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WAPA Pulse | 07/20/2019                                                                                                View this email in your browser

Clinical Pearls
Asymptomatic bacteriuria is defined as the presence of bacteria in the urine of a person without signs or symptoms of a urinary tract infection. The USPSTF has recently drafted a recommendation for the screening of asymptomatic bacteriuria (ASB) in pregnant and non-pregnant adults. It has concluded with moderate certainty that screening for and treatment of ASB in pregnant persons with a urine culture has a moderate net benefit in reducing perinatal complications by reducing the incidence of pyelonephritis. However, the USPSTF recommends against screening for AB in non-pregnant women and men.

To review the draft, click here.

Advocacy Central
Onsite registrants are welcome on PA Day at the Capitol!
It's not too late to join us on Tuesday, May 14, 2019, for PA Day at the Capitol.

While we cannot guarantee a meeting with all of your direct representatives, we will do our best to arrange your visit when you join us at the last minute. We have excellent connections through our lobbying group, The Hamilton Consulting Group, and would really love to see you in Madison!

Please email Melissa Graham at if you think you'll make it, even if it's past the registration date. In any case, we're happy to see you onsite!

Can't make it to Madison? Meet with your representative on your time!

If you can attend a meeting with you legislator, please RSVP to Paige Scobee at

We are especially looking for PAs whose representatives serve on health committees for the 2019-2020 session. Find your legislator and view their committee assignments here
Volunteer Health Care Provider Program – Assembly Companion Introduced
Sens. Alberta Darling (R-River Hills) and LaTonya Johnson (D-Milwaukee) and Reps. Mary Felzkowski (R-Irma), Jeremy Thiesfeldt (R-Fond du Lac), and Amanda Stuck (D-Appleton) have introduced legislation (SB 155/AB 162) that would allow volunteer health providers who serve the homeless in free and charitable clinics to participate in the Volunteer Health Care Program. Currently, the Volunteer Health Care Program provides liability insurance to volunteer providers who serve non-Medicaid patients. Under this bill, providers and clinics who serve homeless Medicaid patients could participate in the program. We'll keep you posted on the bill's progress!

Relaxing State PA Medication Assisted Treatment Rules
The Department of Health Services (DHS) has started the rulemaking process for broad revision of ch. DHS 75, Community Substance Abuse Service Standards.

We reached out to DHS to discuss modifying DHS 75.15(10) under this rulemaking process to allow PAs to prescribe and adjust a buprenorphine dose. DHS notified WAPA that while PAs can prescribe and adjust doses outside of an opioid treatment program setting, federal law does not permit it within the program setting without a waiver from SAMHSA. The program itself has to apply for the SAMHSA waiver, not the individual. No opioid treatment program in WI has requested to do this. The waiver is also time limited and difficult to obtain.

WAPA reached out to AAPA to confirm this information. AAPA confirmed that SAMHSA-certified opioid treatment programs have stricter regulations than office-based opioid treatment programs which utilize buprenorphine. Additional resources from AAPA can be found here and here.

While DHS may not be able to address the ability of PAs to adjust a buprenorphine dose under this rulemaking, WAPA will continue to monitor this rulemaking process.

We are WAPA
Message from the 2019 Spring CME Chair, Amie Baumgartner PA-C
Thanks to all of you who attended the conference! If you missed out, the Great Midwestern Medical Conference is being held October 23-25 in Kohler, Wisconsin at the American Club. Here are some highlights from the spring conference.

Almost 400 attendees, a new record for WAPA.

32 possible lectures with two tracks through three days.

Updates on WAPA initiatives, including the new CARES Act legislation.

Congratulations to our poster session presenters! The Inaugural Annual Poster Session and Reception, featuring 15 posters was a tremendous success. The poster session was the brain-child of PA educator and researcher, Karen Graham, PhD, PA-C, DFAAPA (pictured above). Poster topics could include original research, case study, evidence-based literature review, educational/professional innovation or community outreach and were authored or co-authored by PAs and PA students.

Well-played, Student Challenge Bowl participants! Twelve student teams proudly represented their respective PA programs, in this fun and high-energy competition. They did a great job, and all five Wisconsin PA Programs have a reason to be proud! Winners are pictured above: JD Dorrance, Maddie Eischen, and Cullen Vos from the UW-LaCrosse – Gundersen – Mayo – Marshfield PA Program.

To see more photos from the 2019 Spring CME, visit We've set up two new Flickr galleries!

Message from the WAPA Foundation President, David Eberdt PA-C

The WAPA Foundation has been the philanthropic extension of WAPA since 1990. The Foundation strives to advance and enhance careers by supporting the educational and professional needs of practicing PAs and PA students, in Wisconsin. We have a few updates for you:

PAs Who Hustle Hard
Marquette University PA alumnus receives professional achievement award
Carleen (Stransky) Freesmeier was recently honored by Marquette University’s College of Health Sciences with the Professional Achievement Award.

