ConnAPA Fall 2011 Newsletter by ConnAPA

Connecticut Academy of Physician Assistants

November 2011 Fall Edition

Connecticut PA A Publication of the Connecticut Academy of Physician Assistants

PRESIDENT‟S MESSAGE By: Danielle Tabaka, PA-C I would like to thank all of our members who have renewed their ConnAPA membership and welcome our new members. We have made great progress on some of the goals we set at the beginning of the year and we continue to work on the remainder of our goals. Some highlights of our progress so far this year: Legislative: We are happy to report that ConnAPA was one of the few organizations chosen by the Department of Public Health to go forward with the new scope of practice process. Cindy Lord and Jonathan Weber, along with our legislative consultants, will be representing ConnAPA‟s interests in regards to our 3 scope of practice requests: 1. Eliminating the ratio restriction of PAs to supervising physicians, 2. Deleting language that requires physicians to review PAs‟ practice “at least weekly or more frequently,” and 3. Revising the requirement for all schedule II and III prescriptions to be co-signed. We look forward to being part of this process and will keep our membership updated on our progress. PA Awareness: We had volunteers at the NBC 30 Health Fair this year to increase our exposure to the general public. For PA week, we held a category I CME dinner; participated in an advocacy session at the Yale University PA Program; and, attended a PA day event at Hospital of St. Raphael‟s. We continue to look for ideas to continue to increase awareness of PAs and recognize our PA colleagues. Education: Planning is well underway for the 25th Annual Charter Oak Conference and this year we will have a Gala at the conference to commemorate its 25th year- watch for the conference brochure in January for more details! Without the support of our members, we would not be able to achieve our goals. Please pass the word on to your non-member colleagues about the great things ConnAPA is doing and ask them to join today! Please contact us at any time with questions or concerns - we would love to hear from you!

Danielle Tabaka, PA-C

INSIDE THIS ISSUE Legislative Report ..............2-3 Charter Oak Conference Save the Date! .....................4-5 National PA Week ..............4-5 Yale PA Program Report ....6-7 PA Focus .............................7 Quinnipiac PA Program Update ................................8-9 University of Bridgeport Update ................................10-11

2011-2012 Board of Directors OFFICERS

President

LEGISLATIVE REPORT By: Linda Kowalski and Jonathan Weber, MA, PA-C

Danielle Tabaka, PA-C

This has been a busy fall for the ConnAPA legislative team!

Danielle.Tabaka@att.net

ConnAPA has taken advantage of a law passed last session that encourages the “vetting” of scope of practice proposals through an administrative committee process prior to being proposed formally in legislation.

