Preceptorship scheme for newly qualified physician associates working in general practice in Sheffield

Hoskin, Julie; Agarwal, Ria

doi:10.7861/clinmed.2020-0221

Cited by 6 publications

(9 citation statements)

References 8 publications

(7 reference statements)

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“…Work by Hoskin et al indicates this was well received by preceptees. 5 For PAs based in regions lacking external support from CCGs or Health Education England (HEE), there may be more pressure on the employer to perform these different aspects of educational and clinical supervision. While PAs are trained to the medical model, they are not doctors, so even an experienced GP trainer may not fully be aware of the needs of the PA.…”

Section: The Who and The Whatmentioning

confidence: 99%

“…The induction aided awareness of important logistical issues, such as familiarisation with the IT system and how to access a GP for prescriptions, the lack of which was previously noted to be a reason contributing to a PA not progressing down the proposed preceptorship scale. 5 Consequently, in the recently introduced 'network PA' posts where one PA may work at multiple practices in their working week, an extended induction may need to be a consideration to allow time for the PA to understand how each practice's microsystems work. While our paper does not specifically investigate practice staff or patient perceptions of the PA role, one of the authors notes that an induction period was also helpful in ensuring that staff understood her scope of practice, and the announcement of her arrival to patients was facilitated via the release of an article to the widely read local newspaper alongside updating the practice website.…”

Section: How Is It Done? Inductionmentioning

confidence: 99%

“…These recommendations support the clinical supervision stream identified in the previously proposed PA preceptorship scale. 5…”

Section: What Was Found?mentioning

confidence: 99%

See 2 more Smart Citations

Clinical supervision of physician associates (PAs) in primary care: who, what and how is it done?

Agarwal

Hoskin²

2021

Future Healthcare Journal

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The physician associate (PA) role is gaining momentum as a healthcare professional who supports medical workload in primary care, yet there is a lack of clinical literature around how best to clinically supervise this new role. This seems especially pertinent amid the recent funding initiatives that encourage employment of PAs to aid the increasing demands in primary care, especially with the added stressors of the COVID-19 pandemic. There is a need for clinical supervisors to be aware of what their responsibilities are when employing and supervising a PA. Qualitative feedback from a cohort of primary care PAs in Sheffield alongside the authors' own expertise have been collated to produce recommendations to supplement existing documentation from the Faculty of Physician Associates. The paper seeks to rapidly initiate a starting point in clinical literature around the breadth of considerations within PA supervision. These recommendations include, but are not limited to, a discussion at the onset of PA employment of mutual needs and a specified supervisory schedule, alongside named clinicians who generally address clinical and pastoral components periodically. This accompanies an induction into the practice and general clinical support that is initially more intensive but otherwise remains available when the PA feels it is required.

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Section: The Who and The Whatmentioning

confidence: 99%

Section: How Is It Done? Inductionmentioning

confidence: 99%

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Clinical supervision of physician associates (PAs) in primary care: who, what and how is it done?

Agarwal

Hoskin²

2021

Future Healthcare Journal

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“…Studies reporting from the perspective of patients highlight support for the role, despite the fact that patients generally have a low understanding of the differences between non-GP, midlevel clinical roles, and may have concerns about being able to see a physician when that scope of practice is required 13,14. More recently, as the PA academic body grows, so does the evidence in relation to PA education 15…”

Section: Development Of the Professionmentioning

confidence: 99%

Physician associates in the UK

Straughton

Roberts²,

Watkins³

et al. 2022

Jaapa

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“…There is an established PA preceptorship scheme that has been running in Sheffield since the city's first PAs graduated in 2018, supported financially and with staffing by the NHS Sheffield Clinical Commissioning Group (CCG). 4 Graduates from the two local HEI's contribute to the PA preceptorship scheme numbers, but the scheme has also attracted a minority of PAs who trained outside of Sheffield. This scheme enables practices to recruit PAs as sole employers rather than as a primary care network (PCN), and the growth of this scheme has since allowed 16 (out of the 78 practices across the city) to benefit from this initiative.…”

Section: Physician Associates Working In Sheffieldmentioning

confidence: 99%

Remote consultations for physician associates in primary care: qualitative feedback from a regional cohort study

Hoskin¹,

Agarwal

2021

Future Healthcare Journal

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The advent of the COVID-19 pandemic necessitated a dramatic shift in the traditional general practice (GP) model of consultation. General practice was forced to deliver care remotely and this workforce included physician associates (PAs), who may not have been previously exposed to remote consultations prior to the pandemic. A qualitative online questionnaire explored how a cohort of primary care PAs in Sheffield adapted to the use of remote consultations, how clinically safe they felt in utilising this method, supervision arrangements in their practices and how they would manage three clinical scenarios. Recommendations are limited by the small sample size, but based upon this feedback we recommend inclusion of remote consultation as part of the student experience in higher educational institutions (HEIs) that do not currently utilise it; discussion of the PAs' previous experience of remote consultation at their induction in order to decide how to most effectively use their skillset while they transition into remote consultations, appreciating that they may have a lower threshold to invite patients in for a face-to-face appointment if newly qualified; on-demand supervision for remote consultations where possible; and reinforcement of clinical and pastoral review from the employer to manage the increasing scope of the PA.

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Preceptorship scheme for newly qualified physician associates working in general practice in Sheffield

Cited by 6 publications

References 8 publications

Clinical supervision of physician associates (PAs) in primary care: who, what and how is it done?

Clinical supervision of physician associates (PAs) in primary care: who, what and how is it done?

Physician associates in the UK

Remote consultations for physician associates in primary care: qualitative feedback from a regional cohort study

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