Physician Assistants: Filling the Gap in Patient Care in Academic Hospitals

Duffy, Kara B.

doi:10.1097/01367895-200314030-00005

Cited by 5 publications

(6 citation statements)

References 17 publications

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“…From her analysis of utilisation of PAs in the hospital setting, Duffy [27] suggests that the delegation of resident and house staff responsibilities to PAs will facilitate improved inpatient training experiences and more efficient physicians. Highlighted were administrative and non-educational tasks, which if delegated to non-physicians could considerably increase the value of the patient experience while reducing residents' hours.…”

Section: Introductionmentioning

confidence: 99%

New Role, New Country: introducing US physician assistants to Scotland

2007

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This paper draws from research commissioned by the Scottish Executive Health Department (SEHD). It provides a case study in the introduction of a new health care worker role into an already well established and "mature" workforce configuration It assesses the role of US style physician assistants (PAs), as a precursor to planned "piloting" of the PA role within the National Health Service (NHS) in Scotland.The evidence base for the use of PAs is examined, and ways in which an established role in one health system (the USA) could be introduced to another country, where the role is "new" and unfamiliar, are explored.The history of the development of the PA role in the US also highlights a sometimes somewhat problematic relationship between P nursing profession. The paper highlights that the concept of the PA role as a 'dependent practitioner' is not well understood or developed in the NHS, where autonomous practice within regulated professions is the norm. In the PA model, responsibility is shared, but accountability rests with the supervising physician. Clarity of role definition, and engendering mutual respect based on fair treatment and effective management of multi-disciplinary teams will be pre-requisites for effective deployment of this new role in the NHS in Scotland.

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Section: Introductionmentioning

confidence: 99%

New Role, New Country: introducing US physician assistants to Scotland

2007

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“…NPs and PAs have been identified as a solution for meeting the physician manpower shortage, caused by the implementation of Accreditation Council for Graduate Medical Education regulations limiting resident physicians' hours (1,2). Current and projected workforce requirements for care of critically ill patients project a continued shortage of intensivists (2)(3)(4). In 2000, the Committee on Manpower for the Pulmonary and Critical Care Societies identified that the shortfall of intensivists to provide care for the critically ill would be 22% of demand by the year 2020 and 35% by 2030 (4).…”

mentioning

confidence: 99%

“…As the projections of NPs and PAs identify a growing supply of practitioners (5) (Fig. 1), their integration into the care of ICU patients represents a strategy to meet the gap in ICU coverage (3,6). Recommendations of the Leapfrog intensivist-physician staffing identify that a Fundamental Critical Care Support cerBackground: Advanced practitioners including nurse practitioners and physician assistants are contributing to care for critically ill patients in the intensive care unit through their participation on the multidisciplinary team and in collaborative physician practice roles.…”

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confidence: 99%

Nurse practitioners and physician assistants in the intensive care unit: An evidence-based review

Kleinpell

Ely²,

Grabenkort³

2008

Critical Care Medicine

244

170

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Although existing research supports the use of nurse practitioners and physician assistants in acute and critical care settings, a low level of evidence was found with only two randomized control trials assessing the impact of nurse practitioner care. Further research that explores the impact of nurse practitioners and physician assistants in the intensive care unit setting on patient outcomes, including financial aspects of care is needed. In addition, information on successful multidisciplinary models of care is needed to promote optimal use of nurse practitioners and physician assistants in acute and critical care settings.

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“…These concerns were regarding safety, team fit and impact on student and trainee learning. Conversely there are also articles advocating the inclusion of the PA into the health team 37,54–60 …”

Section: Discussionmentioning

confidence: 99%