Dear PA Student,
Welcome to the Physician Assistant Program at Jefferson College of Health Sciences! We know
how hard you worked to get here and how eager you are to get started. The next 2 ½ years will
be challenging, demanding and rewarding. You are about to embark on a journey that will
prepare you for your future role as a physician assistant.
Since you first applied to the program we have been accredited by the Southern Association of
Colleges and Schools to offer the Master of Science in Physician Assistant. We are excited that
you, the Class of 2010, will be the inaugural graduate level class. This is an exciting time for the
college and program as we build on our past successes and embark on a new tradition.
This handbook has been developed as a supplement to the JCHS Graduate Handbook to provide
information on programmatic academic policies and procedures. Please read this carefully and
keep it with you for the duration of your tenure here.
On behalf of our excellent faculty and staff, I extend our heartfelt wishes for a successful and
Wilton Kennedy, DHSc, PA-C
Physician Assistant Program
JCHS PHYSICIAN ASSISTANT STUDENT HANDBOOK, 2008-2009 1
JCHS Physician Assistant Program
Office Phone: 540-985-4016
Wilton Kennedy, DHSc, PA-C Charles Moore, PhD
Director/Associate Professor Assistant Professor
email@example.com Math & Science Department
Patrick McCarthy, MD
Medical Director/Assistant Professor Joel Atance, PhD
firstname.lastname@example.org Assistant Professor
540-985-4016 Math & Science Department
Denise Dillingham, MPAS, PA-C 540-224-4565
Clinical Coordinator/Assistant Professor
Patricia Airey, MS, PA-C
Academic Coordinator/Assistant Professor Kathy Keoughan
email@example.com Program Secretary
Robert Hadley, PhD, PA-C
Associate Professor Barb Williams, BA
firstname.lastname@example.org Clinical Resource Associate
Vicki Bierman, MSW, FNP
Jennifer Chen, MD
JCHS PHYSICIAN ASSISTANT STUDENT HANDBOOK, 2008-2009 2
History of JCHS and the PA Program
Jefferson College of Health Sciences
Jefferson College of Health Sciences was founded in 1914 as Jefferson Hospital School of
Nursing. Dr. Hugh Trout, Sr. was an early pioneer of health care in the Roanoke Valley. Dr.
Trout obtained his M.D. degree from the University of Virginia in 1902. After completing his
surgical residency in Baltimore, Maryland, Dr. Trout relocated to Southwest Virginia. In 1907, he
founded a small, 40-bed facility located at what is now 1311 Franklin Road. The hospital was
named Jefferson Hospital in honor and memory of Thomas Jefferson.
Dr. Trout soon found that the need for adequately trained nurses in the area far surpassed those
available. In an effort to alleviate the shortage, he established the Jefferson Hospital School of
Nursing. The school opened its doors in 1914, with an initial class of 6 students. All six
completed the 33-month training program and graduated in 1917. A self-study following the first
graduation concluded that the school exceeded the Standard Curriculum for Schools of Nursing,
published by the National League for Nursing Education in 1917. The school went on to gain
approval by the American College of Surgeons and the American Medical Association in 1923.
The American Hospital Association recognized the school in 1926. Around the same time as the
development of Jefferson Hospital, Dr. James Newton Lewis and Dr. Sparrell Simmons Gale
were initiating their own vision of healthcare for the Roanoke Valley. In 1909, they founded
Lewis-Gale Hospital in Downtown Roanoke, and in 1911, the Lewis-Gale School of Nursing was
born. The two schools operated independently of each other for many years. Between 1914 and
1965, Jefferson Hospital School of Nursing alone trained 658 new nurses, most of which stayed
within the community upon graduation.
During Jefferson Hospital's first 50 years, it was expanded three times and grew to a 151-bed
facility. In 1953, Jefferson Hospital hired a 26-year old administrator named William Reid. He
soon became aware of the booming population and the rising costs of health care in Southwest
Virginia. The population of Roanoke had rapidly expanded beyond the capabilities of the
Jefferson Hospital facility. In 1960, under his direction, a new hospital facility was
commissioned. The project was truly reliant on the community, as citizens donated $3.3 million
toward construction costs. Several sites were considered, including ones in Salem and near what
is now Tanglewood Mall, before land was purchased near the newly opened Interstate 581
corridor. Groundbreaking occurred in 1963, with the new hospital scheduled to open in 1965.
However, construction delays, including the replacement of concrete columns that did not meet
building standards, resulted in the opening being delayed until 1967. On August 27, 1967,
10,000 people toured the new Community Hospital of Roanoke Valley.
In 1965, it was decided that the Lewis-Gale School of Nursing and the Jefferson Hospital School
of Nursing should combine under the direction of the new hospital. This led to the formation of
the Community Hospital of Roanoke Valley School of Nursing. The school was under the
guidance of Lavina Duncan, RN, formerly of Lewis-Gale, who was named Director of Nursing
Services for the new hospital in 1964. William Reid was also a chief figure, as administrator for
the school. The Community Hospital of Roanoke Valley School of Nursing had an inaugural class
of 50 students, and in 1968 graduated its first class of 29 new nurses. At the time, neither Lewis-
Gale nor Community Hospital had facilities to house the School of Nursing. Therefore the
hospital leased six floors of the Carlton Terrace Building (now the Reid Center) for use by the
The school operated in this fashion for approximately 15 years. Then in 1980, a task force
investigated the possibility of establishing a hospital-based college that would grant 2-year
degrees in nursing and allied health. In 1981 the Community Hospital Board of Trustees made a
commitment to such a school, and in 1982 the Community Hospital of Roanoke Valley College of
Health Sciences was established. The College of Health Sciences was the first hospital-based
college in Virginia. In addition, Community Hospital was one of only seven in the nation to have
its College of Health Sciences accredited by the Commission for Higher Education. Dr. Jerome
Cohen, who helped establish the college and was serving as Educational Director of the hospital,
was named its first Dean on August 23, 1982. Dr. Cohen came to Roanoke after serving as an
administrator and Associate Professor in the Connecticut community college system.
JCHS PHYSICIAN ASSISTANT STUDENT HANDBOOK, 2008-2009 3
In 1986, the College obtained accreditation by the Southern Association of Colleges and Schools
(SACS) to grant degrees at the Associate Level. In 1989 the College named its first President,
Dr. Harry C. Nickens. Dr. Nickens was very active in the local community and had been a leader
in Roanoke for over 20 years. He directed the College through the addition of several programs
and to a record enrollment of 615 students in 1998. He continued to lead the College until 2001,
when he left to become president of the College's foundation. In 1992, William Reid, director of
Community Hospital, announced his retirement. In appreciation for his contributions to the
College and Hospital system, the Carlton Terrace Building was renamed the Reid Center.
William Reid remains an active member of the College Board of Directors to this day.
The College continued to expand in 1995 when it was accredited by SACS at the Baccalaureate
degree level. In 1999, the College admitted its first international students, showing growth on a
global scale. In 2000, the re-affirmation site visit by SACS was completed, rewarding the College
with long-term accreditation. The last two years have seen record enrollments (approximately
900 in 2005) at the College.
In 2003, it was decided that the name of the College should be changed. This was due, in part,
to the fact that the Community Hospital of Roanoke Valley no longer existed, having changed its
name to Carilion Roanoke Community Hospital. In addition, a new name would give the College
a larger presence in the community, while acknowledging its history. In October 2003, the
College officially became Jefferson College of Health Sciences, recognizing both its past and
future in the Roanoke Valley.
In 2005, the College was granted Carnegie Level III status by the Southern Association of
Colleges and Schools, which gives Jefferson approval to offer graduate programs. That year, the
first group of master's of science in nursing students began their studies. In fall 2008, two more
graduate programs will open, the master of science in physician assistant and the master of
science in occupational therapy.
While Jefferson was founded as Jefferson School of Nursing almost a century ago, the College
celebrates 25 years of degree-granting status in 2007. A year-long schedule of special events
will be held to commemorate and honor the vision of several, the work of many, and the legacy of
four great institutions, which have provided the foundation for Jefferson College of Health
The College continues its mission of providing competent and caring health care professionals
who make a difference not only in Southwest Virginia, but across the country as well.
Physician Assistant Program
In 1996, a 20-member advisory committee began developing a curriculum and finding clinical
sites for the first physician assistant program in Virginia. Jefferson’s PA program would break
barriers not only for healthcare licensure offered in the Commonwealth but also for how Virginians
review primary care.
The original teaching team consisted of Doug Southard, PhD, MPH, PA-C, (now JCHS Provost
and Dean of Academic Affairs), as program director; Mark Greenawald, MD, as medical director;
Rebecca Scott, PhD, PA-C, as academic coordinator (and later as program director); and Sharon
Maiewski, PA-C, as clinical coordinator. In addition, over 150 physicians, physician assistants,
nurse practitioners and other health-care professionals helped train the first class of 21 students
In 2008, the program received permission by Southern Association of Colleges and Schools to
offer the graduate degree of Master of Science in Physician Assistant.
There have been 262 students to graduate from the program.
JCHS PHYSICIAN ASSISTANT STUDENT HANDBOOK, 2008-2009 4
Jefferson College of Health Sciences is accredited by the Commission on Colleges of the
Southern Association of Colleges and Schools to award associate, baccalaureate and masters
The Physician Assistant Program is accredited by the Accreditation Review Commission on
Education for the Physician Assistant (ARC-PA). ARC-PA is the recognized accrediting agency
that protects the interests of the public and PA profession by defining the standards for PA
education and evaluating PA educational programs within the territorial United States to ensure
their compliance with those standards. Only graduates from ARC-PA-accredited programs are
eligible to sit for the Physician Assistant National Certifying Examination (PANCE) and become
licensed to practice. The program completed the reaccreditation process in 2007 and was
awarded a five-year accreditation.
Mission, Purpose, Values and Goals
Jefferson College of Health Sciences
Jefferson College of Health Sciences prepares within a scholarly environment, ethical,
knowledgeable, competent and caring healthcare professionals.
Purpose and Values
Founded in 1914, as Jefferson Hospital School of Nursing, Jefferson College of Health Sciences,
located in Roanoke, Va., is a private institution offering baccalaureate and associate degree
programs, as well as graduate education, exclusively in healthcare disciplines. The College's
history dates from the formation of the Community Hospital of Roanoke Valley School of Nursing,
which evolved from the 1965 merger of the Jefferson Hospital School of Nursing, founded in
1914, and the Lewis-Gale School of Nursing, founded in 1911. The College provides educational
opportunities for those seeking healthcare careers, lifelong learning, and career enhancement
adapted to the healthcare environment.
The Jefferson College community values:
excellence and innovation in education;
integration of contemporary technologies;
diversity of person and thought;
integrity in personal and professional life;
personal, professional and scholarly development;
and a commitment to lifelong learning.
Based on these values, we believe:
The college is a partnership of people. Our students, faculty, staff and alumni are our
Teaching is our primary mission and we recognize the contribution of scholarly activity to
the learning process.
A foundation in general education prepares students intellectually, culturally and ethically
for their professional and personal lives.
Scientific and technical knowledge, competencies and proficiencies are required for
successful practice and advancement in students’ chosen professions.
Scholarly environment is required for the intellectual, personal, and professional
development of student, staff, faculty and alumni.
Broad-based, interdisciplinary education fosters community partnerships, improved
health and respect for human diversity and dignity.
Institutional and programmatic accreditation contributes to academic excellence.
JCHS PHYSICIAN ASSISTANT STUDENT HANDBOOK, 2008-2009 5
Systematic planning and evaluation contributes to sound management of human,
physical, and financial resources.
Physician Assistant Program - Mission Statement
The mission of the Jefferson College of Health Sciences Masters of Science Physician Assistant
Program is to prepare graduate-level physician assistants who are well versed in the art and
science of medicine for service to their communities, with special attention to reducing disparities
in health care.
Physician Assistant Program Goals
Upon completion of the JCHS Physician Assistant Program, the graduate will be able to:
1. Demonstrate the application of current, evidence-based medical knowledge to provide
the most appropriate patient-centered care (Medical Knowledge).
2. Communicate effectively with patients, physicians, and other members of the healthcare
team to foster interdisciplinary collaboration (Communication).
3. Demonstrate patient-centered care that is effective, timely, efficient, and equitable for the
treatment of health problems and promotes wellness across the lifespan, regardless of
individual characteristics (Systems-Based Patient Care).
4. Model the use of bioethical and legal principles pertaining to the delivery of healthcare
5. Positively impact and advocate for the appropriate provision of healthcare for patients,
their families, and communities (Professionalism).
6. Exemplify a commitment to personal growth and development as well as growth and
development of the physician assistant profession (Professionalism).
7. Demonstrate scholarship and commitment to lifelong learning through critical analysis,
interpretation, and evaluation of current medical research and literature to enhance the
delivery of health care (Practice-Based Learning and Improvement).
Educational Outcomes for Graduates
The Physician Assistant Program curriculum at JCHS reflects a philosophy of lifelong learning
and patient-centered care. Coursework integrates medical treatment modalities with health
promotion, behavioral medicine, and disease prevention to meet the needs of a changing
healthcare environment. The Program curriculum is based on the mission statement, curricular
outcomes, competencies, and technical standards for the physician assistant profession. The
professional documents and requirements (AAPA, PAEA, NCCPA, ARC-PA’s “Competencies for
the Physician Assistant” and the “Accreditation Standards for Physician Assistant Education”)
provide the foundation for the curriculum.
Physician Assistant faculty and clinical preceptors serve as mentors for students, modeling
professional ethics and attitudes conducive to healthcare professionals and demonstrating
required medical knowledge and skills. The course of study emphasizes case-based learning and
a systems approach, linking theory and practice. Students learn to value and practice
interdisciplinary teamwork and healthcare delivery to diverse populations.
The Program provides instruction in the basic medical sciences, including anatomy, physiology,
pathophysiology, clinical pharmacology, and the genetic and molecular mechanisms of health
and disease. It provides instruction in clinical medicine that covers the major organ systems. In
addition, the Program provides supervised clinical practice in emergency medicine, family
medicine, general internal medicine, general surgical care - including operative experiences,
pediatrics, women’s health, psychiatry, behavioral medicine, and orthopedics. Upon completion of
the Program, the graduating student will be able to:
Understand etiologies, risk factors, underlying pathologic processes, and epidemiology,
including genetic factors, for medical conditions.
Identify signs and symptoms, and physical exam findings of medical conditions.
Select and interpret appropriate diagnostic and lab studies.
Manage general medical and surgical conditions, including understanding the
JCHS PHYSICIAN ASSISTANT STUDENT HANDBOOK, 2008-2009 6
indications, contraindications, side effects, interactions, and adverse reactions of
pharmacologic agents and non pharmacologic treatment modalities.
Identify the appropriate site of care for presenting conditions, including identifying
emergency cases and cases requiring referral or admission.
Identify appropriate interventions for prevention of medical conditions.
Identify appropriate methods to detect conditions in an asymptomatic individual.
Differentiate between the normal and the abnormal in anatomic, physiological,
laboratory findings, and other diagnostic data.
Use history and physical findings and diagnostic studies to formulate a problem list,
differential diagnosis, diagnosis and patient management plan.
Provide care to patients in all stages of life, including preventative, acute, chronic,
rehabilitative, and end-of-life care.
Apply principles of patient self-management in those with chronic diseases, including
developing patient-provider partnerships, setting collaborative action plans and goals,
and making provisions for appropriate follow-up.
Apply an understanding of human behavior and psychological development to patients’
conditions and situations.
The Program provides instruction in interpersonal and communication skills resulting in effective
communication and collaboration between patient, families, and other healthcare professionals.
Upon completion of the Program, the graduating student will be able to:
Create and sustain a therapeutic and ethically sound relationship with patients.
Present patient information in an articulate and concise manner in oral and written form
Use effective listening, nonverbal, explanatory, questioning, and writing skills to elicit and
Accurately and adequately document and record information regarding the care
process for medical, legal, quality, and financial purposes.
Adapt communication style and messages suitable and appropriate for patients of
varying backgrounds and cultures.
Obtain a pertinent history of the disease from the patient’s perspective.
Provide medical care to patients from diverse populations, including use of an
interpreter and history taking through a third party.
Work effectively with physicians and other healthcare professionals as a member or leader
of a healthcare team or other professional group.
The Program provides instruction in the care and management of patients across the lifespan,
with a focus on cultural awareness and sensitivity. Upon completion of the Program, the
graduating student will be able to:
Work effectively with physicians and other healthcare professionals to provide patient-
Demonstrate caring and respectful behaviors when interacting with patients and their
Make informed decisions about diagnostic and therapeutic interventions based on the
patient’s information and preferences.
Develop and carry out patient management plans.
Counsel and educate patients and their families about:
Coping with illness and injury.
Adherence to prescribed treatment plans.
Modification of behaviors to more healthful patterns.
Management of chronic medical problems.
Competently perform medical and surgical procedures considered germane to
Provide healthcare services and education aimed at preventing health problems and
JCHS PHYSICIAN ASSISTANT STUDENT HANDBOOK, 2008-2009 7
maintaining healthy, therapeutic lifestyle.
Recognize and treat substance abuse, violent behavior, and abuse in a patient and/or
a patient’s family.
The Program provides instruction on professional issues and medical ethics. Upon completion of
the Program, the graduating student will demonstrate the following:
Knowledge of the history of the physician assistant profession and the current trends in
An understanding of legal and regulatory requirements, as well as the role of the physician
A professional relationship with physician supervisors and other healthcare providers.
Awareness of limitations, openness to seek and accept constructive criticism and
motivation to expand knowledge base.
Respect, compassion, and integrity, along with responsiveness to the needs of patients
Accountability to patients, society, and the profession.
