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ADVANCE Blog for PAs

Mandatory Physician Assistant Specialty Residencies?

Published December 17, 2008 11:29 AM by Stephen Cornell

Interesting poll and thread over at the PA Forum about the future of PA specialty residencies. This is from the first post on the topic:

time to stir the pot some more.....
should pa's who work outside of primary care have to do a residency in their specialty(assume for a moment there were enough slots to make this viable).
this would allow anyone to do fp/im/peds right out of school or at any time in their career but if they wanted to work outside of these areas a residency would be required...this would accomplish a few things:
1.more folks going into primary care as they could do it right out of school
2. a very highly skilled pa specialty workforce..

Link

The PA Forum has 16,709 members and 159,805 posts.

6 comments

I recall that as a PA graduate, I had to work from ground up to perform these tasks, and I've now reached a comfortable extent in my practice that I think I've gotten the hang of it; but I think, in any clinical environment, practitioners constantly deal with uncertain disease comorbidities or uncertainty whether about our diagnosis, evaluation of a disease, prescription, treatment, or referral, and uncertainly requires consult to provide the best possible patient treatment.

Many of my patients express an interest in the current tasks I perform as a practicing PA.  In response to carla, I inform my patients primary care's excellent too.  I favored Internal Medicine, but have been practicing in radiology since being "the" new PA on board.  I would definitely look into primary care.

Ed , Radiology - PA-C December 18, 2008 2:09 AM

Practicing PAs, regardless of century, should always advocate this: quality care more than advocate a PA-specific doctorate.

What I previously meant to emphasize is, that as a current competitive minority profession, and overall PA profession, what practicing PAs do in current clinical practices tends to be magnified.   As a PA educator, I emphasize this "magnified view" of clinical practice to my students.  

Really, let's all perform our PA best.  

carla , Family Practice, Professor - PA-C December 18, 2008 12:23 AM

I, a former advocate of the bridge, oppose the bridge.  I think the PA-specific doctorate lacks practicality.  The PA doctorate advocate can only speak theoretically, otherwise, they are this, the Army PA with that supreme badge of honor, and should be promoted to a top PA role should they become a civilian PA!  I believe the AAPA should currently focus on promoting PAs, or promoting PAs to other PA arenas to encourage PA practice, such as Family Practice!  

As a competitive minority profession, the PA-specific doctorate speculation is in itself, the cause of more and more problems.  The AAPA platform is doing extraordinarily well with this, as is the ADVANCE staff, and as a practicing PA and PA educator, my school is receiving more and more MD/DO, MD/DO resident applicants amongst our applicant pool showing us the current trend.  We, the PAs of the 21st century, are the current trend.  We don't need a PA-specific doctorate to compete.  

As a PA educator, there is an onslaught of competition in my application pool to accept better qualified candidates to an intensive program.  As a PA educator, I too, recertify; otherwise, I am legitimately dismissed from my position as a PA educator.

Soon we won't be a minority profession.  Until we are not a minority profession, practicing PAs should perform our PA best.  Focus on that.

carla , Family Practice, Professor - PA-C December 17, 2008 11:31 PM

This question is like asking if the moon is made  from green cheese. There is not even a slight possibity that there could ever be enough residencies to accomplish this goal. some post graduate residency programs have only two slots. we have 73,000 PAs out there and i think it could take a century to accomplish this goal.

As long as there is a perceived and a factual need for the PA profession, as long as there are patients that require care, as long as there are physicians who know the worth of a PA in the dispensing of quality care---there wll be an opportunity for a non-residency PA to find employment.

Bob Blumm December 17, 2008 8:57 PM

The AAPA is more about the PA profession than the 'perceived prestige,' the latter which more frequent than not is a myth.  As a practicing PA and a sect of the AAPA,

1) We are our patients' advocates.  

2) Competent, overseeing large patient populations.

3) Adaptable.  As a practicing PA, I often also adapt to changing assignments in today's medical world.  

4) Innovative.  As a practicing PA, I often monitor my performance, cost-efficiency, and providing treatment options if needed.  This was an important part of the educational formula when I was a PA student.  

6) Electronically competent.  

7) Multi-skilled.  PAs often bring additional skills to practice.

8) As THE PA, strive to proceed learning about medicine.  

These are components I offer in my clinical practices as a PA.  

Essentially I prefer that I am the PA in clinical practice.  As THE PA profession, let's carefully review the performance of other practices and learn a thing or two based on the already established trend and performance of other practices and concentrate instead on what we, THE PAs, are about.  We, THE civilian PAs are currently underrepresented, more often than not, misrepresented, and obviously not utilized in the clinical capacity of army PAs.

Based on the current market, PAs are rapidly becoming essential to the point of permitting primary care practices and specialty group practices to remain economically above the water.

Let's not drown ourselves first.

Ryan , Geriatrics otolaryngology - Geriatrics Medical Associates December 17, 2008 6:33 PM
Miami FL

Hmmm... doctorate degree and specialty residency requirement. Sounds an awful lot like a PHYSICIAN. Let's be careful here as we might "advance" ourselves right out of our profession.

marc December 17, 2008 6:23 PM

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