North Carolina Institute for Public Health

Physical Assessment of Adults and STD Nurse Clinician Training Combined Practicum Course

Fall 2022

August 18, 2022 to August 2023

Applications are now open until July 29th.

The total cost for the PAA/STD Combined course is $1,160 (see Course Registration Fees, below)

If you have questions about course content or assignments, please contact the course instructor, Jean Davison, by email at

Time Commitment: Plan to spend approximately 20 hours per module (approx. 10 hrs/wk) to focus on this course. This estimate is just a guideline—some may need more (or less) time.

Course Dates: August 18th – March 2023 (Mostly Thursdays), with practicum April – Sept 2023. Fall 2022 course schedule (pdf).


Nursing studentsSuccessful completion of this course and the five-month clinical practicum qualifies public health nurses for dual certification from the NC Division of Public Health as a Physical Assessment of Adults (PAA) Enhanced Role RN and Sexually Transmitted Diseases (STD) Enhanced Role RN to perform routine annual screening physical exams and provide STD services. The first part of this course, PAA, is designed to provide North Carolina public health nurses at county health departments with comprehensive data on obtaining health histories and physical assessments of adults and enables them to screen for breast and cervical cancer and perform a complete physical assessment and develop a nursing plan of action. The most common PAA ERRN role is utilized as best practice found in the health department NC Breast and Cervical Cancer Control Program (NCBCCCP) and WISEWOMAN (Well-Integrated Screening and Evaluation in Women Across the Nation) Program Manual.  The second part of this course, STD, prepares nurses to implement a comprehensive STD screening and management program to reach patients in their local communities who are at high risk for STDs.

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The curriculum is designed for registered nurses who are currently working or who are preparing to work in clinics at North Carolina local health departments. Selection of applicant(s) is the responsibility of the local public health nurse supervisors and Directors of Nursing in cooperation with the regional Communicable Disease Regional Nurse Consultants and the ERRN Program Director.

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Jean Davison, RN, DNP, FNP-BC

Jean is a Family Nurse Practitioner, a Clinical Associate Professor at the UNC School of Nursing, and a Nursing Education Specialist with the North Carolina Institute for Public Health (NCIPH).
View instructor bio.

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  • The Public Health Nursing Institute for Continuing Excellence
  • The North Carolina Institute for Public Health, The University of North Carolina at Chapel Hill Gillings School of Global Public Health

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Part 1: Physical Assessment of Adults

Part 1 is a blended learning environment consisting of online learning, as well as, onsite instructor-led training. The online learning is both facilitated (through ‘live’ instructor-led webinars), and self-paced (through pre-recorded webinars). In addition, participation in the onsite skills practice session in Chapel Hill (noted above) is required. Student assignments will include: reading assignments, video assignments, homework assignments, clinical assignments, quizzes and a final exam.

Part 2: STD Nurse Clinician Training

Part 2 is an online learning environment consisting mostly of self-paced modules. Students will have quizzes and a final exam. In addition, students must complete the corequisite course noted below.

Part 3: PAA/STD Combined Practicum

Part 3 consists of students working through their practicum requirements and completing their final skills check-off­ evaluation with a clinical skills examiner.

For more information about the course’s technical requirements, please review the System Requirements section below. Technical support will be provided to students during the course.

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After completion of this course, participants will be able to:

  • Identify and document an age-appropriate health history; assess signs, symptoms, and risk factors; utilize the Problem Oriented Health Record.
  • Demonstrate a physical assessment.
  • Distinguish between normal, possibly normal, and abnormal conditions.
  • Describe and record the assessment findings in explicit terms.
  • Practice referring clients with possible abnormal or abnormal findings to appropriate medical care.
  • Plan for appropriate medical care and appropriate follow-up.
  • Demonstrate clinical management utilizing the nursing process and principles of health promotion/disease prevention for individuals and populations at risk.
  • Demonstrate and document an STD assessment.
  • Identify and treat specified STDs by standardized protocols and standing orders.
  • Develop a working knowledge of specimen collection and laboratory procedures as they relate to STD assessment and treatment.
  • Demonstrate STD patient education, risk reduction counseling, and follow-up for STDs utilizing a client-centered approach.
  • Combine STD risk assessment into the patient assessment process.