Vice President Sarah Fountain, PA-C sfountain_13@hotmail.com

Imm. Past President Justin Champagne, PA-C justin_champagne@hotmail.com

Secretary Jennifer Violette, PA-C, MSPA jennifer_spada@hotmail.com

Treasurer Terry O‟Donnell, PA-C Terry.ODonnell@quinnipiac.edu

Executive Director Michael Thompson mthompson@ssmgt.com

REGIONAL DIRECTORS

Region 1 Kathy Voss, PA-C kathyvoss@snet.net

Region 2 Peter Juergensen, PA-C pdjuergensen@cox.net

Region 3 Jonathan Pinto, PA-C emailpn2bns@yahoo.com

Region 4 Andrew Barlow, PA-C abarlow@opthc.org

Region 5 Andrew Turczak, PA-C aturczak@srhs.org

STUDENT REPS

Quinnipiac University Stephanie Lenihan, PA-S stephanie.lenihan@quinnipiac.edu

Nya Rossi, PA-S Nya.rossi@quinnipiac.edu

Yale University Jennifer Burg, PA-S jennifer.berg@yale.edu

Lauren Monoxelos, PA-S lauren.monoxelos@yale.edu

Bridgeport University Kirsten Lanpher klanpher@bridgeport.edu

Zach Lueders

2 zlueders@bridgeport.edu

Ten such proposals were submitted this summer to the Department of Public Health, which oversees the committee vetting process. Only four proposals were approved for such review— including one submitted by ConnAPA. To recap, our proposal seeks to enhance patient care by changing the statute governing Physician Assistants in three areas: The current law limits an M.D. to supervising no more than six physician assistants at a time. We believe this decision should be left to the M.D. and PA team. A current statute requires a face-to-face meeting and personal review of cases once a week. ConnAPA believes this is overly prescriptive and should, again, be left up to the judgment of the supervising M.D. Finally, a requirement exists that the physician document approval in the medical record within 24 hours of a new prescription or order for a Schedule II or III medication written by a PA. ConnAPA‟s proposal would eliminate this. ConnAPA believes that these changes will enhance our ability to serve our patients while still operating under the supervision of an M.D. The Scope of Practice Committee will be meeting throughout November, December and January, with a report of its activities submitted by February 1, 2012 to the Public Health Committee. Jonathan Weber and Cindy Lord will represent ConnAPA on the committee. Two other medical associations, including the Connecticut State Medical Society (CSMS), have expressed interest in the proposal and will have representation on the committee also. We‟ve had really good discussions with CSMS about the proposal. Taking this action will position us to pursue the changes in legislation next session. Had we not gone through this vetting process, the Public Health Committee would probably decline to address the issue. Look for frequent updates from your legislative team about this important initiative. Meanwhile, the General Assembly was called into Special Session on October 26 to enact a program of job creation initiatives. The session moved quickly as there was broad bipartisan support for the package of reforms. Many of the provisions are aimed at the small business community and carry a cost to the state of about $500 million over a number of years. The legislation passed on an overwhelming vote that brought Democrats and Republicans together. That just doesn‟t happen very much in Hartford. Lastly, we want to keep you in the loop on two other healthcare matters; the Health Exchange Board is in full swing to develop the health insurance exchange. This will be an internet site where individuals and small businesses can shop around for health insurance coverage. ConnAPA succeeded last session in getting language in the law that requires all health plans on the exchange to follow state coverage mandates. This will ensure that patients will have access to services provided by physician assistants. The Board is conducting a national search for the CEO. Once that is complete, we think you‟ll see the Board begin to move to implementing rules that will govern how the exchange operates. Under federal law, the state‟s exchange must be up and running by January 1, 2012. (Continued on page 3)

LEGISLATIVE REPORT (CONTINUED) Finally, we want to mention another important entity: the Office of Health Reform and Innovation (OHRI). This office is overseen by Jeanette DeJesus, the Governor‟s Special Advisor for Healthcare and is the focal point for implementation of the federal healthcare law in Connecticut. Ms. DeJesus is creating a number of working groups that will delve into more detail of specific topical areas. We are working to secure the appointment of a ConnAPA member to one of the groups. Let me say the work of the OHRI is critically important to members of the Physician Assistant profession and we will keep members apprised of developments with it. As always, ConnAPA members are invited to assist with our legislative efforts. We have had a good year at the State Capitol in 2011 and look forward to continued successes in 2012.

SAVE THE DATE!

ConnAPA’s 25th Annual Charter Oak Conference Mystic Marriott Hotel & Spa Groton, CT h

April 22 – 25 , 2012 *Reserve your room under the room block by March 25th for rate of $135/night! Conference Key Features: 25th Anniversary Gala Dinner Minimum of 30 approved Category I Credits Exhibit Hall Breakfast and lunch provided every day New Workshop Topics This year’s lecture topics include: Emergency Medicine, Billing & Reimbursement, Infectious Disease, Mental Health, Cardiology, Liver Disease, Ultrasound Techniques, Women’s Health, Food-born Illnesses, Thoracic Oncology, and more….

Want to do more to support your profession? JOIN A COMMITTEE! Membership Danielle Tabaka Danielle.tabaka@att.net

CME/Conference Planning Andrew Turczack aturczak@srhs.org

Government Affairs Jonathan Weber Jonathan.Weber@yale.edu

Communications/Public Relations Justin Champagne Justin_Champagne@hotmail.com

PA Day October 6

Mayor Mark Boughton visited Danbury Hospital this Tuesday to issue an official proclamation that the week of October 6th12th is Physician Assistantâ&#x20AC;&#x;s Week. Pictured here is Mayor Boughton sharing the proclamation with Carol Ekonomides, Physician Assistant - Hospitalist Service.

