PA's teaching at DO schools

[arkansasstudoc]

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There are several PA's at my school who teach basic clinical science (lectures). Most of the time we have physicians teaching the clinical aspects of our lectures, but lately there have been more and more lectures by PA's. They don't have other degrees besides a PA degree (not in the basic sciences anyway). I'm not talking about learning from a PA preceptor here or there, I'm talking about PA's in our lecture hall telling us how to diagnose and treat disease, when to refer, etc. I want to get a feel for how normal this is.

I am well aware that there are great PA's out there, and that PA's take great care of their patients, and that physicians and PA's can have great relationships. I just don't want someone that has a different degree and that has not practiced the full scope of medicine or surgery teaching me how to diagnose and treat disease. It doesn't make any sense to me.

How normal is this? Do you have PA's teaching at your schools?

 

[Bacchus]

Not at PCOM.

 

[Lukat]

There are several PA's at my school who teach basic clinical science (lectures). Most of the time we have physicians teaching the clinical aspects of our lectures, but lately there have been more and more lectures by PA's. They don't have other degrees besides a PA degree (not in the basic sciences anyway). I'm not talking about learning from a PA preceptor here or there, I'm talking about PA's in our lecture hall telling us how to diagnose and treat disease, when to refer, etc. I want to get a feel for how normal this is.

I am well aware that there are great PA's out there, and that PA's take great care of their patients, and that physicians and PA's can have great relationships. I just don't want someone that has a different degree and that has not practiced the full scope of medicine or surgery teaching me how to diagnose and treat disease. It doesn't make any sense to me.

How normal is this? Do you have PA's teaching at your schools?

What school are you attending?

 

[arkansasstudoc]

What school are you attending?

I'm not comfortable saying... hence the new account, lol. Any input is appreciated though. I did a lot of searches and couldn't find much info. I looked at COCA's Accreditation Standards and of course they don't care who teaches classes as long as the heads of departments and most administrators are AOA-boarded DO's.

 

[sideways]

Un-****ing-acceptable. Create another fake account and out your school.

 

[Dr Oops]

Un-****ing-acceptable. Create another fake account and out your school.

👍 you definitely need to out them.

 

[goooooober]

If I was in your place, I would go to lecture every single day. Then, as soon as the lecture would begin, I would stand up and walk out.

 

[Flushot]

Hmm, if it was just a guest lecture or two in the clinical department, it wouldn't be so strange, but you're saying it is becoming more common? I haven't heard of that ever since joining SDN.

I too am curious as to which school is doing this, but you don't feel comfortable saying what school it is, I would understand. Still, it would be valuable information for prospective applicants in the future. Some might not care, but for those that do, it would be good to know.

 

[NYEMMED]

My school is taught ONLY by DOs/MDs (for clinical lectures) and PharmDs/PHds for pharmacology/basic sciences. The only exceptions were a nutrition lecture given by an RD, and a medical legal issues class taught by a JD,RN... In fact all of our preceptors are DOs or MDs also, there is a school rule about that

 

[Flushot]

My school is taught ONLY by DOs/MDs (for clinical lectures) and PharmDs/PHds for pharmacology/basic sciences. The only exceptions were a nutrition lecture given by an RD, and a medical legal issues class taught by a JD,RN... In fact all of our preceptors are DOs or MDs also, there is a school rule about that

That's really interesting that they bring in an RD for nutrition. I was a nutrition major in undergrad so I guess that kind of interested me.


Back on topic, at AZCOM, we had 1 guest lecture PA and that was in Phys, not in clinical med. We haven't had a PA teach any class or give any other lectures since.

If it was just once or twice, I wouldn't sweat it, but with them telling you how to diagnose, treat, admit, etc., that does seem a little worrisome to me.

 

[Pansit]

There are several PA's at my school who teach basic clinical science (lectures). Most of the time we have physicians teaching the clinical aspects of our lectures, but lately there have been more and more lectures by PA's. They don't have other degrees besides a PA degree (not in the basic sciences anyway). I'm not talking about learning from a PA preceptor here or there, I'm talking about PA's in our lecture hall telling us how to diagnose and treat disease, when to refer, etc. I want to get a feel for how normal this is.

I am well aware that there are great PA's out there, and that PA's take great care of their patients, and that physicians and PA's can have great relationships. I just don't want someone that has a different degree and that has not practiced the full scope of medicine or surgery teaching me how to diagnose and treat disease. It doesn't make any sense to me.

