Urological Association of Physician Assistants

Needs & Objectives

Urological Association of Physician Assistants

8th Annual Meeting
March 29 – 31, 2019
Ritz-Carlton Pentagon City
Arlington, Virginia

Educational Needs

The 2015 National Commission on Certification of Physician Assistants census estimated 1.2% of the 108,717 certified PAs are practicing urology. The State of the Urology Workforce published by AUA in May 2015 confirmed the aging of the urologic workforce, reporting more than half of the 11,703 identified practicing urologists nearly 23% are aged 65 years or older. The work force shortage can be supplemented by physician assistants. In order to fill this need, physician assistants in urology should understand the conditions and issues and be able to illustrate to stake holders the conditions that optimize productivity.

We will focus several talks on urologic malignancies. Management of urologic malignancies includes multiple modalities that require that physician assistants understand current issues regarding diagnosis, treatment choices, and management once treatment has been completed. Because physician assistants are often the source of patient education regarding management of the long term complications of cancer treatment, it is also necessary to provide them with clinically relevant information regarding patient survivorship.

We will also focus several talks on urologic conditions that, while not malignant, dramatically impact a patient’s quality of life. Because physician assistants are able to evaluate, order appropriate diagnostic testing, diagnose, and medically treat many of these conditions with autonomy, it is important to provide the necessary background and keep providers up to date with treatment options for conditions such as interstitial cystitis, neurogenic bladder, recurrent urinary tract infections, and pelvic organ prolapse.

With the rapid growth of integrating physician assistants into urology practices comes the need to provide training in urologic procedures including treatment of male hypogonadism and sexual dysfunction, urodynamic testing, and neuromodulation.

Educational Objectives

At the conclusion of the UAPA 8th Annual Meeting, participants will be able to:

  1. Discuss the necessity of urologic screening in a patient planning for a kidney transplant.
  2. Review Urodynamic testing and when it is appropriate to order testing.
  3. Describe current policies, legal and reimbursement issues around telehealth.
  4. Discuss how telehealth can be incorporated into a urological practice.
  5. Discuss AAPA representation for UAPA members.
  6. Describe the common components of an active surveillance program.
  7. Identify when imaging is useful in the evaluation and staging of men with low risk prostate disease and recognize when intervention is needed.
  8. Describe functional and anatomic differences between various types of urinary diversions.
  9. Identify common complications with various urinary diversions.
  10. Review initial diagnosis and management of patients with testicular cancer.
  11. Review long term complications associated with testicular cancer treatment.
  12. Discuss multi-disciplinary approach to difficult cases.
  13. Discuss evaluation, diagnostic, and treatment options available at various types of urology practices.
  14. Discuss the workup and management of neurogenic bladder.
  15. Review management of recurrent urinary tract infections in the neurogenic bladder patient.
  16. Discuss evaluation and treatment of stress urinary incontinence (SUI).
  17. Discuss evaluation and treatment of pelvic prolapse.
  18. Review the management of urinary incontinence in a variety of pathologies utilizing a case-based approach
  19. Identify the appropriate evaluation of Interstitial Cystitis/Painful Bladder Syndrome
  20. Select a role for pelvic floor physical therapy in managing Interstitial Cystitis/Painful Bladder Syndrome
  21. Identify when a patient with Interstitial Cystitis/Painful Bladder Syndrome needs Fourth-Line treatment (as defined by the American Urologic Association) and should be referred to a surgeon.
  22. Identify patients with prostate cancer who may be appropriate candidates for focal therapy.
  23. Discuss different focal therapy modalities with suitable focal therapy candidates.
  24. Explain the algorithm for the management of radiation cystitis.
  25. Recognize the impact of radiation on urethral stricture disease and outcomes of urethroplasty.
  26. Discuss how to diagnose and manage radiation induced complications from the treatment of prostate cancer.
  27. Describe the signs, symptoms and typical presentation for an array of basic urologic conditions including: microhematuria, BPH, elevated PSA/prostate cancer, overactive bladder, incontinence, kidney stones, and scrotal masses.
  28. Describe the typical treatment plan for the urologic conditions, including AUA guidelines where applicable.
  29. Describe the pathophysiology of neurogenic bladder in the Spina Bifida pediatric population.
  30. Discuss updates on transitional care from pediatrics to adulthood.
  31. Recognize correctable causes of recurrent UTIs.
  32. Utilize the best treatments to prevent recurrent UTIs.
  33. Recognize the diagnosis and treatment of common dermatological conditions found in general urology practice.
  34. Describe ways that health care professionals can engage in meaningful volunteer initiatives.
  35. Test attendee knowledge obtained at the UAPA 8th Annual Meeting.

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