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Published on: January 15, 2013
Analyzing the training of PAs in ophthalmology
L Carlos Gutierrez1, Candace Ayars
1L. Carlos Gutierrez is vice chair of student success and an associate professor at the University of Pittsburgh in Pittsburgh, Pa. Candace Ayars is an assistant professor at A.T. Still University in Mesa, Ariz. The authors have disclosed no potential conflicts of interest, financial or otherwise.
Physician associates/assistants (PAs) in ophthalmology have unique roles. Formal postgraduate training is identified as optimal for PAs to enhance their skills and career satisfaction in ophthalmology.
Area of Science:
- Ophthalmology
- Medical Education
- Physician Associate Studies
Background:
- Physician associates/assistants (PAs) are increasingly integral to healthcare delivery.
- Defining the specific roles and training needs of PAs in specialized fields like ophthalmology is crucial.
Purpose of the Study:
- To elucidate the role of PAs in ophthalmology.
- To identify barriers and facilitators in PA training within ophthalmology.
- To determine optimal training pathways for PAs in ophthalmology.
Main Methods:
- An explanatory qualitative case study design was employed.
- Semistructured interviews were conducted with 17 PAs in ophthalmology across the United States.
- Interpretational data analysis was used to identify key themes.
Main Results:
- PAs in ophthalmology perform unique roles, including surgical assistance, autonomous procedures, and patient evaluation/treatment.
- Current training programs were reported as unfavorable, despite career satisfaction.
- Formal postgraduate training programs were identified as the optimal training model.
Conclusions:
- Formal postgraduate training is essential for PAs to acquire the necessary competencies for effective practice in ophthalmology.
- Addressing training gaps can enhance PA contributions to ophthalmology patient care.