How normal is this? Do you have PA's teaching at your schools?

Your school is probably the only one that does this in America. Just tell us your school. My school only has MD's, DO's, and Phd's that teach.

 

[Pansit]

That's really interesting that they bring in an RD for nutrition. I was a nutrition major in undergrad so I guess that kind of interested me.


Back on topic, at AZCOM, we had 1 guest lecture PA and that was in Phys, not in clinical med. We haven't had a PA teach any class or give any other lectures since.

If it was just once or twice, I wouldn't sweat it, but with them telling you how to diagnose, treat, admit, etc., that does seem a little worrisome to me.

Actually you would be surprised at how easy medicine is once you have been out in practice for a while. The only tricky part to medicine is diagnosing tricky or rare cases and even then you consult specialists. CHF, MI's, Asthma, Pneumonia..etc are all treated the same way and once you know how it doesnt really change. But still...I wouldnt let PA's teach entire courses...that is ridicolous.

 

[DrWBD]

I'm not comfortable saying... hence the new account, lol. Any input is appreciated though. I did a lot of searches and couldn't find much info. I looked at COCA's Accreditation Standards and of course they don't care who teaches classes as long as the heads of departments and most administrators are AOA-boarded DO's.

What a disgrace. The dumbing down of osteopathic preclinical education marches on.

 

[JaggerPlate]

Unacceptable. Like others are saying, you need to 'out' the school and also figure out how to file some sort of anonymous complaint with COCA. Additionally, if they don't do anything about it (likely), you should at least make enough of a stink where it becomes pseudo public knowledge and is hopefully taken care of by the school for PR reasons.

 

[SmokD]

Are you being taught anything incorrect? I don't see this as too big of a deal personally. As long as your clinical preceptors are physicians. Maybe the school is in a location where its difficult to find people to teach?

 

[olivedjazzer]

Actually you would be surprised at how easy medicine is once you have been out in practice for a while. The only tricky part to medicine is diagnosing tricky or rare cases and even then you consult specialists. CHF, MI's, Asthma, Pneumonia..etc are all treated the same way and once you know how it doesnt really change. But still...I wouldnt let PA's teach entire courses...that is ridicolous.

To the OP - it doesn't sound very normal so far...eh? How extensive is this "situation" at your school? Do you go to DMU-COM?



I agree with the above poster. PA's that have a ton of exposure are probably just as qualified to teach about clinical medicine as physicians. And as was pointed out, in the real world physicians consult one another (as do PA's) on the trickier cases. I don't think the situation is ideal, so depending on how much one is shelling out for tuition, I would have a varying level of concern.

 

[Flushot]

I agree with the above poster. PA's that have a ton of exposure are probably just as qualified to teach about clinical medicine as physicians. And as was pointed out, in the real world physicians consult one another (as do PA's) on the trickier cases. I don't think the situation is ideal, so depending on how much one is shelling out for tuition, I would have a varying level of concern.

My concern and probably why the others feel the same way is that PAs are teaching students how to diagnose, admit, etc. If it were merely a procedure lecture, sure, I suppose. A guest lecture here and there wouldn't be a big deal, but the OP states the full process is being taught by PAs with no other degrees/qualifications.

The OP should bring this up to administration or report it to someone higher. I doubt the OP will return and tell us what the name of the school is, but this really shouldn't be allowed to happen.

 

[Pansit]

My concern and probably why the others feel the same way is that PAs are teaching students how to diagnose, admit, etc. If it were merely a procedure lecture, sure, I suppose. A guest lecture here and there wouldn't be a big deal, but the OP states the full process is being taught by PAs with no other degrees/qualifications.

The OP should bring this up to administration or report it to someone higher. I doubt the OP will return and tell us what the name of the school is, but this really shouldn't be allowed to happen.

That wouldnt make sense because PA's dont really do procedures. Most procedures are done by supervising physicians. In fact, many physicians have PA's because they are busy doing procedures and they need someone to see all their patients for them and at the end of the day they just sign off on all the paper work. PA's are just career residents. And you will see after 3-5 years of residency that you pretty much know how to diagnose and treat the majority of diseases. Like I said before, you consult on tricky and rare cases.

