Perspectives on the Acute Care Continuum

The Acute Care Continuum is the integration of urgent, emergent, inpatient and post-discharge care of patients with acute medical conditions. 

How an EM PA Found Her Work Family — and Path to Leadership — at CEP

10/5/2016 12:30:24 PM | 4 comments

Emergency medicine is a team sport. There would be no way to deliver quality emergency care to the millions of Americans who present to our emergency departments without talented and motivated individuals in every role. Cyndy Flores is one of those exquisitely dedicated "non-physician" leaders bringing the team at CEP America to the next level.
Cyndy has been a physician assistant for over 20 years. Her path to emergency medicine is familiar to many. A ski-related knee injury derailed her successful paramedic career, and she was encouraged by the PAs in her orthopedist office to pursue this alternate path.
At that time, common knowledge about PA career options was limited. Cyndy’s mom said, "If you are a really good PA, maybe one day you can even go to nursing school," referring to the only "non-physician" clinical career she knew.
After graduation, Cyndy naturally gravitated towards emergency medicine and began working at hospitals in California. She had the confidence and personality to shine clinically in the ED. She was excited to be at work every day but had never given formal professional advancement much thought.
It was a chance encounter at her first CAPA (California Academy of PAs) meeting that really sparked her path to leadership. She tells the story of how she was lying at the pool playing hooky from the lectures when a colleague convinced her to give up the sun with the line, "Hey, you should come to the board meeting. I think you’d like it. It’s a lot of fun." Cyndy went to that board meeting, was inspired, and never saw the pool deck again.
As a past president and frequent committee chair, Cyndy credits CAPA with giving her the leadership and advocacy experience as well as the confidence to develop her vision for advanced providers at CEP. When Cyndy describes the collaboration between advanced providers and physicians, she highlights the unique ability of such a large organization to create such high performing and happy "work families" at each practice site. She credits CEP’s supportive physician leadership, progressive atmosphere, and innovative culture for creating a space to develop advanced providers along with physicians.
Cyndy refers to this "familial" environment as the best reason why it's great to work for CEP, regardless of the role. She feels CEP has a clinical environment for every physician, advanced provider, and nurse wanting to deliver the highest quality emergency care.
When Cyndy started at CEP, there were few advanced providers. As the organization grew, the numbers of PAs and NPs had to grow with them. Cyndy has been able to create her own leadership path, but how does a PA carve out a leadership role when there wasn’t one before?
Well, Cyndy tells it best:

Our former Chief Operating Officer, Mark Spiro, MD, began calling me with regulatory questions about the advanced provider side of the practice. He recognized our potential early on. After the third call, I joked that I was going to start charging him by the answer. We laughed, but he took my request seriously. That is how I ended up heading our first PA/NP advisory committee. Within just a few years, our advanced provider practice has grown from 80 providers to 1,100.
CEP has been great about recognizing the need for leadership within the advanced provider ranks. We’ve created leadership positions at the team and regional levels as well as directors of Operations, Strategy and Innovation, Recruitment and Retention, and Learning and Development. So we’ve been able to build a very robust program, and I feel lucky to have been a part of that.

In addition to her love of the clinical practice of emergency medicine, Cyndy has been able to broaden the leadership and development programs that she developed, thus allowing other advanced providers to become leaders and contribute to CEP’s commitment to collaboration and flexibility.
Which brings it back to the family environment. CEP America is a truly democratic physician partnership with advanced provider employees who feel like true partners in the delivery of quality medical care. The "work family" culture permeates every aspect of the organization, whether it is mentorship, leadership, or fiscal transparency. Cyndy’s longevity with CEP is clear evidence of her deep commitment to the organization. It is also a testament to how CEP team members embody and behave in true alignment with CEP’s mission and values. They deliver on their promises to employees as well as patients. This "CEP difference" — that strong commitment to respect and community that brings out the best in people — is what Cyndy and other leaders at CEP are most proud of at the end of the day.
This post originally appeared at

Tiffany Purvis
Cyndy is the reason I am a PA!! She is an amazing inspiration, mentor, and advocate for individuals, the PA profession, and for CEP America!! Thank you dear friend for being a guiding and supporting light for so many years!!! Congratulations on this wonderful article and thank you for being part of my Work Family too!!
10/15/2016 7:32:44 PM

Jon Brummond
You have done so much for so long for CEP America, the PA professions, and the patients we serve. Such a great privilege to have worked with you all these years. My mentor, my inspiration, my friend. Love ya!
10/15/2016 9:02:26 AM

Michelle Willis PA-C
Cyndy is an excellent leader and mentor to all of the NP/PA's at CEP and is one of the main reasons I chose CEP for my career!
We are truly blessed to have such a caring leader and professional example!
10/8/2016 3:42:21 PM

Kevin Riggs
Thank you Cyndy for being such an amazing advocate and role model for advanced providers! CEP America is truly fortunate to have your servant leadership.
10/7/2016 9:04:10 AM