Marquette University’s Alumni National Awards celebrate alumni who represent the true spirit and mission of the university. Freesmeier has worked in the service of others as both a PA and as a mentor to young PAs.

"[To new graduates], every day, every patient, give it your best effort. Take a deep breath and check your own pulse first. You know more than you think you do. We are so fortunate to practice in the best healthcare career out there," she said.

She's working with Infinity HealthCare to support the profession, too. She works with the new APP Council, internal within Infinity HealthCare, that includes selected leaders from each of our practice sites. They meet bimonthly to help address issues which affect APPs as well as drive organizational change. "Most recently we have been working on standardizing onboarding practices for new grad new hires. I am very proud of the work this group is doing," she explained.

At heart, she just loves being an Emergency Medicine PA -- something plenty of WAPA members can relate to.

ER was my first rotation, and I was terrified and truthfully thought I would hate it! But, I completely fell in love with it. No other rotation came close to my experience in EM. I love that each day is different. You have to keep abreast of all areas of medicine. I love the challenge of not knowing what is coming in the door next. I enjoy seeing patients of all ages. I like the procedures. I appreciate everyday how patients trust you on often the worst days of their lives. I genuinely love the mentality of ER staff and how much of a team sport it is!"

You can read about Freesmeier's award and her service efforts on the Marquette Alumni National Awards website.
For the PA Today
We are receiving more phone calls lately from PAs who are new to Wisconsin and have to obtain the right license to practice in their new home state. It can be challenging to reach folks at DSPS and we are looking into better resources for our members.

In the meantime, here is a round up of the state's licensing process. Keep calling (414) 253-8188 or emailing WAPA with your practice questions!

In Wisconsin, physician assistants’ licenses are obtained through the Wisconsin Department of Safety & Professional Services. Candidates interested in obtaining a PA license are required to:

  1. Complete an approved educational program for physician assistants. Wisconsin’s Medical Examining Board only approves accredited educational programs and recognizes accreditation by the following agencies: American Medical Association (AMA), AMA Council on Medical Education, Committee on Allied Education and Accreditation (CAHEA), Commission on Accreditation of Allied Health Education Programs (CAAHEP).

  2. Complete and submit an Application for Physician Assistant including all required documentation and fee. An applicant for permanent licensure may apply for a temporary license at the same time by paying both fees and meeting the following conditions: A) graduate from an approved educational program for physician assistants and scheduled to take the national examination or awaiting examination results; B) Wisconsin application completed and filed; C) affidavit of Supervising Physician form #1512.

    If a temporary license is desired, an applicant must be applying for both the temporary and permanent licensure at the same time.

  3. Pass required examinations and receive certification from the National Commission on Certification of Physician Assistants. The Medical Examining Board will review the application and make a determination to grant credential.After being licensed a physician assistant shall complete and file a Change in Supervising Physician form.
Upcoming Events

WAPA Foundation Fundraiser--Portillos for Good
Location: Brookfield, Wisconsin   

PA Day at the Capitol 2019
Location: Madison, Minnesota

Hospital Medicine for NPs & PAs
5/15/2019 » 5/17/2019
Location: Rochester, Minnesota   

SPOTS Series (Safer Prescribing of Opioids after Trauma and Surgery)
Time: 12:00 PM
Location: Teleconference

10th Annual Current Topics in General Surgery continuing education course
6/7/2019 » 6/8/2019
Location: Madison, Wisconsin    

SPOTS Series
Time: 12:00 PM
Location: Teleconference

SPOTS Series
Time: 12:00 PM
Location: Teleconference

Physician Assistant Board Review: A Comprehensive Review for PAs & NPs
7/30/2019 » 8/2/2019
Location: Rochester, Minnesota    

SPOTS Series
Time: 1:00 PM
Location: Teleconference

3rd Annual Hematology, Oncology & Blood & Marrow Transplant for NPs & PAs
9/13/2019 » 9/15/2019
Location: Rochester, Minnesota    
SPOTS Series
Time: 12:00 PM
Location: Teleconference

Inpatient Medicine for NPs & PAs: Hospital Medicine from Admission to Discharge
10/16/2019 » 10/19/2019
Location: FERNANDINA BEACH, Florida    

2019 WAPA Fall Great Midwestern Conference
10/23/2019 » 10/25/2019
Location: Kohler, Wisconsin   

Top Jobs from the WAPA Career Center
Looking for ways to get your job opening noticed? Head on over to the WAPA Career Center to advertise your positions with WAPA members. Members can search this job board for free.

Advanced Practitioner- Maternal Fetal Medicine, Madison, WI
Madison, Wisconsin
Advanced Practicioner
SSM Health Dean Medical Group

Clinical Assistant Professor Faculty-Marquette University
Milwaukee, Wisconsin
Marquette University

Clinical Assistant Professor Faculty-Marquette University
Milwaukee, Wisconsin
Marquette University

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