A commitment to ethical principles pertaining to provision or withholding of clinical care,
confidentiality of patient information, and informed consent.
Sensitivity and responsiveness to the patient’s culture, age, gender, and disabilities.
An ability to communicate information regarding patients, medical conditions research
materials to colleagues and peers.
Knowledge of the legal issues of healthcare and their relation to physician assistant
Knowledge of reimbursement issues, including documentation, coding and billing, and
Practice-Based Learning and Improvement
The Program provides instruction to foster lifelong learning and critical thinking skills. It provides
the skills necessary to search, interpret, and evaluate the medical literature in order to maintain a
critical, current, and operational knowledge of new medical findings, including application to
individualized patient care. Upon completion of the Program, graduating students will be able to:
Demonstrate awareness of with practice-based improvement methodologies.
Locate, appraise, and integrate evidence from scientific studies related to patients’
Obtain and apply information about the population of their patients and the larger
population from which patients are drawn.
Use information technology to manage information and to access online medical
The Program provides instruction on providing patient-centered care that uses the most up-to-date
methods to deliver medical care in a cost-effective and timely manner. Upon completion of the
Program, the graduating student will be able to:
Use information technology to support patient care decisions.
Demonstrate and apply familiarity with different types of medical practice and delivery
Demonstrate knowledge of the funding sources and payment systems that provide
coverage for patient care.
Partner with supervising physicians, healthcare managers, and other healthcare providers to
assess, coordinate, and improve the delivery of health care and patient outcomes.
All students in the Jefferson College of Health Sciences Physician Assistant Program must
possess the intellectual ability to learn, integrate, analyze, and synthesize data. They must have
functional use of the senses of vision, hearing, equilibrium, and smell, with or without reasonable
JCHS PHYSICIAN ASSISTANT STUDENT HANDBOOK, 2008-2009 8
accommodations. Their exteroceptive (touch, pain, temperature) and proprioceptive (position,
pressure, movement, stereognosis, and vibratory) senses must be sufficiently intact to enable
them to carry out all activities required for a complete physician assistant education. These
standards for admission establish the expectations and abilities considered essential for students
to complete and graduate from our Program. These technical standards will be necessary for
successful clinical practice. Students must possess these technical standards at the time of
matriculation and throughout the program. Students who do not demonstrate these standards
during the course of the program are at risk for dismissal.
The student must possess and be able to demonstrate the following abilities and skills:
1. Intellectual: A student must have the mental capacity to assimilate and learn a large
amount of complex and technical information; be able to conceptualize and solve clinical
problems and to synthesize and apply concepts and detailed information from various
disciplines in order to formulate diagnostic and therapeutic plans. Students must be able
to learn to read and comprehend technical materials, medication and laboratory reports.
2. Observation: The ability to observe well is required for demonstrations and visual
presentations, laboratory evidence, and microscopic studies of microorganisms and
tissues in normal and pathologic states. A student must be able to observe patients
accurately and completely, at a distance and closely. This requires functional vision and
somatic sensation, enhanced by a sense of smell.
3. Communication: A student must be able to speak with, hear, and observe patients in
order to elicit information, perceive nonverbal communication, and describe changes in
mood, activity, and posture. The student must be able to communicate effectively and
sensitively in English with patients from different socioeconomic and cultural
backgrounds. Students must be able to develop professional rapport, and efficiently and
effectively communicate with the healthcare team, orally and in writing.
4. Motor: A student must have motor function to elicit information from patients by
palpation, auscultation, and percussion, and to carry out diagnostic maneuvers. He or
she must be able to execute movements required to provide general care and emergency
treatment. Such skills require coordination of gross and fine muscular movements,
equilibrium, and sensation. Students must have sufficient postural control, neuromuscular
control and eye-to-hand coordination to use standard medical/surgical instruments and
possess sufficient control of the upper extremities to meet the physical requirements for
training and performing a safe physical examination procedure.
5. Emotional: A student must have the emotional health to use fully his or her intellectual
ability, exercise good judgment, and carry out all responsibilities attendant to the
diagnosis and care of patients. The Physician Assistant Program at JCHS is demanding
both intellectually and emotionally. Students must display sufficient emotional health to
withstand stress, uncertainties and changing circumstances that characterize the rigors of
our Program and the reality of life as a dependent practitioner. Physician assistant
students must be able to work cooperatively with other students, staff, faculty, and
6. Interpersonal: A student must be able to develop mature, sensitive, and effective
relationships with patients and colleagues. The ability to tolerate physical and emotional
stress and continue to function effectively is a must. Students must be adaptable, flexible,
and able to function in the face of uncertainty during the course of study and with
patients. He or she must have integrity, the motivation to serve, a high level of
compassion, and a consciousness of social values. Students need the interpersonal skills
to interact positively with people from all levels of society, ethnic backgrounds, and
JCHS PHYSICIAN ASSISTANT STUDENT HANDBOOK, 2008-2009 9
PA Program Standards of Professional Conduct
Behavioral attributes associated with success in the Physician Assistant profession are empathy,
discipline, honesty, integrity, the ability to work effectively with others on a team, and the ability to
address a crisis or emergency in a composed manner. The Standards and Guidelines for an
Accredited Educational Program for the Physician Assistant states:
The role of the Physician Assistant demands intelligence, sound judgment, intellectual
honesty, appropriate interpersonal skills, and the capacity to react to emergencies in a calm
and reasoned manner. An attitude of respect for self and others, adherence to the concepts
of privilege and confidentiality in communicating with patients, and a commitment to the
patient’s welfare, are essential attributes.
Adherence to these standards requires that PAs and PA students exhibit a high level of maturity
and self-control even in highly stressful situations. You were invited into this Program because
the Admissions Committee believes that you possess these qualities.
PA students must conduct themselves in a highly professional manner consistent with the
responsibilities for patient care entrusted to them during their training. Professional behavior is
not easy to define, but unprofessional behavior is readily identifiable. Failure to adhere to the
following standards necessitates review by the Student Evaluation and Promotion Committee and
may result in corrective action and/or dismissal from the Program.
1. Respect: Students are expected to treat all patients, faculty, staff, clinical preceptors and
fellow students with dignity and respect. Conflicts should be resolved in a diplomatic and
reasoned manner. Students should be tolerant of diversity in student and patient populations.
PA training involves a close working environment with other students, including physical
examination of fellow students and discussion groups that may reveal information of a
personal nature. Approach these situations with respect for the privacy, confidentiality, and
feelings of fellow students. You can disagree without being disagreeable.
2. Communication: Effective communication is essential in your role as a student and as a
medical provider. While enrolled here, you should follow these communication guidelines:
a. Respond to fellow students readily and tactfully.
b. Recognize proper verbal and nonverbal communication.
c. React in a positive manner to feedback and criticism.
3. Flexibility: PA training involves instruction from practicing clinicians with unpredictable
schedules. At times, schedules for lectures or clinical sessions may be adjusted with short
notice. The advantage of using practicing clinicians outweighs this inconvenience, and
students should be flexible and tolerant of changes.
4. Integrity: You are expected to follow all policies in the Code for Student Conduct section of
the JCHS Student Handbook; pay special attention to policies pertaining to academic
honesty. PA students are also expected to display the highest ethical standards
commensurate with work as a healthcare professional.
5. Identification: PA students must always identify themselves as Physician Assistant Students
to patients and site staff. Never present yourself as a physician, a resident, a medical
student, or a graduate physician assistant. You MUST always wear a short clinical jacket
while at clinical sites, unless instructed not to do so by the site or the Program. Always wear
your official name badge while in class and at clinical sites. While in the PA Program,
students may not use previously earned titles (e.g., RN, DC, PhD) for identification.
6. Confidentiality: Respect the confidentiality of patients and fellow students; you are not
permitted to discuss any patients by name outside the clinical encounter. Any discussion
regarding a patient’s diagnosis, care, and condition should be conducted with discretion and
preferably in private. For academic presentations and history and physical assignments,
identify a patient by initials or chart numbers. Failure to adhere will result in dismissal from
the Program per Carilion policy.
The above list is by no means exhaustive. Each PA class will negotiate additional attributes as a
part of its class constitution. This document will serve as a professional and behavioral contract
for the class.
JCHS PHYSICIAN ASSISTANT STUDENT HANDBOOK, 2008-2009 10
Code of Ethics of the Physician Assistant Profession
The American Academy of Physician Assistants recognizes its responsibility to aid the profession
in maintaining high standards in the provision of quality and accessible health care services. The
following principles delineate the standards governing the conduct of physician assistants in their
professional interactions with patients, colleagues, other health professionals and the general
public. Realizing that no code can encompass all ethical responsibilities of the physician
assistant, this enumeration of obligations in the Code of Ethics is not comprehensive and does
not constitute a denial of the existence of other obligations, equally imperative, though not
specifically mentioned. (American Academy of Physician Assistants, www.aapa.org)
Physician Assistants shall be committed to providing competent medical care, assuming
as their primary responsibility the health, safety, welfare and dignity of all humans.
Physician Assistants shall extend to each patient the full measure of their ability as
dedicated, empathetic health care providers and shall assume responsibility for the
skillful and proficient transactions of their professional duties.
Physician Assistants shall deliver needed health care services to health consumers
without regard to sex, age, race, creed, socio-economic and political status.
Physician Assistants shall adhere to all state and federal laws governing informed
consent concerning the patient's health care.
Physician Assistants shall seek consultation with their supervising physician, other health
providers, or qualified professionals having special skills, knowledge or experience
whenever the welfare of the patient will be safe-guarded or advanced by such
consultation. Supervision should include ongoing communication between the physician
and the physician assistant regarding the care of all patients.
Physician Assistants shall take personal responsibility for being familiar with and
adhering to all federal/state laws applicable to the practice of their profession.
Physician Assistants shall provide only those services for which they are qualified via
education and/or experiences and by pertinent legal regulatory process.
Physician Assistants shall not misrepresent in any manner, either directly or indirectly,
their skills, training, professional credentials, identity or services.
Physician Assistants shall uphold the doctrine of confidentiality regarding privilege patient
information, unless required to release such information by law or such information
becomes necessary to protect the welfare of the patient or the community.
Physician Assistants shall strive to maintain and increase the quality of individual health
care service through individual study and continuing education.
Physician Assistants shall have the duty to respect the law, to uphold the dignity of the
physician assistant profession and to accept its ethical principles. The physician assistant
shall not participate in or conceal any activity that will bring discredit or dishonor to the
physician assistant profession and shall expose, without fear or favor, any illegal or
unethical conduct in the medical profession.
Physician Assistants, ever cognizant of the needs of the community, shall use the knowl-
edge and experience acquired as professionals to contribute to an improved community.
Physician Assistants shall place service before material gain and must carefully guard
against conflicts of professional interest.
Physician Assistants shall strive to maintain a spirit of cooperation with their professional
organizations and the general public.
JCHS PHYSICIAN ASSISTANT STUDENT HANDBOOK, 2008-2009 11
Oath for PA Students
I pledge to perform the following duties with honesty, integrity, and dedication, remembering
always that my primary responsibility is to the health, safety, welfare, and dignity of all human
I recognize and promote the value of diversity and I will treat equally all persons who
seek my care.
I will uphold the tenets of patient autonomy, beneficence, non-maleficence, justice, and
the principle of informed consent.
I will hold in confidence the information shared with me in the course of practicing
medicine, except where I am authorized to impart such knowledge.
I will be diligent in understanding both my personal capabilities and my limitations,
striving always to improve my practice of medicine.
I will actively seek to expand my intellectual knowledge and skills, keeping abreast of
advances in medical art and science.
I will work with other members of the health care team to assure compassionate and
effective care of patients.
I will uphold and enhance community values and use the knowledge and experience
acquired as a PA to contribute to an improved community.
I will respect my professional relationship with the physician and act always with the
guidance and supervision provided by that physician, except where to do so would cause
I recognize my duty to perpetuate knowledge within the profession.
These duties are pledged with sincerity and on my honor.
Student Academy of the American Academy of Physician Assistants
950 North Washington Street, Alexandria, VA 22314
Last Revised: 10/23/06
Students are required to come to class, lab sessions, and clinical experiences fully prepared.
Students are expected to have the knowledge that the admission requirements and prerequisite
courses logically define. Students also are responsible for completing all pre-class and pre-
clinical assignments. When necessary, students are expected to review and update areas
Attendance to class, lab, clinical experiences and class functions is mandatory. Students are
responsible for knowing all course content and skills taught during class and laboratory sessions.
Although much of medical knowledge can be acquired from a textbook, problem solving, clinical
reasoning, and interaction with fellow students and instructors play important roles in a clinical
and professional education program.
JCHS PHYSICIAN ASSISTANT STUDENT HANDBOOK, 2008-2009 12
When a student must miss a class or laboratory session, the student should inform the Academic
Coordinator and the Program secretary by email or phone before the absence and make up all
work missed during the absence. When absent for more than one day for a family emergency or
a prolonged illness, consult the Academic Coordinator and the instructors of the classes missed
as soon as possible. Faculty members will work with a student to help make up missed work
whenever possible. All communication with faculty and staff is held in strict confidence.
Students with unexcused absences or who are habitually late will be referred to the Student
Evaluation and Promotion Committee (see pg. 30) for review. Excused absences are absences
that have been arranged ahead of time, an acute illness, or an emergency.
Documentation and procedures for informing the faculty and staff of an absence are as
For a student who knows in advance that they will be missing a class, you should do the
Download the “Attendance form” from BlackBoard (Student Society and Clinical
Complete the form and submit to Kathy Keoughan in the PA office. She will
forward this request to Dr. Chen.
If there are special circumstances regarding your planned or unplanned absence,
please indicate that on the form.
This should be done as far in advance as possible.
Two absences will be allowed per semester. After the second absence, each
absence will result in a 5% reduction in the final grade of the course and may
result in a referral to the Student Evaluation and Promotion Committee as is the
For students who have missed a class due to illness or other circumstances, the policy is
Download and complete the attendance form and submit to Kathy as above and
continue to inform Kathy/faculty.
Faculty will complete the attendance form and have the student initial it.
Faculty will note the absence and file in your program file.
The same policy for absences applies as above. If you have special
circumstances, please note that on the form.
For any questions regarding the above policy, please direct them to the Academic Coordinator.
Students on clinical rotations will have an attendance policy that is different. Please consult the
Clinical Year Manual.
If in the judgement of the faculty member, a situation has occurred or is about to occur that would
jeopardize in some fashion the student, patients, other students, the program or its affiliates, the
Program Director may immediately suspend a student from any PA course for a period no longer
than 48 hours (excluding weekends).
The Program Director may extend that suspension until appropriate investigation and resolution
can be reached.
If the Program Director, in consultation with the clinical affiliate, determines that the student is
unable to participate in the clinical phase of the program without endangering the safety of
patients, staff or others, the student’s case will be referred to the PA Program faculty or SEPC for
further recommendations which may include dismissal from the program.
Students follow the PA Didactic College schedule for holidays and vacations during the didactic
phase. Plan your vacations accordingly. During the clinical phase, students are scheduled for 13
JCHS PHYSICIAN ASSISTANT STUDENT HANDBOOK, 2008-2009 13
During the didactic year, the Program follows the inclement weather policy stated in the JCHS
Student Handbook. The College may delay or cancel classes due to inclement weather or other
conditions. Any announcement canceling classes or delaying the beginning of classes will be
made before 6:30 a.m., if possible. Tune into a local radio or television station, call the College’s
main number at 540- 985-8483 or check the college website for information about delayed or
canceled classes. If the College is closed, there will be no PA classes. If classes are delayed, PA
classes will begin at the time the College opens. Please exercise good judgment when driving
during inclement weather. We do not want any students putting themselves in harm’s way
whether the College is open or not.
There is no deceleration policy during the didactic year; some exceptions may be made during
the clinical year.
Administrative Withdrawal, Leave of Absence
Refer to JCHS Graduate Handbook.
Personal appearance must be compatible with that of a health care professional. This is a
professional program and students are expected to dress accordingly. Physician Assistant
students must always appear acceptable to patients, preceptors, guest lecturers, and other
professionals. The following guidelines are designed to maintain a professional image throughout
your tenure at the JCHS PA Program. Violations of the dress code will be referred to the Program
Director or to SEPC.
Business/smart casual. All clothing must be clean and wrinkle-free with no holes or frays. Khakis and
golf shirts are acceptable. Shoes must be worn at all times. Open-toed shoes are acceptable, except
during Anatomy lab and clinical experiences. Jeans are permitted on Fridays. In general, always
dress neatly and modestly. At times, the student society may hold fundraisers for “Casual Days.”
Sweatpants, workout clothes, jogging suits, leggings, Lycra tights, flip-flops, beach sandals, tank
tops, mini-skirts, untucked shirttails, crop tops, midriff tops, or low-cut tops are unacceptable
classroom attire. Undergarments, cleavage, and midriffs must never be visible. No sweatshirts,
t-shirts, or other clothing with inappropriate wording, designs, or graphics may be worn. No hats
or caps may be worn at any time. Visible tattoos are strongly discouraged. No visible body
piercing except ears is allowed.
The instructor for a class reserves the right to change the dress code for his/her course in
consultation with the Program Director.
The Program Director, in consultation with faculty, staff and students, may call for occasional
dress-up or dress-down days.
Clinical Skills Practice
During the first year, students will practice physical examinations on each other. Students may
wear scrubs, shorts, t-shirts, flip-flops; women may wear sports bras or tank tops to the clinical
skills lab. Students without proper attire will not be allowed in the Clinical Skills Lab.
