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A physician assistant entry-level doctoral degree: more harm than good?

Violet Kulo1, Shani Fleming1, Karen L Gordes1

  • 1Physician Assistant Leadership and Learning Academy (PALLA), University of Maryland Baltimore Graduate School, 620 West Lexington Street, Baltimore, MD, USA.

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|May 14, 2021
PubMed
Summary

Most physician assistants (PAs) and students do not support a required doctoral degree, fearing potential harm to the profession. However, perceived benefits like professional parity exist, warranting further stakeholder discussion.

Keywords:
Benefits and risksEntry-level doctoral degreePhysician assistantPost-graduate educationTerminal degree

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Area of Science:

  • Medical Education
  • Health Professions
  • Physician Assistant Studies

Background:

  • Debate exists on physician assistants (PAs) transitioning to a doctoral degree, mirroring trends in other health professions.
  • The study investigates the perceived risks, benefits, and impact of a potential entry-level PA doctoral degree.

Purpose of the Study:

  • To examine the perceptions of PA clinicians and students regarding an entry-level doctoral degree.
  • To identify factors associated with the perception that a doctoral degree may cause more harm than good.

Main Methods:

  • A mixed-methods approach combining literature review, surveys, and interviews.
  • Quantitative analysis included bivariate analysis and logistic regression.
  • Qualitative data were analyzed using deductive content analysis.

Main Results:

  • 72% of respondents disagreed with requiring an entry-level PA doctoral degree; 60% believed it would cause more harm than good.
  • Perceptions of harm were associated with race, education, occupation, and practice length.
  • Key perceived benefits included professional parity, while risks involved increased costs and decreased diversity.

Conclusions:

  • Stakeholder perspectives significantly influence perceived benefits and risks of a PA doctoral degree.
  • While most PAs and students oppose a required doctorate, their concerns must be addressed for potential transitions.
  • Engaging stakeholders is crucial to mitigate adverse impacts during any transition to a doctoral degree.