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Physician Assistant Program Accreditation Analysis and Survey of Program Directors.

Jon Lewis1,2,3, Jeff Peacock1,2,3, Paul M Miller1,2,3

  • 1Jon Lewis, PharmD, BCPS, is an assistant professor of South College, School of Physician Assistance Studies, Tennessee.

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Summary

Physician Assistant (PA) programs with more Accreditation Review Commission on Education for the Physician Assistant (ARC-PA) citations, particularly regarding leadership, show lower first-time taker Physician Assistant National Certifying Exam (PANCE) pass rates. This highlights areas for program improvement.

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Area of Science:

  • Medical Education
  • Health Professions Education
  • Accreditation Standards

Background:

  • The Accreditation Review Commission on Education for the Physician Assistant (ARC-PA) implemented new accreditation standards (5th edition).
  • Understanding the impact of these standards on program outcomes is crucial for program directors.
  • Citation analysis can reveal areas of non-compliance and potential program weaknesses.

Purpose of the Study:

  • To analyze citations issued by the ARC-PA following the implementation of the 5th edition standards.
  • To investigate the correlation between ARC-PA citations and Physician Assistant National Certifying Exam (PANCE) pass rates.
  • To identify leadership concerns within PA programs and their impact on accreditation status.

Main Methods:

  • Descriptive statistics, Pearson correlation, and coefficient of determination were used to analyze ARC-PA citations (January 2021-February 2023).
  • First-time taker PANCE pass rates were correlated with citation data.
  • Surveys were administered to program directors to assess leadership concerns and institutional support.

Main Results:

  • Thirteen of 98 programs received probation status, with non-compliance in leadership standards (A2.09, A1.02) being common.
  • A significant negative correlation was found between ARC-PA citations and first-time taker PANCE pass rates (P=.023), especially for programs with continued accreditation or PANCE pass rates below 85%.
  • Institutional support was identified as a key weakness by programs on probation (42.86%).

Conclusions:

  • Leadership deficits are a significant concern for PA programs placed on probation.
  • A negative correlation exists between ARC-PA citations and PANCE pass rates, particularly impacting programs with lower pass rates or continued accreditation.
  • Addressing leadership and institutional support is vital for PA program success and accreditation compliance.