First-Year Clinical Experiences and the Clinical Year
Professional dress is expected during the first-year clinical experiences, second-year rotations,
End-of-Rotation (EOR), and other off-campus events, such as health fairs and continuing
While on a clinical site, students must wear a well-kept short white lab coat with
JCHS PHYSICIAN ASSISTANT STUDENT HANDBOOK, 2008-2009 14
An odor-free and clean, neat appearance is required.
Hair must be neat and clean. Facial hair is acceptable if it is neat and trimmed.
Nails must be clean and well trimmed. Nail polish cannot be worn during the surgical
rotation. Artificial nails are not allowed. Makeup and jewelry should not be worn in
No perfume or cologne should be worn in the classroom, during clinical experiences, or
Students dressed inappropriately will be excused from classes or clinical training and
asked to report to the Program Director.
A clinical site may impose additional requirements. If the site has established its own
dress policy, its policy supersedes that of the PA Program.
Students dressed inappropriately will be excused from classes or clinical rotations and asked to
report to the Program Director. Repeated violations of the dress code are subject to disciplinary
action and referred to SEPC.
Cell Phones and Beepers
As a rule, cell phones and beepers are permitted in class as long as the ringer is off or in vibrate
mode. Some instructors do not allow cell phones or beepers in the classroom at all. If a student’s
cell phone rings during class, that student will make a cash contribution to the student society
immediately after class.
Physician Assistant students must be readily identifiable at all times whether in class or on clinical
rotations. A College ID badge must be worn to gain access to the Reid Center. Since the PA
classroom is now in Carilion Roanoke Community Hospital it is of utmost importance that an ID
badge been worn at all times. A Physician Assistant student must always introduce himself/
herself to a health care professional or patient as a Physician Assistant student with clarity.
The curriculum design is based on the concepts of adult-centered learning and professional
education, which focuses on the mastery of knowledge, skills and attitudes required by the
graduate to practice effectively as a physician assistant. The curriculum, offered in didactic and
clinical components, is an approach which moves from basic to more advanced skills. The
curriculum design assumes students will develop the necessary skills to be self-directed learners
and apply effectively what they learn in the clinical setting.
PREFIX COURSE TITLE CREDITS
PHA 501 Clinical Medicine I 4
PHA 511 Clinical Pathophysiology & Lab I 3
PHA 521 / 521L Clinical Skills I 3
BIO 509 / 509L Clinical Anatomy I 2
PHA 531 Behavioral Medicine I 2
PHA 541 Clinical Pharmacotherapeutics I 2
PHA 561 Professional Seminar I 1
Total Credits: 17
PHA 502 Clinical Medicine II 4
PHA 512 Clinical Pathophysiology & Lab II 3
PHA 522 / 522L Clinical Skills II 3
BIO 510 / 510L Clinical Anatomy II 2
PHA 542 Clinical Pharmacotherapeutics II 2
IPE 509 Research & Evidence Based Practice 3
JCHS PHYSICIAN ASSISTANT STUDENT HANDBOOK, 2008-2009 15
Total Credits: 17
PHA 503 Clinical Medicine III 3
PHA 523 / 523L Clinical Skills III 2
BIO 511 / 511L Clinical Anatomy III 1
PHA 543 Clinical Pharmacotherapeutics III 1
PHA 551 Introduction to Master’s Project I 1
PHA 532 Behavioral Medicine II 2
Total Credits: 10
PHA 504 Clinical Medicine IV 4
PHA 524/ 524L Clinical Skills IV 2
PHA 552 Introduction to Master’s Project II 1
IPE 507 Ethical & Legal Practice in Healthcare 3
PHA 601 Internal Medicine Rotation I 3
PHA 602 Internal Medicine Rotation II 3
Total Credits: 16
PHA 603 Family Practice Rotation I 3
PHA 604 Family Practice Rotation II 3
PHA 605 Pediatrics Rotation 3
PHA 606 Women’s Health Rotation 3
PHA 607 Orthopedic Rotation 3
PHA 553 Introduction to Master’s Project III 1
Total Credits: 16
PHA 608 Surgery Rotation 3
PHA 609 Psychiatry Rotation 3
PHA 610 Community Medicine Rotation 3
PHA 554 Introduction to Master’s Project IV 1
Total Credits: 10
PHA 611 Emergency Medicine Rotation 3
PHA 612 Elective/ Preceptorship Rotation 3
PHA 613 Elective Rotation 3
PHA 621 Master’s Capstone 4
Total Credits: 13
Total Credits: 99
Credits from Non-PA Courses: 11
Credits from PA Courses: 88
Jefferson College of Health Sciences does not discriminate against employees, students, or
applicants on the basis of race, color, sex, sexual orientation, disability, age, veteran status,
national origin, religion, or political affiliation in accordance with the requirements of Title VI of the
Civil Rights Act, Title IX of the Educational Amendments of 1972, Section 504 of the
Rehabilitation Act of 1973, the Americans with Disabilities Act of 1990, and all other applicable
rules and regulations. Anyone having questions concerning any of those regulations, should
contact the Equal Opportunity/Affirmative Action Office:
Ms. Anna Millirons, Dean of Administrative Services (Phone: 540 985-8530)
Jefferson College of Health Sciences
920 S. Jefferson Street
PO Box 13186
Roanoke, VA 24031-3186
JCHS PHYSICIAN ASSISTANT STUDENT HANDBOOK, 2008-2009 16
Individuals with disabilities desiring accommodations in the application process should contact
the Center for Academic Success at 540-985-8449 or the Dean for Student Services at 540-985-
Each student is assigned a faculty advisor at the beginning of the first year. The role of the
advisor is to meet with the student on a regular basis, to assist the student directly if possible, or
refer to an appropriate College resource when student issues arise that are either academic or
Each student will meet with their faculty advisor within the first two weeks of each semester. An
additional required meeting will be scheduled midway through the semester. Each advisor will
assess the student on professional behaviors at the end of the semester. Additional meetings
may be scheduled as the need arises. Students are also encouraged to meet with other faculty
members informally for course-specific advising.
Change in Name, Address, Phone Numbers
Report any change in name, address, and telephone numbers to the Program secretary in writing
or via email immediately. Each student is responsible for reporting these changes to the
registrar’s office also.
Students are assigned an email account through the College server and are responsible for
checking College email daily for important messages from faculty, staff, administration, and other
students. No program email will be sent to personal email accounts. Students on clinical rotation
should check their email on a regular basis.
Each student is assigned a mailbox in room 205, the PA mailroom. Check your mailbox daily for
The program has a dedicated fax machine. The number is 540-224-4551. The fax machine is not
available for personal use. If a students needs to use the fax machine for JCHS PA-related
business, see the Program secretary.
A significant amount of communication with students is handled through Blackboard, the web-
based software program utilized by the College. Syllabi, objectives and course materials are
available to students through the program.
The program has its own website (www.ruralhealth.jchs.edu/pa/). Check the site for the PA
calendar and announcements.
Tuition, Fees and Equipment
See the JCHS 2008-2009 Catalog for complete list of fees.
The tuition for the PA Program is announced prior to the start of each academic year and is
subject to change without notice.
The $500 deposit serves as a confirmation of your intent to enroll and is applied to the cost of
attendance upon enrollment.
JCHS PHYSICIAN ASSISTANT STUDENT HANDBOOK, 2008-2009 17
Each student will receive an invoice of charges for each semester or summer session:
Payment of College expenses is the responsibility of the student. All charges are due on
the date stated on the invoice for returning students. All tuition, fees and residence hall
charges must be paid prior to class attendance.
The student must clear his or her account by the due date stated on the invoice in order
to maintain valid registration.
Students receiving financial aid will receive an award letter from the Office of Financial
Aid. If charges exceed the financial aid award, payment is expected prior to the due date
stated on the invoice. If the financial aid award exceeds the charges, the student will
receive a refund for the excess amount.
Refunds, which are processed after the last day to add/drop courses, will be mailed
unless otherwise requested by the student.
PA Program Estimated Expenses - 2008-2010
Year 1 Year 2 Year 3 Total
August 2008- August 2009- August Tuition
July 2009 July 2010 2010-
Tuition $22,660 $21,630* $6,695* $50,985*
* based on 2008-2009 tuition rate. This amount is
subject to change.
Other Didactic Phase Clinical Phase Total Other
Expenses (Estimated) August 2008- November 2009- Expenses
October 2009 December 2010
Books, Medical $3,654 $800 $4,454
Computer & Printer
Professional Dues $125 - $125
Travel for PA Lobby $150 - $150
Transportation for $500* $7,150* $7,650
* based on current gas rates, subject to change.
Total $4,429 $7,950 $12,379
The Didactic Phase (Classroom) starts in August 2008 and goes into the second Academic Year
and ends in October 2009. The Clinical Phase (Rotations) begins in November of the second
Academic Year and ends in December of the third Academic Year.
Living expenses: These vary according to the student’s personal needs and tastes. There is
some housing available at the College; the cost is $2,350 for Fall and Spring semester and
$1,300 for Summer semester; plus an additional $1,155 per semester for the meal plan.
Health Insurance: All students are required to have health insurance; this cost varies
according to the type of plan the student has.
Conference travel: Optional attendance at the National Conference is estimated to cost
PDA: with software costs is $500.00
JCHS PHYSICIAN ASSISTANT STUDENT HANDBOOK, 2008-2009 18
Withdrawal Date Refund
Before the first day of class 100% with no administrative fee
On or after the first day of class
and on or before last date to drop 100%, less $100 administrative fee with a refund
After last day to drop No refund
A 1098-T will be mailed to students in January. The 1098-T informs the student of the possibility
of a tax credit. The amount of eligible charges, along with scholarships and grants are provided
on each 1098-T. It is the student's responsibility to determine eligibility for the tax credit.
Students with questions regarding payment processes should contact the Bursar’s office (Reid
Center room 406) at 540-985-8272.
First-year students are required to obtain the medical equipment listed in their post-matriculation
materials. During orientation, the Program brings vendors on campus to demonstrate various
brands of equipment. Vendors may give the students a group discount, but you are not obligated
to purchase from these vendors. Estimated cost is $550-775, depending on type, brand, and
quality. The College assumes no financial responsibility for this equipment.
Required medical equipment includes a stethoscope, blood pressure cuffs, at least one pair of
scrubs, and a lab coat. A diagnostic set containing halogen coaxial ophthalmoscope, fiberoptic
otoscope is optional. You will find it helpful to have a reflex hammer, C-28 tuning fork and C-512
tuning fork for class and during your rotations.
The following are items that a well-dressed PA student takes on rotations:
short jacket with many pockets stethoscope penlight(s)
oto-& ophthalmoscope pneumatic bulb gloves
disposable ear specula reflex hammer measuring tape
tuning forks pocket eye chart safety pins
tongue depressors pens & pencils ECG calipers
bandage scissors various guides
cotton tipped swabs bottle with strong-smelling substances
sterile lubricant packs
Each student is required to purchase a laptop computer. To maintain consistency and facilitate
networking, we strongly urge our students to purchase the Dell computers available through the
College website. The PA curriculum uses computers to deliver academic material during classes,
especially through the Program’s website and Blackboard, to create a medical resource
database, to access material on the Internet, to administer exams, and to transfer information
during clinical rotations. Students are responsible for purchasing and maintaining their computer.
Students are responsible for paying for books, travel, parking, housing, living expenses, and
meals, whether they are at the College or at a clinical site. There may be additional fees related
to clinical experiences, such as the fee for a background check before starting clinical rotations.
Additional fees may include:
Background check prior to clinical year $60-$100
Captain Sean Grimes PA Student Society $20/semester
VAPA (Virginia Academy of Physician Assistants $10/year
AAPA (American Academy of Physician Assistants) $75/2 years
JCHS PHYSICIAN ASSISTANT STUDENT HANDBOOK, 2008-2009 19
Transportation and Housing
The clinical year of the Program consists of clinical sites at hospitals and other healthcare
facilities primarily throughout Southwest Virginia. Students will provide transportation to clinical
sites and classroom activities. Students are responsible for housing during all phases of the
Program. The Program will attempt to assist with identifying housing when a student is assigned
to a remote clinical site, but this cannot be guaranteed. However, housing is provided for the
Community Medicine rotation and for some other rural sites.
Health and Required Documentation
Health History, Physical Exam and Immunizations
Entering students must complete the Required College Health Information and Forms packet that
is mailed prior to the fall semester. This packet includes:
Report of Medical History
Physical Exam Form
Immunization Record – Failure to secure adequate immunizations will prohibit students
from participating in required clinical rotations. Proof of these immunizations or titers must
be provided (Contact Student Services for more information):
Tuberculosis (PPD) - Annually
Bacterial meningitis (Required of students in Residence Hall)
Statement of Continued Health Responsibility
Emergency Contact Information
Health Insurance Information
Drug Testing Information
Meningitis Letter and Waiver of Immunization against Meningococcal Disease
Proof of CPR Certification – Each student is required to complete and maintain CPR
certification throughout enrollment. CPR certification must include two-man, child and
infant CPR commonly referred to as Healthcare Provider CPR. Carilion Health System,
Red Cross and the American Hearth Association offer courses and re-certification in
these three techniques. Certification that does not include all three techniques will not be
Carilion Clinic Student Orientation Independent Study
A student will have a “hold” placed on their account blocking ability to register for classes and/or
to attend a clinical experience if he or she has not completed and turned in all of the required
Each student will have a confidential health record maintained in the office of the Dean for
PA students are required to maintain health insurance throughout your training. The college does
not endorse any particular health plan, however; the Dean of Student Services does maintain a
list of heath policies. Call 540-985-8395 for more information.
Student Malpractice Insurance
The College maintains malpractice insurance that covers PA students on clinical rotations.
However, students are not recognized as covered if they are in a practice setting that has not
been arranged by or through the Program.
JCHS PHYSICIAN ASSISTANT STUDENT HANDBOOK, 2008-2009 20
Observe standard precautions during laboratory and clinical skills training and during all patient
contacts during the didactic and clinical year. Students are required to report any needle stick or
other mucocutaneous exposure immediately to both the facility where it occurred and the PA
Program, using appropriate incident reporting forms. The student should then follow the protocol
of the institution in which the incident occurred. Students are not covered under Workman’s
Compensation; they must have their own health insurance.
Blood Bourne Pathogens Exposure Procedure
An exposure is an injury (cut, stick, or scrape) with a contaminated instrument (needles, blades,
or other sharps), OR mucous membrane (eyes, inside mouth or nose) contact with blood or
bloody body fluids, OR bloody/body fluid contact of an OPEN wound or NON-INTACT skin.
What Is An Accidental Exposure?
An exposure is (1) an injury (cut, stick, or scrape) with a contaminated instrument (needle, blade
or other sharp), OR (2) mucous membrane (eyes, inside mouth or nose) contact with blood or
bloody body fluids, OR (3) blood or body fluid contact of an OPEN wound or NON-INTACT skin.
If you have an exposure to blood or body fluids, you should:
Wash area thoroughly with soap and water (if eye splash, rinse with saline).
Report to your preceptor immediately.
Report immediately to the nearest Employee Health Office or Carilion Occupational
Medicine during business hours.
o CRCH, 1 floor—Monday-Friday, 7:30 AM-4 PM (224-4411)
o CRMH, 5 South—Monday-Friday, 7:30 AM-4 PM (981-7813)
o Occupational Medicine, 1 Floor CRCH—Monday-Friday, 8 AM- 4:30 PM (985-
During off hours, weekends, and holidays, proceed to the nearest Carilion
Emergency Department and tell them you have had an exposure to blood or body
fluids to facilitate quick response. Follow up with Employee Health or Occupational
Medicine the next business day to ensure appropriate care.
Fill out the Carilion Employee (Student) Event form (see appendix A). As a student
on rotation, you are considered an employee.
Complete the forms required by the institution where the incident happened.
Be sure the Program gets copies of everything, including any follow-up work done. The
Program office keeps a copy and gives a copy to the College Safety Officer, Susan
Always keep the accidental exposure card with these instructions with your name
The College is not responsible for any bills created by an accidental exposure incident. We
require students to have medical insurance in case this occurs. These guideline apply to
both didactic and clinical training.
Health Care Facilities
Students with health problems are referred to Carilion facilities or the CRMH Emergency
Department. Students may also choose where they wish to be seen under their own insurance
policy. The College has contracted with two Carilion Family Medicine offices to provide student
health services. When making an appointment at either of these offices, tell the office staff that
you are a JCHS student to facilitate a quicker appointment:
Carilion Roanoke – Salem Family Practice For appointment call: 540-562-5700
1314 Peters Creek Road, Roanoke, VA 24017
Directions: Take Jefferson Ave. to Elm Avenue. Take I-581 North for approximately 5.5
miles. Take Peters Creek Rd. exit 2-S. Follow Peters Creek Road approximately 2.5
miles. The office is located next to Parker’s Seafood.
JCHS PHYSICIAN ASSISTANT STUDENT HANDBOOK, 2008-2009 21
Carilion Family Medicine – Southeast For appointment call: 540-427-9200
2145 Mt. Pleasant Blvd. SE, Roanoke, VA 24014
Directions: Take Jefferson Avenue south (toward CRMH). Turn left onto Walnut Avenue.
Take an immediate left (after crossing bridge) onto Piedmont St., SE. Take the first right
onto Riverland Road (this become Mt. Pleasant Blvd.), go approximately 1.5 miles.
Carilion Family Medicine is across from Food Lion.
Student Disability Discrimination Complaint Process
See the JCHS 2008-2009 Catalog.
The Physician Assistant Program is an extremely challenging and time-intensive educational
experience. Successful completion requires that you give Program-related activities the highest
priority. The Program strongly discourages outside employment for a student enrolled in the PA
Program. Students should make every attempt to secure adequate financial assistance before
entering the Program. Financial difficulties are not grounds for special academic consideration.