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  • HIV counseling and testing is NOT offered in the context of this course. The North Carolina HIV Counseling, Testing & Referral Training must be completed prior to completion of the clinical practicum. Students can obtain the required training by completing one of the trainings offered through Whetstone Consultations.

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Required pre-course planning

Each student must arrange (through the regional nurse consultant with the Office of Public Health Nursing) for an on-site clinical advisor/preceptor and a clinical skills examiner. A Required Joint Planning Agreement(s) signed by the student, supervisor, clinical advisor/preceptor, clinical skills examiner and regional nurse consultant with the Office of Public Health Nursing must be completed by the start of course.

Please plan to spend approximately 8-10 hours per week to focus on this course. Fall 2022 course schedule (pdf).

Before the course starts, please secure a copy of the course textbook, “Physical Examination and Health Assessment,” 8th edition

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Expectations of students

For successful completion, participants must:

  • Attend all live webinar sessions (course schedule (pdf))
  • Complete Pre-test and Honor Code checklist
  • Complete the Required Joint Planning Agreement(s)
  • Complete all assignments by due date
  • Score at least 80% on final Part 1 PAA examination
  • Score at least 80% on final Part 2 STD examination
  • Complete Part 3 clinical practicum within five months
  • Pass the final practicum check-offs

Note: students cannot begin Part 2 STD until all PAA assignments and PAA final examination are successfully completed.

Students are permitted only one extension for the clinical practicum. After the one extension, the student must take the challenge exam in order to continue the clinical practicum.

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Continuing Education Units (CEUs) have been applied for through the William and Ida Friday Center for Continuing Education at the University of North Carolina at Chapel Hill. A certificate of CEUs will be provided for each student upon successful completion of the clinical practicum. Registration information will be sent to the CEU Office at the Friday Center for Continuing Education at UNC CH where a permanent transcript of all CEU courses taken from UNC CH are maintained.

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To register, you must first submit an Application for Physical Assessment of Adults and STD Nurse Clinician Training Combined Practicum Course (see the link below) in order to verify that you have completed the necessary prerequisites. After your application is approved, you will be emailed the link to officially register for the course. The application must be signed by the student and his/her supervisor. Scan the approved application and send to Find application deadlines at the top of this page.

View and Print Application for Physical Assessment of Adults and STD Nurse Clinician Training Combined Practicum Course (required).

If you have problems accessing or downloading or completing the application form, contact Shelley Hoekstra at

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Course registration fees

After your application is approved, you will receive a link to the online registration form. You must submit your registration and first payment on or before the designated due date.


The course fee will be divided into two payments.

Total cost for the PAA/STD Combined course is $1,160 ($885 first installment, $275 practicum)

PAA only = $775 ($500 first installment, $275 practicum)

STD only = $400 ($125  first installment, $275 practicum)

Contact the registrar for cost details: Shelley Hoekstra at

Checks should be made out to the University of North Carolina at Chapel Hill and sent to NCIPH, Campus Box 8165, UNC Chapel Hill, NC 27599-8165.

Important: The first registration fee payment must be received or postmarked no later than the designated due date or your registration will be CANCELLED. Find registration and payment deadlines at the top of this page.

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Challenge exam

Contact Jean Davison at, for more information about the challenge exam or to see if you meet the requirements to challenge this course. The challenge fee is $275.

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More information

For more information about the course application, registration or fees, contact course program manager Shelley Hoekstra at

For more information about the course schedule, curriculum or challenge process, contact course faculty Jean Davison at

NCIPH’s educational programs reflect our organizational values as well as those of UNC Gillings. Diversity, inclusiveness and civility are core values and characteristics of the School.