 

[cbrons]

There are several PA's at my school who teach basic clinical science (lectures). Most of the time we have physicians teaching the clinical aspects of our lectures, but lately there have been more and more lectures by PA's. They don't have other degrees besides a PA degree (not in the basic sciences anyway). I'm not talking about learning from a PA preceptor here or there, I'm talking about PA's in our lecture hall telling us how to diagnose and treat disease, when to refer, etc. I want to get a feel for how normal this is.

I am well aware that there are great PA's out there, and that PA's take great care of their patients, and that physicians and PA's can have great relationships. I just don't want someone that has a different degree and that has not practiced the full scope of medicine or surgery teaching me how to diagnose and treat disease. It doesn't make any sense to me.

How normal is this? Do you have PA's teaching at your schools?

What school is this and how does it maintain accreditation with unqualified instructors?

 

[Slane]

No, with the exception of the head of our H&P program, but he is also a DO.

 

[Makati2008]

If I was in your place, I would go to lecture every single day. Then, as soon as the lecture would begin, I would stand up and walk out.

1.)Very disrespectful. I can understand that you might not want to go to the lecture but to get up and walk out of a lecture is very unprofesional and immature.
2.)I can understand the OPs feeling about this to an extent. He is using very generalized terms(ie more and more common) and I wonder if he is a troll? Also there is one MD school(that I know for a fact) has PA's on the staff....D.O. Schools-I think A.T. still has some on staff for the D.O. school there as well. Things can be learned from both professions and I would have a feeling that the lecture was PROOFED by a MD/DO prior to the lecture to avoid disagreements when test time comes up.
3.)Which one is worse->Having someone that is not board certified teach you in some of your systems or a PA? Just a quesiton(know of somewhere this has happened not my school).

 

[deleted6669]

That wouldnt make sense because PA's dont really do procedures. Most procedures are done by supervising physicians. In fact, many physicians have PA's because they are busy doing procedures and they need someone to see all their patients for them and at the end of the day they just sign off on all the paper work. PA's are just career residents. And you will see after 3-5 years of residency that you pretty much know how to diagnose and treat the majority of diseases. Like I said before, you consult on tricky and rare cases.

lot of variety in pa utilization. at my facility pa's see most level 3-5 pts and do most procedures freeing the docs up to see level 1 and 2 ptss.
it's not uncommon to hear an overhead page for any available pa to room xyz for LP, suturing, I+D, etc

 

[scpod]

That wouldnt make sense because PA's dont really do procedures. Most procedures are done by supervising physicians....

Not entirely true. The vast majority of central lines, a-lines and swan's, for example are done by a critical care PA in our ICU if there is no resident there. There is always an attending around the corner, though. In IR we have a PA doing the vast majority of procedures, but she's been there 20 years. In both cases these guys are really good at what they do and the new residents tend to learn quite a lot from hanging out with them. I find it hard to believe that plenty of other places don't utilize PAs more often just from a cost-effectiveness standpoint.

 

[deleted6669]

Not entirely true. The vast majority of central lines, a-lines and swan's, for example are done by a critical care PA in our ICU if there is no resident there. There is always an attending around the corner, though. In IR we have a PA doing the vast majority of procedures, but she's been there 20 years. In both cases these guys are really good at what they do and the new residents tend to learn quite a lot from hanging out with them. I find it hard to believe that plenty of other places don't utilize PAs more often just from a cost-effectiveness standpoint.

we have IR, trauma, and ortho pa's who take first call to the er for everything. what they can't handle they call their attendings in for. and this is a busy urban trauma ctr.

 

[ShyRem]

didn't have a single PA teaching at UNE while I was there.

 

[JaggerPlate]

I know PAs have a great technical knowledge, are likely capable of teaching medical students a lot, etc, but the FACT of the matter is that these students are paying 200k to learn medicine from PhDs and DOs/MDs.

Hell, if you get a lecture 'approved' by a doc or study a subject really hard, I'm sure any high school teacher, nurse, etc, could present an interesting, intriguing presentation, but this doesn't change the fact that people are paying a LOT of money and making a lot of sacrifices for this experience, and forking over this amount of resources and then learning from non-physicians/PhDs is unacceptable in my opinion.

 

[beachblonde]

I know PAs have a great technical knowledge, are likely capable of teaching medical students a lot, etc, but the FACT of the matter is that these students are paying 200k to learn medicine from PhDs and DOs/MDs.

