Bouton Marcia, McKenna Robert, Freeman-Hildreth Yolanda, Johnson Theresa, Piotrowski Ryann, Chenevert Laura
Marcia Bouton is an assistant professor in the PA program at Midwestern University in Glendale, Ariz. Robert McKenna is director of accreditation and an assistant professor in the School of Physician Assistant Studies at Marshall B. Ketchum University in Fullerton, Calif. Yolanda Freeman-Hildreth is an assistant professor in the PA program at Detroit Mercy in Detroit, Mich., and an adjunct professor in the School of Management at Case Western Reserve University in Cleveland, Ohio. Theresa Johnson is faculty in the primary care residency program for PAs, director of the Long COVID Board, manager of the Thoracic Tumor Board, and chair of the PA Professional Standards Board at the Joseph Maxwell Cleland Atlanta VA Medical Center in Decatur, Ga. Ryann Piotrowski practices critical care at Dartmouth Hitchcock Medical Center in Lebanon, N.H. Laura Chenevert practices neurosurgery in the Department of Neurological Surgery at Icahn School of Medicine at Mount Sinai in New York, N.Y. The authors have disclosed no potential conflicts of interest, financial or otherwise.
JAAPA. 2025 Jun 1;38(6):32-38. doi: 10.1097/01.JAA.0000000000000109. Epub 2025 May 27.
The objectives of this study were to determine pathways, barriers, and support systems experienced by physician associates (PAs) in leadership.
Focus group interviews were conducted with 20 PA leaders. Thematic evaluation revealed inductive themes. Moderate interrater agreement was achieved.
Most participants were female, White, and non-Hispanic, with 13 to 23 years of experience as a PA. Participants obtained leadership positions via training, dedication to service, and networking. Participants were motivated to pursue leadership roles by issues related to compensation, time, and autonomy. Biased perception of PA roles and corporate and legal issues were the most common barriers to achieving leadership positions. Participants recommended that PAs interested in leadership self-promote and that they embrace both altruism and a growth mindset.
PA leaders achieved leadership positions via dedication, networking, and training. Corporate, legal, and perceptual barriers exist. Employers and PA organizations can support PA leaders with training, compensation, protected time, and autonomy. Celebration of the value of PA leadership is needed.
本研究的目的是确定医师助理（PA）在领导力方面所经历的途径、障碍和支持系统。
对20名PA领导者进行了焦点小组访谈。主题评估揭示了归纳主题。评分者间达成了适度的一致性。
大多数参与者为女性、白人且非西班牙裔，有13至23年的PA工作经验。参与者通过培训、对服务的奉献精神和人际关系网络获得领导职位。与薪酬、时间和自主权相关的问题促使参与者追求领导角色。对PA角色的偏见认知以及公司和法律问题是获得领导职位最常见的障碍。参与者建议，对领导力感兴趣的PA要进行自我推销，要兼具利他主义和成长型思维。
PA领导者通过奉献精神、人际关系网络和培训获得领导职位。存在公司、法律和认知方面的障碍。雇主和PA组织可以通过培训、薪酬、受保护的时间和自主权来支持PA领导者。需要对PA领导力的价值予以认可。