Outside employment is not an acceptable excuse for violation of the attendance policy, nor should
employment interfere with a satisfactory level of student performance in program activities. If outside
employment interferes with performance, the student may be referred to SEPC.
A potential conflict of interest may occur when a clinical training site is also the student’s place of
employment. In such cases, the student may be reassigned. In no case will a student’s training
overlap with employment, and in no case will a student be permitted to substitute for a bona fide
employee during his or her clinical training.
It is imperative that the program be able to contact a student at all times, a copy of the student’s
work schedule and a phone number when he or she can be reach must be filed with the Program
A Physician Assistant student will not work for the program at any time during enrollment in the
Student Substance Abuse Policy
As an institution of higher learning in the health sciences, the College is dedicated to leading the
way in the implementation of an effective program to prevent substance abuse. The College’s
policy is established in compliance with the Drug-Free Schools and Communities Act
Amendments of 1989 (P.L. 101-226), as amended by Public Law 100-297, and the Improving
America’s School Act of 1994, (P.L. 103-382). The phrase “drugs and alcohol” includes any
substance that is subject to abuse.
The abuse of alcohol, drugs or other substances by College students is unacceptable. Substance
abuse can be evidenced in many ways but most frequently involves a lack of self-control that
results in disruptive behavior or an individual harming him/herself or others. Students, who
appear to be abusers, as identified by College officials, have two choices: they may either be
assessed and, if recommended, participate in subsequent treatment; or they may be dismissed
from the institution. (See the JCHS Student Handbook for complete Alcohol and Drug Policies.)
Student Technology Use Policies
Student technology use policies ensure that all students have access to important technology
resources and electronically delivered communication. Jefferson College of Health Sciences
reserves the right to limit, restrict or extend computing privileges and access to its technology
JCHS PHYSICIAN ASSISTANT STUDENT HANDBOOK, 2008-2009 22
resources. All College technology resources are to be used in a responsible, efficient, ethical and
legal manner. Failure to adhere to these policies may result in suspension or revocation of access
and/or accounts. Questions or comments about these policies should be directed to the Dean for
One Jefferson Account Policy
The College will issue a One Jefferson account to all accepted students at no cost. This account
provides a username and password and the same naming structure for this account is utilized to
access student email, IQ.Web (the student information system) and Blackboard (the course
management system). Students are expected to utilize all three systems during their enrollment
at Jefferson College of Health Sciences and are responsible for content and information provided
through these systems.
Protection of Accounts
Accounts for access to technology resources must be protected by the student by changing the
initial password to a unique password known only to the individual student. Technology staff
cannot see individual passwords, but do have access to reset accounts as necessary. Students
forgetting account passwords may request they be reset by contacting Distance Learning and
Instructional Technology staff. Students are responsible for appropriately logging out of all
accounts to prevent unauthorized access.
Misuse of Accounts
Examples of misuse of accounts include, but are not limited to:
Permitting other persons to use their usernames, passwords, accounts or disclosing
usernames, passwords or account information to any third party.
Logging on to someone else's account.
Changing or deleting another user's account.
Attempting to gain unauthorized access ("hacking") to the files or computer systems of
any other person or organization.
Using any account for commercial purposes or personal gain.
Misuse of technology accounts may result in disciplinary action and/or criminal prosecution.
Printers and Copiers for Student Use
There are two computer labs located on the College campus. The Learning Resource Center
(LRC) on the 6 floor has 16 computers. These computers are available for use during LRC
The Educational Technology Center (ETC) on the 5 floor in room 520 has 12 computers
available for use. Ten of the computers are available for use 24 hours a day, seven days a
week. In addition, another computer with Adobe Suite Software, scanner and CD burner is
available during ETC staffed hours. Check with the Distance Learning and Instructional
Technology office for hours.
Printing is available at not charge in these labs, provided this service is not abused.
A copier is available in the LRC at a cost-per-page basis.
For Program, educational or business purposes, please see the Program secretary for copies. All
copies must conform to the U.S. copyright laws and restrictions relative to fair use.
Class time cannot be used to surf the Internet, answer email, or instant message. Instructors will ask
you to turn off your computer if you are surfing the Internet during lectures. Students who use their
computers for personal reasons during class risk losing the privilege to use them. Refrain from
placing any unprofessional images as screen savers or backgrounds on your laptop.
JCHS PHYSICIAN ASSISTANT STUDENT HANDBOOK, 2008-2009 23
Downloading from the Internet
Use utmost care in downloading files from the Internet. Be aware that anything you download onto
your PC can have adverse effects on the ability of the PC to function correctly. Seemingly “safe”
things such as smiley faces, screen savers, games, and music can cause irreversible damage to your
system software. At a minimum, these will use system resources that will slow down the overall
performance of your PC. Scan all files with an updated anti-virus program prior to installation or
execution. This is especially true of anything from file-sharing networks. Never believe anything you
see in a pop-up window. Never install anything advertised in a pop-up window.
A significant amount of communication with students is handled through Blackboard, the web-
based software program utilized by the College. Syllabi, objectives and course materials are
available to students through the program.
Developed by SunGard Higher Education, IQ.Web is an Internet software system designed to
provide students, faculty, administrators and other members of an educational institution's
learning community with "anytime, anywhere" access to information services. The student role of
IQ.Web allows active students to develop an academic plan, register and pay for classes, review
transcripts, grades, review health record and interact with faculty, advisors and other students.
Use of Educational Materials
Lecturers may provide PowerPoint presentations and other educational materials to students.
These materials are for educational purposes only and must not be reproduced or shared with
persons outside the Program. Inappropriate use could be considered infringement of copyright
Rules Related to the Physician Assistant Program Facilities
PA Conference Room
The PA Program has a comprehensive reference library (room 206). Please see the Program
secretary to borrow books.
This classroom is for you. It is incumbent on everyone to keep the classroom neat and clean.
Many guests will be in the classroom for lectures and presentations. There will be patients
coming in and out of the hospital where the classroom is located. HIPAA training will cover the
issues of patient confidentiality. Please abide by these regulations.
The classroom will be available from 7:00 a.m. to 6:00 p.m. Under no circumstances are non-
students permitted to be in the classroom.
Textbooks will be kept in the LRC for your use. Please do not remove them.
A refrigerator and microwave is available for your use. There will be a supply of drinks and
snacks for guest lecturers that are not for general consumption.
Open drink containers are not allowed in the classroom.
Although Carilion provides a cleaning service, it is important that each student take a role in
ensuring that trash is placed in appropriate containers and areas are straightened after use. Each
class is responsible for creating and maintaining a cleaning schedule for the student lounge.
Please ensure all leftovers are removed from the refrigerator in a timely manner. The microwave
and other appliances must be kept clean and all dishes be washed and out of the sink area.
General guidelines for the Clinical Skills Lab will be addressed in class.
A cafeteria is located on the 4 floor where students can congregate for lunch.
JCHS PHYSICIAN ASSISTANT STUDENT HANDBOOK, 2008-2009 24
The Program is not responsible for personal effects. See the Security Guard in the lobby of the
Reid Center for Lost and Found.
For Carilion Police and All Other Emergencies: Dial 981-7911 or from a College or Hospital
telephone 8-7911. (See the JCHS Student Handbook for safety on the college campus.)
The College and surrounding parking lots are patrolled by Carilion Clinic police officers 24 hours
a day. A security officer is on College premises 24 hours a day, seven days a week. Each floor is
monitored via closed-circuit security cameras, and a residence staff person is on call 24 hours a
day to assist residents with any problems.
Jefferson College of Health Sciences and all Carilion facilities are smoke-free.
All motor vehicles (automobiles, motorcycles and motorized scooters) must be registered with the
Campus Safety Office immediately upon bringing the vehicle to campus by obtaining a parking
Students are required to park in designated student parking areas only. Students are allowed to
park in the Carilion Roanoke Community Parking Garage on levels B and D only. Students are
not allowed to park in the parking lot behind the college.
Vehicles parked illegally or overnight due to mechanical problems must be reported immediately
to the Carilion Police Department (540-981-7911) day or night or a violation may be issued.
(See the JCHS Student Handbook for complete parking and transportation policies and
Transfer and Credit for Experiential Learning
The PA Program does not allow for the transfer of course credit from other institutions. All
courses in the curriculum must be taken at JCHS and in sequence.
The program does not offer academic credit for experiential learning.
Evaluation of Student Performance
Evaluation of student work is based on written multiple-choice or essay questions, oral and
written reports, oral and written reviews of the medical literature, performance of clinical skills,
participation in group work, and assessment of patients. Frequency and types of evaluation vary
among courses. Specific requirements are indicated in the course syllabi. Use the American
Psychological Association (APA) style in written assignments unless otherwise instructed.
The Physician Assistant Clinical Knowledge Rating and Assessment Tool (PACKRAT) developed
by the Association of Physician Assistant Programs (APAP), is utilized to evaluate students
during the didactic and clinical phase of their PA education and to better prepare students for
taking the Physician Assistant National Certifying Exam (PANCE).
This test will be administered to students twice.
The first administration of the PACKRAT will be at the end of the didactic year. This test will
demonstrate strengths and weaknesses in each student’s clinical knowledge. The results will be
used by the student to direct their studying during the remainder of the program.
JCHS PHYSICIAN ASSISTANT STUDENT HANDBOOK, 2008-2009 25
The second administration of the PACKRAT will be near the end of the program, as a part of the
Summative Evaluation process. Students scoring less that a certain score may be required to
take a PANCE Review course as their elective rotation.
Test Administration Policy
The testing policy and procedures preserve the integrity and fairness of all examinations. No
student will be permitted any advantage not afforded to every student. This is established in
accordance with the NCCPA/PANCE and the National Board of Medical Examiners format for
standardized medical testing. It is important to become familiar with our testing procedures as you
will experience the same procedures for your national certification exam.
Students must take exams at the scheduled date and time. Any unavoidable absences must be
reported to the program secretary and course instructor prior to examination time or, if in the
event of an emergency, as soon as possible. (Please review the Attendance Policy on page 12).
Any unexcused absence results in a "Failure" for that exam. The student will take the missed
exam as soon as he or she returns to school. For example, if a student misses an exam
scheduled for a Thursday at 1:00 and then returns to school Friday morning, he or she will make
up that exam Friday before attending any classes. Arrangement must be made with the instructor
No extra time will be given to prepare for the exam. Some instructors may not allow make-up
exams under any circumstances. Students who miss an exam are not to seek any assistance
from students who have taken the exam. Likewise, students who have taken the exam are
forbidden from sharing any information about the exam. Refer to the College Honor Code..
Instructors have the prerogative to impose additional and different exam policies.
All examinations must be completed during the specified time limit unless otherwise arranged
ahead of time. An Examination Session is defined as the time period between the start time of a
particular exam or set of exams and the time at which all students have completed that exam or
set of exams. In general, you will be given one minute per exam question.
Staff and/or faculty may monitor the testing. This monitoring might take the form of electronic
monitoring or by physical presence in the examination room. Students observed engaging in
possible violation of test administration rules or other forms of irregular behavior will not
necessarily be told of the observation at the time of the exam (See irregular behavior
below). The student will be notified of any irregularities noted and/or the need for an Honor
Council investigation or SEPC referral within 5 school days of the incident. Students who witness
other students cheating or engaging in irregular behavior should follow the procedure outlined in
the College Student handbook and report the incident to the Dean for Student Services.
The following procedures should be followed:
1. All students will be seated at the announced exam time.
2. Most exams will be given on your personal computer. No personal belongings are
allowed on the desk (Including but not limited to book bags, books, study materials,
calculators, PDA’s, cell phones, ipods/MP3’s, or headphones.
3. No food or beverages are permitted during testing. Water in a clear plastic container is
4. No communication among test takers is permitted once distribution of testing materials
5. Habitually late students may be denied entry to the exam room and will therefore fail the
6. For paper tests, it is the student’s responsibility to properly mark the answers and
identification information on each exam answer sheet. Any questionable or unreadable
answers will be marked incorrect. Failure to accurately fill in identification information
(name, SSN, test form) may prevent a student from receiving credit for test scores.
7. Do not turn over, view, or begin the exam until instructed to do so.
8. Time limits for the exam will be announced and strictly enforced. (Note: the NCCPA
traditionally allows 45 seconds per question.) When time is complete, you must STOP.
9. Proctors will not answer questions pertaining to the exam content during testing.
10. Turn off all beepers, phones, or other communication devices during testing.
JCHS PHYSICIAN ASSISTANT STUDENT HANDBOOK, 2008-2009 26
11. Students may make calculations and notes on the original exam. The exam questions
must be turned in to the proctor at the end of the exam. For computerized examinations,
blank paper may be used to make notes; however, the notes must be turned in at the
completion of the examination.
12. Students are permitted to go to the restroom, unescorted, one at a time. Permission must
be granted by the proctor and breaks are limited to 5 minutes
13. Students will not be given extra time to transfer answers from the test to the answer
14. Exams are timed, and all exams begin at the scheduled time. A student who has been
delayed may be admitted to the exam up to 15 minutes after the session has started at
the discretion of the instructor, however, will not be given extra time to complete the
15. Upon completion of the exam, give the testing materials to the proctor and exit the room
as quietly as possible. Do not engage the instructor, proctors, or other students in
conversation. The student MAY NOT return to the room for any reason until the testing
session is over.
16. Most tests will be given electronically on BlackBoard. If you experience computer issues
during the exam you need to inform the exam proctor. It is important to follow these
general guidelines when taking an electronic exam:
a. Open a browser before the beginning of the exam. Students will be allowed to
open to http://espn.go.com/
b. Save your answers frequently. Do not take the entire exam and hit “submit”
without saving your answers.
c. Report any technical problems to the exam proctor.
The faculty will not discuss the test in general or any specific question until grading is completed
and test analysis performed. Grades will be placed in student mailboxes or communicated
electronically as soon as is feasible after the examination. Students who pester the faculty and
staff about the test are subject to a possible 5-point penalty on the grade.
Irregular behavior is any behavior that undermines or threatens the integrity of the examination,
whether it occurs before, during or after an exam.
Irregular behavior includes, but is not limited to, having or seeking access to exam materials
before the exam, copying answers from someone else or allowing one’s answers to be copied,
having study guides or notes present in the exam area, making notes during a computer-based
exam administration, copying or reproducing test items, altering or misrepresenting scores,
stealing exam materials, possessing unauthorized materials during a computer-based exam (e.g.,
including, but not limited to, recording devices, photographic materials, reference material, etc.) or
other such behavior which may cast doubt on the exam results of that or another person.
Disruptive behavior is also considered irregular behavior.
The content of the examination and each of its items, is strictly confidential, and any unauthorized
retention, possession, copying, distribution, disclosure, or receipt of any examination question, in
whole or in part, by written, electronic, oral or other form of communication, including but not
limited to e-mailing, copying or printing of electronic files, and reconstruction through
memorization and/or dictation, before, during, or after an examination, is strictly prohibited.
Anyone who has information or evidence that irregular behavior has occurred should complete an
“Alleged Academic Misconduct” form located on the Student Society Black Board Site (see
appendix D) detailing the incident, along with copies of any supporting evidence or
documentation. Effort should be made to present this material only to the Dean for Student
Services to protect the rights of the accused and allow for a proper investigation of the complaint.
Test Exam Challenges
Challenges to test questions will be allowed, only in writing, and only with documentation from the
assigned reading. Challenges must be submitted to the course instructor within 48 hours of the
JCHS PHYSICIAN ASSISTANT STUDENT HANDBOOK, 2008-2009 27
return of the grades to the students, using the form on the PA on Blackboard (see Appendix C).
Decision of the instructor about a test question challenge is final.
Graduation requirements are based on the quantity and quality of the student’s work. The number
of credits is a measure of quantity, with a credit normally representing 15 hours per semester of
course work, 30 hours per semester of lab, and not less than 45 hours per semester of clinical.
The grade is a measure of quality. The College uses the following system for grading graduate
93-100 A 4.000 Satisfactory/Passing
90-92 A- 3.700 Satisfactory/Passing
87-89 B+ 3.300 Satisfactory/Passing
83-86 B 3.000 Satisfactory/Passing
82-80 B- 2.700 Satisfactory/Passing
77-79 C+ 2.300 Marginal*/Passing
73-76 C 2.000 Marginal*/Passing
70-72 C- 1.700 Marginal*/Passing
67-69 D+ 1.300 Unsatisfactory/Failing
63-66 D 1.000 Unsatisfactory/Failing
60-62 D- 0.700 Unsatisfactory/Failing
<60 F 0.000 Unsatisfactory/Failing
Special Grading Symbols
I 0.000 Course Work Incomplete
IE 0.000 Incomplete Extended
NJ 0.000 No Judgment
W 0.000 Student Withdrawal
*Although a C may be considered passing for a course, students must maintain a 3.00
average in their degree program and present a 3.00 GPA on the courses listed on the
graduation application. A Student with a GPA below the minimum required will be placed
on academic probation. Please refer to the JCHS Graduate Handbook.
Students must maintain a minimum GPA of 3.0 to progress in a graduate program. A student who
falls below a cumulative GPA of 3.0 will be placed on academic probation. Students who do not
successfully earn a semester GPA of 3.0 in all subsequent semesters while on probation will be
dismissed from the program. Specific programs may establish additional requirements. Students
on academic probation must meet with their financial aid representatives to determine how this
status impacts their financial aid awards.
Programs may have established additional standards of satisfactory academic progress.
Discipline specific details are found in the appropriate program handbook. Graduate faculty and
the Provost and Dean for Academic Affairs administer these standards.
