Chiremba Mubatsiri basa (PA)

Nhoroondo YENYANZVI

Yekutanga Chiremba Mubatsiri (PA) chirongwa chekudzidzisa chakavambwa mu1965 kuDuke University naDr.Eugene Stead.

Zvirongwa zvinoda vanonyorera kuti vave nechikoro chebhaibheri. Vanyoreri vanodawo ruzivo rwekugadzwa kwehutano, sechiremba wekuchimbichimbi, mushandi weamburenzi, mudzidzisi wezvehutano, mukoti anoshanda ane rezinesi, kana mukoti anoshanda-degree. Wepakati PA mudzidzi ane dhigirii reBachelor mune imwe ndima uye angangoita makore mana ehupenyu ane hukama nehutano. Zvirongwa zvekudzidzisa zvePAs zvinowanzo sanganisirwa nemakoreji emishonga. Zvinosiyana kubva pamwedzi makumi maviri neshanu kusvika makumi maviri nemashanu pakureba. Zvirongwa zvinopa dhigirii ra master panopera.

Vadzidzi vekutanga vePA vaive varapi vechiuto. Ivo vakakwanisa kuwedzera paruzivo uye neruzivo rwavakagashira muchiuto kuti vapinde muchikamu chekutanga kuchengetwa. Basa remubatsiri wechiremba rakabvumidza maPA kuita mabasa akamboitwa navanachiremba. Izvi zvinosanganisira kutora nhoroondo, kuongorora kwepanyama, kuongororwa, uye manejimendi manejimendi.

Ongororo zhinji dzakacherekedza kuti maPA anokwanisa kupa hutano hwepamusoro, hwakaenzana neiyo yechiremba, kweanosvika makumi masere muzana emamiriro anoonekwa munzvimbo dzekuchengetedza dzepamoyo.

CHIKURU CHEMAITIRO

Mubatsiri wechiremba akagadzirira, zvese zvedzidzo uye zvekurapa, kupa rubatsiro rwehutano pasi pekutungamirwa uye kutarisirwa kwechiremba wemushonga (MD) kana chiremba we osteopathic mushonga (DO). PA mabasa anosanganisira kuita ongororo, kurapa, kudzivirira, uye hutano kuchengetedza mabasa.

PAs mumatunhu ese makumi mashanu, Washington, DC, uye Guam vane mukana wekuteedzera. Vamwe vabatsiri vezvechiremba vanogona kusatambira yakananga yechitatu-bato (inishuwarenzi) kudzoreredzwa kwemasevhisi avo, asi masevhisi avo anobhadharirwa kuburikidza nachiremba wavo anotarisira kana mushandirwi.

GADZIRA ZVINOGONESESWA

PAs anodzidzira mumamiriro akasiyana siyana mune angangoita ese ekurapa uye ekuvhiya hunyanzvi nzvimbo. Vazhinji vanoita mukati mekutarisira nzvimbo dzekutanga, kusanganisira kudzidzira kwemhuri. Dzimwe nzvimbo dzinojairika dzekuvhiya, hunyanzvi hwekuvhiya, uye mushonga wekukurumidzira. Vamwe vese vanobatanidzwa mukudzidzisa, kutsvagisa, manejimendi, kana mamwe mabasa asiri emakiriniki.

PAs anogona kudzidzira mune chero marongero umo chiremba anopa hanya. Izvi zvinobvumira vanachiremba kuti vatarise hunyanzvi hwavo uye ruzivo nenzira inoshanda. MaPA anodzidzira munharaunda dzekumaruwa uye mukati memaguta. Iko kugona uye kuda kwePAs kudzidzira mumaruwa kwakavandudza kugoverwa kwevanopa rubatsiro rwehutano muhuwandu hwevanhu.

MUTEMO WENZVIMBO

Kufanana nemamwe mabasa mazhinji, vabatsiri vezvechiremba vanodzorwa pamatanho maviri akasiyana. Ivo vane marezinesi padanho rehurumende zvinoenderana nemitemo yenyika. Certification inosimbiswa kuburikidza nesangano renyika. Zvinodiwa zveshoma tsika tsika zvinoenderana mumatunhu ese.

Licensure: Mitemo yakanangana nePA rezinesi inogona kusiyanisa pakati penyika. Nekudaro, angangoita ese matunhu anoda chitupa chenyika pamberi pezinesi.

Yese mitemo yenyika inoda PAs kuve nachiremba anotarisira. Uyu chiremba haatombofaniri kunge ari onsite panzvimbo imwechete sePA. Mazhinji matunhu anotendera kutarisirwa nachiremba nekutaurirana nhare nenguva dzekushanya kwenzvimbo. Kuchengetedza madhokotera nemaPAs kazhinji vane maitiro uye chirongwa chekutarisa, uye dzimwe nguva chirongwa ichi chinomirirwa nemasangano ehurumende.

Certification: Mumatanho ekutanga ebasa, iyo AAPA (American Association yeVanachiremba Vanobatsira) yakabatana ne AMA (American Medical Association) uye National Board yeMedical Examiners kugadzira kuongororwa kwenyika kugona.

Muna 1975, rakazvimirira sangano, National Commission on Certification yeVanachiremba Vanobatsira, rakagadzwa kuti ripe chirongwa chechitupa. Chirongwa ichi chinosanganisira bvunzo yekupinda-chikamu, kuenderera mberi nedzidzo yekurapa, uye kuongorora nguva nenguva kwekudzokorora. Vabatsiri vezvechiremba chete ndivo vakapedza kudzidza muzvirongwa zvakatenderwa uye vakapedza nekuchengetedza zvitupa zvakadaro vanogona kushandisa humbowo PA-C (yakasimbiswa).

Kuti uwane rumwe ruzivo, shanyira iyo American Academy yeVanachiremba Vanobatsira - www.aapa.org kana iyo National Commission yeCertification yeVanachiremba Vanobatsira - www.nccpa.net.

• Mhando dzevapi vezvehutano

Ballweg R. Nhoroondo yebasa uye zvazvino maitiro. Mune: Ballweg R, Brown D, Vetrosky DT, Ritsema TS, eds. Chiremba Mubatsiri: Nhungamiro yeKliniki Inodzidzira. 6th ed. Philadelphia, PA: Elsevier; 2018: chits. 2.

Goldgar C, Crouse D, Morton-Rias D. Kuvimbisa hunhu kune vabatsiri vezvechiremba: kubvumidzwa, kupihwa chitupa, kupihwa mvumo, uye kuita rombo rakanaka. Mune: Ballweg R, Brown D, Vetrosky DT, Ritsema TS, eds. Chiremba Mubatsiri: Nhungamiro yeKliniki Inodzidzira. 6th ed. Philadelphia, PA: Elsevier; 2018: chits.