BrooklynPA-C Posted June 17, 2014 Share Posted June 17, 2014 I just received a message from Stony Brook via NYSSPA, cutting and pasting here for you to read. Dear Fellow New York PA, NYSSPA needs your help. We are extremely concerned that recently introduced legislation (S.7585(LaValle)/A.10077 (Lavine)) would allow graduates of foreign schools deemed to be equivalent to PA schools to practice as PAs without graudating from an accredited PA program or passing the PANCE. We need you and your supervising physician to TAKE ACTION TODAY to help us defeat these bills. Here is the relevant bill language with the provisions in all caps: The term "approved program" means a program for the education of physician assistants which has been formerly approved by the department, OR A PROGRAM DETERMINED BY THE DEPARTMENT TO BE COMPARABLE AND RECOGNIZED BY THE APPROPRIATE CIVIL AUTHORITIES OF THE COUNTRY IN WHICH THE SCHOOL IS LOCATED AS AN ACCEPTABLE EDUCATION PROGRAM. In the case of an applicant for a license as a physician assistant, has obtained a passing score on an examination acceptable to the department, PROVIDED THAT ACCESS TO ANY SUCH EXAMINATION SHALL BE GRANTED TO ALL STUDENTS OR GRADUATES OF ANY APPROVED PROGRAM. Contact your legislators (find them here and here) as well as the following New York Legislators who sponsored these bills TODAY and tell them why any bill that would allow individuals who have not graduated from an accredited PA program and passed the PANCE exam to practice as PAs is dangerous for patients. Senator Ken LaValle (518) 455-3121 lavalle@nysenate.gov Assemblyman Charles Lavine (518) 455-5456 lavinec@assembly.state.ny.us Assemblywoman Debra Glick (518) 455-4841 glickd@assembly.state.ny.us Here are some point to be sure to make when you call or email your legislator: New York has already determined that both patient safety and practitioner competency are best assured by requiring that individuals who wish to practice as PAs both graduate from an accredited PA program and pass the Physician Assistant National Certifying Exam (PANCE) administered by the National Commission on Certification of Physician Assistants, the only certifying organization for PAs in the United States. All states and the District of Columbia require these two criteria for PA licensure. New York would be the lone state to lower licensure requirements. This bill has the potential to license international medical graduates who are unable to be licensed as physicians to be licensed as PAs absent PA education. Every institution that has tried to develop educational programs based on the assumption that unlicensed international medical graduates have the knowledge and skills to perform effectively as PAs, as well as every state that has tried to develop legislation based on this assumption has failed to be successful. Many international medical graduates have attended accredited PA programs, passed the certifying exam, and are now licensed PAs. We welcome them into the ranks of the profession, once they have completed these critical steps. Passage of these bills would dilute the definition of PA and renege on the state's promise to protect its patients by lowering licensure requirements. Thank you, David Jackson, DHSc, PA-C, DFAAPA Governmental Affairs Chair New York State Society of Physician Assistants New York State Society of Physician Assistants | | info@nysspa.org |www.nysspa.org Link to comment Share on other sites More sharing options...
Steve Posted June 17, 2014 Share Posted June 17, 2014 Wow, when will the madness stop. Why do these states think we need more for foreigners and IMG's who can't find a residency? Crazy... Link to comment Share on other sites More sharing options...
SocialMedicine Posted June 17, 2014 Share Posted June 17, 2014 hopefully the New York Academy of medicine is responding negatively as well. I wrote letters to all three. Even if you do not live in NY I would write the letter as a medical academic or policy expert..or just clinician. Link to comment Share on other sites More sharing options...
DissentingVoice Posted June 17, 2014 Share Posted June 17, 2014 You know, you may want to consider talking to the medical licensing board as well. If you can find allies there, they can have a very powerful voice. They're the primary advisors in this role. If they tell the legislature it's a bad idea, they may listen. New York State Board for Medicine (Licensure)Stephen J. Boese, Executive Secretary89 Washington Avenue, 2nd Floor, West WingAlbany, NY 12234(518) 474-3817 / Fax:(518) 486-4846www.op.nysed.gov See....I can be helpful occasionally :-) Link to comment Share on other sites More sharing options...
BrooklynPA-C Posted June 17, 2014 Author Share Posted June 17, 2014 Thanks for the support. I couldn't help but throw my hands in the air when I read this. NYC in particular has a lot of FMGs, but this is not going to help anyone. One of these 3 is actually a rep of mine in NYS, so I'm hoping they'll at least read my email. Also I realized, after I sent an email of course, NYSSPA listed the senate bill incorrectly. It's S.7582, not S.7585. @Steve: Let's Go Rangers Link to comment Share on other sites More sharing options...
cinntsp Posted June 17, 2014 Share Posted June 17, 2014 Domino effect... Link to comment Share on other sites More sharing options...
Guest Paula Posted June 18, 2014 Share Posted June 18, 2014 ^^^^^ yup, first Missouri and now NY. Someone predicted it would happen and they were right. Link to comment Share on other sites More sharing options...
polarbebe Posted June 18, 2014 Share Posted June 18, 2014 Very concerned. NYS has the highest number of PAs... if this passes it will eventually move nationwide. Link to comment Share on other sites More sharing options...
KMD16 Posted June 18, 2014 Share Posted June 18, 2014 Just saw this now. I predicted this will happen. Link to comment Share on other sites More sharing options...
Guest Paula Posted June 18, 2014 Share Posted June 18, 2014 Just saw this now. I predicted this will happen. You are the WINNER! Your reward will be a crystal ball and you can set up a really good consulting business with it!!! Link to comment Share on other sites More sharing options...