(See JCHS Graduate Handbook)
JCHS PHYSICIAN ASSISTANT STUDENT HANDBOOK, 2008-2009 28
JCHS Testing Accommodation Policy
Any student with a disability who needs accommodations (including testing accommodations)
should be ready to provide documentation of their disability and should make an appointment with
the Coordinator of Disability Services, Danielle Lusk, in room 701 in the Reid Center.
Appointments can be made by calling Judy Caffee at 540-985-8395. Students must follow this
procedure to arrange accommodations. For more information call Ms. Lusk at 540-985-8449 or
email email@example.com. Also, see information for students with disabilities on the college website
Results of exams are made available to students in a manner that maintains confidentiality.
Students have an opportunity to review all tests and exams with the instructor either individually
or in a group after grades are posted. Exams will not be returned to students. They will be
retained in the office until graduation; students may review old exams in the Program office.
Students who perform poorly on an exam or other evaluation instrument are strongly encouraged
to contact the instructor to review content and test-taking skills.
Faculty members have office hours for pre-exam consultation to review course material and for
post-exam consultation to review performance. Faculty members also make reasonable
accommodations to meet students at other times on an appointment or walk-in basis.
Most instructors prefer that assignments be posted on Backboard. They may also want the
student to place a hard copy in their faculty box in the PA office. The course syllabus will indicate
the instructor’s preference. Maintain a copy of all work submitted.
Late assignments are always bad. Discuss with your instructor, prior to the due date, any
emergency that may prevent on-time completion of an assignment. Again, students are urged to
check the course syllabus for the instructor’s policy on late assignments.
Refer to the course syllabus for the remediation policy of the instructor.
To remain in good academic standing in the PA Program, the student must:
1. Maintain a current and cumulative GPA of 3.0 as outlined in the JCHS Student
2. Maintain a minimum grade of “C-” in all PA courses. (For clinical rotations, refer to the
Clinical Year Manual. All rotations must be passed with “C-” or better as well.). Any grade
below a “C-” is considered failing.
3. Exhibit satisfactory evidence of professional behaviors, technical standards and
interpersonal skills as outlined in the JCHS Student Handbook and the PA Student
4. Have a passing grade on all proficiency exams (OSCE’s, check sheets) as determined by
the faculty instructor.
Failure to achieve the above criteria shall be grounds for actions by the Student Evaluation and
Promotion Committee (SEPC). Actions can include tutoring, remediating, repeating a course, or
dismissal from the Program.
A student cannot progress to the next semester without resolving a failing grade. A student who
earns a grade lower than a “C-” will be referred to the SEPC and must enroll in and pay for an
Independent Study course. Credit hours will vary according to the amount of material the student
needs to remediate. Objectives and evaluation are determined by the faculty member responsible
for the course. If the student successfully passes the Independent Study (PHA 575), the student
JCHS PHYSICIAN ASSISTANT STUDENT HANDBOOK, 2008-2009 29
will be allowed to progress to the next semester. A student with a “D” for a final course grade will
be placed on academic probation and an individualized remediation plan will be developed. If the
student does not pass PHA 575, then that will constitute a second failing grade and the student
will be dismissed from the program. Once on academic probation a student must make a “C-” or
better in all courses. Failure to make a “C-” or better in all courses will result in dismissal from the
A student must maintain a 3.0 on the overall GPA to remain in good academic standing. A
student cannot graduate with a GPA of less than 3.0. If a student drops below a 3.0, that student
will be placed on academic probation per graduate program policy. Students placed on academic
probation will be notified at the end of each semester per the Office of the Provost and Dean for
Academic Affairs. The student on academic probation will be enrolled in the Pathways to
Academic Success (PASS) program. Failure to follow-up with the referral may result in further
academic sanctions. Students will also meet with their PA faculty advisor.
The SEPC committee is charged with ensuring compliance with the above academic and
professional policies. This committee is composed of the Academic Coordinator, PA faculty
members, a PA Advisory Board member and member of the College faculty. They will make
recommendations for actions to the Program Director. SEPC provides a written report detailing
the specific nature of deficiencies and the rationale for recommendation to the Program Director.
The committee considers specific deficiencies on a case by case basis with considerations of the
student’s overall academic, clinical and professional performance. The PA Program Director has
the ultimate authority for sanctions. Appeals of the Program Director’s decisions are forwarded to
the Dean for Academic Affairs, as outlined in the Student Grievance Procedure and Appeal
Process in the JCHS Student Handbook.
Students who are dismissed from the Program can reapply in the future. Applications must follow
the state applications procedures to be considered for readmission.
1. When disciplinary matters present themselves in the Program they will be initially
discussed between the appropriate faculty member and the student. Generally a
verbal warning will be given if the offense is minor (i.e. surfing the net in class, being
disruptive, tardiness, etc.)
2. If the situation is not resolved, reoccurs or if similar behavior occurs, a written
reprimand will be issued and will be a part of the students permanent file. In cases
where behavioral issues are major or ongoing, the student will be referred to SEPC
for further actions as appropriate. The sanctions may include behavioral contracts,
probation and/or dismissal from the Program.
3. The recommendations from SEPC are forwarded to the Program Director for a final
4. The student may appeal the decision as outlined in the student handbook.
Comprehensive Didactic Summative Evaluation
Before the Clinical Concentration rotation, each student will undergo a Comprehensive Didactic
Summative Evaluation process. The purpose of this is to assess the relative strengths and
weaknesses of each student and to ascertain if the student meets the expected competencies
needed for a practicing PA. The summative evaluation takes into account the affective,
professional and cognitive abilities of the student. Much of this process is accomplished
throughout the year on an on-going basis. For example, professionalism, medical knowledge,
critical thinking will be measured on an on-going basis during the clinical rotations. Those
comments will be highlighted on this form. There are several sentinel events including the OSCEs
and PACKRAT which happen only several times in the student’s career. The summative
evaluation builds upon the didactic evaluation process.
The summative evaluation will assist the Program in validating that the soon-to-be-graduate has
met the published competencies published by the Program of the Graduate Competencies.
The summative evaluation process will include the following educational measures from the
JCHS PHYSICIAN ASSISTANT STUDENT HANDBOOK, 2008-2009 30
1. PACKRAT 1 and PACKRAT 2 measures:
2. OSCE 1 and OSCE 2 measures:
3. EOR Exams measures:
Preceptor Evaluations measures:
Course and Program Evaluation
At the end of each semester, the student will be requested to evaluate the teaching overall
effectiveness of each course and faculty member.
As part of our on-going accreditation, the results are used by the faculty and College
administration as part of a self-evaluation. This helps the Program make changes and ongoing
improvements to the curriculum.
At the end of the didactic and clinical year, the faculty will conduct focus groups with students for
in-depth discussions on program effectiveness.
The Program Director will meet with first-year students on a monthly basis lending an opportunity
to discuss various issues that arise during the course of study. Each student’s advisor is available
to meet with them at all times.
Approximately one year after graduation, the College will mail the PA graduate a survey for
evaluating the overall effectiveness of the JCHS Physician Assistant Program. The PA’s
employer will be asked to evaluate the adequacy of your pre-employment training, as well.
Application for graduation
It is the student’s responsibility to be aware of progress toward the degree. Students must file an
Application for Graduation form with the Registrar’s Office two semesters before the date of
graduation. A program of study, signed by the advisor and program director, must be forwarded
to the Registrar. This form can be found on the college website (www.jchs.edu) under Registrar.
Students may receive a graduate degree only after meeting all of their program requirements. A
cumulative grade point average of 3.00 or better is required by all programs for completion of a
A minimum of eighty (80) percent of the course work required to earn a graduate degree must be
taken at Jefferson College of Health Sciences. Transfer courses must be approved by the
Program Director and the Registrar. (See JCHS Graduate Handbook.)
JCHS PHYSICIAN ASSISTANT STUDENT HANDBOOK, 2008-2009 31
Captain Sean Grimes Physician Assistant Student Society
of the American Association of Physician Assistants
CONSTITUTION AND BYLAWS
We, the students of the Physician Assistant Program at the Jefferson College of Health
Sciences, realize that through formal organization, we can benefit ourselves, our program, and
our community. It is for this reason that we have established the Captain Sean Grimes Physician
Assistant Student Society of the American Academy of Physician Assistants (AAPA). In all
aspects of its function, this society will pursue integrity, equality, dignity, and competence for the
physician assistant as a health practitioner.
ARTICLE I. Name
The name and title of this organization shall be the Captain Sean Grimes Physician Assistant
Student Society, herein referred to as the Student Society.
ARTICLE II. Purpose
The purpose of the Student Society shall be to serve as the official organization for the students
in order to promote academic achievement, clinical excellence, community involvement,
and the physician assistant as a member of the health care delivery team.
ARTICLE III. Membership
Section 1. Only physician assistant students enrolled in the program shall be eligible for
Section 2. Active members shall be defined as full-time students, paying dues of $20 for
Fall semester and $20 for Spring semester of the first year, and retaining
voting privileges. Inactive members shall be defined as students who have
left the program in good standing, or who no longer pay dues; inactive
members are ineligible to vote. If second-year students want to remain active
voting members, they must pay dues for the Fall and Spring semesters of the
Section 3. Students leaving the program for any reason shall retain membership in the
Student Society for the remainder of the current academic year but shall be
designated as inactive members.
Section 4. It shall be encouraged, but not required, that Society members become
active members of the American Academy of Physician Assistants (AAPA)
and of the Virginia Academy of Physician Assistants (VAPA). However,
officers are required to be student members of the AAPA.
ARTICLE IV. Dues and Fees
Section 1. Upon payment of the Student Society dues, students will become active
members of the Student Society.
Section 2. Dues are due by the second formal meeting of the Student Society for the
Fall and Spring semesters of the first year. Any dues left unpaid or partially
paid will inactivate the member until such time as all dues are paid in full.
Section 3. Inactive members, as defined in Article III, Section 2, are ineligible for
benefits of funds raised by the Student Society, as described in Article X,
JCHS PHYSICIAN ASSISTANT STUDENT HANDBOOK, 2008-2009 32
ARTICLE V. Officers and Their Duties
Section 1. All officers shall be first-year students, except the HOD representative, who
shall be the previous year’s Assembly of Representatives (AOR) officer, and
the senior external affairs officer, who shall be the previous year’s junior
external affairs officer. The officers of the Student Society shall be: president,
vice president, treasurer, external affairs officer, internal affairs officer, AOR
representative, AOR alternate, HOD representative, and student diversity
committee officer. In addition, there should be a faculty advisor (appointed by
the Program Director), and there will be an elected constituent chapter
student representative. All officers, representatives, and delegates must be
student members of the AAPA.
Section 2. The office of President. The duties of this office shall include but not be
limited to the following:
Preside over the monthly meetings; set the meetings’ agendas, and
submit the same to the internal affairs officer for copies and distribution.
Assign committee chairs, coordinate the activities of the committees, and
keep membership informed of the activities of these committees.
Relay information received from SAAAPA to the Student Society.
Hold regular business meetings of the Student Society, at least every 4-6
Cooperate with the outgoing officers at the end of their terms of office to
provide assistance to the first-year officers.
Attend quarterly PA Program Advisory Board meetings.
Assist the program secretary with plans for class graduation.
Assume other duties as determined necessary by the Student Society.
Section 3. The office of Vice President. The duties of this office shall include but not be
limited to the following:
Assist the president and preside in his/her absence.
Register the Student Society after elections have been held and before
November 1, which includes sending the Student Society bylaws to the
SAAAPA staff advisor of the AAPA/SAAAPA national office.
Inform the membership on various student issues and activities of the
Oversee all elected committee chairs.
Section 4. The office of Internal Affairs Officer. The duties of this office shall include but
not be limited to the following:
Maintain all records of the Student Society and record minutes of
Notify members of forthcoming meetings.
Coordinate with fundraising committee chair in advertising all fundraising
Maintain contact with Student Society committee chairs to monitor any
ongoing student-related projects. He/she shall maintain communication
within appointed student leadership positions.
Section 5. The office of Treasurer. The duties of this office shall include but not be
limited to the following:
Coordinate the collection of dues.
Maintain the Student Society bank account and report to the membership
the Student Society’s financial status at each meeting.
Section 6. The Society Advisor shall provide insight and direction into the proper,
ethical, and professional standards of the physician assistant. He/she shall
have no voting privilege.
JCHS PHYSICIAN ASSISTANT STUDENT HANDBOOK, 2008-2009 33
Section 7. The Constituent Chapter Student Representative is expected to do the
Attend constituent chapter board of directors meetings and report back to
his/her Student Society.
Increase interaction among the Student Society, constituent chapter, the
Student Academy, and AAPA national office.
Inform the new incoming class about the importance of professional
involvement and AAPA membership.
Represent the Student Society by participating as a student delegate in
the AAPA House of Delegates meetings at the AAPA’s annual
Inform the AAPA national office of his/her position as student delegate to
the House of Delegates.
Educate Student Society members on national and local PA issues.
Submit an After Action Review (AAR) following Lobby Day activities.
Section 8. The Assembly of Representatives (AOR) Representative is expected to do
Distribute all Student Academy information to the students at his/her
Serve as a point of contact for the SAAAPA Board of Directors and
Attend the AAPA annual conference to represent the Student Society by
participating in the SAAAPA Assembly of Representatives meetings.
Inform the AAPA national office of his/her position as student
representative to the Assembly of Representatives.
Educate Student Society members about national and local PA issues.
Submit an After Action Review (AAR) following the National Conference.
Should the AOR representative be unable to fulfill his/her duties, the AOR
alternate shall take his/her place.
Section 9. The House of Delegates (HOD) Representative is expected to do the
Distribute all HOD information to his/her program.
Serve as point of contact for the SAAAPA and AAPA.
Attend the AAPA annual conference as a SAAAPA delegate in the formal
meeting of the AAPA House of Delegates.
Section 10. The Student Diversity Committee Representative is expected to do the
Inform the AAPA national office of his/her position as student
representative to the Assembly of Representatives.
Increase awareness of different and diverse cultures.
Act as liaison between the Student Society and the SAAAPA Director of
Represent all PA students and convey any and all concerns regarding
diversity to SAAAPA.
Section 11. The office of Junior External Affairs Officer. This office shall be filled by a
first-year student. The duties of this office shall include but not be limited to
Promote the Student Society and the physician assistant profession
Work with the Senior External Affairs officer.
Assist the Director in coordination of PA Day.
Section 12. The office of Senior External Affairs Officer. This second-year position shall
be filled by the previous year’s Junior External Affairs Officer. The duties of
this office shall include but not be limited to the following:
JCHS PHYSICIAN ASSISTANT STUDENT HANDBOOK, 2008-2009 34
Promote the Student Society and the physician assistant profession
Work with the Junior External Affairs officer.
Assist the Directors of Education of medical schools in our area.
ARTICLE VI. Elections
All Student Society officer nominees shall be active members of the
Student Society and the American Academy of Physician Assistants.
Nominees must submit in writing their intent to run for office along with a
personal profile by the election deadline of September 1.
Profiles of nominees shall be distributed to all members of the Student
Society no later than one week before election date.
Secret ballot elections for officers’ positions will be held no later than the
fifteenth day of September.
The faculty advisor shall be responsible for distributing and tabulating
Tabulation must be done immediately and the election results posted
and winners notified. In event of a tie, a run-off election shall be held
Section 2. Once elections are completed, the Student Society Roster Form must be
completed and returned to the AAPA national office by November 1.
Section 3. Each officer will serve for a one-year term of office commencing immediately
upon election and terminating after the new officers for the next year have
been elected and oriented by the outgoing officers.
Section 4. In the event an office becomes vacant, all active members will be notified of
such vacancy. Potential nominees have one week to submit an intent to run
for office. Profiles of nominees shall be distributed to all members at least
one week prior to an election. Elections will be by majority vote.
ARTICLE VII. Officer Training
It will be the responsibility of the outgoing officers to train and familiarize the new officers
with their duties and responsibilities and the material needed to perform their jobs. Training
must be completed within 30 days of the officer elections and may consist of phone or email
ARTICLE VIII. Meetings
Section 1. The Student Society should meet every 4-6 weeks for the transaction of
society business. The date and location of these meetings will be decided by
the officers and announced to the student membership.
Section 2. Additional meetings may be called at the discretion of the president provided
no less than one week’s notice has been given to the membership.
ARTICLE IX. Committees
Section 1. The standing committees of this society shall be
The Fundraising Committee, whose purpose is to develop and
implement (with majority approval) the ideas necessary to raise funds for
The Social Committee, whose purpose is to coordinate social events.
Any other committees as deemed necessary by the Student Society.
JCHS PHYSICIAN ASSISTANT STUDENT HANDBOOK, 2008-2009 35
Section 2. Committee membership shall be open to society members on a volunteer
Section 3. All committees shall report their proceedings to the board at the monthly
ARTICLE X. Money Appropriations from Student Society Fundraising
Section 1. AOR and HOD representatives shall each receive 12.5 percent of total funds
raised by the end of the second semester (end of April), as payment toward
travel expenses to the AAPA annual conference, provided the officer
presents a receipt of registration.
Section 2. The Host City Prevention Campaign shall receive at least 10 percent of funds
raised by March 1, the approximate deadline for this donation.
Section 3. Active Student Society members shall equally divide 30 percent of funds
raised for travel to the AAPA annual conference. These funds shall be
reimbursed at the end of the second semester (end of April) provided the
member presents a receipt of registration. The only students eligible for this
benefit are active members who have volunteered for at least two Student
Society fundraisers. Any disagreements with this expectation can be
addressed within and at the discretion of the Student Society.
Section 4. The remaining 35 percent of funds raised shall be used for miscellaneous
expenses, such as state lobby day, national lobby day, or any other events to
support the PA profession. Any funds remaining after the summer semester
of the first year shall be put toward graduation or designated at the discretion
of the Student Society.
