Primary care teams, composition, roles, and satisfaction of PA students during primary care rotations

Gerald Kayingo, Vasco Deon Kidd, Owais Gilani, Mary L. Warner

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Purpose The goal of this study was to describe the characteristics of primary care teams, activities, and roles of physician assistant (PA) students as they encounter various primary care sites. Methods An electronic survey was distributed to secondyear PA students in 12 programs who had completed at least 4 weeks in a primary care rotation. Results Of the 179 students who responded (response rate 41%), 88% had completed their primary care rotations in urban settings, mostly in private practices (53%). Physician assistant students reported encountering many types of health care providers on their teams, and the 2 most favored features of the rotations were the interactions with their supervising clinicians and clinical responsibilities. About 68% interacted with other health profession students during their rotation (interprofessional experiential learning). Almost all students completed histories, physical examinations, and treatment plans, but less than 30% reported involvement in billing or care coordination and less than 10% participated in quality improvement projects. More than 60% were satisfied with team-based and interprofessional practices encountered during their primary care rotations, and 39% were more than likely to pursue primary care careers. Conclusions Team-based primary care had a positive impact on students, but more exposure to underserved clinical settings, care coordination, quality improvement, and billing is needed to prepare PA students for the practice of the future. This study is the first of its kind to explore the relationship between primary care sites and PA training in the era of health care reform.

Original languageEnglish (US)
Pages (from-to)88-93
Number of pages6
JournalJournal of Physician Assistant Education
Volume26
Issue number2
DOIs
StatePublished - 2015

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Physician Assistants
assistant
Primary Health Care
physician
Students
student
Quality Improvement
Health Occupations
Problem-Based Learning
Health Care Reform
Private Practice
health care
Primary Care Physicians
Health Personnel
Physical Examination
profession
career
electronics

ASJC Scopus subject areas

  • Medical Assisting and Transcription
  • Education
  • Medicine(all)

Cite this

Primary care teams, composition, roles, and satisfaction of PA students during primary care rotations. / Kayingo, Gerald; Kidd, Vasco Deon; Gilani, Owais; Warner, Mary L.

In: Journal of Physician Assistant Education, Vol. 26, No. 2, 2015, p. 88-93.

Research output: Contribution to journalArticle

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abstract = "Purpose The goal of this study was to describe the characteristics of primary care teams, activities, and roles of physician assistant (PA) students as they encounter various primary care sites. Methods An electronic survey was distributed to secondyear PA students in 12 programs who had completed at least 4 weeks in a primary care rotation. Results Of the 179 students who responded (response rate 41{\%}), 88{\%} had completed their primary care rotations in urban settings, mostly in private practices (53{\%}). Physician assistant students reported encountering many types of health care providers on their teams, and the 2 most favored features of the rotations were the interactions with their supervising clinicians and clinical responsibilities. About 68{\%} interacted with other health profession students during their rotation (interprofessional experiential learning). Almost all students completed histories, physical examinations, and treatment plans, but less than 30{\%} reported involvement in billing or care coordination and less than 10{\%} participated in quality improvement projects. More than 60{\%} were satisfied with team-based and interprofessional practices encountered during their primary care rotations, and 39{\%} were more than likely to pursue primary care careers. Conclusions Team-based primary care had a positive impact on students, but more exposure to underserved clinical settings, care coordination, quality improvement, and billing is needed to prepare PA students for the practice of the future. This study is the first of its kind to explore the relationship between primary care sites and PA training in the era of health care reform.",
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