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皮肤科医师助理/助手的特征。

Characteristics of physician associates/assistants in dermatology.

机构信息

Department of Dermatology, University of Texas Southwestern Medical Center, 5939 Harry Hines Blvd, Dallas, Texas, USA.

Department of Dermatology, The Permanente Medical Group, Sacramento, California, USA.

出版信息

Arch Dermatol Res. 2023 Sep;315(7):2027-2033. doi: 10.1007/s00403-023-02593-7. Epub 2023 Mar 13.

Abstract

The dermatology workforce includes physicians, nurse practitioners (NPs), and physician associates/assistants (PAs). The number of dermatologists is growing slowly while the growth of PAs working in dermatology is rapid and accelerating. To understand their characteristics, a descriptive study of PAs practicing in dermatology utilizing the National Commission on Certification of Physician Assistants (NCCPA) workforce dataset on PA practices was undertaken. NCCPA certifies PAs who practice in the United States and queries them about their role, employment, salary, and job satisfaction. Analyses consisted of descriptive statistics, Chi-Square, and Mann-Whitney tests for comparisons between PAs practicing in dermatology versus the total of all other PA specialties. As of 2021, 4,580 certified PAs reported practicing in dermatology-a nearly twofold increase since 2013, when 2323 worked in the specialty. This cohort's median age was 39 years, and 82% were female. Almost all (91.5%) are office based, and 81% work more than 31 h per week. The median salary was $125,000 (2020 dollars). Dermatology PAs work fewer hours and see more patients than their counterparts compared to all 69 PA specialties. At the same time, dermatology PAs are more satisfied and less burnt out when compared to all PAs. The increased number of PAs selecting dermatology as their discipline can help lessen the projected physician shortage in this field.

摘要

皮肤科劳动力包括医生、护士从业者(NP)和医师助理/助手(PA)。皮肤科医生的数量增长缓慢,而从事皮肤科工作的 PA 的增长迅速且正在加速。为了了解他们的特点,利用国家医师助理认证委员会(NCCPA)的劳动力数据集对从事皮肤科工作的 PA 进行了一项描述性研究。NCCPA 认证在美国执业的 PA,并询问他们的角色、就业、薪资和工作满意度。分析包括描述性统计、卡方检验和 Mann-Whitney 检验,以比较皮肤科和所有其他 PA 专业的 PA。截至 2021 年,有 4580 名认证的 PA 报告在皮肤科工作——自 2013 年以来增长了近两倍,当时有 2323 人从事该专业。该队列的中位年龄为 39 岁,82%为女性。几乎所有人(91.5%)都在办公室工作,81%每周工作超过 31 小时。中位数薪资为 12.5 万美元(2020 年美元)。与所有 69 种 PA 专业相比,皮肤科 PA 的工作时间更短,看诊的患者更多。与此同时,与所有 PA 相比,皮肤科 PA 更满意,倦怠感更低。越来越多的 PA 选择皮肤科作为他们的学科,可以帮助缓解该领域预计出现的医生短缺问题。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/543f/10366262/771bfaf1ecc2/403_2023_2593_Fig1_HTML.jpg

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