ARTICLE XI. Amendments and Parliamentary Procedure
Section 1. The Parliamentary source used by the Student Society shall be Robert's
Rules of Order. In all proceedings, the Constitution and the Bylaws of the
Student Society shall take precedence.
Section 2. The Constitution and Bylaws may be amended by a majority vote, provided
all amendments proposed are submitted to the president at the preceding
month’s meeting and are in turn submitted to all members, in writing, at least
two weeks prior to the vote.
Section 3. Any bylaws necessary to supplement this Constitution shall be approved at a
monthly meeting and voted upon at the following monthly meeting with two-
thirds of the society’s active membership voting. Absentee ballots are
ARTICLE XII. Impeachment
Any officer, for the abuse of his or her authority, misconduct in office, or gross neglect of
duties, may be impeached and therefor removed from office by two-thirds vote of the all
active members at a regular business meeting. Any charges against an officer must be
formally written and filed with the Internal Affairs Officer at least one month before any vote
shall be taken on the charge(s). A copy of the letter shall be served upon the officer at least
two weeks before a vote shall be taken.
ARTICLE XIII. Disbandment
JCHS PHYSICIAN ASSISTANT STUDENT HANDBOOK, 2008-2009 36
This organization shall not disband except by a two-thirds vote of the active membership at
any given regular meeting. A written notice of the intent to disband must be issued to all
active members and faculty advisor approximately one month prior to the vote.
The Captain Sean Grimes Physician Assistant Student Society of the Jefferson College of Health
Sciences is named after Capt. Sean Grimes, the first physician assistant to be killed in combat.
His humvee hit an improvised explosive device on March 4, 2005, in Ar Ramadi, Iraq. Capt.
Grimes epitomizes the military’s influence on the PA profession. He is a credit to the PA
profession, his country, and the United States Army.
Adopted: September 15, 1997
Latest revision: August 2, 2007
JCHS PHYSICIAN ASSISTANT STUDENT HANDBOOK, 2008-2009 37
Clinical Year Outline
The 13 months of clinical training comprise 13 four-week rotations plus a Master’s Capstone. The
clinical rotations provide hands-on learning in a variety of teaching hospitals, private practices,
and community and rural health clinics.
Internal Medicine Two 4-week rotations
Family Practice Two 4-week rotations
Community Medicine 4-weeks
Emergency Medicine 4-weeks
General Orthopedics 4-weeks
General Surgery 4-weeks
Women’s Health 4-weeks
Psychiatry and Behavioral Medicine 4-weeks
Elective 4 weeks
Master’s Capstone 5 weeks
By the end of your clinical rotations, you must have spent at least three days in a long-term care
facility, such as a nursing home or rehabilitation center. We will work with you to facilitate your
Each rotation has a syllabus and study guide which is located near the end of this manual. Please
read each syllabus carefully as it contains important information related to our expectations for
your clinical year.
Your Community Medicine rotation occurs in Giles, Franklin, or Smyth County. Housing is
provided in these rural sites except for Franklin County. This rotation consists of providing health
promotion and disease prevention education, service, and support to individuals and communities
across the lifespan. During the month students will develop and refine skills in program
development, community networking and implementing techniques acquired from the Behavioral
Medicine courses. Students will also participate in long term care experiences with the geriatric
The Elective rotation is done after completing the rest of the rotations except the Clinical
Concentration. It may be in a clinical subject area of special interest or may be used for additional
work in a required subject area as determined by the Program. Elective rotations may be self
designed, but the Clinical Coordinator makes the final decision. Submit Elective and Clinical
Concentration request forms to Barbara Williams no later than April. Do NOT confirm these
rotations with preceptors—the Program takes care of that.
The Program offers the PANCE review course as the Elective for all students who score below an
average percentile determined after PACKRAT. The Clinical Coordinator will inform the students
of the minimum score for the year; currently it is 139. Other students may be offered the option of
taking the course as well, depending on space and need. Students interested in taking the
PANCE review should let the Clinical Coordinator know before April 15.
The Elective rotations are done after completing the rest of the rotations. They may be in a
clinical subject area of special interest or may be used for additional work in a required subject
area as determined by the Program. Elective rotations may be self designed, but the Clinical
Coordinator makes the final decision. Submit Elective request forms to Barbara Williams no later
than April. Do NOT confirm these rotations with preceptors—the Program takes care of that.
The Program offers the PANCE review course as the Elective for all students who score below an
average percentile determined after PACKRAT. The Clinical Coordinator will inform the students
JCHS PHYSICIAN ASSISTANT STUDENT HANDBOOK, 2008-2009 38
of the minimum score for the year; currently it is 139. Other students may be offered the option of
taking the course as well, depending on space and need. Students interested in taking the
PANCE review should let the Clinical Coordinator know before April 15.
Assignment of Rotation Sites
All students will complete all rotations in approved clinical sites.
Students must be prepared to complete some rotations out of town, in areas throughout Virginia,
North Carolina, and Tennessee. The Program provides some of the housing for these required
Students who are responsible for caring for children, parents, or animals need to make
arrangements for this before the clinical year. No student is exempt from out-of-town
Assignments are based on availability and Program needs.
In general, students are required to complete the first few rotations in established clinical
All requests for rotations go through the Program; students are welcome to talk to
potential preceptors about doing rotations with them, but this must cleared it with the
Program. This includes the final rotation, the Clinical Concentration.
The Clinical Coordinator and Program Director reserve the right to deny sending a
student to any particular site based on the student’s academic performance, evaluations,
strengths and offerings of the clinical site, or any other reason.
Clinical rotations within 60 miles of the College are considered local and the Program in
general does not provide housing for these sites.
New Clinical Sites
The creation of a new clinical site must have positive ramifications for the Program—the
preceptor should be open to accepting additional students for future rotations. If you are
aware of a site where you may want to do a clinical rotation, submit the Clinical Site
request form found in this book and on the PA website as soon as possible to the Clinical
Resource Associate, Barb Williams; but be aware that this is not a guarantee of being
assigned to that site. A new site must meet the requirements of the Program and can
only be approved by the Program.
Students are responsible for ensuring that all paperwork and information for a new
clinical practice and preceptor are completed and returned to the Program. All
necessary paperwork and agreements must be signed and in place before the
student will be allowed to go to that site for a rotation. Hospital affiliations may take
up to six months to complete.
The preceptor for the new site may not be a relative of the student requesting the
creation of the new site.
Students may be assigned to a maximum of four new clinical sites you have identified,
provided that the sites meet our requirements and that the Program Director and Clinical
Coordinator approve these rotations.
Role of the PA Student
Prerequisites for Clinical Rotations
Before your first rotation, you must have the following:
Proof of health insurance.
Current BLS and ACLS certification.
Up-to-date immunizations, including MMR, DPT, HBV, varicella, and polio, or proof of
Proof of TB test within past 12 months and repeat TB testing every 12 months.
Criminal background check.
Carilion Orientation (done yearly).
JCHS PHYSICIAN ASSISTANT STUDENT HANDBOOK, 2008-2009 39
Some rotation sites will want documentation of the above for their own files—we recommend that
you take proof of your immunizations and TB test results with you on the first day of each rotation.
If your compliance with the above cannot be verified, you will be removed from your rotation until
you can prove compliance. Although the College does keep the immunization documents you
provided for its own files, the College is not responsible for keeping your medical records updated
nor can it provide these documents to others without a written release from you.
In addition, before you begin a rotation, you must meet these criteria:
1. Successful completion of all didactic course work.
2. Successful completion of each previous rotation, or arrangement with the Clinical
Coordinator to finish an “Incomplete” or remediate an unsatisfactory rotation grade later.
Criminal Background Checks
In accordance with JCAHO regulations, all students in clinical programs are required to have
completed a background check. You will have done this at the beginning of the Program. This is
different from the background check you have already done for HCA affiliates. Failure to have the
background check on file will prevent you from going into a clinical rotation. You can expect to
undergo additional background checks or fingerprinting for some locations, typically at their
expense. Students going to Giles and Franklin County for the Community Medicine rotation
require an additional background check that will be arranged by the program. The PA Program
will pay for this.
While on a clinical rotation, you function as an integral part of the medical team. You will be
assigned to a licensed clinician who will serve as your preceptor. You will perform histories and
physicals, assess assigned patients, assist in formulating management plans, perform various
procedures and diagnostic studies, and otherwise participate significantly in patient care as
determined by the preceptor. You will be responsible for monitoring patient progress, reporting to
the supervising preceptor, and implementing the preceptor’s plans. You will be required to attend
lectures, read articles, and give case presentations (oral and written) as assigned by the preceptor.
There are opportunities at various facilities for student medical lectures, grand rounds, and other
educational opportunities and conferences. The program fully expects every PA student to take
advantage of these opportunities when offered. Failure to attend will result in disciplinary action. If
you are unsure as whether you should attend or not, contact the program. These are excellent
learning opportunities to further your medical training and education.
You will be given as much hands-on experience as the preceptor believes you are capable of. .
The best way to demonstrate your capability and worth is to look for work actively, ask questions,
engage in outside reading, report early, stay late, and volunteer for call. If you kick back and blend
with the crowd, you will miss opportunities to learn and do that you may not ever get again. PA
students are known for their steadfast perseverance. If you’re on time next year, you’re late.
Show up early and stay late. Your willingness to go the extra mile will separate you from the rest
and will impress your preceptors, who in turn will take a greater interest in your education.
You are an invited guest of each rotation site and, as such, you should leave a positive
impression of yourself, the College, and the physician assistant profession. Be sure that your
interactions are courteous and respectful at all times, and be prepared to discuss the PA
profession, how PAs function within the medical community, and your role as a PA student. Each
of you will receive a “professionalism” assessment during the rotation by your preceptor(s). A
failure in this area will result in a failure of the rotation and possible dismissal from the program. It
is rare for a JCHS PA student to have a problem in this area.
Despite your best efforts, you may from time to time encounter people who are not supportive of
you or the PA profession. Additionally, students and preceptors may experience difficulties that
strain their relationships. You are expected to deal with such problems in a mature and
professional manner. You can disagree with an approach to patient management, schedule
changes or anything else without being disagreeable. If the situation can’t be resolved, consult
the Clinical Coordinator immediately.
JCHS PHYSICIAN ASSISTANT STUDENT HANDBOOK, 2008-2009 40
PA students are expected to adhere to the following guidelines while on rotations:
1. Physician assistant students on clinical rotation must work under the supervision of a
licensed physician or physician assistant, nurse practitioner, or nurse midwife who is
supervised by a licensed physician.
2. Students must wear a Jefferson College of Health Sciences patch on their lab coats and a
visible name tag designating student status, and they must identify themselves as
physician assistant students to all patients and staff at all times.
3. Students will not see patients, make a diagnosis, or carry out any procedure or treatment
plan without the explicit prior approval of the preceptor or designee.
4. The student will never work without an identified on-site supervisor. If the preceptor is to be
absent, he or she will identify an alternate preceptor for the student. The student will notify
the Program of any unexpected preceptor change lasting more than one day.
5. All charts and written orders must be signed with the student's name clearly written followed
by the designation PA-S. At no time may the student use other professional titles (e.g. RN,
EMT) in written form or otherwise while on clinical rotation.
6. All chart entries and written orders must be countersigned in accordance with the policy of the site.
7. Students will not consent to assess any patient or perform any procedure that is beyond their ability
or the scope of practice for a PA.
8. Students are not to perform clerical or administrative work for the site. If you feel that you
are being asked to do administrative tasks, then contact the office.
9. Students will observe the highest level of patient confidentiality and professional conduct at
all times. Failure to do so will have disciplinary consequences.
10. Physician Assistant students on clinical rotations are expected to accept and integrate
constructive feedback from preceptors and other members of the medial community.
Failure to do so is a violation of the professional standards.
Failure to adhere to these guidelines will result in disciplinary measures.
Rotation work hours are determined by the preceptor and may include nights, weekends, and
holidays, as well as an on-call schedule. Course syllabi list a minimum of 172 clinical hours for
each rotation. Expect to work far more than this during some rotations. You may find yourself
working 12-18 hours some days during some surgical and inpatient rotations (not including call
and weekends), and some nights and weekends on many rotations. Preceptors are not
obligated to give days off on weekdays, weekends, or holidays. College snow days are NOT
days off while on rotation. Note that the rotation calendar does not follow the traditional school
calendar. There is no spring-break or breaks between semesters. Adhere to the clinical rotation
calendar on Blackboard. If you have questions about the calendar, consult with the program
BEFORE making plans.
Follow reporting instructions; notify the Clinical Resource Associate, Barbara Williams, of
any errors or schedule changes.
If your clinical site requires an orientation, it is mandatory that you attend. Failure to attend
orientation will be considered an unexcused absence and may result in removal from the site.
Adherence to scheduled rotation hours and attendance at end-of-rotation activities is
JCHS PHYSICIAN ASSISTANT STUDENT HANDBOOK, 2008-2009 41
mandatory. Failure to fulfill this requirement is considered in the evaluation of the
academic and professional performance and may result in a failing grade for and
repetition of the rotation.
If you must be late or absent from a rotation, or if your schedule has changed, you
MUST notify both the preceptor and the Clinical Resource Associate, Barbara
Williams, as soon as possible, but never later than 9 AM on the day of the absence. If
you cannot speak with a person in the office, leave a number where you can be
reached and the reason you are calling.
Only the Clinical coordinator can excuse you from a rotation. Without the written
permission of the clinical coordinator, all students are expected to be at their
assigned rotations. No exceptions.
Incapacitating illness and unexpected family emergencies are considered valid
reasons for being absent. Business appointments, job interviews, weddings,
graduations, and other social events are NOT valid reasons for being absent.
Absences for these and other planned activities must be approved in advance by
the Clinical Coordinator or designee. Requests for planned absences must be made
in writing at least 14 days in advance; such requests will be considered on a case-by-
case basis. Any excused absence may require documentation.
More than two days missed from a clinical rotation due to an excused absence must
be made up within that rotation. Failure to make up time missed due to an
excused absence will result in a grade of “I” (incomplete) for the rotation.
A rotation in which a student receives an “I” due to excessive excused absences may
be completed at a later date at the discretion of the Clinical Coordinator or Program
Director depending on the availability of the rotation.
Remember, the preceptor cannot give an excused absence. Only the Clinical
Coordinator can. When in doubt, it is best to check with the PA Program.
Attendance at conferences and lectures outside the clinical rotation site need prior
written approval from the Program. This includes review courses, AAPA, VAPA and
Absences not reported as outlined above will be considered unexcused regardless of
Planned absences not arranged as outlined above will be considered unexcused.
All unexcused absences and habitual tardiness will be referred to the Student Evaluation
and Promotion Committee for recommendation. The following actions will also be taken:
o 1 unexcused absence: Meet with the Clinical Coordinator; final rotation grade
may be decreased by one letter grade.
o 2 unexcused absence: Meet with the Program Director; final rotation grade
may be decreased by two letter grades.
o 3 unexcused absence: SEPC referral and possible failure of rotation.
Professional attire is required for all rotations. No cropped pants or open-toed shoes are allowed.
All tattoos and body piercing, with the exception of earrings, must be concealed.
Be guided by your preceptor’s instructions for exceptions to this rule. Scrubs are not generally
permitted except in surgery and the Emergency Department. Inappropriately dressed students
will be asked to leave the rotation site and will receive an unexcused absence until they return
properly attired. In addition, you must wear the JCHS identification badge during all patient
JCHS PHYSICIAN ASSISTANT STUDENT HANDBOOK, 2008-2009 42
You are required to wear a short student lab coat on rotation. Long lab coats are not
acceptable. Any student not complying with this will be referred to the Student Evaluation and
Promotion Committee. Believe it or not, students have failed rotations and have been put on
probation for violating this.
Medical Diagnostic Equipment
Take your own medical diagnostic instruments (stethoscope, otoscope, ophthalmoscope, reflex
hammer, etc.) to all rotations. Please be sure that all your equipment is properly labeled with
name or initials.
Meals and Housing
All expenses related TO meals and housing while on clinical rotations are your responsibility.
Some sites may provide meals; however, the Program does not require that any site do so. The
Program does provided housing at some clinic sites, which you may or may not elect to use. This
housing is for assigned students only. No children, friends, or pets are allowed to stay at any
time. At times male and female students may occupy separate rooms in the same housing. The
Program reserves the right to change housing assignments at any time. You should care for the
housing sites as you would your own home. Clean up before you leave. You will be responsible
for paying for any damages. Use your cell phone for long-distance calls. Most of these locations
have internet service provided.
Clinical rotations within 60 miles of the College or college provided housing are considered local
and the Program will not provide housing for these sites.
Malpractice Insurance/Accidental Exposure Policy
All clinical students are covered under the Jefferson College of Health Sciences professional
liability policy while at assigned rotations. All reportable incidents involving students and patients
must be reported immediately by phone and in writing to the Clinical Coordinator. (See pg. 21 for
protocol for accidental exposure.)
Follow OSHA Guidelines for universal precautions at the clinical site, including the use of gloves,
care of sharp objects, use of eye wear, protective clothing, and other precautionary measures.
Medical ethics and HIPAA (Health Insurance Portability & Accountability Act) forbid violation of
patient confidentiality. Both you and your preceptor should be sensitive to this issue. Any
discussion regarding a patient’s diagnosis, care, and condition should be conducted with
discretion and, preferably, in private. You should identify patients by initials or chart numbers in
case studies and other written reports. Failure to adhere to HIPAA standards will result in
dismissal from the Program.
