This is the third instalment in a series of articles looking at the issue of physician assistants, and the role they could play in British Columbia. Scroll down for links to the first two articles.
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Many countries 害羞草研究所� and some Canadian provinces 害羞草研究所� rely heavily on physician assistants to balance a sustainable medical health system.
As of 2022, physician assistants (or physician associates) are accepted professionals in at least 16 countries, including the United States, the United Kingdom, Ireland, and South Africa.
New Zealand, a country with approximately the same population as British Columbia, currently has 30 physician associates spread throughout the nation.
Wayne Lim is the general manager of Te Awamutu Medical Centre, on New Zealand害羞草研究所檚 North Island. The clinic cares for 14,000 patients, and typically has two physician associates among his staff of 50.
害羞草研究所淲e first started looking at PAs around 2016, anticipating that the mix of clinicians would have to evolve, given the way the statistical landscape looked害羞草研究所� with increasing obesity, increasing diabetes, people getting sicker, with fewer numbers of physicians to look after them, relatively speaking,害羞草研究所� he said in an interview with Black Press.
There had been a pilot program run in New Zealand a couple of years prior, testing out PAs in the clinical environment to determine the viability of the profession in the country.
Based on the results of that pilot, the Te Awamutu Medical Centre hired one on a part-time basis. Shortly thereafter, the clinic advertised for a full-time PA. Lim said the PAs have fit in 害羞草研究所渁bsolutely brilliantly.害羞草研究所�
He said there was a culture adjustment to make, as GPs are ultimately responsible for a PA害羞草研究所檚 work, thereby requiring an appropriate supervisory structure, but the introduction was relatively seamless.
害羞草研究所淚t went very, very well, and within weeks, we knew instinctively that it was a great decision,害羞草研究所� said Lim. 害羞草研究所淲e found the PAs to be very capable and the GPs got used to the idea of supervising and signing off their work very quickly. We are very happy with the progress we have made.害羞草研究所�
Lim said from a business point of view, adding PAs to his team was 害羞草研究所渁 no-brainer. They have a clearly identified set of capabilities害羞草研究所� they are paid appropriately, and for a business, it works having people doing what they are best at. They cost less (than a GP) and they do their share of the work, absolutely.害羞草研究所�
Lisa DeWolfe, president of the New Zealand Physician Associate Society, says the benefits of the profession are that physician assistants 害羞草研究所� or associates, as they are identified in New Zealand 害羞草研究所� can improve job satisfaction, reduce burnout and address shortages in the health system.
Big in the U.S.
The profession is particularly strong in the U.S., where there are approximately 159,000 practitioners engaging in more than 500 million patient interactions each year, according to the (AAPA).
The country embraces the profession and gives it an extremely high rating.
The ranked physician assistants as No. 3 in its 100 Best Jobs list for 2022.
Jennifer M. Orozco, 2021-22 president and chair of the AAPA board, and director of advanced practice providers at Rush University Medical Center in Chicago, says physician assistants 害羞草研究所渉elp fill in a lot of access gaps across the country.害羞草研究所�
害羞草研究所淭hey practise medicine in every health-care setting, from hospitals to emergency rooms to private practice to operating suites,害羞草研究所� Orozco said, of the high ranking. 害羞草研究所淭hey take care of a patient in every specialty, from primary care to pediatrics all the way through geriatrics and palliative care.害羞草研究所�
Profession growing in Canada
In Canada, there are approximately 800 physician assistants, with more than 500 of those working in Ontario.
Manitoba, Alberta, and New Brunswick also accept PAs in their health-care systems, and a PA pilot project was introduced in Nova Scotia in 2019.
According to the Canadian Association of Physician Assistants, PAs in primary care settings can be used for 75 per cent of all visits without referral to physician-level care. Also:
害羞草研究所� PAs in emergency departments can reduce wait times by 1.9 times and reduce 害羞草研究所渓eft-without-being-seen害羞草研究所� rates by half.
害羞草研究所� PAs can increase surgical throughput of primary joint replacements by 42 per cent a year and reduce wait times for surgeries by 14 weeks.
害羞草研究所� PAs in long-term care settings have been shown to decrease hospital admission rates by 38 per cent for seniors.
And yet, B.C. physician assistants still have to go elsewhere for work.
When asked why the profession is not recognized in this province, the ministry of health in B.C. said the situation is being 害羞草研究所渕onitored.害羞草研究所�
害羞草研究所淭he introduction of a new health profession requires careful consideration, management, and significant resources to properly understand and address the inevitable team function issues that emerge from overlapping scopes of practice,害羞草研究所� the ministry said in an email to Black Press.
While the ministry did not go into detail regarding its concerns about overlapping scopes or practice, the Canadian Association of Physician Assistants has stated the hesitation from B.C. surrounds the investment the B.C. government has put toward nurse practitioners, explaining the 害羞草研究所渓imited desire to introduce a new health-care profession.害羞草研究所�
Meanwhile, the same US News and World Report that ranked physician assistants as No. 3 in its 害羞草研究所�100 Best Jobs害羞草研究所� list for 2022, had nurse practitioners ranked at No. 2.
害羞草研究所淲ith so many patients having difficulty finding a family doctor or accessing care in a timely manner, it makes sense to introduce PAs into the (B.C.) health-care workforce,害羞草研究所� said the CAPA, in a statement to Black Press. 害羞草研究所淲e are always looking for people to help us promote the profession and to advocate for its advancement. We usually encourage our Canadian PAs who want to work in B.C. to write Adrian Dix, the Minister of Health expressing their desire to introduce PAs into the province.害羞草研究所�
To express support for physician assistants in British Columbia, email Dix at HLTH.Minister@gov.bc.ca
terry.farrell@comoxvalleyrecord.com
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