Spring Newsletter 2022

President's Message from Josh Gustafson

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Happy Spring to you all. Thank you for your continued work for your communities, day in and day out. Some exciting things are ahead over the next few months. I am excited to see you all in person at the Spring CME in May. I’m very excited for some more interaction face to face.

As you all have seen things in society are increasing in price. Membership dues will be increasing by $10 at our next renewal. Ultimately, the costs are increasing, and your board is trying to do little things to keep our finances in good order so we can continue to give our scholarships, awards and other activities.

Another thing you will notice is that our Fall CME has gone from a 3-day event to a 2-day event. We will continue to give the great CME you are used to in the same 2-day fashion we do for the Spring CME. 

Last but certainly not least, it is time for new board members to be nominated and elected. Positions that will be up for election are President-Elect, Secretary, Director At Large and House of Delegates Representative. The ever-changing healthcare climate makes IPAS and the work legislatively as important as ever. Even if you are not into the political side of things, we have a place for you. We have a great legislative committee for that piece, and yes, the board is a part of this, but there are a lot of other pieces of the operation of IPAS that the board helps with: membership, CME, scholarships, and so much more. If you want to help make Iowa a better place to be a PA, think about running today. Please reach out to Stacey Nay if interested. 

Have a great Spring and see you soon!

Josh Gustafson
IPAS President


Legislative Update from Jim Earel

Happy Spring! I hope you are all doing well and staying healthy as we roll into another wet Iowa spring. Currently, the legislature is still in session, with several large bills having been passed at this point including a significant tax reform bill. Other bills are still up for consideration as I type this, including an education bill that would change funding for private schools through vouchers and have more oversight of school libraries by publishing the collection online.

As of now (3/9/22), our Harmonization Bill HF 803, has passed out of the State Government Committee unanimously and is eligible for a floor vote by the whole Senate. If you have not already, please write to your senator and ask them to support HF 803 and ask for a floor vote on the bill. After the Senate passes the bill, it will have to go back to the House for a floor vote as an amendment needed to be added. The Code Editor found some portions of our bill that were out of date from legislation that was passed last session, so we needed to update our bill to reflect that. It did not change any of the substance of the bill. However, as a result of the change, it will need a vote out of the House now as well. Our lobbying team continues to work with Senate and House leadership to assure passage of the bill and make sure it moves as smoothly as possible.

We are excited that our rescheduled Legislative Day breakfast seems to be working out to allow us to thank legislators for their support of our Harmonization Bill.  Please plan now to join us Tuesday, March 29 in the Legislative Dining Room at the State Capitol.  We will begin gathering at 7:00 am and have a light breakfast and hopefully an opportunity to hear from a few legislators.  Our lobbying team will be working to schedule meetings for IPAS members with legislative leadership following breakfast.  If you have not signed up yet, do so now!  

The Legislative Committee and our lobbying team have also been monitoring a lot of other healthcare related bills that may or may not affect PAs, with several bills needing amendments to have PAs added into bills that specified NPs and physicians, but not PAs. While it is good that we catch these bills before they are passed, it would be better if we could get PAs included in them prior to them coming to or passing out of committee. For that, we need all of you, the PAs in legislators districts, reaching out to your legislators and educating them about what you do. There is still a disconnect in the legislature regarding how PAs practice and what we can do. One of the best ways to work on that is to sit down and have conversation with your legislators outlining what a normal day looks like for you, and asking them to keep PAs in mind if they are seeing any legislation that includes other prescribing providers, like physicians or NPs. If you would like some guidance in this process, please reach out to me and we can work on ways to approach legislators to have these conversations.

Federally, there are a few bills that concern PAs specifically (info and language excerpted from aapa.org). Please go to https://aapapac.aristotle.com/sitepages/Take-Action.aspx to send a note to your legislators.