Professional Behaviors While On Rotations
All students accepted into the Jefferson College of Health Sciences PA Program are considered
responsible adults. As such, they must maintain the professional standards and behavior
expected by the Physician Assistant profession, as outlined in the Code of Ethics PA Profession.
PA students on clinical rotations represent the College, the Program, and the Physician Assistant
profession at all times. We expected each PA student to be familiar with the College’s “Code for
Student Conduct” as written in the Student Handbook.
In the unexpected event that a PA student is accused of a violation of the code, especially if the
student is arrested or removed from a clinical site, it is the student’s responsibility to notify the
Clinical Coordinator immediately. The Clinical Coordinator will then notify the appropriate
Program and College officials. Failure to notify the Program immediately will result in further
Students may be removed from any rotation, at any time by the Program whose conduct is not in
accord with the ideals, policies, or technical standards of the PA program or the College.
Students who have been directed to withdraw or leave a rotation may not be eligible to return.
JCHS PHYSICIAN ASSISTANT STUDENT HANDBOOK, 2008-2009 43
If at any time you feel uncomfortable, mistreated, harassed, or discriminated against, immediately
contact the Clinical Coordinator or Program Director. This includes verbal, nonverbal, and
Much more information regarding the clinical year will be given to you in the
Clinical Year Manual before you begin rotations.
Changes to Student Handbook
The PA Program reserves the right to update the policies in this handbook to reflect the changing
nature of health care and education during the course of the year.
JCHS PHYSICIAN ASSISTANT STUDENT HANDBOOK, 2008-2009 44
Physician Assistant Program
Appendix A Carilion Employee (Student) Event Form
Appendix B Jefferson College of Health Sciences Honor Code
Appendix C Didactic and Clinical Year Examination Question
Appendix D Academic Misconduct Form
Appendix E Attendance Form
Appendix F Confirmation of Receipt of Policies and Procedures
for Physician Assistant Students Academic Year
JCHS PHYSICIAN ASSISTANT STUDENT HANDBOOK, 2008-2009 45
EMPLOYEE EVENT REPORT PROTOCOL (EER)
The employee must report the event within 24 hours to the Manager/Designee and complete
an EER immediately. (For bloodborne pathogen exposures, treatment must be received
within one hour of the exposure)
An accident investigation must be conducted by the Manager and/or Safety Officer/Workers’
Compensation Representative within a reasonable time frame as warranted by the severity of
the injury with measures documented to prevent reoccurrence.
Please submit all pertaining to the event.
The employee is to complete Section 1. Section 2 is to be completed by the treatment site.
Section 3 is for Workers’ Compensation follow up.
Briefly describe cause of event, (example: “Coming out of patient’s room, I slipped and fell on
Be sure to indicate what part of the body is injured, include left or right side, (example: needle
stick to the left index finger).
After completing the EER form, the employee/manager must place his/her signature at the
bottom of Section 1.
The completed EER must accompany the employee to his/her facility-designated site listed
below or to a chosen Panel Physician.
Roanoke based employees: CRMH or CRCH Employee Health Department.
CNRV & CSAH: Carilion New River Valley Emergency Department
CBMH: Emergency Department
CFMH: Emergency Department
CGMH: Emergency Department
CHC: Local Facility Site
For injuries that require immediate/emergency treatment the employee should report to the
nearest Emergency Department.
Following treatment by a Physician the employee must report to the Workers’ Compensation
Representative to receive authorization for return under the guidelines of the Carilion
Workers’ Compensation policy.
Send all copies of the EER to the Workers’ Compensation Office within 48 hours.
JCHS PHYSICIAN ASSISTANT STUDENT HANDBOOK, 2008-2009 46
EMPLOYEE EVENT REPORT
(Include Accident, Exposures and Communicable Illness)
(ALL BLANKS MUST BE FILLED OUT)
SECTION 1 To be completed by the Employee (INSTRUCTIONS ON FOLLOWING
Name of Facility: Social Security Number:
Name of Employee: Phone (W):
Home Address: Phone (H):
City/State/Zip Code: Date of Birth:
Department/Job Title: Years Employed:
Date of Event/Location of Event/Time (Fill in line below): Average Hours Per Week:
Date Event Reported/To Whom Reported (Fill in line below): DESCRIPTION AND CAUSE OF EVENT
MEASURES TAKEN TO PREVENT REOCCURANCE
Name of Witness: Phone Number of Witness:
BODY PARTS AFFECTED
Left or Right Side Left or Right Side Left or Right Side Left or Right Side
Head Abdomen Hand Foot
Eye Back Finger(s) Toe(s)
Face Arm Wrist Ankle
Neck Shoulder Leg Hip
Chest Groin Knee Other
Employee Signature: Date:
Manager/Designee Signature: Date:
SECTION 2 To be completed by Treatment Site & returned immediately to Worker’s
Compensation/Employee Health Office
TREATMENT DESCRIPTION OF TREATMENT
No Tx Necessary
SECTION 3 To be completed by the Worker’s Compensation Office.
Released to Home
Manager/Designee Signature: Date:
Temporary Restricted Duty Assignment Days: Last Days Worked:
Workers’ Compensation Rep. Signature: Date:
Routing: To the Workers’ Compensation Office
JCHS PHYSICIAN ASSISTANT STUDENT HANDBOOK, 2008-2009 47
JCHS ACADEMIC HONOR CODE AND JCHS HONOR PLEDGE
(JCHS 2007-2008 Student Handbook)
ACADEMIC HONOR CODE
The College expects students to exhibit high levels of integrity in all activities. The College
reserves the right to deny admission to or remove students from any program if they have a
record of misconduct or demonstrate behavior that would jeopardize their professional
Every faculty member and student is responsible for assuring academic integrity at the College.
It is the student’s responsibility to know what constitutes academic dishonesty, cheating or
plagiarism. If students are unclear they should seek the advice of the instructor. Students should
consult the JCHS Student Handbook for more information about academic dishonesty.
JCHS ACADEMIC HONOR PLEDGE
“I will not lie, cheat, steal nor tolerate those who do” as defined in the JCHS Academic Honor
Code and JCHS Honor Pledge.
A. Purpose: The primary purpose for the maintenance of discipline in the College setting is
the protection of the campus community and the maintenance of an environment
conducive to learning and inquiry. Freedom of thought and expression is essential to the
College’s academic mission.
B. Inherent Authority: The College reserves the right to take necessary and appropriate
action to protect the safety and well being of the campus community.
C. Interpretation of Regulations and Standard of Conduct: To the extent feasible and
practicable, disciplinary regulations at the College are in writing in order to give students
general notice of prohibited conduct. The regulations are not a criminal code; they should
be read broadly and are not designed to define misconduct in exhaustive terms.
D. Proceedings: Disciplinary proceedings conducted pursuant to the Academic Honor Code
and JCHS Honor Pledge shall be informal, fair and expeditious. Procedures governing
criminal or civil courts, including formal rules of evidence, are not applicable. Deviations
from the procedures in this Academic Honor Code and JCHS Honor Pledge shall not
invalidate a proceeding or decision, except where such deviation has clearly resulted in
significant prejudice to an accused student or the College.
E. Violations of Local, State and Federal Law: Students may be accountable to both
governmental authorities and to the College for acts which constitute violations of law and
this Code. Student misconduct allegedly constituting a felony or misdemeanor offense
may be referred to appropriate law enforcement agencies for prosecution. Disciplinary
proceedings at the College will not be subject to challenge on the ground that criminal
charges involving the same incident have been filed, prosecuted, dismissed, reduced, or
otherwise resolved, or that such proceedings constitute double jeopardy.
1. The term “College” means Jefferson College of Health Sciences.
2. The term “student” includes all persons taking courses at the College, either full-time or
part-time, pursuing undergraduate or graduate studies. Persons who withdraw after
allegedly violating the Academic Honor Code and/or JCHS Honor Pledge, who are not
officially enrolled for a particular term but who have a continuing relationship with the
College or who have been notified of their acceptance for admission are considered
“students”. The Academic Honor Code and JCHS Honor Pledge apply at all locations of
JCHS PHYSICIAN ASSISTANT STUDENT HANDBOOK, 2008-2009 48
the College as well as to off-campus violations, which negatively impact the living-
learning environment, the mission of the College, or the welfare of any member of the
3. The term “faculty member” means any person hired by the College to conduct classroom
or teaching activities or who is otherwise considered by the College to be a member of its
4. The term “College official” includes any person employed by the College, performing
assigned administrative or professional responsibilities. A College official is a person
employed by the College in an administrative, supervisory, academic, research, or
support staff position (including security and law enforcement personnel and health staff);
a person or company with whom the College has contracted (such as an attorney, auditor
or collection agent); a person serving on the Board of Trustees; or a student serving on
an official committee, such as a disciplinary or grievance committee, or assisting another
school official in performing his or her tasks.
5. The term “member of the College community” includes any person who is a student,
faculty member, College official, or employed by the College. A person’s status in a
particular situation shall be determined by the Dean for Student Services or their
6. The term “College premises” includes all land, buildings, facilities, and other property in
the possession of or owned, used, controlled by the College (including the adjacent
streets and sidewalks), or used by the College in direct support or in a manner related to
the College’s educational purposes, including residence halls and clinical sites.
7. The term “organization” means any number of persons who have complied with the
formal requirements for College recognition.
8. The term “Student Conduct Board” means any person or persons authorized by the Dean
for Student Services to determine whether a student has violated the Academic Honor
Code and/or JCHS Honor Pledge and to recommend sanctions that may be imposed
when a rules violation has been committed.
9. The term “Dean for Student Services or his/her designee” means a College official
authorized on a case-by-case basis by the Dean for Student Services to impose
sanctions upon any student (s) found to have violated the Academic Honor Code and
JCHS Honor Pledge. The Dean for Student Services may authorize his/her designee to
serve simultaneously as the sole member or one of the members of the Student Conduct
Board. The Dean for Student Services may authorize his/her designee to impose
sanctions in all cases.
10. The term “Appellate Board” means any person or persons authorized by the Dean for
Student Services to consider an appeal from a Student Conduct Board’s determination as
to whether a student has violated the Academic Honor Code and JCHS Honor Pledge or
from the sanctions imposed by the Dean for Student Services or his/her designee.
11. The term “shall” is used in the imperative sense.
12. The term “may” is used in the permissive sense.
13. The Dean for Student Services is that person designated by the College President to be
responsible for the administration of the Academic Honor Code and JCHS Honor Pledge.
14. The term “policy” means the written regulations of the College as found in, but not limited
to, the JCHS Code for Student Conduct, Academic Honor Code and the JCHS Honor
Pledge, departmental handbooks, College Student Handbook, College web page and
JCHS PHYSICIAN ASSISTANT STUDENT HANDBOOK, 2008-2009 49
15. The term “cheating” includes, but is not limited to: (1) use of any unauthorized assistance
in taking quizzes, tests, or examinations; (2) use of sources beyond those authorized by
the instructor in writing papers, preparing reports, solving problems, or carrying out other
assignments; (3) the acquisition, without permission, of tests or other academic material
belonging to a member of the College faculty or staff; or (4) engaging in any behavior
specifically prohibited by a faculty member in the course syllabus or class discussion.
16. The term “plagiarism” includes, but is not limited to, the use, by paraphrase or direct
quotation, of the published or unpublished work of another person without full and clear
acknowledgment. It also includes the unacknowledged use of materials prepared by
another person or agency engaged in the selling of term papers or other academic
17. The term “Complainant” means any person who submits a charge alleging that a student
violated this Academic Honor Code and/or JCHS Honor Pledge. When a student believes
that s/he has been a victim of another student’s misconduct, the student who believes
s/he has been a victim will have the same rights under the Academic Honor Code and
JCHS Honor Pledge as are provided to the Complainant, even if another member of the
College community submitted the charge itself.
18. The term “Accused Student” means any student accused of violating the Academic
Honor Code and/or JCHS Honor Pledge.
ACADEMIC HONOR CODE AND JCHS HONOR PLEDGE AUTHORITY
The Dean for Student Services or his/her designee shall determine the composition of
Student Conduct Boards and Appellate Boards and determine which Student Conduct
Board, a designee appointed by the Dean for Student Services or Appellate Board shall
be authorized to hear the matter.
The Dean for Student Services shall develop policies for the administration of the student
conduct system and procedural rules for the conduct of Student Conduct Board Hearings
that are consistent with provisions of the Academic Honor Code and JCHS Honor
Decisions made by a Student Conduct Board and/or Dean for Student Services or his/her
designee shall be final, pending the normal appeal process.
PROSCRIBED CONDUCT AND JURIDICTION OF THE ACADEMIC HONOR CODE AND
JCHS HONOR PLEDGE
The College Academic Honor Code and JCHS Honor Pledge shall apply to conduct that
occurs on College premises, at College sponsored activities, clinical sites and to off-
campus conduct that adversely affects the College Community and/or the pursuit of its
objectives. Each student shall be responsible for his/her conduct from the time of
application for admission through the actual awarding of a degree, even though conduct
may occur before classes begin or after classes end, as well as during the academic year
and during periods between terms of actual enrollment (including conduct that is not
discovered until after a degree is awarded). The Academic Honor Code and JCHS Honor
Pledge shall apply to a student’s conduct even if the student withdraws from school while
a disciplinary matter is pending. The Dean for Student Services shall decide whether the
Academic Honor Code and JCHS Honor Pledge shall be applied to conduct occurring off
campus, on a case-by-case basis, at their sole discretion.
BEHAVIORS CONSTITUTING CAUSE FOR DISCIPLINARY SANCTIONS FOR VIOLATIONS
OF THE ACADEMIC HONOR CODE AND/OR JCHS HONOR PLEDGE
Any student found to have committed or to have attempted to commit the following
misconduct is subject to the disciplinary sanctions outlined in the section on sanctions:
JCHS PHYSICIAN ASSISTANT STUDENT HANDBOOK, 2008-2009 50
1. Acts of academic misconduct, including but not limited to the following:
a) Cheating, plagiarism, other forms of academic dishonesty, or violation of the
College’s Academic Honor Code and/or JCHS Honor Pledge;
b) Furnishing false information to any College official, faculty member or office;
c) Forgery, alteration, or misuse of any College application, document, record, or
instrument of identification;
d) Unpermitted collaboration on assignments;
e) Misrepresentation of student status, academic credentials, or completion of
clinical hours or assignment;
f) Falsification of a resume, transcript or application;
g) Knowingly making false allegations of academic misconduct against any member
of the College community;
h) Using materials during a quiz, exam or assignment other than those specifically
permitted by the instructor.
2. Acts which violate policies of clinical agencies or College policies regarding clinical
practice, including but not limited to:
a) Abuse, neglect, or abandonment of patients or practicing in an unsafe manner in
a clinical setting;
b) Intentionally or unintentionally disseminating patient information without written
and signed authorization from the patient or guardian, or as otherwise allowed by
c) Demonstrating unethical practice, lack of integrity or acceptance of responsibility
for one’s own learning and actions;
d) Knowingly practicing outside the scope of professional training or practicing in an
unsafe manner in a clinical setting.
3. Acts involving theft or other abuse of College computer facilities or resources, including
but not limited to:
a) Unauthorized efforts to enter, monitor, use, read, or change computing hardware
or software contents or for any other purpose;
b) Unauthorized transfer of a file;
c) Use of another individual’s identification or password;
d) Use of computing facilities and resources to interfere with the work of another
student, faculty member or College Official;
e) Use of computing facilities and resources to send obscene or abusive messages;
f) Use of computing facilities and resources to view or receive pornography;
g) Improper use of the Internet while on College property;
h) Any acts prohibited by the College’s technology, computer use and/or email
i) Use of computing facilities or resources to interfere with the normal operation of
the College computing system, College administration, research, clinical
education or practice, teaching or community service;
j) Use of computing facilities and resources in violation of copyright laws.
4. Acts of abuse of the Student Judicial System, including but not limited to:
Failure to obey the summons of a College Administrator or College Student
Conduct Board Official to appear before a meeting or hearing as part of the
Student Conduct System;
Intentional dishonesty before any judicial body of the College including
falsification, distortion, or misrepresentation of information before a College
Administrator, College Student Conduct Board Official, or College Student
Disruption or interference with the orderly conduct of a Student Conduct Board,
College Conduct Board Official, or College Administrator;
Initiation of an Academic Honor Code and/or JCHS Honor Pledge proceeding
without reason or in bad faith;
Attempting to discourage an individual’s proper participating in, or use of the
JCHS PHYSICIAN ASSISTANT STUDENT HANDBOOK, 2008-2009 51
student conduct system;
Attempting to influence the impartiality of a member of a Student Conduct
Hearing prior to and/or during the course of a judicial proceeding;
Harassment (verbal or physical) and/or intimidation of a member of a Academic
Honor Code and/or JCHS Honor Pledge proceeding;
Failure to comply with the sanction(s) imposed under the Academic Honor Code
and/or JCHS Honor Pledge of Conduct;
Influencing or attempting to influence, another person to commit an abuse of the
Student Judicial System;
Failure to comply with the terms of a probation;
Facilitating or encouraging violations of the Academic Honor Code and/or JCHS
Honor Pledge by helping, procuring, or encouraging another person or persons
to engage in a violation of the Academic Honor Code and/or JCHS Honor Pledge
or other College policy.
Students are required to engage in responsible academic and social conduct that reflects
credit upon the College community and to model good citizenship.
Student groups or organizations and their officers may be held responsible for violations of
the Academic Honor Code and/or JCHS Honor Pledge by members or others associated with
the organization or group, which have received the tacit or overt consent or encouragement
of the group or organization or its leaders, officers, or spokespersons.
