Department of Surgery, The Catholic University of Korea College of Medicine, Seoul, Korea.
J Korean Med Sci. 2012 Sep;27(9):981-6. doi: 10.3346/jkms.2012.27.9.981. Epub 2012 Aug 22.
This study intended to identify the need for the legalization and development of a systematic program for physician assistants (PAs) by understanding the actual state of PA operation in hospitals. In 114 hospitals assigned as resident training hospitals for surgery, a survey was conducted on the personnel working as PAs in those hospitals; the survey included general personal information, working conditions, training time, and satisfaction. A total of 192 PAs in surgery at 35 hospitals responded to the survey. The types of PAs are Surgical Assistant, Clinical Physician Assistant, Wound Ostomy Care Nurse, Coordinator, and Clinical Research Coordinator. Types of work PAs preformed are surgical assistance, wound dressing, educating patients, overlooking consultation, doing paper works, writing operation records, and confirming examination results which were ordered. The satisfaction level for the position which PAs hold were 29.1% and and satisfaction level which doctors see towards PA was 15%. The role and the job descriptions of PAs are not clear cut, there are many discrepancies among hospitals we studied. As a result, legalization and the implementation of standardized role of PAs will lead to increase level of satisfactions in the work force and the quality of work which PAs perform will be greater.
本研究旨在通过了解医院中执业助理医师(PA)的实际运作情况,确定需要将其合法化并制定系统的计划。在被指定为外科住院医师培训医院的 114 家医院中,对这些医院中担任 PA 的人员进行了调查;调查包括一般个人信息、工作条件、培训时间和满意度。共有 35 家医院的 192 名外科 PA 对调查做出了回应。PA 的类型有外科助理、临床医师助理、伤口造口护理护士、协调员和临床研究协调员。PA 执行的工作类型有手术协助、伤口敷料、教育患者、监督会诊、处理文书工作、书写手术记录和确认医嘱检查结果。PA 对自己职位的满意度为 29.1%,医生对 PA 的满意度为 15%。PA 的角色和工作描述不明确,我们研究的医院之间存在许多差异。因此,将 PA 合法化并实施标准化的角色,将提高劳动力的满意度,并且 PA 的工作质量将会更高。