Physician Assistant Studies, Wayne State University, 259 Mack Ave., Suite 2590, Detroit, MI 48201, USA. Tel 313-577-1368.
J Allied Health. 2020 Fall;49(3):176-180.
The physician assistant (PA) profession is based on a strong foundation of previous healthcare experience (HCE). It is unclear if HCE requiring more autonomous decision-making equates to a higher likelihood of success as a PA student. The purpose of this study was to determine if there is a correlation between type of pre-PA program HCE and success as determined by Physician Assistant National Certifying Examination (PANCE) scores.
This retrospective, observational study included PA students (single institution) who took the PANCE (n=188). Self-reported HCE was used to classify students into two broad groups based on locally derived criteria: Group A (less autonomy: such as medical assistant, nursing assistant) and Group B (more autonomy: paramedic, registered nurse, etc.). A linear mixed model was fit to assess the association between the primary outcome, PANCE, and HCE group.
Group A (n=124) and Group B (n=64) had similar baseline PANCE scores (mean 497 vs 499; p=0.26). After adjusting for included predictors in the model, Group A was associated with lower PANCE scores but this did not reach statistical significance (p=0.7) and there was no association with number of HCE hours (p=0.77).
There was no statistically significant association between type of pre-PA program HCE and PANCE.
医师助理（PA）专业基于丰富的医疗保健经验（HCE）。目前尚不清楚是否需要更多自主决策的 HCE 会增加成为 PA 学生的成功率。本研究旨在确定 PA 项目之前的 HCE 类型与医师助理国家认证考试（PANCE）成绩确定的成功率之间是否存在相关性。
本回顾性观察研究纳入了参加 PANCE 的 PA 学生（单机构）（n=188）。根据当地得出的标准，将自我报告的 HCE 用于将学生分为两组：A 组（自主性较低：如医疗助理、护理助理）和 B 组（自主性较高：护理师、注册护士等）。使用线性混合模型评估主要结局（PANCE）与 HCE 组之间的关联。
A 组（n=124）和 B 组（n=64）的 PANCE 基线得分相似（平均 497 分与 499 分；p=0.26）。在校正模型中的纳入预测因素后，A 组与较低的 PANCE 得分相关，但未达到统计学意义（p=0.7），且与 HCE 小时数无关（p=0.77）。
PA 项目之前的 HCE 类型与 PANCE 之间无统计学显著关联。