MedicinePower Posted June 18, 2014 Share Posted June 18, 2014 If IMGs can be licensed as PAs in NY then can PAs from NY be licensed as physicians internationally? (Tongue in cheek) Link to comment Share on other sites More sharing options...
KMD16 Posted June 18, 2014 Share Posted June 18, 2014 You are the WINNER! Your reward will be a crystal ball and you can set up a really good consulting business with it!!! Very funny Paula. Link to comment Share on other sites More sharing options...
whoRyou Posted June 18, 2014 Share Posted June 18, 2014 You are the WINNER! Your reward will be a crystal ball and you can set up a really good consulting business with it!!! Link to comment Share on other sites More sharing options...
KMD16 Posted June 18, 2014 Share Posted June 18, 2014 Still trying to wrap my head around this madness. This is most likely a response from recent NPs legislation passed in NYS. Unfortunately, PAs are cut in between. Since NPs wants to take over primary care, let's get bunch of FMG/IMG and have them work as PA in primary care literally. Link to comment Share on other sites More sharing options...
GreatChecko Posted June 18, 2014 Share Posted June 18, 2014 Who is pushing this crap? I'm not one to believe its just coming out of no where, that just doesn't happen in our government. Link to comment Share on other sites More sharing options...
Derbingle Posted June 18, 2014 Share Posted June 18, 2014 This stinks of sloppiness. Distressing. The general complaint in my western international city from lawyers and medical board people ( the few Ive had access to) is that we are full of recent FMG and the care is sub-par from many. (Not all. But many and not the one who have been here decades.) One member says they are considering forming committes to discuss the impacts and possible ways to curb this, such as developing a research institution associated with university or med school and improving the academic setting to create compet standards and minimum standards. I dont fully understand this with out more details but its having enough of an impact on quality of care and high number of lawsuits that people are talking abuout FMG specifically. Link to comment Share on other sites More sharing options...
MedicalRN Posted June 18, 2014 Share Posted June 18, 2014 Here is my confusion on this: (e) in the case of an applicant for a license as a physician assist- 14 ant, has obtained a passing score on an examination acceptable to the 15 department, PROVIDED THAT ACCESS TO ANY SUCH EXAMINATION SHALL BE GRANT- 16 ED TO ALL STUDENTS OR GRADUATES OF ANY APPROVED PROGRAM. I take this to mean the person must past the PANCE? Couldn't the PANCE people just close the exam to anyone who has not completed an approved US PA program? Link to comment Share on other sites More sharing options...
BrooklynPA-C Posted June 18, 2014 Author Share Posted June 18, 2014 I emailed a colleague of mine who's very active in NYSSPA. He told me that the bill is unlikely to pass since the legislative session in NY ends in 3 days, and the bill has not made it out of committee. He also stated that one of the bill's sponsors was approached by a contingent of FMGs within his district, and they are responsible for pushing the legislation. The bill's sponsors represent areas of Manhattan, eastern Suffolk County and northern Nassau County. Link to comment Share on other sites More sharing options...
KMD16 Posted June 18, 2014 Share Posted June 18, 2014 MD/DO residency training recent merged. Increasingly difficult to match as a Caribbean MD grad. Suddenly, carrib MD program are just realizing that. Panic set-in. They (Caribbean schools) are becoming very creative. Looking for other avenue for marketing tools. Selling point: Caribbean MD, return to state side and work as a PA if you don't match. Really? Whether it would pass or not. We've got to take this legislation seriously. If the sponsor are Caribbean MD stakeholder. These folks are rich. Still getting the facts. Link to comment Share on other sites More sharing options...
DissentingVoice Posted June 18, 2014 Share Posted June 18, 2014 If the sponsor are Caribbean MD stakeholder. These folks are rich. Still getting the facts. You're correct. These are for-profit schools which charge an outlandish sum of money. I doubt they're behind this in any way, but definitely an interesting thought. Caribbean MDs can match much easier than typical FMG though because they do their M3/M4 years in the U.S. They also have higher pass rates. The FMG issue is definitely not new in the physician world. Link to comment Share on other sites More sharing options...
KMD16 Posted June 18, 2014 Share Posted June 18, 2014 Caribbean MDs can match much easier than typical FMG though because they do their M3/M4 years in the U.S. They also have higher pass rates. Not necessarily true. However, I think I understand what you intended to say. Link to comment Share on other sites More sharing options...
BrooklynPA-C Posted June 22, 2014 Author Share Posted June 22, 2014 I received this email yesterday from NYS Senator John Flanagan who represents Stony Brook's district: Thank you for your interest in S7582. Today is the last day of thelegislative session and the bill will not be voted on.The Assembly hasn'tvoted on it either, so no further action will be taken on this legislation.-Office of Senator John J. Flanagan Link to comment Share on other sites More sharing options...
KMD16 Posted June 22, 2014 Share Posted June 22, 2014 Great! Link to comment Share on other sites More sharing options...
Moderator ventana Posted June 23, 2014 Moderator Share Posted June 23, 2014 I think AAPA should support the creation of an entirely new profession..... Assistant Physician...... that way anyone that can't match and every PA out there can become the same....... (said in jest......) Link to comment Share on other sites More sharing options...
drjay88 Posted June 23, 2014 Share Posted June 23, 2014 Their are 15K unmatched FMGs in last year match ..they are adding 1000 FMGs in this pool every year , mostly concentrated in North east ...if residency spots remain same ..y the ECFMG is letting anyone or everyone pay 3K fee and take exam USMLE any where and any time in the world ...This is market economy pay fee and get certificate degree , license and .....they should only allow as many student to take exam as many residency spots ..but that make business less profitable ...profits... Link to comment Share on other sites More sharing options...
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