10/29/2023

Op-Ed: Shannon Urena, PA-C, on Finding the Value of PA Community

Approximately 2.5 years ago I found myself transitioning from a private practice role into a hospital setting. Not only was I shifting into a new professional environment, but the surgical sub specialty PA role was an unfamiliar position of employment at my institution. The concept of not having a surgical PA at an institution was equally puzzling to me, too. Additionally, the entire country was in flux with the COVID 19 pandemic. As one could imagine, the need for all and any providers within all specialties resonated with me as a requisite.

I immediately contacted our state chapter—OAPA. OAPA gave me so much during such a perplexing undertaking in my career and they continue to do so relentlessly. For example, OAPA gave me direction regarding our scope of practice and legislative rights that are written in law. As we know, all states differ to some degree when it comes to practice. This helped me navigate this space and in turn educate administrative and medical staff at the institution. Nevertheless, this then led to my next project which I spearheaded-- privileges and bylaws.

Scope of practice is not only determined by the state but can be set by the privileges/bylaws at your institution. I noticed our documents were outdated and needed a facelift. OAPA immediately placed me in contact with someone who has been a staunch advocate of the
profession and was familiar with this space—Josanne Pagel. I could not have modernized or improved our PA privileges and bylaws without her. I am forever grateful to her.

Nevertheless, my work was not done. I still had more to do. I was instructed that my need to be in the operating room was “not required” and “un-billable.” I knew this was false and OAPA immediately came to the rescue, yet again. I was given valuable contacts and information that was factual. That being said, this material allowed me to guide administration and direct them to concrete data.

OAPA is all encompassing and gives PAs more than continuing medical education. While that is one of the greatest perks, OAPA gives us more: invaluable guidance, connection to other colleagues, constructive advice, and fosters the foundation of our profession. I would not have made the progress I made over the last several years without this organization. OAPA promotes the profession and propels the advancement of PAs.

In closing, there is always more to do and continuous advocacy for the profession. I look forward to ongoing positive interactions with OAPA colleagues. I am forever indebted to OAPA, and I hope whoever is reading this considers this too.

Shannon L. Urena, M.S., M.S., PA-C, DMSc Candidate, works in AMG Plastic & Reconstructive Surgery at Aultman Hospital in Canton, Ohio. She also serves on the Credentials Board Committee at Aultman Hospital, the Government Affairs Committee (rules subcommittee) for OAPA and is an AAPA Delegate.