Hell, if you get a lecture 'approved' by a doc or study a subject really hard, I'm sure any high school teacher, nurse, etc, could present an interesting, intriguing presentation, but this doesn't change the fact that people are paying a LOT of money and making a lot of sacrifices for this experience, and forking over this amount of resources and then learning from non-physicians/PhDs is unacceptable in my opinion.

How I feel, as well. Frankly, just because I taught organic chemistry for Kaplan doesn't mean I was particularly qualified to do so. Does it matter for the MCAT so much? Nah. For my medical degree? I think so.

The only time we've had anyone other than an MD/DO or PhD teach us was the once a semester nutrition lectures from one of our school's nutritionists, and the EMT guys do CPR. OP, I'd complain to COCA next time they visited about the PAs if you're around then.

 

[ShyRem]

I might get horribly flamed for this, but in my experience both knowing people going through PA school and working with PAs, while their knowledge base is great for a PA, it is woefully lacking for teaching physicians. I have yet to meet a PA who can discuss the in-depth pathophysiology necessary for mastery of the topics necessary to do well as a physician.

Don't get me wrong, PAs are awesome at their jobs. But if you have questions about the nitty-gritty details that allow understanding of the issue at hand, they usually can't help you. They know the what, not the why. So if they're just teaching a "what" kind of skill - like intubation, CPR, ACLS, anatomy, etc., then fine. But not biochem, not physiology, not pathology, not pharm, bacteriology, etc.

 

[dannyboy1]

Who cares who is giving the lectures? Half the time the lecturer is just reading straight off the powerpoint and any important topics will be covered in Kaplan/first aid anyway

 

[beyondbethany]

I have yet to meet a PA who can discuss the in-depth pathophysiology necessary for mastery of the topics necessary to do well as a physician.

I have always been told this this what most separates a physician from PAs and other comperable providers.

As for the thread topic, I attend a US allopathic school and I had one pre-clinical course director who was a PA, but also had a PhD in the subject area.

 

[peppy]

I know PAs have a great technical knowledge, are likely capable of teaching medical students a lot, etc, but the FACT of the matter is that these students are paying 200k to learn medicine from PhDs and DOs/MDs.

Hell, if you get a lecture 'approved' by a doc or study a subject really hard, I'm sure any high school teacher, nurse, etc, could present an interesting, intriguing presentation, but this doesn't change the fact that people are paying a LOT of money and making a lot of sacrifices for this experience, and forking over this amount of resources and then learning from non-physicians/PhDs is unacceptable in my opinion.

I strongly agree. I find it embarrassing to the DO profession every time I hear about things like this (also referring to the thread a while back where someone mentioned they were doing an OB rotation where their primary supervisor was an NP not a doc). It's an outrage that some of these schools keep trying to cut corners and give their students the bare minimum, because it cheapens the quality of all our degrees.
I wouldn't be surprised to find out that the school that's doing this is probably one of the new ones. I suspect this goes back to the problem of DO schools expanding too rapidly without having the resources and faculty available to properly educate all the people they're getting tuition money from.

 

[group_theory]

So I can open up a new medical school, have lecturers (with masters degree) give lectures on basic science (who needs PhDs and original scholarly research to give lectures on well-established basic science - besides, all you need to know is in First Aid and the NMS/BRS series) - have the clinical components be given by PAs/NPs/RDs/RTs, and have clinical rotations with PAs/NPs - and at the end of it all, have the school grant doctorates to newly minted doctors. No need to be affliated with a research university, no need for good clinical rotations at large hospitals - just call it the new "Patient-Care Team Approach to Learning in a Medical Home" ¹

I'll make a half-hearted attempt at creating post-graduate residency ... maybe 5 spots/year for a class size of 250 to get the AOA/COCA off my back. I'll make sure the building is nice and fancy, will give it a majestic name, and make sure all students have 4 months of prep for the boards (with Kaplan, Boards Boot Camp, UWorld) and be able to pass a school administered COMLEX-like exam in order to be eligible to take COMLEX - and boast a 98+% first time pass rate. Students will flock to this school 😀



*I claim ownership/copyright of this idea/venture and if anyone opens up this or similar model, I demand appropriate compensation


¹If you read medical journals, the terms Patient-Care Team and Medical Home are used ad nauseam

 

[Flushot]

I might get horribly flamed for this, but in my experience both knowing people going through PA school and working with PAs, while their knowledge base is great for a PA, it is woefully lacking for teaching physicians. I have yet to meet a PA who can discuss the in-depth pathophysiology necessary for mastery of the topics necessary to do well as a physician.