NATIONAL PA WEEK, OCTOBER 6-12 By: Benjamin Olmedo, PA-SIII On October 6th 1967, Duke University graduated the first class of three PAs and 44 years later we now celebrate October 6th as the start of National PA Week. The physician assistant profession and scope of practice has changed and grown exponentially since that first graduating class and advocacy has been at the heart of that positive expansion. As a future practicing physician assistant, I thought the best way to start Yale PA Week 2011 would be with a professional advocacy session highlighting the impact of advocacy on the PA profession as a whole and within the State of Connecticut as well as how to get involved as a PA Student. PA students from both Yale University and Quinnipiac University attended an energizing overview of the Six Key Elements of PA Law preceded by a brief history of State regulation of PA practice and how advocacy has improved PA practice given by Stephanie Radix, Director of State Outreach and Advocacy for the AAPA. She also highlighted the importance of getting involved and having your voice heard, such as participating in the AAPA Capitol Connections 2012 in Alexandria, VA. Stephanie ended her part of the session by highlighting important aspects of healthcare law that still exclude PA practice such as certifying the health of athletes, determining if individuals qualify for handicapped parking and the pronouncement of death. Danielle Tabaka, ConnAPA President, and Jonathan Weber, Chair of ConnAPA Government Affairs Committee, offered thought-provoking insight into the importance of advocacy by Constituent Organizations as the only representative of all PAs practicing within a state. ConnAPA has had many victories over the years preserving and expanding PA practice within the state of CT to include a requirement for all health insurance providers to recognize PAs, maintaining the scope of practice for fluoroscopy and testimony to the Public Health Committee in order to gain all Six Key Elements of PA Law. One of the more striking points of the presentation was that ConnAPA achieved all of these great victories with the active support of less than half of practicing PAs in the State of Connecticut; only 500 out of 1600 practicing PAs are active members and part of the advocacy efforts of ConnAPA. Trish Loving, PA representative to the CT State Medical Board, brought it all together by focusing on the importance of knowing PA scope of practice within your state to avoid sanctions and revocation of licensure as well as the fight to keep a PA representative on the 15 member State Medical Board.

PA students from both Yale University and Quinnipiac University attended an energizing overview of the Six Key Elements of PA Law preceded by a brief history of State regulation of PA practice and how advocacy has improved PA practice given by Stephanie Radix, Director of State Outreach and Advocacy for the AAPA.

The final message of, “Why aren‟t we hearing from the Connecticut PAs?” was especially salient given that 15 years ago PA prescribing privileges were not universal, while today many PA students take that privilege for granted. The privileges that we now enjoy and take for granted were only made possible by sustained advocacy efforts conducted and supported by State Constituent Organizations. Jonathan Weber ended the session with information on how to reach out to your local legislators and how to get involved with the ConnAPA Government Affairs Committee. Overall, I received a tremendous amount of positive feedback from all the PA students in attendance regarding the energy, call to action and perspective gained from the session. Even after 44 years of existence, the importance of advocacy to the PA profession cannot be highlighted enough and too often is not talked about in the didactic or clinical instruction of PA students. It was great to receive information and instruction on how to advocate for the profession as well as what is currently being done to further the PA profession in Connecticut. I hope this is something that can be continued as part of every PA Week and used as a launching pad to increase future involvement in ConnAPA as well as the AAPA.

5 5

YALE PA PROGRAM REPORT By: Jennifer Burg, PA-S and Lauren Monoxelos, PA-S With two months under their belts, the newest Yale Physician Associate class has finally fallen into the swing of things here in New Haven. They have taken the time to find the best restaurants, the secret hiding places in the library, and the perfect amount of coffee needed for those late study nights. The students have successfully completed four exams at this point in time, utilizing the newly implemented Bluedogs Software, which has recently replaced Blackboard for the Medical School. The rigorous academic schedule definitely calls for an adjustment period for all new students, but the Class of 2013 seems to be well underway. Many of the students have already been very active in getting involved with the volunteer organizations in the city, including Haven Free Clinic, Neighborhood Health Project, and many others! These eager students have not only reached out to the community, but they have also shown their enthusiasm in running for Class of 2013 officer positions! A big congratulation is in line for the new President, Jon Allen; Vice President, Kyle Zigelsky; Social Chair, Megan McInnis; and External Affairs Chair, Christina Mok. These four classmates will be working hard over the next few years to plan our class activities, along with the help of the many other students holding class officer positions. In preparation for the Hunger and Homeless Auction, the Class of 2013 has already raised over $1,000 from hosting a few bake sales!! They hope to raise a lot more for this worthy cause by hosting a Yale Medical School mixer at the Wicked Wolf restaurant in the near future.

Tale PA Students have dedicated their time over the past few months to PA Week. Several social events brought the three PA classes together including the PA week sponsored 5K road race .

