U.S. Army MEDCOM Pamphlet 40-7-21 Physician Assistant (PA) Algorithm - Directed Troop Medical Care

Jeffrey Frank Jones

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 PURPOSE. This pamphlet serves as a guide to provide commanders of military treatment facilities (MTFs) standardized clinical algorithms for use by screening personnel in determining the urgency and level of care that the active duty (AD) Soldier requires and, when appropriate, in providing minor treatment to him.

RESPONSIBILITIES.
a. The MTF commander will–

(1) Ensure that screeners are provided adequate supervision in accordance with paragraph 11 of this pamphlet and performance evaluation by a physician, physician assistant (PA), or other qualified provider specifically assigned this responsibility.

(2) Ensure that the individual screener's scope of practice with regard to evaluating, treating, and/or determining the disposition of AD sick call patients is delineated in writing and that it is reviewed and revised at least annually.

(3) Approve the list of self-care medications, as recommended by the pharmacy and therapeutics committee (see AR 40-3) to be dispensed by screeners.

(4) Ensure implementation of the performance improvement (PI) requirements in paragraph 13 of this pamphlet.

(5) Establish a local training program for screeners to include table of organization and equipment personnel when they function as screeners.

(6) Ensure documentation of completed training in the screener’s competency assessment file (CAF).

b. The TMC/BAS supervising medical officer will–

(1) Certify in writing that clinic personnel performing the screening function have received training and evaluation in the proper use of the algorithm-directed troop medical care (ADTMC).

(2) Ensure training, retraining, and inservice education as necessary to support the overall program.

(3) Promote screener training by encouraging medical officers to see patients jointly with the screeners.