Chris Gillette is an associate professor and assistant director of research and scholarship in the PA program at Wake Forest School of Medicine in Winston-Salem, N.C. At the time this article was written, Chris Everett was an associate professor at Duke Family Medicine and Community Health, Duke University School of Medicine, in Durham, N.C. She now is program director and division chief of the PA program at the Medical College of Wisconsin in Milwaukee. Jan Ostermann is an associate professor in the Department of Health Services Policy and Management at the Arnold School of Public Health at the University of South Carolina in Columbia. Sarah Garvick is an assistant professor in the PA program at Wake Forest School of Medicine. Jennifer Momen is an assistant professor and program director in the Department of Human Performance-Physician Assistant Studies at West Virginia University School of Medicine in Morgantown. Ginger Boles is program director of the PA program at Marshall University in Huntington, W.Va. Sonia Crandall is a professor and director of scholarship and research in the PA program at Wake Forest School of Medicine. The authors have disclosed no potential conflicts of interest, financial or otherwise.
JAAPA. 2022 Sep 1;35(9):46-50. doi: 10.1097/01.JAA.0000854532.13833.74.
This study evaluated the relative importance of job-, community-, and individual-related factors that contribute to job choice among physicians, physician assistants (PAs), and NPs, to inform policy options to recruit clinicians to rural areas.
A cross-sectional online survey of PA preceptors from three institutions in two states. Participants were asked to rate the importance of 16 job-, community-, and individual-related factors when choosing a job.
We received responses from 45 physicians, 74 PAs, and 15 NPs (24.2% response rate), who rated most job-, community-, and individual-related factors as important; ratings were similar across clinicians. PAs rated loan repayment programs and work hours higher than physicians, though the magnitude of the difference was small.
Clinicians similarly rated many factors as important. A better understanding of the tradeoffs clinicians are willing to make between these factors when making a job choice is critical to increase the attractiveness of rural positions.
本研究评估了工作、社区和个人相关因素对医生、医师助理（PA）和执业护士（NP）职业选择的相对重要性，为制定吸引临床医生到农村地区的政策选择提供信息。
对来自两个州的三个机构的 PA 导师进行了横断面在线调查。要求参与者对 16 个与工作、社区和个人相关的因素在选择工作时的重要性进行评分。
我们收到了来自 45 名医生、74 名 PA 和 15 名 NP（24.2%的回复率）的回复，他们对大多数工作、社区和个人相关因素的评价都很重要；临床医生的评价相似。PA 对贷款偿还计划和工作时间的评价高于医生，尽管差异幅度很小。
临床医生对许多因素的评价相似。更好地了解临床医生在做出工作选择时愿意在这些因素之间做出权衡，对于提高农村岗位的吸引力至关重要。
