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Financial analysis of PA lifetime earnings and debt
Mirela Bruza-Augatis1, Roderick S Hooker, Jennifer M Coombs
1Mirela Bruza-Augatis is assistant chair and an assistant professor in the PA program at Seton Hall University in Nutley, N.J. Roderick S. Hooker is a health policy analyst. Jennifer M. Coombs is an associate professor in the PA program at the University of Utah in Salt Lake City. The authors have disclosed no potential conflicts of interest, financial or otherwise.
Abstract:
This economic analysis of physician assistant/associate (PA) career earnings sought to assess the increasing effect of student debt, its potential effect on job selection, and whether such financial obligations may influence graduates to select higher-paying specialties. The model was a 30-year-old newly graduated PA who begins working in family medicine. A simulation included wages, student debt, national household expenditures, and real estate statistics. The scenario consisted of a high and middle cost of living in two geographic areas, a family of four, and an average life expectancy. Using a validated economic program, a series of calculations produced the financial effect on moderate-income levels and expenditures based on median PA earnings. On the deficit side is education debt, loan repayment, financing a house, college for children, retirement, and discretionary spending. Weighted variables were used to maximize the sensitivity effect of the simulation. A Monte Carlo probabilistic program predicted the likely outcome of income, expenses, inflation, and investments. Furthermore, the lifetime earnings of a PA who retires at age 67 years and lives to age 85 years falls in the 75th percentile of income of all Americans. The conclusion is that a full-time PA career in any clinical role is as economically rewarding as it is satisfying.
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