Accreditation and implications of clinical postgraduate PA training programs

Hussaini, Sobia S.; Bushardt, Reamer L.; Gonsalves, Wanda; Hilton, Virginia O; Hornberger, Brad; Labagnara, Frank A; O'Hara, Kevin; Sasek, Cody A.; Smith, Benjamin J.; Williams, Jennifer S.

doi:10.1097/01.jaa.0000482298.17821.fb

Cited by 13 publications

(23 citation statements)

References 14 publications

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“…The task force recognizes that academic rheumatology practices may be interested in developing more formalized training programs for NPs/PAs. While NP/PA residency or fellowship specialty training programs exist , most NPs/PAs do not elect to participate in formal postgraduate training programs . While NP/PA postgraduate training programs in other medical specialties offer an educational plan providing curricular content developed at each training site, there exists no centralized or standardized curriculum across the specialty for any of these specialty NP/PA programs.…”

Section: Discussionmentioning

confidence: 99%

Core Curriculum to Facilitate the Expansion of a Rheumatology Practice to Include Nurse Practitioners and Physician Assistants

Smith

Bolster

Slusher

et al. 2018

Arthritis Care & Research

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Section: Discussionmentioning

confidence: 99%

Core Curriculum to Facilitate the Expansion of a Rheumatology Practice to Include Nurse Practitioners and Physician Assistants

Smith

Bolster

Slusher

et al. 2018

Arthritis Care & Research

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“…This confusion is not surprising as one considers physicians’ familiarity with the academic trajectory for medical students and residents. The need for clarity in terminology still exists as the titles of fellow or resident are used interchangeably in advanced practice post-graduate programs (Hussaini et al, 2016; Nicely & Fairman, 2015).…”

Section: App Transition To Practice Concerns Challenges and Needsmentioning

confidence: 99%

Perceptions of Role Transition into Practice among Advanced Practice Providers and Physicians

et al. 2020

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This study sought to examine the experiences of advanced practice providers (APPs) as an approach to inform the development of formalized programs for transition into practice and to compare APP ( N = 122) and physician ( N = 84) perceptions of the novice practitioners’ acclimation into a provider role within the first year of practice. Using a cross-sectional survey design, two separate web-based questionnaires were distributed to APPs and physicians. The APPs’ perspectives echoed findings of earlier studies with regard to perceived confidence, feelings of anxiety/fear, and inadequacy. In 16 of 23 paired items, physicians and APPs had similar perspectives about confidence/competence after orientation. Significant differences in their perceptions included amount of physician support, time management, length of time to become a fully functional APP, and independence. Better understanding of the perceptions of APPs and physicians can augment APP preparation for a shifting workforce composition and team-based, interprofessional practice designed to meet the population’s health care needs.

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“…For 50 years a trend has been underway to adopt a postgraduate model of PA education [ 4 ]. The Association of Postgraduate PA Programs ( APPAP.org ) website lists 72 programs spanning 32 tracks - some within the same institution [ 5 ]. Additionally, some programs were paused during the COVID-19 pandemic of 2020–21.…”

Section: Introductionmentioning

confidence: 99%

A National Survey of postgraduate physician assistant fellowship and residency programs

2021

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Introduction The development of postgraduate programs for physician assistants (PAs) began in 1973 and by 2020 there were approximately 72 programs spread across a broad range of medical and surgical disciplines. PA Post-graduate education programs are voluntary and available to American licensed PAs. Therefore, an assessment of the characteristics of PA post-graduate fellowships and residencies programs was initiated. Method A non-experimental, descriptive research study was designed to obtain information on the characteristics of PA postgraduate education programs in the US. The source of information was from surveyed members of the Association of Postgraduate Physician Assistant Programs (APPAP). Questions were drawn from consensus discussions. Directors of postgraduate programs that were operational in 2020 were eligible to participate. Results Seventy-two postgraduate program directors were invited to the survey and 34 program directors replied. These programs are geographically distributed across the US in 13 states. The respondents represent a wide range of medicine: surgery, emergency medicine, critical care, orthopaedics, hospitalist, psychiatry, oncology, primary care, pediatrics, and cardiology. Most programs are associated with an academic medical center and some institutions have more than one postgraduate specialty track. The curriculum includes bedside teaching, lectures, mentorship, assigned reading, procedures, simulation, and conferences. An average program length is 12 months and awards a certificate. Stipends for PA fellows are $50,000–80,000 (2020 dollars) and benefits include paid time off, health and liability insurance. About half of the programs bill for the services rendered by the PA. Over 90% of graduates are employed within 2 months of completing a PA postgraduate training program. Conclusion A trend is underway in American medicine to include PAs in postgraduate education. PA postgraduate training occurs across a broad spectrum of medical and surgical areas, as well as diverse institutions and organizations overseeing these programs. Most PA postgraduate programs are in teaching hospitals where the PA resident or PA fellow also serves as a house officer alongside a categorical resident. This study sets the stage for more granular economic and social research on this growing phenomenon in American medicine.

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Accreditation and implications of clinical postgraduate PA training programs

Cited by 13 publications

References 14 publications

Core Curriculum to Facilitate the Expansion of a Rheumatology Practice to Include Nurse Practitioners and Physician Assistants

Core Curriculum to Facilitate the Expansion of a Rheumatology Practice to Include Nurse Practitioners and Physician Assistants

Perceptions of Role Transition into Practice among Advanced Practice Providers and Physicians

A National Survey of postgraduate physician assistant fellowship and residency programs

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