  • HR 6411 - The Support the Resiliency of Our Nation’s Great (STRONG) Veterans Act of 2022 (HR 6411) was introduced in January to improve mental health care provided to veterans through the Department of Veterans Affairs by increasing training, outreach, mental health care delivery, and research to address veteran suicide. Unfortunately, the bill’s language that defines the clinicians who provide mental health in the VA left out PAs. There are currently no Iowa representatives sponsoring the bill.
  • H.R. 1384/S.445 - AAPA is working with a broad coalition of healthcare provider and other groups to urge Congress to pass the Mainstreaming Addiction Treatment (MAT) Act, H.R. 1384/S.445. This bipartisan legislation would prevent overdoses, increase access to medication-assisted treatment (MAT) and remove arbitrary and harmful limitations on eligible providers, including PAs, to prescribe buprenorphine. Congress needs to hear from all PAs about the importance of this legislation and the lifesaving changes it would bring to patients, families and communities across the nation. Enactment of this legislation will eliminate the need for PAs and other healthcare professionals with a DEA registration to obtain a special waiver and meet unnecessary, burdensome federal requirements in order to prescribe buprenorphine to treat opioid use disorder. Currently is co-sponsored by Rep. Miller-Meeks, and Rep Axne. Please offer your thanks for their support, or ask them to co-sponsor. Neither Iowa Senator has sponsored the bill.
  • S. 800/HR 4870 - The Promoting Access to Diabetic Shoes Act, S. 800/HR 4870, was re-introduced in the 117th Congress by Sens. Sherrod Brown (D-OH) and Susan Collins (R-ME), and by Reps. Earl Blumenauer (D-OR) and Darin LaHood (R-IL).   The legislation will authorize PAs to certify the need for Medicare patients to obtain diabetic/therapeutic shoes. Current Centers for Medicare and Medicaid Services (CMS) regulations do not allow PAs to order diabetic shoes. With the aging U.S. population and prevalence of diabetes, it is absurd that PAs can manage a patient’s diabetes and other complex chronic conditions, but currently are not permitted by Medicare to order diabetic shoes. Currently co-sponsored by Sen. Grassley and Rep. Axne. Please offer Sen. Grassley and Rep. Axne your thanks for their support and ask your other legislators to co-sponsor. 
  • H.R. 1956/S. 1986 - The Increasing Access to Quality Cardiac Rehabilitation Care Act of 2021 (H.R. 1956/S. 1986), was introduced in the current Congress by Senators Shelley Moore Capito (R-WV) and Amy Klobuchar (D-MN) and by Representatives Lisa Blunt Rochester (D-DE) and Adrian Smith (R-NE).  This bipartisan legislation would authorize PAs and other advanced practice providers to order cardiovascular and pulmonary rehabilitation services (CR/PR) and provide supervision of cardiac and pulmonary rehabilitation services beginning in 2022.   All PAs are encouraged to take action today – urge your legislators to support HR 1956/S 1986 and remove these outdated barriers that limit PA patients' access to these lifesaving services. Currently co-sponsored by Rep. Miller-Meeks. Please offer Rep. Miller-Meeks your thanks for her support and ask your other legislators to co-sponsor. 

As always, if you have any concerns or issues on the legislative front, please feel free to reach out to me so we can make changes, if possible.

Jim Earel PA-C
IPAS Legislative Committee Chair


Spring CME

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Physician Assistants are invited to the Springtime CME Refresher which will be held May 2-3, 2022 at the West Des Moines Marriott.

This two-day event will feature approximately 17 sessions of Category 1 CME Credits, an exhibit area with both new and returning companies, and a variety of great session topics! The schedule includes a Legislative Update from the IPAS Lobby team, an update from the AAPA, and many relevant topics including atrial fibrillation, diabetes, occupational therapy, and more. The full agenda and registration information will be made available soon on the Spring CME page of the IPAS website. 
Many thanks to the outstanding Spring CME Committee volunteers for their hard work in putting together a great lineup of sessions and speakers!  
Once registration opens, members will need to enter their IPAS login to access the registration page. If you don’t remember your password or have any trouble logging in, contact the IPAS office for quick login support. If a mail-in registration is more convenient, you may download the registration form from the Spring CME page, print and complete it by hand. 
Rooms are being held for Spring CME attendees at the West Des Moines Marriott at a conference rate of $109/night. Call 515-267-1500 and mention you are an IPAS attendee or visit the Marriott conference website to book your room before Monday, April 11. 
Questions? Contact Devin at ipas.event@iapasociety.org or 515-282-8192. 

AAPA House of Delegates Update

Carol Gorney, Jared Wiebel, Marc Doobay, and myself are gearing up for an in-person meeting in Indianapolis this May. We are waiting for this years’ resolutions to be sent out for review and will be meeting to discuss them next month. Our role is review any bylaws changes, policy updates, and philosophical beliefs and vote our conscious as it relates to our patients and the PA profession. All of us have been elected by IPAS members and take into account how any AAPA policy may affect PAs in Iowa when we make our final deliberations. All resolutions are available for any AAPA member to review and we certainly welcome any feedback you may have. Prior to conference, it is my hope we will provide a summary to IPAS members as to any major discussions so you are informed and included. For example, last year the title of the profession was up for discussion and we informed IPAS members in order to hear your thoughts. AAPA members may review House of Delegates actions at any time.

Many of us are involved in other areas, for instance a few of us are waiting to find out if we will be selected to be part of a reference committee. I am serving as a member of the nominating work group and currently am developing metrics and interview questions for board position applicants. We will be conducting interviews in the next few months, which will be available through AAPA to help inform your voting. If you are interested in becoming more involved in HOD, there are ways to volunteer without being an elected delegate, click here for more information on volunteer opportunities.

On behalf of your elected HOD members, we thank you all for the work you do for our communities and profession and are grateful for the opportunity to represent you to the national body. 

Jeremy L Nelson, MPAS, PA-C, DFAAPA
IPAS HOD Chief Delegate


Call For Candidates for IPAS Board of Directors

Every year we welcome new candidates and faces to the IPAS Board, voted into office by fellow members. Volunteering on the Board is not only for those with prior leadership experience, it's for anyone that wants to share new ideas, and gain more leadership experience and knowledge throughout the course of their term. This is a fun and informative way to get involved and still maintain a healthy work/life balance. There are four meetings a year, two of which are held in conjunction with the Spring and Fall CME Conferences. From there it is up to each volunteer to decide what depth they will get involved.

