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Is Training Physician Associates in a Rural Area Associated With Them Choosing a Rural Position? A Repeated

Chris Gillette1,2,3,4,5,6,7,8, Gayle B Bodner1,2,3,4,5,6,7,8, Sarah O'Neal1,2,3,4,5,6,7,8

  • 1Chris Gillette, PhD, is a professor and director of Research and Scholarship, Department of PA Studies and also a professor of Department of Epidemiology and Prevention at Wake Forest University School of Medicine, Winston-Salem, North Carolina.

The Journal of Physician Assistant Education : the Official Journal of the Physician Assistant Education Association
|September 10, 2025
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Summary
This summary is machine-generated.

Physician associate (PA) students who train in rural settings are more likely to practice in rural areas. This finding suggests that rural clinical training can help address healthcare provider shortages in rural communities.

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Area of Science:

  • Health Services Research
  • Rural Health
  • Physician Associate Education

Background:

  • Persistent shortage of healthcare providers in rural areas.
  • Limited research on interventions for rural recruitment among physician associates (PAs).
  • Need to understand the link between PA training location and practice location.

Purpose of the Study:

  • To determine the association between physician associate (PA) training site and their first job location.
  • To explore factors influencing PA graduates' decisions on rural practice.

Main Methods:

  • Repeated cross-sectional analysis of data from recent PA graduates (n=601) from one institution with urban and rural campuses.
  • Multivariable logistic regression analysis was used to identify significant predictors of rural job selection.
  • Sociodemographic characteristics, training campus, and rural rotation completion were analyzed.

Main Results:

  • Graduates completing more rural rotations were significantly more likely to choose a rural job (OR=1.47, 95% CI=1.22-1.70).
  • Training at a rural campus was not independently associated with rural job placement.
  • Rural training or rotations did not correlate with employment in primary care Health Professional Shortage Areas or Medically Underserved Areas.

Conclusions:

  • Similar to medical students, PA graduates who undergo clinical training in rural areas show a higher propensity for rural practice.
  • This highlights the potential of rural training experiences to influence PA workforce distribution.
  • Findings have implications for policies aimed at improving rural healthcare access and addressing disparities.