Meet the Physician Assistants of
SNCA

Q. What is a Physician Assistant (PA)?

A. Physician assistants are health care professionals licensed, or in the case of those employed by the federal government they are credentialed, to practice medicine with physician supervision. As part of their comprehensive responsibilities, PAs conduct physical exams, diagnose and treat illnesses, order and interpret tests, counsel on preventive health care, assist in surgery, and write prescriptions. Within the physician-PA relationship, physician assistants exercise autonomy in medical decision making and provide a broad range of diagnostic and therapeutic services. A PA's practice may also include education, research, and administrative services.

PAs are trained in intensive education programs accredited by the Accreditation Review Commission on Education for the Physician Assistant (ARC-PA) .

Because of the close working relationship the PAs have with physicians, PAs are educated in the medical model designed to complement physician training. Upon graduation, physician assistants take a national certification examination developed by the National Commission on Certification of PAs in conjunction with the National Board of Medical Examiners. To maintain their national certification, PAs must log 100 hours of continuing medical education every two years and sit for a recertification every six years. Graduation from an accredited physician assistant program and passage of the national certifying exam are required for state licensure.  http://www.aapa.org/geninfo1.html

Tracy Dunklee
Gretchen Goicoechea

Tracy Dunklee, PA-C

Tracy earned her bachelors degree in biology from the University of Nevada, Reno in 1992.  She graduated summa cum laude with a degree in Physician Assistant studies at Alderson-Broaddus College in West Virginia in 2000 and completed her clinical residency at Marion General Hospital and the Smith Clinic, Inc. in Marion, Ohio in 2001. 

Originally from the Lake Tahoe area, Tracy has been back in the area as a practicing Physician Assistant since 2001 and joined Sierra Nevada Cardiology Associates in May 2005.  She is an associate member of the American College of Cardiology, a member of the American Academy of Physician Assistants and a member of the Nevada Association of Physician Assistants.

Tracy assists our physicians at Renown Regional Medical Center and will see patients in the Reno office.
Gretchen Goicoechea, PA-C

Gretchen studied chemistry and health science at the University of Nevada Reno, receiving her degree as a Physician Assistant at the University of Washington School of Medicine in Seattle, Washington in 1999.  Gretchen then completed a Bachelor of Science - Clinical Health Sciences also from the University of Washington School of Medicine in Seattle, Washington.

Gretchen is a member of the American Academy of Physician Assistants, the American College of Emergency Physicians, the Nevada Academy of Physician Assistants and the Washington Academy of Physician Assistants.

Gretchen enjoys outdoor sports like skiing, rock climbing, sailing and knee boarding.  As well as, spending days away from work at my family’s ranch located in the Sierra Nevada foothills, working cattle and raising sheep.
Jennifer McCord, PA-C

Jennifer McCord, PA-C

Jennifer received a degree in Cell/Molecular Biology with a minor in chemistry from University of Nevada, Reno.  This was followed by attending the Physician Assistant Program at Union College in Nebraska.  I have been with SNCA for nearly four years.  My professional interests include congestive heart failure, women's health, preventative medicine (particularly smoking cessation), and working closely with patients in their hospital follow up care, helping them understand their disease.

Jennifer will assist our physicians at Carson-Tahoe Regional Medical Center and see patients at our Carson City office.

Melissa Shelley, PA-C

Melissa Shelley, PA-C

Melissa completed an undergraduate degree at Brigham Young University in Provo, Utah.  She completed a Masters degree in Physician Assistant Studies at Arizona School of Sciences in Mesa, Arizona.  Following graduation she practiced as a PA in pediatric cardiology for three years.  Born and raised in Reno, she returned to join SNCA in October 2007.  She is a member of the American Association of Physician Assistants, Nevada Academy of Physician Assistants, and Heart Rhythm Society.

Melissa will see patients in our Reno office.
Gretchen Goicoechea, PA-C
Nav - Back