Orcutt Venetia L, James Kassidy, Bradley-Guidry Carolyn, Jones P Eugene
Venetia L. Orcutt, PhD, is an associate professor for the Department of Physician Assistant Studies at the University of Texas Southwestern Medical Center, Dallas, Texas. Kassidy James, MHS, is an assistant professor and associate academic coordinator for the Department of Physician Assistant Studies at the University of Texas Southwestern Medical Center, Dallas, Texas. Carolyn Bradley-Guidry, MPAS, PA-C, is a clinical assistant professor for the Department of Physician Assistant Studies at the University of Texas Southwestern Medical, Center, Dallas, Texas. P. Eugene Jones, PhD, PA-C, is a professor emeritus, Department of Physician Assistant Studies at the University of Texas Southwestern Medical Center, Dallas, Texas.
J Physician Assist Educ. 2018 Mar;29(1):7-11. doi: 10.1097/JPA.0000000000000178.
The purpose of this study was to examine the concordance of US physician assistant (PA) program mission statements with those of US public- and private-sponsored medical schools. With the exception of a broader medical school focus on research, the authors hypothesized that little difference in mission statement congruence would be found in a comparison of medical schools and PA programs.
Mission statements of 209 of the 210 accredited US PA programs as of May 2016 were obtained and analyzed. Keywords and phrases were identified, coded, and analyzed using NVivo. Themes that previously reported medical school mission statement analyses (including education, research, service, primary care, diversity, prevention, provider distribution, and cost control) were examined. Additional themes of evidence-based medicine (EBM), interprofessional care, patient safety, and quality improvement were included in the analyses.
Analyses revealed similar emphasis in both PA programs and medical schools on themes of education, prevention, and cost control, with dissimilar emphases on themes of research, service, primary care, diversity, and provider distribution. Physician assistant programs were more likely to emphasize interprofessional care than EBM, patient safety, or quality improvement.
In the comparison of mission statements of medical schools and PA programs, much less congruence was found than had been hypothesized. Although this study examined the similarities and differences between the mission statements of US medical schools and PA programs, it did not examine the extent to which programs succeeded in meeting the stated missions. Additional research is necessary to understand the factors that determine whether mission statements are actualized in measurable deliverables.
本研究旨在考察美国医师助理(PA)项目的使命声明与美国公立和私立医学院校使命声明的一致性。除了医学院校更侧重于研究之外,作者假设在医学院校和PA项目的使命声明一致性比较中不会发现太大差异。
获取并分析了截至2016年5月美国210个经认证的PA项目中209个项目的使命声明。使用NVivo软件识别、编码并分析关键词和短语。研究了先前报道的医学院校使命声明分析中的主题(包括教育、研究、服务、初级保健、多样性、预防、医疗服务提供者分布和成本控制)。分析中还纳入了循证医学(EBM)、跨专业护理、患者安全和质量改进等其他主题。
分析显示,PA项目和医学院校在教育、预防和成本控制主题上的侧重点相似,而在研究、服务、初级保健、多样性和医疗服务提供者分布主题上的侧重点不同。医师助理项目更倾向于强调跨专业护理,而非循证医学、患者安全或质量改进。
在医学院校和PA项目使命声明的比较中,发现的一致性比预期的要少得多。尽管本研究考察了美国医学院校和PA项目使命声明之间的异同,但并未考察这些项目在实现既定使命方面的成功程度。有必要进行更多研究以了解决定使命声明是否能转化为可衡量成果的因素。