On Licensure and Certification
Although medical assistants may be well aware of their
duties, responsibilities, skill levels, and scope of
practice, they are among the minority. Many working
in the healthcare field, including doctors, medical office and
healthcare facility manages, and nurses are not
always one hundred percent sure what the pre-employment
qualifications and medical assistant's duties are.
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Lorraine, a Certified Medical Assistant (CMA)
with years of experience in the field has shared the following
article.
On Licensure:
More in our
Medical Assistant Forum
Our patients may have an inkling that we're not all
nurses but they don't quite know what our title or training
is. Add to this confusion the commercials for MA schools
that depict the medical assistant racing down the hospital
corridor beside a gurney, as if she’s rushing someone into the
ER, and it’s no wonder there’s so much confusion.
The Clout of Cluelessness
A glance at any nursing forum shows that aside from the
nurses who work in outpatient or ambulatory care centers, most
nurses don't have a clue. Comments like "MA's can give
injections???" are commonplace due simply to lack of knowledge
of the MA’s role and scope of practice on the part of the
posters.
Since there are no "hard and fast" requirements for becoming
a MA, there is naturally a huge disparity in regards to MA
education and skill levels. Yes, one CAN have absolutely no
medical education what-so-ever and be hired as a MA with "on
the job training". While most of us would agree that this is
not the ideal scenario, there are in most states no regulations
to prevent this from happening.
I wouldn't take my computer to be repaired by someone who
wasn't certified in that field but we expect the public and
medical community to accept our capabilities without question?
I believe this is a major stumbling block for MA's in their
quest to being considered part of the professional medical
field. How can we get the respect we deserve if there are no
"standards" in our profession?
I work in a very busy family practice. Out of six medical
assistants, I am the only one certified in any way. This is not
to say that I am any more qualified than anyone else that I
work with. In fact, the colleagus I work with have been in the
field for many years and I seek their advice daily.
Most of them HAVE been certified by some organization and
have simply let that certification lapse. In reality, what’s
the point of keeping a certification up if it:
a.) is not required
b.) has no relevant bearing on your
status or income
In an updated version of an article by the AAMA originally
published in 1996 and updated in 2003, it is noted that only
seven states (Arizona, California, Florida, New Jersey,
Maryland, South Dakota, and Washington) have specific
regulations pertaining the scope of practice of MA's. In most
instances, the MA is permitted to perform any technical
procedure not prohibited elsewhere by law as long as the
supervising physician deems the MA qualified and properly
trained to perform.
There also seems to be no standard as far as medical
assisting schools goes. Unless a school wants to be accredited
by a certain agency (ABHES, CAAHEP, etc.) there are no
guidelines required as to curriculum, classroom hours and so
on.
This creates quite a conundrum for medical assistants. If we
decide we want a specific scope of practice, it may actually narrow
a pretty broad scope of practice that many of us now have.
Also, if we decide we want specific standards by the way of
licensure, we will open ourselves up to the liability
issues that go along with that.
Instead of working under a physicians license as we do now, we'll be
working under our own. As it stands, we have no one to be
accountable to. You can't take away something
(certification) that’s voluntary to start with. Well, you
can, but what does it matter if you don't really need it to
work in the field?
Mandatory Licensure For Medical Assistants
Despite the above reservations, I still feel that
mandatory licensure, along with standardized educational
requirements is the only way for the medical assistant to gain
widespread acceptance and respect. Perhaps then, medical
assistants would be welcomed by the rest of the medical
community as the highly valued professionals we know we
are.
*Written for this website by Lorraine, CMA,
CNA
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