University of Lynchburg DMSc Doctoral Project Assignment Repository
Specialty
Primary Care
Advisor
Dr. Sarah Bolander DMSc, PA-C
Abstract
Rare diseases frequently present with nonspecific symptoms that are similar to common conditions. This results in prolonged diagnostic times and delayed treatment times. Physician Assistants (PAs) are often the point of contact for these patients, yet many PAs report limited training when it comes to recognizing atypical patterns that are associated with rare disease. This doctoral project aims to decrease diagnostic delay in rare disease by incorporating a clinical intervention strategy for primary care PAs focused on atypical symptom recognition, red-flag identification and appropriate referral time. The project implements an evidence-based educational and clinical improvement model. The anticipated outcomes include increased confidence among primary care PAs, improved awareness of rare disease and access to earlier specialty referrals among patients with identified symptoms. Ultimately, the goal of this project is to strengthen early recognition in primary care and improve patient outcomes in persons with rare disease diagnoses.
Recommended Citation
Cummings S. Reducing Diagnostic Delay in Rare Diseases. University of Lynchburg DMSc Doctoral Project Assignment Repository. 2026; 8(1).
Restricted
Available when accessing via a campus IP address or logged in with a University of Lynchburg email address.
Off-campus users can also use 'Off-campus Download' button above for access.