Each IPAS Board Member must be a fellow member of the AAPA.

Open positions
1 – Director at Large
1 – Secretary
1 – President Elect
1 – HOD Representative

HOD Representative and President Elect are three-year terms. President Elect moves to President, and then to Past President. If you want to run for the HOD Delegate seat, you must be able to attend the AAPA Annual Conference for the next three years (this is Iowa’s National voice).

To include your name on the ballot, please send us a paragraph about yourself and why you wish to run for office. To nominate someone for office, please send the nominee’s information to a Board Member so that individual can be contacted.

For more information about the positions please contact Josh Gustafson, IPAS President Elect, or the IPAS Office at: info@iapasociety.org.


Student Reports

Des Moines University

PA-23s are staying busy with their Clinical medicine classes, where they are currently focusing on Endocrinology, Nephrology, Women’s Health, and Pediatrics. They are also drumming up a great conversation in their Ethics course, as well as rocking their SIMs. They are looking forward to their OB/GYN lab simulation experience and some students are working on gaining more ultrasound experience. The students just finished their Green Bandana Project training for mental health awareness. In the community, they are working towards finding a class project with Meals for the Heartland and Habitat for Humanity.  
PA-22s have two-thirds of their clinical year behind them, were just back for their Second On-campus Assessment and are working to wrap up their capstone projects! We currently have one student on a global international health care rotation in Belize. This is an opportunity for students to work with a faith-inspired, NGO dedicated to serving God by providing interprofessional medical care, disease prevention, and health education to the people of Southern Belize. Other students continue to learn from supervised clinical experiences scattered in across the mainland United States and in Hawaii. We would like to thank all of the providers aiding in the educational process that preparing our students for clinical practice. 

Submitted by Rylee Sutfin

Northwestern College

PA23’s: Our class of 2023 recently finished their renal unit and practiced performing urinary catheterization. They also had the opportunity to participate in a poverty simulation organized by LoveInc (Sheldon), in which each student was given simulated scenarios to recognize the challenges that their future impoverished patients may face.  The class also served at the Banquet in Sioux Falls and will be serving again in April.

PA22’s: Our class of 2022 is in the second half of their clinical rotations. They are continuing to enjoy their rotations and have started to register for their PANCE exam.

Our program has also recently hired a new professor, Brett Bastian, PA-C. He has over 28 years of experience as a PA in various medical backgrounds, including family practice, neurosurgery, and orthopedic surgery. The program is super excited to welcome him!

Submitted by Samantha Moss and Katie Stoesz

Saint Ambrose University

Member of the class 2022 are hard at work with their clinical rotations and studying for their end of rotation exams.

The class of 2023 have started their spring semester. They are excited to be taking courses such as pharmacology, problem-based learning, medicine, clinical skills, and evidence-based learning.

Submitted by Alex Boreen

University of Dubuque

The PA1s are currently in the middle of their second semester. They have been busy practicing their skills with ultrasound, taking SOAP notes and learning all about Pediatrics. In a couple of weeks, they will have the opportunity to volunteer as a class with the Boys and Girls Club of Greater Dubuque, as well as participate in another physical screening day with the Colts bugle corps.
PA2s are continuing to work through their rotations, EORs, and case presentations. They are also finding ideas for their capstone projects and completing their first assignment. They are excited to return to campus at the end of April to reconnect with each other and their professors. During this time, they will attend workshops and a simulation experience as well as complete OSCEs.

Submitted by Joe Recker

  Save the Date for Fall CME!

Save the Date Fall 2022

  IPAS Membership

As IPAS looks to the future, it's imparitive that we have the support of PAs throughout the state. This organization is run by volunteer members and supported by dues revenue, so please be sure you've renewed your membership for this year 2021-2022.  We're also asking you to reach out to your friends / colleagues to make sure they're aware of IPAS, our programming, and ask them to be members as well.  We want to be sure IPAS continues to have a healthy future and we need you to make sure that happens.  Click here to renew your membership if you need to, and THANK YOU to those who have already shown their support through membership.

Looking to Get Involved?:  If you're interested in getting involved in IPAS or if you would like more information, please contact the IPAS office: Info@iapasociety.org


  Additional Announcements

Title:  Physician Assistant Board Review 2022
The Mayo Clinic Physician Assistant Board Review course is a comprehensive review designed to help with initial (PANCE) and recertification (PANRE) examinations and to provide a relevant review for daily practice. Prepare for your exam with our top Mayo Clinic faculty, unparalleled content and learning techniques proven to enhance comprehension and recall.  Live and livestream attendance options available.
Course Date:  July 25-29, 2022
Location: Hilton Rochester Mayo Clinic Area, Rochester, Minnesota
Registration Website:  https://www.ce.mayo.edu/paboardreview2022