The Class of 2012 happily took their last exam back on August 10th, followed by a necessary celebration in New Haven and a two-week break. Upon return, transition week was filled with suturing pig‟s feet, casting workshops, and other clinical technique lectures that prepared them for their upcoming rotations. They are already halfway through their second rotation site at this point. Some of the students have already ventured to some clinical sites located as far as Kentucky, Dallas, and Denver. And last, but not least, the Class of 2011 is preparing for their graduation, which is coming in just a little over a month!! The job search and interview process is keeping them all quite busy, trying to decide exactly where they want to begin their work as a licensed Physician Associate. To their relief, all of their thesis projects and proposals were completed this past August, and the students who received the highest grades will be presenting at the Honor‟s Presentation in December. The final push is on for these classmates to finish their last rotations and prepare for their upcoming PANCE exams. The other big event that Yale‟s PA students have dedicated their time to over the past few months was PA Week. The second year students worked extremely hard in planning Yale‟s celebration of PA week and it proved to be a huge success. Through the many events that took place from October 6th to 12th, the program was able to raise PA awareness in the New Haven community and raise a significant amount of money that was donated to the Haven Free Clinic. A PA advocacy session kicked off the week‟s events, where, ConnAPA president, Danielle Tabaka, PA-C, PA-C, Chair and Government Affair Committee, Jonathan Webber, PA Representative Connecticut Medical (Continued on page 7)

Examining Board, Trish Loving, PA-C and Stephanie Radix, JD, the Director State Government Advocacy and Outreach AAPA spoke about key elements of a PA practice and a PA‟s scope of practice in Connecticut. During the next week, several social events brought the three PA classes together, including a Passing of the Torch to recognize the first year‟s newly elected class officers, a program mixer, a movie night, and a potluck dinner with our faculty. Additionally, the PA week sponsored 5K road race and a graduate school social event raised over $1,300 for the HAVEN free clinic. Later in the week, second and third year students traveled to a local high school in North Haven to educate high school students about the PA profession. This was a great way to further Yale‟s community involvement, and the presentation was extremely well received by the high schoolers! As a final PA week event, first and second year students bonded over pizza and much-deserved beverages at our favorite pizza joint, BAR. Throughout the week, the first year students were able to learn about all the planning and logistical coordination that went into PA week and are looking forward to planning PA week next year!

PA FOCUS—JOHN MCNAB The thing that really motivated me to become a PA was… I had a desire to become a meaningful contributor to direct patient care without tying up 10 years of education and training in the process. This was a significant career change for me (I was a secondary school English teacher). I am currently working… as a PA in transplant surgery at Hartford Hospital where I also serve as a Team Leader/Manager for 30 PAs and NPs. I am also an adjunct clinical coordinator for the Quinnipiac University PA program. When I am not at work I like to…dabble in photography and woodworking, and I enjoy bicycling. What I would tell someone who wanted to become a PA is… I just said this...to my own daughter: "You have chosen wisely. It's a great career with terrific current opportunities and earning potential, and even greater future promise and potential." I have no reason to discourage my daughter or anyone else from pursuing a PA career. It has been a wonderful career choice for me.

QUINNIPIAC PA PROGRAM UPDATE By: Stephanie Lenihan, PA-S and Nya Rossi , PA-S Quinnipiac acknowledged PA day with a day of service and insight into the PA world. The theme for Quinnipiac‟s PA day was bone marrow donation. All day at two different locations, numerous students volunteered their time to educate the population about the importance of becoming a member of the bone marrow registry. The PA students swabbed cheeks of around 200 people in one day. As PA student Dana Shuriff wrote “It really was a successful day! Typically on a college campus they get around 20 to 50 people to join the registry. Today we got through every last cheek swabbing kit we had!” The day included a talk from a bone marrow transplant recipient Patrice Tillman. She talked to our class about her experience as a patient and gave us a better understanding of the importance of communication regarding donation to our patients. The day‟s events continued with a talk from Robert Wooten the AAPA President. He discussed the real reasons we all have chosen this path of becoming a PA and the impact it has on the health of our communities. As Professor Cindy Lord said to our class recently, being outside of the classroom allows you to experience an „ah-ha‟ moment. Indeed, by the end of PA week many in our class realized that they can make an impact on people‟s lives with even the smallest of gestures. This is what PA week means to Quinnipiac. It‟s not a day to celebrate ourselves but rather to give back to the community. On September 30, all 48 Quinnipiac PA students organized a Fitness Fair and Big Read for the students at Area Cooperative Educational Services (ACES) Mill Road School. A school-wide read was followed by a fitness fair that included activities like relay races, yoga and hula hoops to get the students involved in healthy activities. All of this intertwines with the continued one-on-one reading program Quinnipiac PAs do twice a week with the students, as well as the Nutrition Detectives program that teaches students to make healthier choices when choosing foods to eat.

