What are the challenges in securing clinical sites for Physician Assistant (PA) students?

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From the Research

Securing clinical sites for Physician Assistant students is a significant challenge due to the increasing competition for limited clinical placements, preceptor burnout, and administrative barriers. The primary obstacle is the rapid growth of PA programs nationwide, which has created a shortage of available training sites 1. Healthcare facilities often prioritize medical students over PA students, and many sites require financial compensation that educational institutions struggle to provide. Some of the key challenges include:

  • Preceptor burnout, as healthcare providers face mounting pressures from productivity demands, electronic health record requirements, and patient loads, leaving less time and energy for teaching 2
  • Geographic limitations, particularly for programs in rural areas or regions with few healthcare facilities
  • Administrative barriers such as complex credentialing processes, liability concerns, and institutional policies create logistical hurdles The most recent study on this topic, published in 2022, highlights the importance of advancing diversity, equity, and inclusion in the PA profession, which could potentially address some of these challenges 3. To address these challenges, PA programs must develop innovative solutions, including simulation experiences, virtual rotations, strengthening community partnerships, and creating incentives for preceptors through academic appointments, continuing education credits, or modest financial compensation. It is essential to prioritize the development of strategies that promote collaboration, flexibility, and creativity in securing clinical sites for PA students, ultimately ensuring that they receive the high-quality education and training they need to provide excellent patient care.

References

Research

Physician assistants: from pipeline to practice.

Academic medicine : journal of the Association of American Medical Colleges, 2013

Research

Clinical coordination and the experiential year in physician assistant education.

The journal of physician assistant education : the official journal of the Physician Assistant Education Association, 2010

Research

Pipeline to the Physician Assistant Profession: A Look to the Future.

The journal of physician assistant education : the official journal of the Physician Assistant Education Association, 2022

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