STUDENT CONDUCT ACADEMIC HONOR CODE AND JCHS HONOR PLEDGE
A. Charges and Student Conduct Board Hearings
1. Any member of the College community may file charges against a student for
violations of the Academic Honor Code and/or JCHS Honor Pledge. A charge
shall be prepared in writing directed to the Dean for Student Services or his/her
designee. Any charge should be submitted as soon as possible after the event
takes place, preferably within five (5) business days.
2. If a faculty member is convinced that a clear violation of the Academic Honor
Code and/or JCHS Honor Pledge has occurred he/she will discuss the matter
privately with the student(s) involved. No penalty will be imposed until the student
has been informed of the charge and given an opportunity to present a defense.
Faculty will complete a Notification of Academic Misconduct form with the
accused student. These forms are available in the Dean for Student Services’
Office on the 4 floor at CRCH.
Upon completion of the discussion with the student, the faculty member will write
a letter to the student detailing the violation and the subsequent consequences.
A copy of this letter will be submitted to the Program Director and Dean for
Student Services. The faculty member will inform the student of the action taken
and of the right to appeal the decision following the appeals process found in this
3. If the charges are not admitted and/or cannot be disposed of by mutual consent,
the Dean for Student Services or his/her designee may later serve in the same
matter as the Student Conduct Board or a member thereof. The Dean for
Student Services or his/her designee may conduct an investigation to determine
if the charges have merit and/or if they can be disposed of administratively by
mutual consent of the parties involved on a basis acceptable to the Dean for
Student Services or his/her designee. Such disposition shall be final and there
shall be no subsequent proceedings. If the student admits violating institutional
rules, but sanctions are not agreed to, subsequent process, including a hearing if
necessary, shall be limited to determining the appropriate sanction(s). (The term
“Student Conduct Board” means any person or persons authorized by the Dean
JCHS PHYSICIAN ASSISTANT STUDENT HANDBOOK, 2008-2009 52
for Student Services to determine whether a student has violated the Academic
Honor Code and/or JCHS Honor Pledge and to recommend sanctions that may
be imposed when a rules violation has been committed.)
4. All charges shall be presented to the Accused Student in written form. A time
shall be set for a Student Conduct Board Hearing, not less than five nor more
than fifteen calendar days after the student has been notified. Maximum time
limits for scheduling of Student Conduct Board Hearings may be extended at the
discretion of the Dean for Student Services or his/her designee.
5. Student Conduct Board Hearings shall be conducted by a Student Conduct
Board according to the following guidelines except as provided by article (A) (8)
a. Student Conduct Board Hearings normally shall be conducted in
b. The Complainant, Accused Student and their advisors, if any, shall
be allowed to attend the entire portion of the Student Conduct
Board Hearing at which all information is received (excluding
deliberations). Admission of any other person to the Student
Conduct Board Hearing shall be at the discretion of the Student
Conduct Board and/or the Dean for Student Services or his/her
c. In Student Conduct Board Hearings involving more than one
Accused Student, the Dean for Student Services or his/her
designee, at his or her discretion, may permit the Student Conduct
Board Hearings concerning each student to be conducted either
separately or jointly.
d. The Complainant and the Accused Student have the right to be
assisted by an advisor of their choosing and at their own expense.
The advisor must be a member of the College community and may
not be an attorney. The Complainant and/or the Accused Student
is responsible for presenting his or her own information, and
therefore, advisors are not permitted to speak or to participate
directly in any Student Conduct Board Hearing before a Student
Conduct Board. A student should select as an advisor a person
whose schedule allows attendance at the scheduled date and time
for the Student Conduct Board Hearing because delays will not
normally be allowed due to the scheduling conflicts of an advisor.
e. The Complainant, the Accused Student, and the Student Conduct
Board may arrange for witnesses to present pertinent information
to the Student Conduct Board. The College will try to arrange the
attendance of possible witnesses who are members of the College
community, if reasonably possible, and who are identified by the
Complainant and/or Accused Student as least two weekdays prior
to the Student Conduct Board Hearing. Witnesses will provide
information to and answer questions from the Student Conduct
Board. Questions may be suggested by the Accused Student
and/or Complainant to be answered by each other or by other
witnesses. This will be conducted by the Student Conduct Board
with such questions directed to the chairperson, rather than to the
witness directly. This method is used to preserve the educational
tone of the hearing and to avoid creation of an adversarial
environment. Questions of whether potential information will be
received shall be resolved at the discretion of the chairperson of
the Student Conduct Board.
f. Pertinent records, exhibits, and written statements may be
accepted as information for consideration by a Student Conduct
Board at the discretion of the chairperson.
JCHS PHYSICIAN ASSISTANT STUDENT HANDBOOK, 2008-2009 53
g. All procedural questions are subject to the final decision of the
chairperson of the Student Conduct Board.
h. After the portion of the Student Conduct Board Hearing concludes
in which all pertinent information has been received, the Student
Conduct Board shall determine (by majority vote if the Student
Conduct Board consists of more than one person) whether the
Accused Student has violated each section of the Academic Honor
Code and/or JCHS Honor Pledge which the student is charged
i. The student Conduct Board’s determination shall be made on the
basis of whether it is more likely than not that the Accused Student
violated the Academic Honor Code and JCHS Honor Pledge.
j. Formal rules of process, procedure, and/or technical rules of
evidence, such as are applied in criminal or civil court, are not
used in Academic Honor Code and JCHS Honor Pledge
6. There shall be a single verbatim record, such as a tape recording, of all Student
Conduct Board Hearings before a Student Conduct Board (not including
deliberations). Deliberations shall not be recorded. The record shall be the
property of the College.
7. If an Accused Student, with notice, does not appear before a Student Conduct
Board Hearing, the information in support of the charges shall be presented and
considered even if the Accused Student is not present.
8. The Student Conduct Board may accommodate concerns for the personal safety,
well-being, and/or fears of confrontation of the Complainant, Accused Student,
and/or other witnesses during the hearing by providing separate facilities, by
using a visual screen, and/or by permitting participation by telephone,
videophone, closed circuit television, video conferencing, videotape, audio tape,
written statement, or other means, where and as determined in the sole judgment
of the Dean for Student Services to be appropriate.
The following penalties shall be imposed for violations of academic integrity at the College:
For academic integrity violations in the classroom or laboratories:
First Offense: A person who pleads guilty or who is found guilty of a violation of the Academic
Honor Code and JCHS Honor Pledge in a didactic classroom situation shall receive a
lower grade of “F” on the assignment, or in the case of a serious violation, a lower grade
of “F” for the course.
Second Offense: In the event of conviction of a second offense of the Academic Honor Code
and JCHS Honor Pledge not under the same charge, the student will be suspended from
the College. Students so suspended may petition for readmission to the College no
sooner than one year from the date of suspension.
For academic integrity violations in a clinical situation:
First Offense: A person who pleads guilty or who is found guilty of a violation of the Academic
Academic Honor Code and JCHS Honor Pledge in a clinical situation will either be
immediately suspended or permanently dismissed from all College classes, activities,
and facilities. The student will receive a grade of “F” in the course and will be
administratively withdrawn from all other courses.
Students who are suspended may petition for readmission to the College no sooner than one
year from the date of dismissal. Students who are permanently dismissed are ineligible to reapply
to the College. The severity of the sanction will be determined in part by the seriousness of the
JCHS PHYSICIAN ASSISTANT STUDENT HANDBOOK, 2008-2009 54
academic integrity violation and if the student has been found guilty of other academic integrity
Additional sanctions may include:
a) Permanent Dismissal/Expulsion
Permanent dismissal/expulsion is involuntary separation from the
College without the possibility of future readmission. Students who are
permanently dismissed may not return to campus, nor participate in
any College-related academic or social activity, function or event.
Students who return to campus after having been notified of being
permanently dismissed may be subject to legal action.
Suspension is the involuntary separation from the College for a
specified period of time, at the end of which the student may reapply
for readmission, assuming no intervening misconduct has occurred
and the student completes all requirements set forth for readmission.
The burden of proof as to whether all requirements set forth for
readmission have been met lies with the student. Students suspended
from the College may not return to campus during the time the
sanction is in effect without advance written permission from the Dean
for Student Services. If the conduct of a student, prior to the date in
which the sanction takes effect, is judged to be an immediate threat to
himself/herself, to others, or to College operations or property, the
student may be suspended immediately and/or for the remainder of the
term, pending appeal.
c) Disciplinary Probation
Disciplinary probation is a strong, formal warning issued to the student
in response to a serious violation of the College Academic Honor Code
and/or JCHS Honor Pledge. Probation for a stated period of time and
is intended to foster increased self-discipline and respect for the
standards of the College. Subsequent misconduct, especially during
the probationary period, will result in a more stringent sanction.
Admonition is a written notice that a student has violated campus
regulations and that future misconduct of any nature will be dealt with
more stringently. There are two letters regarding admonition a student
A letter of warning is an admonition in which the student is advised
that a specific behavior is inappropriate and of his/her responsibility to
comply with College policy.
A letter of reprimand is an official censure containing sanctions for
violation of College policy. The letter of reprimand will contain four
components; a reprimand for the inappropriate behavior, notice that
the conduct associated with the violation must stop immediately and
permanently, sanctions for the violation, and notice that additional
violations shall result in more severe sanctions.
Restitution is payment to the College or to other persons, groups, or
organizations by a student or a group, for damages occurred as a
result of misconduct. Failure to meet the conditions of payment will
result in the withholding of grades, diplomas, and transcripts and can
result in further sanctions.
JCHS PHYSICIAN ASSISTANT STUDENT HANDBOOK, 2008-2009 55
f) Loss of Privileges
Loss of privileges is the removal of certain student privileges including,
but not limited to, the following: visitation privileges, the privilege to live
in the residence hall, the privilege to have stereos or other equipment,
and the privilege to have a car on the College campus.
g) Behavioral Contract
A behavioral contract is a document written by a College official, which
requires a student to complete sanctions within a specified period of
time or further sanctions may be instituted.
h) Educational Assignment
An educational assignment is a task that is related to the misconduct
involved and designed to increase the student’s understanding of the
regulation that was violated. The educational assignment will be
completed within a specified period of time or further sanctions may be
i) Work Assignment/Community Service
A work assignment/community service is a task or series of tasks
assigned by the Dean for Student Services or other College
administrator, designed to increase the student’s self-discipline and
respect for the standards of the College. The assignment will be
provided in writing, not exceed 25 hours, and must be completed by a
specific date. The work assignment will be completed within a specified
period of time or further sanctions may be instituted.
Fines are administered to student(s) or group(s) for up to $100 as
punitive damages. If fines are assessed, they shall follow a pattern of:
Disciplinary Probation $50.00
Repeat Offenses Double the fine
Fines shall be paid to the Bursar’s Office with instructions from the
Dean for Student Services or other College administrator and will
become part of the general College fund.
k) Revocation of Admission and/or Degree
Admission to or a degree awarded from the College may be revoked
for fraud, misrepresentation, or other violation of College standards in
obtaining the degree, or for other serious violations committed by a
student prior to graduation.
l) Withholding Degree
The College may withhold awarding a degree otherwise earned until
the completion of the process set forth in the Student Conduct Code,
including the completion of all sanctions imposed, if any.
m) Mental Health Assessment
Mental health assessment and treatment may be required before a
student is readmitted or allowed to come on College property. The
Dean for Student Services or designee must receive a letter from a
mental health professional, verifiable by College officials, stating that
in his/her professional judgment the student will no longer continue
the behavior, which gave rise to the disciplinary action against him/her
or that the student’s continued presence on campus is not a threat to
himself/herself or others. The student shall bear the cost and expense
JCHS PHYSICIAN ASSISTANT STUDENT HANDBOOK, 2008-2009 56
of obtaining mental health clearance.
More than one of the sanctions listed above may be imposed for any single violation.
a. Those sanctions listed above in the section on sanctions (B)(1)(a)-(e)
b. Loss of selected rights and privileges for a specified period of time.
c. Deactivation. Loss of all privileges, including College recognition, for a
specified period of time.
In each case in which a Student Conduct Board determines that a student and/or group or
organization has violated the Academic Honor Code and/or JCHS Honor Pledge, the sanction(s)
shall be determined and imposed by the Dean for Student Services or his/her designee. In cases
in which person(s) other than, or in addition to, the Dean for Student Services or his/her designee
have been authorized to serve as the Student Conduct Board, the recommendation of the
Student Conduct Board shall be considered by the Dean for Student Services or his/her designee
in determining and imposing sanctions. The Dean for Student Services or his/her designee is not
limited to sanctions recommended by members of the Student Conduct Board. Following the
Student Conduct Board Hearing, the Student Conduct Board and the Dean for Student Services
or his/her designee shall advise the Accused Student, group and/or organization (and a
companioning student who believes s/he was the victim of another student’s conduct) in writing of
their determination and of the sanction(s) imposed, if any.
JCHS PHYSICIAN ASSISTANT STUDENT HANDBOOK, 2008-2009 57
JCHS PA Program
Didactic and Clinical Year
Examination Question Challenge Form
Please follow the following guidelines when challenging an examination question.
1. Challenges to test questions will be allowed after the return of grades to all students.
2. The student has only 48 hours in which to submit a challenge.
3. Documentation for the didactic year is to be provided from assigned readings or lecture
4. Documentation for the clinical year is to be provided from reliable medical sources and
will be accepted at the discretion of the clinical coordinator.
5. The challenge form must be filled out completely and submitted to the course instructor
6. The course instructor's decision about a challenge is final.
Student’s name __________________________
Date of Exam ____________________________
Today’s Date _____________________________
Question Number _______
Question and choices: (please write out entire question)
Answer marked correct according to original test scoring _______
Answer marked by student _______
Reference (Only references from assigned reading or PowerPoint presented in class will be
JCHS PHYSICIAN ASSISTANT STUDENT HANDBOOK, 2008-2009 58
NOTIFICATION OF ALLEGED ACADEMIC MISCONDUCT
Jefferson College of Health Sciences believes that every student is accountable for his/her
behavior. Within this context, the Code For Student Conduct, Academic Honor Code and
Honor Pledge, printed in the Student Handbook and on the College webpage, exists to guide
the behavior of all JCHS students. Submission of this document to the Director of Student
Services constitutes a formal complaint of alleged academic misconduct against the student
referred and may result in the initiation of disciplinary procedures as detailed in the Code For
Student Conduct. This form should be submitted in its entirety to the Dean for Student
Today’s Date: ___/___/___ Student’s I.D. Number: ______________
Student’s Name: ___________________________________________________
Student’s Current Address: ___________________________________________
Student’s Phone Number: ______________ Cell Phone Number: _____________
Student’s E-mail Address: __________________________
Date of Alleged Academic Misconduct: ___/___/___
ALLEGED ACADEMIC MISCONDUCT INCIDENT AND CHARGE
You have been charged with the following violation of JCHS’s Code for Student
Conduct, Academic Honor Code or Honor Pledge. The violation occurred in:
Course Number/Title/Section: _________________________________________
Instructor’s Name: ___________________ Phone Number: _________________
Instructor’s E-mail Address: _________________________
Check all that apply:
____Using ideas, organization, or words of another from a book, article, computer
file or other source in any assignment without giving proper credit following
accepted citation rules (plagiarism).
____Submitting course materials not the student’s own, allowing such a
submission to be made for oneself or making a submission for another.
____Providing assistance to or receiving assistance from another person in a
manner not authorized by the instructor.
____Using unauthorized materials (crib notes, books, electronic devices, etc.) as
an aid during an examination.
____Possessing or providing an examination or assignment, or any part thereof, at
any time or in any manner not authorized by the instructor.
JCHS PHYSICIAN ASSISTANT STUDENT HANDBOOK, 2008-2009 59
__Witness: _______________ Phone #: _____________ E-mail Address: ____________
__Witness: _______________ Phone #: _____________ E-mail Address: ____________
__Witness: _______________ Phone #: _____________ E-mail Address: ____________
__ Materials attached in support of charge: _____________________________________
This statement is a true and accurate representation of the facts of this incident.
Signature of Instructor or Complainant Date
Acceptance of Responsibility: I have agreed that the statement listed above is a true and accurate
representation of the facts of the academic misconduct incident, waive my right to a judicial hearing,
accept responsibility for the violation and agree to the sanction(s) listed below.
Student Signature Date
I assign the following sanction/consequence for your misconduct in accordance with my course
syllabi and/or the College’s Code for Student Conduct or Academic Honor Code.
Instructor’s Signature: _______________________ Date: ___________________________
Denial of Responsibility: I do not agree that I have violated any College policy listed above
and/or will not accept the sanction listed above and ask for a formal hearing through the
Director of Student Services (or designee) within five (5) weekdays.
Signature of Student Date
Forward this completed form to Dean for Student Services.
JCHS PHYSICIAN ASSISTANT STUDENT HANDBOOK, 2008-2009 60
JCHS Physician Assistant Program
Name of student: _________________________
Classes missed/to be missed: Clin Med_____ Clin Skills______
Pharmacology______ Behavioral Med_________
Pro Sem_______ Anatomy ______ Clin Pathophys____
Date(s) missed/to-be missed: ____________________________
Student signature: ______________________________________
Person completing form:
_____ Check here if special circumstances and student would like form to be
reviewed by program director or designee
Comments instructor/program director:
Please place copy in Dr. Chen’s mailbox. If form filled out by someone other
than student please have student initial here____________
JCHS PHYSICIAN ASSISTANT STUDENT HANDBOOK, 2008-2009 61
Jefferson College of Health Sciences
Physician Assistant Program
Class of 2010
I have received a copy of the Physician Assistant Policies and Procedures Handbook. It has
been reviewed with me and I understand the contents and agree to abide by the policies therein.
JCHS PHYSICIAN ASSISTANT STUDENT HANDBOOK, 2008-2009 62