“On September 30, all 48 Quinnipiac PA students organized a Fitness Fair and Big Read for the students at Area Cooperative Educational Services (ACES) Mill Road School.”

Another significant event that is taking place at Quinnipiac is the induction of Quinnipiac PA program into the UCONN/AHEC Urban Service Tract. Our program is nowconsidered a full member of the UST core and scholars program. Service events have already taken place and the first retreat was on October 14th at UCONN. At this meeting, students from multiple health disciplines convened to kick off the UST new year. The main message presented was the importance of interdisciplinary interaction. The care of the patient will only be superb be if everyone contributes and works together to provide the best care possible. Ten students and one faculty member attended the retreat and discussed the implications of a patient who is at a health disparity and the goal of UST scholars. The goal of UST is to serve those underrepresented people to the best of our ability, recognize their disadvantages and do our best to diminish them. Three students, Kara Davey, Heather Peterson and Jamie Robyn, were recognized for their outstanding services at the retreat. PA week continued on Monday Oct. 17 at a banquet with all the UST scholars and others in the health care community celebrating primary care week. We were graciously addressed by Governor Dannel Malloy who opened our eyes to the advancements in primary care that are currently taking place in Connecticut. On Wednesday Oct 19, QU students joined UCONN pharmacy, medical, dental and nursing students at health fairs across Connecticut. Locations ranged from local YMCA facilities to senior center homes. All of these sites aimed to help screen those who lack access to basic health care. In addition to these events, Quinnipiac PA students have been teleconferencing with UCONN to listen to “Lunch and Learn” talks (Continued on page 9)

QUINNIPIAC PA PROGRAM UPDATE (CONTINUED) regarding topics from cultural competence and humility to recycling efforts being upheld by hospitals in Connecticut. In local news around the New Haven campus, Quinnipiac will now officially become a smoke free campus. The green team recycling committee has also expanded their collection of redeemable recyclables to the York Hill campus. Money collected from these recyclables is used to buy food products and toiletries for the homeless shelters in New Haven that Quinnipiac visits once a month. Furthermore, fundraising for the Health Horizons International trip to the Dominican Republic is fully underway. The group has already raised over $2000 towards health supplies for those in need in the Dominican. These fundraising activities have included a bake sale, car wash, donation jar collections and personal donations. One large contribution came from Chartwell which gave $1000 towards Qunnipiac‟s efforts. To further the connection with the Health Horizons International mission, Quinnipiac has started to offer clinical rotations, either elective or in conjunction with the primary care rotation, to travel and work in the Dominion Republic. Quinnipiac PAs also participated in the NBC Health and Wellness Fair at the Hartford Convention Center on October 1st helping to screen and inform people about kidney and liver disease. Coming up, students are scheduled to volunteer with the KEEP program on November 12th in Manchester, CT at South United Methodist Church to screen for kidney disease. Lastly, the class of 2012 is holding flu clinics on the Quinnipiac campus on 4 different dates to provide flu shots to the Quinnipiac community.

“As Professor Cindy Lord said to our class recently, being outside of the classroom allows you to experience an „ah-ha‟ moment. Indeed, by the end of PA week many in our class realized that they can make an impact on people‟s lives with even the smallest of gestures. This is what PA week means to Quinnipiac. It‟s not a day to celebrate ourselves but rather to give back to the community. “

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UNIVERSITY OF BRIDGEPORT UPDATE By Erin E. Carey PA-S1, Director of External Integrative Affairs Fall is here and with the season‟s change the UB PA students are as cheerful and hardworking as ever. We are a small, tight-knit class of 19 students and we have a lot of fun in our classes and with our talented faculty. The hallways here at END Hall (Eleanor N. Dana Hall, which houses the PAI) are usually filled with laughter and the aroma of brewing coffee. Those who like to cook bring in delicious foods for their classmates to share and our professors have been known to bring in pizza or sandwiches to boost our endurance to get through a particularly intense day.

