Literature DB >> 21639078

Physician assistant education: five countries.

Roderick S Hooker1, Luppo Kuilman.   

Abstract

BACKGROUND: Physician assistant (PA) education has undergone substantial change since the late 1960s. After four decades of development, other countries have taken a page from the American experience and launched their own instructional initiatives. The diversity in how different countries approach education and produce a PA for their nation's needs provides an opportunity to make comparisons. The intent of this study was to document and describe PA programs in Australia, Canada, the United Kingdom, The Netherlands, and the United States.
METHODS: We reviewed the literature and contacted a network of academics in various institutions to obtain primary information. Each contact was asked a set of basic questions about the country, the PA program, and the deployment of graduates. Information on US PA programs was obtained from the Physician Assistant Education Association.
RESULTS: At year's end 2010, the following was known about PA development: Australia, one program; Canada, four programs; United Kingdom, four programs; The Netherlands, five programs; the United States, 154 programs. Trends in program per capita growth remain the largest in the United States, followed by The Netherlands and Canada. The shortest program length was 24 months and the longest, 36 months. Outside the United States, almost all programs are situated in an academic health center ([AHC] defined as a medical university, a teaching hospital, and a nursing or allied health school), whereas only one-third of US PA programs are in AHCs. All non-US programs receive public/government funding whereas American programs are predominately private and depend on tuition to fund their programs.
CONCLUSION: The PA movement is a global phenomenon. How PAs are being educated, trained, and deployed is known only on the basic level. We identify common characteristics, unique aspects, and trends in PA education across five nations, and set the stage for collaboration and analysis of optimal educational strategies. Additional information is needed on lesser-known PA programs outside these five countries.

Mesh:

Year:  2011        PMID: 21639078     DOI: 10.1097/01367895-201122010-00010

Source DB:  PubMed          Journal:  J Physician Assist Educ        ISSN: 1941-9430


  11 in total

1.  Letter to the editor: Introducing physician assistants to Thailand's rural health.

Authors:  Luppo Kuilman; Viroj Wiwanitkit
Journal:  Malays J Med Sci       Date:  2012-04

Review 2.  The contributions of physician assistants in primary care systems.

Authors:  Roderick S Hooker; Christine M Everett
Journal:  Health Soc Care Community       Date:  2011-08-18

3.  Tightening up the nomenclature for non-physician clinicians: why not call all of them physician assistants?

Authors:  Luppo Kuilman; Gomathi Sundar
Journal:  Glob Health Sci Pract       Date:  2015-02-09

4.  Factors influencing decision of general practitioners and managers to train and employ a nurse practitioner or physician assistant in primary care: a qualitative study.

Authors:  Mieke van der Biezen; Emmy Derckx; Michel Wensing; Miranda Laurant
Journal:  BMC Fam Pract       Date:  2017-02-07       Impact factor: 2.497

5.  The involvement of physician assistants in inpatient care in hospitals in the Netherlands: a cost-effectiveness analysis.

Authors:  Marijke J C Timmermans; Geert T van den Brink; Anneke J A H van Vught; Eddy Adang; Charles L H van Berlo; Kim van Boxtel; Weibel W Braunius; Loes Janssen; Alyssa Venema; Frits J van den Wildenberg; Michel Wensing; Miranda G H Laurant
Journal:  BMJ Open       Date:  2017-07-10       Impact factor: 2.692

6.  The impact of the implementation of physician assistants in inpatient care: A multicenter matched-controlled study.

Authors:  Marijke J C Timmermans; Anneke J A H van Vught; Yvonne A S Peters; Geert Meermans; Joseph G M Peute; Cornelis T Postma; P Casper Smit; Emiel Verdaasdonk; Tammo S de Vries Reilingh; Michel Wensing; Miranda G H Laurant
Journal:  PLoS One       Date:  2017-08-09       Impact factor: 3.240

7.  The physician assistant: Shifting the Paradigm of European medical practice?

Authors:  F Merkle; T S Ritsema; S Bauer; L Kuilman
Journal:  HSR Proc Intensive Care Cardiovasc Anesth       Date:  2011

8.  Are Dutch patients willing to be seen by a physician assistant instead of a medical doctor?

Authors:  Luppo Kuilman; Roos Mb Nieweg; Cees P van der Schans; Jaap H Strijbos; Roderick S Hooker
Journal:  Hum Resour Health       Date:  2012-09-04

9.  The effectiveness of substitution of hospital ward care from medical doctors to physician assistants: a study protocol.

Authors:  Marijke J C Timmermans; Anneke J A H van Vught; Michel Wensing; Miranda G H Laurant
Journal:  BMC Health Serv Res       Date:  2014-01-28       Impact factor: 2.655

10.  Curriculum and training needs of mid-level health workers in Africa: a situational review from Kenya, Nigeria, South Africa and Uganda.

Authors:  Ian Couper; Sunanda Ray; Duane Blaauw; Gideon Ng'wena; Lucy Muchiri; Eren Oyungu; Akinyinka Omigbodun; Imran Morhason-Bello; Charles Ibingira; James Tumwine; Daphney Conco; Sharon Fonn
Journal:  BMC Health Serv Res       Date:  2018-07-16       Impact factor: 2.655

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