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Physician Assistant Student Training for the Inpatient Setting: A Needs Assessment
Poonam Sharma1, Megan Brooks, Pahresah Roomiany
1Poonam Sharma, MD, is an assistant professor of medicine in the Division of General Internal Medicine, Department of Medicine, Duke University Health System, Durham, North Carolina. Megan Brooks, MD, MPH, is an assistant professor of medicine in the Division of General Internal Medicine, Department of Medicine, Duke University Health System, Durham, North Carolina. Pahresah Roomiany, MD, is an assistant professor of medicine in the Division of General Internal Medicine, Department of Medicine, Duke University Health System, Durham, North Carolina. Lalit Verma, MD, is an assistant professor of medicine in the Division of General Internal Medicine, Department of Medicine, Duke University Health System, Durham, North Carolina. Lisa Criscione-Schreiber, MD, is an associate professor of medicine in the Division of Rheumatology and Immunology, Department of Medicine, Duke University Health System, Durham, North Carolina.
Physician assistants (PAs) in hospital medicine need targeted training. Hospitalists identified key skills for PA students and noted a need for formal curricula to enhance inpatient medicine rotations.
Area of Science:
- Medical Education
- Physician Assistant Training
- Hospital Medicine
Background:
- The number of physician assistants (PAs) in hospital medicine is growing rapidly.
- Limited research exists on optimal inpatient medicine rotation experiences for PA students.
- Understanding hospitalists' perceptions of PA training is crucial for curriculum development.
Purpose of the Study:
- To identify essential clinical topics and skills for PA students during inpatient medicine rotations.
- To assess hospitalists' understanding of physician assistant (PA) training pathways.
- To evaluate the effectiveness of an existing inpatient medicine rotation for PA students.
Main Methods:
- A survey was administered to 85 practicing hospitalists (physicians and advanced-practice providers) across three hospitals.
- The survey assessed essential clinical topics, hospitalist knowledge of PA training, and current rotation performance.
- Descriptive statistics were employed to analyze the collected data.
Main Results:
- Hospitalists pinpointed clinical conditions and healthcare systems with high educational value for PA students.
- Over 20% of hospitalists demonstrated incomplete understanding of the PA training process.
- The inpatient medicine rotation received positive ratings for 15 of 19 assessed medical conditions.
Conclusions:
- Defining essential content is key for developing effective PA training curricula.
- A knowledge gap exists among hospitalists regarding physician assistant (PA) student training.
- While the current rotation is well-regarded, a formal curriculum could further enhance PA student learning experiences.
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