In a splinting lab sponsored by 3M, students learned proper splinting skills and were able to practice on each other. The lab was very amusing, some classmates sent pictures of splinted arms and legs to loved ones for a good laugh; it was the perfect ending to a great module.

This term we are enrolled in Medical Ethics, Clinical Medicine 2 (which encompasses Reproduction, Musculoskeletal, Neurology, Endocrinology, and Psychology), History and Physical Exam 3, Integrative Medicine 2, Medical Seminar 2, Professional Practice and Policy, and Health, Wellness, and Nutrition. While our schedule is full to the brim, we also squeeze in extracurricular activities as well. Many students attended the NBC Health and Wellness Fair at the Civic Center to work with the Kidney Early Evaluation Foundation, or KEEP, and screen Connecticut residents for risk factors of Kidney disease. Furthermore, we forged new friendships with DonateLife and other societies that we will no doubt support as our school grows over the years. In early September we held a Service of Gratitude as an official „Thank-You‟ to our donors, an ending to our time at Yale and a reluctant farewell to our anatomy professor, Dr. Stewart. Many students read poems and bible verses while others drew anatomical pictures or shared personal stories from the intimate dissections that took place over the 8-month course. Classmate Gabe Cozmuta, PA-S2 organized all the guys in the program to wear matching bow ties in Dr. Stewarts honor; it was a fun tribute to a wonderful teacher. UB students have been going to St. Vincent‟s Medical Center and to the Hospital of Central Connecticut to conduct patient exams and practice our physical examination skills before our clinical rotations begin in April 2012. In mid October many UB students attended the Cardiology Symposium at St. Vincent‟s to learn about the latest issues affecting the cardiology community. One remarkable lecture addressed the TAVI heart valve procedure, which will be coming soon to SVMC as they have built an incredible Hybrid Operating Room to accommodate this state-of-the-art surgery. Our Orthopedic module was completed this past week and we had two fantastic adjunct professors who are both very active in ConnAPA: Jonathan Pinto, PA-C and Rick Pope, PA-C. Mr. Pope lectured on Rheumatology, Lupus and Arthritis; he also held a joint and soft tissue injection lab where students were shown the apposite techniques for joint infusions. Students greatly appreciated his knowledge, experience and PA advocacy demonstrated during his lab and lectures. Mr. Pinto lectured on fractures, dislocations and neoplasms. His energy and humor made the early-evening lectures both exciting and interactive. Mr. Pinto gave us invaluable guidance concerning our clinical rotations and future career paths while we ate pizza he brought for us as a treat. In an additional (Continued on page 11)

UNIVERSITY OF BRIDGEPORT UPDATE (CONTINUED)

WELCOME NEW MEMBERS

Hira Bluestone Kate Bukowski Rebecca Castle Maria Courtney Alexis Cushman Patrick Dougherty Elizabeth Earley Marissa Fistola Alexandra Kayat splinting lab sponsored by 3M, students learned proper splinting skills and were able to practice on each other. The lab was very amusing, some classmates sent pictures of splinted arms and legs to loved ones for a good laugh; it was the perfect ending to a great module. This year during National PA Week, students set up booths at two locations in Bridgeport, City Hall and City Hall Annex, to screen blood pressures. Class President Sara Steinfeld, PA-S2 spoke on WEBE 108 radio to promote the PA profession and encourage residents to come over for a blood pressure screening. Dan Paoletti, PA-S2, measured Bridgeport Mayor Bill Finch at City Hall Annex among the many other residents screened that day. Some students also counseled individuals on quitting smoking and distributed health information on diabetes and high cholesterol. In only a few months our halls will fill from our current class of 19 to over 50 students as the second class of PA students are welcomed into the program. We hope they are as excited as we all are to be a part of this incredible program, and to be a part of the profession that is a Physician Assistant!

Matthew Light Bethany Luciani Miller David Maffei Catherine Marcucci Susan McDiarmid Jennifer McDonnell Diana Mlynarski Rebecca Nguyen Sierra Pacholski Mychael Patrick Peter Petrillo Anna Rodonski Ann Marie Schoppmann Lindsay Smith Jonathan Stewart

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Connecticut Academy of Physician Assistants One Regency Drive Bloomfield, CT 06002 Phone: 860-243-3977 Fax: 860-286-0787 E-mail: ConnAPA@ssmgt.com