The need for greater diversity in the PA profession

Coplan, Bettie; Fleming, Shani

doi:10.1097/01.jaa.0000554743.08935.d0

Cited by 12 publications

(9 citation statements)

References 24 publications

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“…It is critically important that PAs from URiM backgrounds are supported and derive benefits from certification. There is an ongoing need for increasing diversity in the PA profession [ 26 ], with the majority of PAs (over 80%) being white and 94% non-Hispanic/Latino [ 18 ]. Increasing health workforce diversity fosters innovation, improves patient access to care, satisfaction, and outcomes while reducing health disparities [ 27 ].…”

Section: Discussionmentioning

confidence: 99%

The association of physician assistant/associate demographic and practice characteristics with perceptions of value of certification

Kozikowski¹,

Morton-Rias²,

Puckett³

et al. 2023

BMC Med Educ

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Background To determine physician assistant/associate (PA) perceptions of the value of certification and explore how they vary across demographic and practice characteristics. Methods We conducted a cross-sectional online survey between March and April 2020 with PAs participating in the longitudinal pilot program for recertification administered by the National Commission on Certification of Physician Assistants (NCCPA). The survey was distributed to 18,147 PAs, of which 10,965 participated (60.4% response rate). In addition to descriptive statistics, chi-square tests were conducted on demographics and specialty to examine if perceptions of value of certification (1 global and 10 items measuring specific domains) were associated with a particular PA profile. A series of fully adjusted multivariate logistic regressions were performed, exploring the relationship between PA characteristics and the value of certification items. Results Most PAs strongly agreed/agreed that certification helps with fulfilling licensure requirements (9,578/10,893; 87.9%), helps with updating medical knowledge (9,372/10,897; 86.0%), and provides objective evidence of continued competence (8,875/10,902; 81.4%). The items receiving the lowest percentage of responses for strongly agreeing/agreeing were for certification providing no value (1,925/10,887; 17.7%), helping with professional liability insurance (5,076/10,889; 46.6%), and competing with other providers for clinical positions (5,661/10,905; 51.9%). Age 55 and older and practicing in dermatology and psychiatry were among the strongest predictors of less favorable views. PAs from underrepresented in medicine (URiM) backgrounds had more positive perceptions. Conclusions Overall, the findings indicate that PAs value certification; however, perceptions varied by demographics and specialties. PAs who were younger, from URiM backgrounds, and practicing in primary care specialties had among the most favorable perspectives. Continued feedback monitoring is critical in ensuring certification is relevant and meaningful in supporting PAs across demographics and specialties. Measuring PA perceptions of the value of certification is essential to understanding how to support the PA profession's current and future credentialing needs and those who license and hire PAs.

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Section: Discussionmentioning

confidence: 99%

The association of physician assistant/associate demographic and practice characteristics with perceptions of value of certification

Kozikowski¹,

Morton-Rias²,

Puckett³

et al. 2023

BMC Med Educ

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“…Biomarkers are principally used for disease diagnosis and prognosis evaluation, prediction of the disease tendency, and evaluation of the response to treatment, facilitating the improvement of intervention measures for patients ( 75 , 76 ). The search for effective biomarkers for PC has been ongoing for a few decades, and it has come a long way owing to advanced genomic technologies and tools ( 77 , 78 ). However, the discovered specific biomarkers may be invalidated by tumor heterogeneity because these molecular mediators are closely correlated with cancer etiopathogenesis ( 79 ).…”

Section: Clinical Prospects Of Pcgem1mentioning

confidence: 99%

LncRNA PCGEM1 in Human Cancers: Functions, Mechanisms and Promising Clinical Utility

Zheng

et al. 2022

Front. Oncol.

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As novel members of the noncoding RNA family, long noncoding RNAs (lncRNAs) have been widely reported to function as powerful regulators in gene expression processes, including chromosome remodeling, transcription interference and posttranscriptional modification. With the rapid development of metagenomic sequencing, numerous studies have indicated that the dysregulation of lncRNAs is closely associated with diverse human diseases, especially cancers. Prostate Gene Expression Marker 1 (PCGEM1), a recently identified lncRNA, has been reported to play a crucial role in the initiation and progression of multiple tumors by interacting with pivotal regulators of tumor-related signaling pathways. In this review, we will retrospectively review the recent studies of the expression of lncRNA PCGEM1 in human cancers and comprehensively describe the underlying regulatory mechanism by which PCGEM1 functions in tumors. More importantly, based on the relationship between PCGEM1 and cancers, the potential application of PCGEM1 in clinical diagnosis, prognosis and therapeutic treatment will also be highlighted.

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“…51 To build a more diverse healthcare workforce, PAs should actively engage in recruitment efforts encouraging groups underrepresented in medicine to apply for PA school; PAs and faculty also should create the scaffolding to address retention, allowing for higher success rates for these students while they are in the PA program. 52 We can do this by establishing relationships with interested students during high school and college, offering guidance and advocacy through the application phase, creating a supportive environment throughout PA education, and providing mentorship, particularly during the early career phase.…”

Section: Recommendationsmentioning

confidence: 99%

Structural racism, health disparities, and opportunities for PA practice

Fleming¹,

Coplan²,

Najera³

et al. 2022

Jaapa

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Social determinants of health are rooted in structural racism. The healthcare community has long recognized the existence of signifi cant race-and ethnicity-related health disparities. Yet pervasive disparities persist despite ongoing calls for institutions and healthcare professionals to promote health equity by addressing bias, discrimination, and social determinants of health. All PAs must take responsibility for the various ways in which we may unwittingly reinforce racism in our profession, and must shift our focus from treating the effects of racism to preventing them.

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The need for greater diversity in the PA profession

Cited by 12 publications

References 24 publications

The association of physician assistant/associate demographic and practice characteristics with perceptions of value of certification

The association of physician assistant/associate demographic and practice characteristics with perceptions of value of certification

LncRNA PCGEM1 in Human Cancers: Functions, Mechanisms and Promising Clinical Utility

Structural racism, health disparities, and opportunities for PA practice

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