Don't get me wrong, PAs are awesome at their jobs. But if you have questions about the nitty-gritty details that allow understanding of the issue at hand, they usually can't help you. They know the what, not the why. So if they're just teaching a "what" kind of skill - like intubation, CPR, ACLS, anatomy, etc., then fine. But not biochem, not physiology, not pathology, not pharm, bacteriology, etc.

Well, would you think it is okay for a PA to teach how to diagnose, admit, etc.? That's what is in the OP.

I don't know about the nitty gritty as you say, but I have to agree with Jagger on how I would feel about it. We do pay a lot of money and give a lot of time to be there to expect a certain level of credentials.

 

[WDeagle]

This is embarrassing and unacceptable. Its really a black-eye to the rest of us in this profession. Some of these schools really do such a lackluster job of educating their students. Im so thankful i go to a school that would never do something like this(i hope). I really think some schools are just non-profits trying to scam students out of their money. Even my school which is suiting the ex-pres for possible financial wrongdoings would never do something as stupid as this. You cant learn pathophysiology from someone who was never taught pathophysiology. Sometimes i think the AOA has 2 goals: make money and try to funnel as many people into primary care residencies as possible in the shortest amount of time without any concern for the quality of education.

 

[Doctor4Life1769]

This is embarrassing and unacceptable. Its really a black-eye to the rest of us in this profession. Some of these schools really do such a lackluster job of educating their students. Im so thankful i go to a school that would never do something like this(i hope). I really think some schools are just non-profits trying to scam students out of their money. Even my school which is suiting the ex-pres for possible financial wrongdoings would never do something as stupid as this. You cant learn pathophysiology from someone who was never taught pathophysiology. Sometimes i think the AOA has 2 goals: make money and try to funnel as many people into primary care residencies as possible in the shortest amount of time without any concern for the quality of education.

Just bust your butt on your own and you can avoid AOA-only IM/FP programs.

I would say avoid primary care, but I just learned of some awesome tracks via the FP route that can net you lifestyle and good pay, along with the loan reimbursements ...

 

[JaggerPlate]

I strongly agree. I find it embarrassing to the DO profession every time I hear about things like this (also referring to the thread a while back where someone mentioned they were doing an OB rotation where their primary supervisor was an NP not a doc). It's an outrage that some of these schools keep trying to cut corners and give their students the bare minimum, because it cheapens the quality of all our degrees.
I wouldn't be surprised to find out that the school that's doing this is probably one of the new ones. I suspect this goes back to the problem of DO schools expanding too rapidly without having the resources and faculty available to properly educate all the people they're getting tuition money from.

Completely agree, and I think it's unfortunate that neither school has been named.

 

[JW08]

Completely agree, and I think it's unfortunate that neither school has been named.

FYI....I see people pointing to new schools, but it is NOT RVU. Everyone here are DO/PhD/MD 🙂

 

[Flushot]

Completely agree, and I think it's unfortunate that neither school has been named.

The OP or whoever told that story probably just got scared off or they made it all up. Granted, I don't know why anyone would bother saying something like this unless it was really the case, but from what I see what we're posting, I'm not surprised the OP just wanted to forget about this thread and not rock the boat.

Even though I think it would benefit us all to know what school is doing it and do what we can to fix this, it almost seems like an angry mob ready to tear down and/or slam this school or whatever school that does this. If I were in the OP's shoes, I'd just walk away rather than appease people on an internet forum.

Still, I'd hope the OP does something for the sake of their own situation and their school.

 

[MightyMoose]

Who are these 5 people who have voted "Yes?" I find it strange that none of them have voiced any opinions within the thread. I also find it odd that the OP would use a new screen name to pose the question, but still not out his school...

 

[swamprat]

Yeah mid-levels teaching future docs - sounds dumb. We don't do that over here.. all MDs and/or PhDs. We actually did have a genetic counselor come in and explain his job and the masters level degree, talking down to us saying how its harder to get into that program than medical school. I just tuned it out..first of all there was no need to bring it up considering no one was challenging his degree and second of all your lecturing to medical students.

 

[arkansasstudoc]

Even though I think it would benefit us all to know what school is doing it and do what we can to fix this, it almost seems like an angry mob ready to tear down and/or slam this school or whatever school that does this. If I were in the OP's shoes, I'd just walk away rather than appease people on an internet forum.

