Development of the United Kingdom physician associate profession
Matthew Aiello1, Karen A Roberts
1Matthew Aiello is an urgent and acute workforce transformation specialist for Health Education England's West Midlands office in Birmingham, United Kingdom. Karen A. Roberts is program director of the master of science in Physician Associate Studies at St. George's Hospital Medical School, University of London, reader in PA Studies, and chair of the UK PA national examination for the Faculty of Physician Associates. The authors have disclosed no potential conflicts of interest, financial or otherwise.
Summary
The physician associate (PA) role is crucial for the UK
Area of Science:
- Healthcare Workforce Planning
- Medical Education & Training
- Physician Associate Profession
Background:
- Traditional doctor-driven healthcare workforce models are unsustainable in the UK.
- Evolving patient needs necessitate new healthcare delivery approaches.
- The physician associate (PA) is identified as a key frontline clinician for the future.
Purpose of the Study:
- To outline the evolution of the physician associate (PA) profession in the UK from 2002 to 2020.
- To detail the governance, training, and regulatory pathway for PAs in the UK.
- To project the impact of the PA profession on UK healthcare workforce challenges.
Main Methods:
- Historical review of the physician associate (PA) profession's development in the UK.
- Analysis of current PA practice numbers and training pipelines (as of 2016).
- Projection of future PA role integration and impact on healthcare delivery.
Main Results:
- The physician associate (PA) profession has seen significant growth in the UK since 2002.
- Approximately 350 PAs practiced in the UK in 2016, with 550 in training.
- Rapid expansion plans are in place to meet future healthcare demands.
Conclusions:
- The physician associate (PA) profession is integral to the future UK multiprofessional clinical workforce.
- PAs are expected to positively influence the UK healthcare economy by addressing workforce challenges.
- The profession's development, governance, and regulation are key to its successful integration.
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