Author: Hooker, R.


Determinants of Specialty Choice of Physician Assistants

Purpose: Although physician assistants (PAs) became part of the U.S. health scene in 1967 and have made important contributions to primary care, available information about the factors that may influence the career choices of this rapidly-growing group of health care providers is sparse. The intent of this analysis was to identify the main factors underlying […]

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Choice of Specialties among Physician Assistants in the United States

Although the physician assistant (PA) profession was created to bolster the primary care workforce, PAs have assumed increasing roles in subspecialties. This paper compares specialty prevalence between physicians and physician assistants, analyzes trends in PAs’ specialty choices from 1997 to 2006, and suggests options for influencing these specialty choices in the future. The number of […]

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Physician Assistants and Nurse Practitioners in Hospital Outpatient Departments, 1993-1994

Objective: To describe the characteristics of visits to physician assistants (PAs) and nurse practitioners (NPs) in hospital outpatient departments in the United States. Methods: Data from the 1993 and 1994 National Hospital Ambulatory Medical Care Surveys were used to compare hospital outpatient department visits in which the patient was seen by a PA or NP, […]

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A History of the Alaska Physician Assistant, 1970-1980

The introduction of physician assistants (PAs) into Alaska began in 1971 with seven MEDEX Northwest students, who were paired with physician preceptors for 12 months. Scores of PAs were recruited as health officers on the Trans-Alaska Pipeline System starting in 1974, and by 1977 the state had 200 PAs. In 1979, the Alaska Board of […]

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Nurse Practitioners and Physician Assistants in Hospital Outpatient Departments

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Physician Assistants and Nurse Practitioners: The United States Experience

Physician assistants (PAs) and nurse practitioners (NPs) were introduced in the United States in 1967. As of 2006, there are 110 000 clinically active PAs and NPs (comprising approximately one sixth of the US medical workforce). Approximately 11 200 new PAs and NPs graduate each year. PAs and NPs are well distributed throughout primary care […]

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The Extension of Rheumatology Services with Physician Assistants and Nurse Practitioners

The development and deployment of physician assistants (PAs) and nurse practitioners (NPs) began in the late 1960s. This has been a social phenomenon that has spread to a number of countries. The original intention was to extend the role of the busy general/family practitioner in providing access and offloading some of the workload in primary […]

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Trends in the Supply of Physician Assistants and Nurse Practitioners in the United States

In 2001 an estimated 103,612 nurse practitioners (NPs) and physician assistants (PAs) were in clinical employment in the United States. The roles of PAs and NPs in providing comparable physician services are similar; they differ in that NPs are predominantly in primary care, while PAs are divided between primary and specialty care. PA and NP […]

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Career Flexibility of Physician Assistants and the Potential for More Primary Care

In part because of their core generalist education, physician assistants can change clinical specialties over the course of their work life. This is known as career flexibility. Using medical care providers who can adapt quickly to new opportunities could help alleviate medical workforce shortages in primary care. We studied annual surveys undertaken by the American […]

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Physician Assistant and Nurse Practitioner Prescribing: 1997-2002

Context: Physician assistants (PAs) and nurse practitioners (NPs) have licensure to practice in all states and they have prescriptive authority in 47 and 40 states, respectively. However, there have been no published studies from a national standpoint comparing urban and rural settings. Purpose: The objective of this study was to describe the characteristics of providers, […]

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