RESUMEN
BACKGROUND: The number of physician associates (PAs) training and working in the UK has increased over the last few years following the proliferation of postgraduate courses. Understanding early experiences and what impacts on engagement is important if we are to appropriately support this relatively new professional group. METHODS: This paper reports on a cross-sectional analysis of the first year of data from a prospective 10-year longitudinal cohort study. First year PA students (n = 89) were enrolled from five universities in one UK region where the training programmes were less than 2 years old. Data collected were: demographic information, wellbeing, burnout and engagement, expectations, placement experience, performance and caring responsibilities. Pearson's correlations were used to examine relationships between variables and to select variables for a hierarchical regression analysis to understand which factors were associated with engagement. Descriptive statistics were calculated for questions relating to experience. RESULTS: The experiences of PA students during their first 3-6 months were mixed. For example, 78.7% of students felt that there were staff on placement they could go to for support, however, 44.8% reported that staff did not know about the role and 61.3% reported that staff did not know what clinical work they should undertake. Regression analysis found that their level of engagement was associated with their perceived career satisfaction, overall well-being, and caring responsibilities. CONCLUSIONS: The support systems required for PAs may need to be examined as results showed that the PA student demographic is different to that of medical students and caring responsibilities are highly associated with engagement. A lack of understanding around the PA role in clinical settings may also need to be addressed in order to better support and develop this workforce.
Asunto(s)
Asistentes Médicos/educación , Adulto , Agotamiento Profesional , Estudios de Cohortes , Estudios Transversales , Femenino , Humanos , Estudios Longitudinales , Masculino , Persona de Mediana Edad , Asistentes Médicos/psicología , Estudios Prospectivos , Encuestas y Cuestionarios , Reino Unido , Universidades , Adulto JovenRESUMEN
The number of physician associates (PAs) training in the United Kingdom is rising dramatically, yet the approaches to teaching this new professional group are yet to be examined. We set out to determine if and how the 'Safe and Effective Clinical Outcomes' (SECO) simulation training could help this new group of students to develop skills around conducting a consultation in primary care.Six clinics were designed and implemented over three academic years (2016-2018) in a clinical skills simulation centre in a university hospital. In total, 71 PA students took part and feedback was collected from students and simulated patients as part of routine evaluation processes. We found that the SECO simulation training offered PA students the opportunity to practise consultation skills and review their scope of practice in a safe environment. It helped students build confidence in their approach and gave them the opportunity to discuss what it means to be a 'safe' practitioner. The simulated patients were positive about the experience but remained unsure of what the PA role was even after the simulation training. Based on our experience, the SECO clinics have value for those training PA students.