Division of Hospital Internal Medicine, Department of Medicine, Mayo Clinic, Phoenix, Arizona 85054, USA.
J Hosp Med. 2010 Feb;5(2):94-8. doi: 10.1002/jhm.619.
Many hospitalist groups are hiring physician assistants (PAs) to augment their physician services. Finding PAs with hospitalist experience is difficult. Employers often have to recruit PAs from other specialties or hire new graduates who have limited hospital experience. Furthermore, entry-level PA training focuses on primary care, with more clinical rotations centered in the outpatient setting. In light of these challenges, our institution created a 12-month postgraduate training program in Hospital Medicine for 1 PA per year. It is the first reported postgraduate PA hospitalist fellowship to offer a certificate of completion. The program's curriculum is based on the Society of Hospital Medicine (SHM) "Core Competencies," and is comprised of 12 one-month rotations in different aspects of hospital medicine supplemented by formal didactic instruction. In addition, the PA fellow completes "teaching modules" on various topics not directly covered in their rotations. Furthermore, this postgraduate physician assistant training program represents a model that can be utilized at almost any institution, academic or community-based. As the need for hospitalists increases, so will the need for trained physician assistants in hospital medicine.
许多医院医师集团正在招聘医师助理（PAs）来扩充其医生服务。寻找有医院医师经验的 PAs 很困难。雇主通常不得不从其他专业招募 PAs，或者聘请只有有限医院经验的新毕业生。此外，入门级 PA 培训侧重于初级保健，更多的临床轮转集中在门诊环境中。鉴于这些挑战，我们机构为每年 1 名 PA 设立了为期 12 个月的医院医学研究生培训计划。这是第一个报告的研究生 PA 医院医师研究员提供结业证书的计划。该计划的课程基于医院医学学会（SHM）的“核心能力”，并由 12 个月在医院医学不同方面的轮转组成，辅以正式的教学指导。此外，PA 研究员还完成关于其轮转中未直接涵盖的各种主题的“教学模块”。此外，这种研究生医师助理培训计划代表了一种几乎可以在任何学术或社区机构使用的模式。随着对医院医师的需求增加，对接受过医院医学培训的医师助理的需求也将增加。
