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Physician assistant dual employment.

Colette Jeffery¹, Dawn Morton-Rias, Mary Rittle

¹At the National Commission on Certification of Physician Assistants (NCCPA) in Johns Creek, Ga., Colette Jeffery is a research analyst, Dawn Morton-Rias is president and CEO, and Mary Rittle is public relations manager. James Cannon is a retired US Coast Guard senior officer and a managing partner at Assure Wellness Group in Chesapeake, Va. Roderick S. Hooker is a retired PA and health policy analyst. The authors have disclosed no potential conflicts of interest, financial or otherwise.

JAAPA : Official Journal of the American Academy of Physician Assistants

|June 24, 2017

Summary

Many certified physician assistants (PAs) work multiple jobs to supplement income or seek variety. Dual-employed PAs work more hours and see more patients, impacting workforce productivity models.

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Area of Science:

Health Workforce Research
Physician Assistant Studies
Healthcare Economics

Background:

National health workforce models often overlook dual employment.
Accurate workforce predictions rely on precise productivity data.
Physician assistants (PAs) are a key component of the healthcare workforce.

Purpose of the Study:

To investigate the prevalence and characteristics of dual employment among certified PAs.
To analyze the impact of dual employment on PA work hours and patient volume.
To inform refinements in health workforce modeling.

Main Methods:

Analysis of 2015 data on certified physician assistants.
Comparison of work hours and patient loads between single and dual-employed PAs.
Identification of primary motivations for dual employment.

Main Results:

In 2015, 13.5% of certified PAs held two or more clinical positions.
The primary reasons cited for dual employment were supplementing earnings (44%) and role variety.
Dual-employed PAs averaged over 51 hours and 97 patients weekly, compared to 40.7 hours and 75 patients for single-position PAs.

Conclusions:

Dual employment is a significant factor in physician assistant work patterns.
Current health workforce productivity assumptions may underestimate total provider output.
Refined models are necessary to accurately account for dual employment in workforce planning.