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ADVANCE Blog for PAs

PA Clinical Doctorate Degrees and the Army

Published January 18, 2008 4:39 PM by Stephen Cornell

After reading the Army Times article cited in the previous blog post, I wanted to make what I think is an important point that has been overshadowed a bit by the controversy about the U.S. Army’s PA clinical doctorate program.

The U.S. Army and Baylor University created the first clinical doctorate degree for PAs because the Army desperately needs more highly trained emergency medicine specialists to care for seriously wounded soldiers in Iraq and Afghanistan.

And by creating this first PA clinical doctorate, the Army showed enormous respect for its PAs and for the PA profession as a whole.

First, the Army decided that its PAs were worthy of the significant investment of resources needed to create this program. PAs, the Army said with that decision, are capable of practicing medicine at an extremely high level.

Second, the Army demonstrated great faith in the abilities of highly trained PAs. These PAs, the Army is saying, are good enough to care for American soldiers who have been critically wounded on the battlefield.

Third, the Army ignored the temptation to take the easy way out by slighting PAs. Surely, the PAs and others involved in the creation of this program realized it would be somewhat controversial. They didn’t have to grant PAs a doctorate degree. But they reasoned that PAs who invest 18 months in rigorous doctorate-level clinical training deserve to be recognized for their excellence and hard work.

Judging by the mostly positive PA response to ADVANCE’s coverage of the profession’s first clinical doctorate, many PAs think that PA-specific clinical doctorates are a terrific idea and a positive development for the profession’s future.

Other PAs feel just as strongly that the clinical doctorate degrees are not a move in the right direction for the PA profession.

No matter which side of the debate you are on, one thing is undeniable. This issue deserves—no, demands—a full, mature, open-minded debate within the profession.

4 comments

I certainly hope the USAF will follow suit and adopt the program for Fellowship trained Ortho PAs as well

Steven, Orthopedics - Physician Assistant, USAF Academy September 30, 2008 11:54 AM
Colorado Springs CO

Bean dip dippy dippy bean dip dippy! ;0)

Davie Sanchez, Medicine - Doctor, Denton Regional Medical September 25, 2008 7:30 PM
Denton TX

   If PAs are to obtain a doctorate level degree with more training as the NPs are currently starting to do, then they should make sure they tell the patient immediately a doctor of physician assistant as a doctor of nurse practioner should as well. Otherwise, the patient may falsely believe the doctor is an MD or DO.

   Also, if PAs are to obtain doctorate levels and go by the title doctor, then states should increase their level of medical liability and increase their malpractice insurance rates similar to allopathic and osteopathic physicians.

med student April 12, 2008 2:16 PM

I have proposed for years that the clinical doctorate be awarded to students completing graduate level programs.  In my opinion any objective evaluation of a graduate PA Program's curriculum shows the intensity and depth to be at least equal to that of doctorate level nursing, pharmacy, podiatry, and physical therapy just to name a few.  It is simply a question of academic equity, period.  

I have not studied the Army's doctorate curriculum for Emergency Medicine, however I suspect that it was changed very little.  There was more just the intestinal fortitude to say publicly that the ecucation received merited the doctorate.  Go Army.

Jesse Edwards, PA Education - Assoc Prof, Univ of Nebraska January 29, 2008 7:45 PM
Omaha NE

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