-C)

Certificate of Added Qualifications (CAQ) in Emergency Medicine

"I've worked with Fred Wu for the past 5 years, and I continue to learn from his extensive experience and knowledge of the literature on a daily basis. Fred is one of those clinicians who not only provides efficient care but quality care. Over the years, I have started to catch on to part of his "secret sauce"... he cares about his patients, and he is constantly reading and learning about the daily advancements in emergency medicine. From managing septic patients to placing his own central lines and chest tubes, Fred maintains a broad set of emergency medicine skills. In fact, he is usually one of the first to provide evidence-based articles when our department is having a discussion of certain clinical policies and practices. His CAQ in emergency medicine is a great way of allowing both patients and colleagues to know that when Fred evaluates and treats patients, he does so with an extensive background and experiences in the specialty of emergency medicine." – Wonki Chae, MD, MPH

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Increasing Patient Satisfaction

Jameka Riley

University of Maryland Charles Regional Medical Center
Certified Physician Assistant (PA-C)
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Jameka Riley, PA-C, has 10 years of experience as a surgical and hospitalist PA. She is the lead PA of a hospitalist group at University of Maryland Charles Regional Medical Center where she developed a successful Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) initiative to improve patient satisfaction by approximately 40%.

AS PART OF HER ROLE, JAMEKA HAS THE FOLLOWING RESPONSIBILITIES:

Works closely alongside the hospitalist medical director and other hospital leaders to implement policies to further improve the hospitalist program • Coordinates quality initiatives to lower patient expenditures, improve throughput through the hospital, reduce readmissions, decrease avoidable utilization, satisfy core measure criteria, and reduce hospital acquired conditions • Develops and implements patient management plans, maintains patient medical records, and assists in continuity of care • Interprets laboratory results and diagnostic studies • Performs independent evaluations and treatment procedures in emergency situations

EDUCATION:

Master of Science in Physician Assistant Studies, University of Medicine and Dentistry of New Jersey

NCCPA CERTIFICATIONS & CREDENTIALS:

Certified physician assistant (PA-C)

Certificate of Added Qualifications (CAQ) in Hospital Medicine

“Jameka is an excellent PA. She is conscientious, compassionate, and committed to providing high quality, evidence-based patient care. She has developed and led a number of quality initiatives for our hospital, including a patient satisfaction initiative. Jameka is also committed to lifelong learning and is continually seeking opportunities to advance her knowledge and skills. I am very proud to have Jameka on my team!” – Ivelisse Michel, MD

About NCCPA

NCCPA is dedicated to serving the interest of the public. We do so with a passionate belief that certified PAs are essential members of the health care delivery team who provide millions access to more affordable, high quality health care.
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