The Training Rheum: ARP Collaborates with American Academy of PAs to Help Rheumatology Practices Onboard NPs & PAs

Dr. Jonas said many PAs and NPs say they have received very little education in the area of rheumatic diseases. “Even when they’ve completed their training, graduated and are going into practice, they have a knowledge deficit. So one of the goals of this program is to help bridge that gap. Our hope is that this meeting will give the attending PAs and NPs foundational knowledge, so when they are working alongside rheumatologists, they will understand the basic underpinnings of our diseases, how to work with the patients, how to do a careful physical examination and be comfortable with the application of sound non-pharmacologic and pharmacologic care of patients with rheumatic diseases.”

That was exactly what Elizabeth Pinta, PA-C, with Columbus Arthritis Center, Ohio, experienced. “The meeting not only reinforced things I’ve already learned and served as a confidence booster in that way, but it also made me aware of areas I need to learn more about, which is very helpful.”

Initially, organizers of The Training Rheum planned to close enrollment at 35 students, but as the waiting list grew, they decided to expand the group to 55, without compromising the personal, hands-on, interactive attention the students and faculty wanted. The group ended up with close to identical numbers of PAs and NPs.

The curriculum proved valuable for PAs and NPs new to the profession and those transitioning to a rheumatology practice. It was also ideal for Chris Barrett, MSS, PA-C, from Salud Medical Center, Woodburn, Ore., who has been a PA focused on rheumatology since 2010. “While I’ve taken a couple of CME courses in rheumatology, much of my rheumatology knowledge comes from books, journals and my own hands-on experience,” she said. “To hear experts talk about many of the issues I’ve faced has been refreshing and reassuring. It has also helped me focus on the things I’ve learned that are important and things that are not so important. All the speakers have been impressive, and I’m leaving here much more confident.”

In addition to Dr. Jonas, The Training Rheum comprised six faculty members with varying backgrounds from across the country. They included MDs, PAs and NPs.

During the three days, students learned about the foundational concepts for rheumatology—including the most common conditions they can expect to encounter, plus barriers to care. A wide variety of case studies prepared the students for types of situations they can expect to face some day.

Hands-On Learning
As part of the interactive curriculum, students learned how to interpret the results of a synovial fluid analysis and how to decide on appropriate laboratory tests when evaluating patients with symptoms suggesting rheumatologic conditions. They were able to perform hands-on musculoskeletal examinations and knee and shoulder joint injections on task trainers.

“The hands-on exam exercise confirmed that I’m doing my patient examinations correctly,” said Anne Marie Langlois, PA-C, with Family Practice, Davie, Fla. “And the injection workshop confirmed my knowledge and methods of performing those, too.”

Each day ended with a one-hour Q&A session. “They have been very open to our questions,” said Vanessa Lui, DNP, APRN, AGNP-C, who works for Ken C. Arakawa, MD, in Honolulu. “It has been very helpful to hear different perspectives and experiences that the other students have encountered. The conference has exceeded my expectations.”

To help students stay in touch and continue their learning experience, a Google Hangout Group was established for The Training Rheum community.

Dr. Jonas said the next Training Rheum will be held in Austin, Texas, from Jan. 18–20, 2020. She said organizers will tweak the curriculum after reviewing comments and suggestions from participants and faculty at the Atlanta meeting.

Dr. Jonas said that—based on her experience with the Atlanta meeting—she is looking forward to the next event. “I was really impressed with the learners—how engaged they were with the material, how much they already knew, the kind of questions they asked and their interest in providing excellent care. For me, as a rheumatologist, it was very inspirational and a fun meeting. I hope the learners felt the same way.”