教育债务对执业助理医师专业选择或偏好的影响。

The effect of education debt on PAs' specialty choice or preference.

作者信息

Kozikowski Andrzej, Bruza-Augatis Mirela, Morton-Rias Dawn, Puckett Kasey, Jeffery Colette, Quella Alicia, Mauldin Sheila, Goodman Joshua

机构信息

At the National Commission on Certification of Physician Assistants (NCCPA), Andrzej Kozikowski is senior director of research, Mirela Bruza-Augatis is a research scientist, Dawn Morton-Rias is president and chief executive officer, Kasey Puckett is a research analyst, Colette Jeffery is a senior research analyst, Alicia Quella is director of communications and PA relations, Sheila Mauldin is a senior assessment advisor, and Joshua Goodman is vice president of research and exam programs. The authors have disclosed no potential conflicts of interest, financial or otherwise.

出版信息

JAAPA. 2025 Jan 1;38(1):35-44. doi: 10.1097/01.JAA.0000000000000166. Epub 2024 Dec 19.

DOI:10.1097/01.JAA.0000000000000166

PMID:39652650

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11627320/

Abstract

OBJECTIVE

This study investigated educational debt, repayment strategies, and other factors potentially related to recently certified physician associates/assistants' (PAs') choice or preference for primary care versus all other specialties.

METHODS

A national dataset from 2023 of recently certified PAs was used to conduct quantitative and qualitative analyses. Analyses were conducted separately for PAs who had accepted a clinical position and those who had not accepted a clinical position.

RESULTS

Overall, 88% of respondents reported having educational debt, with 13.5% owing $200,000 or more. PAs from backgrounds underrepresented in medicine had accrued higher educational debt than their counterparts. Educational debt was significantly associated with specialty choices/preferences: PAs with higher debt were more likely to opt for nonprimary care specialties. Qualitative analyses revealed that PAs rely on different strategies for repaying their loans, depending on whether they choose or prefer primary care or nonprimary care specialties.

CONCLUSIONS

These results suggest that educational debt plays a role in specialty selection, but other factors also are significant.

摘要

目的

本研究调查了教育债务、还款策略以及其他可能与近期获得认证的医师助理（PAs）选择或倾向于初级保健而非其他所有专科相关的因素。

方法

使用2023年全国近期获得认证的医师助理数据集进行定量和定性分析。对已接受临床职位的医师助理和未接受临床职位的医师助理分别进行分析。

结果

总体而言，88%的受访者报告有教育债务，其中13.5%的人欠款20万美元或更多。医学领域代表性不足背景的医师助理积累的教育债务高于同行。教育债务与专科选择/偏好显著相关：债务较高的医师助理更有可能选择非初级保健专科。定性分析表明，医师助理根据他们选择或倾向于初级保健还是非初级保健专科，依靠不同的策略偿还贷款。