Still, I'd hope the OP does something for the sake of their own situation and their school.

Bingo. I don't want to mess with it here before the situation is resolved. Although it's not exactly secret knowledge - I would encourage anybody applying to schools to ask students there if there if they have any PA's on the clinical faculty.

I appreciate all of your responses, and I am definitely going to be doing something about this. I'll let you know what happens.

 

[taylormade2006]

Completely agree, and I think it's unfortunate that neither school has been named.

We might be able to figure it out via elimination. So far we have had students state that RVU, PCOM, and UNECOM only have DO/MD/PhD. How about current students from other schools?

 

[MightyMoose]

We might be able to figure it out via elimination. So far we have had students state that RVU, PCOM, and UNECOM only have DO/MD/PhD. How about current students from other schools?

There was also a student from KCUMB that said it doesn't happen there. So running list, from this thread:


RVU
PCOM
UNECOM
KCUMB
NYCOM

 

[MightyMoose]

Bingo. I don't want to mess with it here before the situation is resolved. Although it's not exactly secret knowledge - I would encourage anybody applying to schools to ask students there if there if they have any PA's on the clinical faculty.

I appreciate all of your responses, and I am definitely going to be doing something about this. I'll let you know what happens.

I think it's great that you are trying to do something about this, but I would strongly advise you to tread lightly at your school. This is something you don't want to be branded for. Possibly find anonymous ways to relay the information, but don't risk your reputation at said school over this prior to landing a residency position. Just my 2 cents. Good luck!

 

[MLT2MT2DO]

There was also a student from KCUMB that said it doesn't happen there. So running list, from this thread:


RVU
PCOM
UNECOM
KCUMB
NYCOM

LECOM has also been officially stated in this thread as not having PAs teach pre-clinicals.

Anyone else think a majority of the "yes" answers are trolls?

 

[MLT2MT2DO]

Looking through Pikeville's faculty this is an interesting find:

John E. Rehmeyer

Instructor in Family Medicine​

Executive Director of A-OPTIC​

Office: Community Technology Center 424

Telephone: 606.218.5162

E-mail: [email protected]​

Education​

Master of Arts in English Education​

Morehead State University​

Bachelor of Science in English Education

California University of Pennsylvania​

​

The guy has a BS and MS in English Ed and he's teaching Family Medicine? He is one of the only one's to not be referred to as "Dr" in his bio also so I don't think it is an oversight on the web page.

 

[dannyboy1]

So I can open up a new medical school, have lecturers (with masters degree) give lectures on basic science (who needs PhDs and original scholarly research to give lectures on well-established basic science - besides, all you need to know is in First Aid and the NMS/BRS series) - have the clinical components be given by PAs/NPs/RDs/RTs, and have clinical rotations with PAs/NPs - and at the end of it all, have the school grant doctorates to newly minted doctors. No need to be affliated with a research university, no need for good clinical rotations at large hospitals - just call it the new "Patient-Care Team Approach to Learning in a Medical Home" ¹

Wont work for the clinical years but why not for the basic science? half of the students never see the inside of a lecture hall in the first two years and do just fine.

 

[MightyMoose]

Looking through Pikeville's faculty this is an interesting find:




The guy has a BS and MS in English Ed and he's teaching Family Medicine? He is one of the only one's to not be referred to as "Dr" in his bio also so I don't think it is an oversight on the web page.

Wowza! That is pretty strange. How does this guy even feel remotely qualified to be a professor of Family Medicine? Because he's been to a PCP before? Maybe he is just involved in an administrative/managerial capacity in the department and doesn't actually get involved in the teaching?

 

[Roberie]

LECOM has also been officially stated in this thread as not having PAs teach pre-clinicals.

Anyone else think a majority of the "yes" answers are trolls?

Well I answered 'yes' although that's misleading. We have (I think) two PAs on staff and have had one suturing lecture/practice that was lead (in part) by one of those PAs.

 

[MLT2MT2DO]

Wowza! That is pretty strange. How does this guy even feel remotely qualified to be a professor of Family Medicine? Because he's been to a PCP before? Maybe he is just involved in an administrative/managerial capacity in the department and doesn't actually get involved in the teaching?

Maybe, but the title "Instructor of Family Medicine" would be a strange one to have if he was administrative/managerial.