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Area of Science:

  • Urology
  • Healthcare Workforce Analysis
  • Physician Assistant Studies

Background:

  • The urology workforce faces demographic shifts and potential shortages.
  • Physician assistants/associates (PAs) and nurse practitioners (NPs) are increasingly vital to backfill these roles.
  • Limited data exists on the specific attributes of PAs practicing in urology.

Purpose of the Study:

  • To analyze and compare the demographic and employment characteristics of PAs in urology.
  • To benchmark PAs in urology against PAs in all other medical and surgical disciplines.
  • To inform workforce planning and recruitment strategies in urology.

Main Methods:

  • Utilized data from the 2022 National Commission on Certification of PAs (NCCPA) survey.
  • Analyzed responses from 117,748 board-certified PAs, including 1199 PAs in urology.
  • Employed descriptive and inferential statistics for comparative analysis.

Main Results:

  • In 2022, 1.0% of clinically active PAs (n=1199) practiced in urology, with 68.1% identifying as female and a median age of 39.
  • PAs in urology were more likely to be in urban locations (94.5%), office-based settings (53.6%), work >40 hours/week (37.9%), and use telemedicine (52.0%) compared to other PAs.
  • No significant differences were observed in job satisfaction, burnout symptoms, or near-term retirement plans between urology PAs and those in other fields.

Conclusions:

  • PAs in urology exhibit distinct practice patterns, including higher female representation and increased use of telemedicine and office-based settings.
  • These findings are crucial for addressing projected urologist shortages and informing workforce strategies.
  • Supportive policies and recruitment efforts can leverage the growing role of PAs to bolster the urology workforce.