The Physician Assistant Student's Guide to the Clinical Year: Internal Medicine

The Physician Assistant Student's Guide to the Clinical Year: Internal Medicine

David Knechtel, MPAS, PA-C, Deborah Opacic, EdD, PA-C


  • Description
  • Author
  • Info
  • Reviews


“A lifesaver – not just for PA students, but for faculty and administrators trying our best to prepare them. Perfect for students to read and use on rotation.”

– James Van Rhee, MS, PA-C, DFAAPA, Program Director, Yale Physician Assistant Online Program

The first pocket-size resource to guide PA students through their internal medicine rotation

Prepare for and thrive during your clinical rotations with the quick-access pocket guide series, The Physician Assistant Student’s Guide to the Clinical Year. The Internal Medicine edition of this 7-volume series, discounted when purchased as a full set, delineates the exact duties required in this specialty.

Written by experienced PA educators, this guide details the clinical approach to common presentations such as chest pain, dyspnea, and fever. It also provides a systems-based approach to more than 60 of the most frequently encountered disease entities you will see in this rotation, including cardiac arrhythmias, pneumonia, and hepatitis.

Distinguished by brief, bulleted content with handy tables and figures, the reference offers all pertinent laboratory and imaging studies needed to confirm a diagnosis, with medication and management guidelines. This guide also describes the most common procedures you will learn during the internal medicine rotation, including bone marrow aspirate and biopsy, lumbar puncture, and thoracentesis.

Key Features:

  • Provides a pocket-size overview of the PA internal medicine rotation
  • Describes common clinical presentations, disease entities, and procedures
  • Offers a step-by-step approach to diagnosis and treatment planning
  • Includes clinical pearls throughout
  • Complements the 2019 NCCPA PANCE blueprint
  • Includes two bonus digital chapters! Three guided case studies to reinforce clinical reasoning plus 25 rotation exam-style questions with remediating rationales

Other books in this series:

The Physician Assistant Student’s Guide to the Clinical Year:

  • Family Medicine
  • Emergency Medicine
  • Surgery
  • OB-GYN
  • Pediatrics
  • Behavioral Health


David Knechtel, MPAS, PA-C:

David Knechtel, MPAS, PA-C, is the Clinical Coordinator at the Milligan College Physician Assistant program and a practicing PA at Pulmonary Associates of East Tennessee. Mr. Knechtel graduated from Duquesne University in 2006. Prior to his appointment as Clinical Coordinator in 2017, he was a full time PA in the field of pulmonology, internal medicine, and primary care for 11 years. In addition to his pulmonary practice, he is a volunteer provider at Providence Medical Clinic, a free clinic for indigent patients. He is a member of Tennessee Academy of Physician Assistants and has been a speaker at their state conference. He belongs to PAEA and AAPA as well.


Deborah Opacic, M.M.S., EdD, PA-C, DFAAP received a Bachelor of Science - Physician Assistant at St. Francis University in Loretto, PA in 1982. She completed her graduate studies and received a Master of Medical Science, at St. Francis in 1994, and a Doctoral Degree in Educational Leadership from Duquesne University in 2001. Dr. Opacic has held clinical and academic appointments at the Western Psychiatric Institute and Clinic, the University of Pittsburgh, Duquesne University and Allegheny General Hospital. Her clinical experience is in Adult Psychiatry, Hematology/Oncology, Cardiothoracic Surgery; Heart, Lung and Liver Transplantation and Gastroenterology. During her 12 year tenure at Duquesne University, Dr. Opacic served as Academic Coordinator, Clinical Coordinator and Vice Chair of the Department of Physician Assistant. In 2010, she received the Pennsylvania Society of Physician Assistant’s “Educator of the Year Award”. Dr. Opacic is the founding Director of the Physician Assistant Studies Program at the University of Pittsburgh. She recently returned to clinical practice in the Division of Gastroenterology at the Allegheny Health Care Network. Dr. Opacic received both the Pennsylvania Society of Physician Assistants Award as PA Educator of the Year 2010 and the Pennsylvania Society of Physician Assistants Award as Humanitarian of the Year 2018 for her work as a Primary Care volunteer provider and grant writer for Sheep Inc. Free Health Care Center located in East Pittsburgh, PA. She is a Distinguished Fellow of the American Academy of Physician Assistants, Member of the AAPA’s Research and Strategic Initiatives Commission, Fellow of the Society of Gastroenterology Physician Assistants, and the Pennsylvania Society of Physician Assistants.