Vituity

Become a High-Skilled and Compassionate Provider

This program was developed in 2009 in response to demand for both a streamlined pathway to professional advancement, and for improved utilization of the PA in the delivery of high-quality, cost-effective medical care. Our first and longest-standing fellowship, this 14-month program is designed to train PAs in Emergency Medicine utilizing didactic and clinical experience. As a Fellow, you’ll rotate through multiple sites, including a diabetic youth camp and a correctional facility. See curriculum below for other rotations.

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Arrowhead Regional Medical Center
Colton, CA

Arrowhead is a 465-bed, state-of-the-art teaching facility based in Colton, CA. The San Bernardino County-owned hospital cares for a large urban indigent population with an emergency department (ED) annual census greater than 140,000 patients. This Level II Trauma Center also features a burn center. Fellows in the Vituity EMPA fellowship program at Arrowhead receive extensive training in trauma and resuscitation of critically ill patients. Arrowhead has been a designated trauma center since 1985. The ED is a wholly independent hospital department with a well-developed emergency medical services system and fully operating paramedic base station. The ED has 50 beds organized into sections correlating with patient acuity. Patients are seen for urgent care problems and are screened for higher levels of care in the Rapid Medical Evaluation® (RME) and Treatment Area, which is a walk-in setting. Higher-acuity patients are triaged to one of five pods.

Curriculum

The Vituity EMPA Fellowship at Arrowhead provides clinical and didactic instruction. The curriculum is structured on the American College of Emergency Physicians' (ACEP) Model of Clinical Practice and the Accreditation Review Commission on Education for the Physician Assistant (ARC-PA) Standards for Clinical Postgraduate PA Programs.

The clinical practicum focuses on hands-on training. Rotations include 42 weeks in emergency medicine, including emergency ultrasonography. During the EM rotations, Fellows are closely supervised by a team of NCCPA- certified physician assistants as well as board-certified or board-eligible emergency physicians. Fellows will complete three-week rotations in pediatrics, surgery/burn, orthopedics, OB/GYN, anesthesia, and respiratory therapy.

The didactic segment of the fellowship includes four hours each week of formal training and discussion. We encourage feedback and interaction from all fellows. Elements include:

  • Board Rounds: A 30-minute weekly lecture held at 6:45 a.m. with EM attending physicians and residents
  • Journal Club: Held quarterly. Fellows are assigned an article to present
  • Morbidity and Mortality Conference (M&M): Interesting and pedagogical cases are reviewed and discussed in a confidential forum
  • Grand Rounds Conference: EMPA fellows present cases with emphasis on disease process and treatment rendered
  • Certifications: All fellows take the certification courses for Basic Life Support (BLS) and Advanced Cardiac Life Support (ACLS) and complete the California-Approved Controlled Substance Course

Program Leaders

J. Dennis Tankersley, DMSc, PA-C
PA Fellowship Program Director

Tanya Schrobilgen, DMSc, PA-C
PA Fellowship Associate Program Director

Eligibility

Arrowhead’s Fellowship accepts Physician Assistants (PAs) only. A fellow must be a graduate of an ARC-PA accredited program. Eligible for and/or possess current CA Medical Board Physician Assistant Licensure (eligible candidates must be fully licensed by the start of the program). Eligible for and/or possess current DEA licensure (eligible candidates must be fully licensed by the start of the program). Previous EMS/ED work experience is highly desirable but not required.

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