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Physician Assistant Utilization

There are nearly 70,000 people eligible to practice as PAs in the United States as of 2004. It is estimated that there will be more than 90,000 PAs eligible to practice in 2010.

The proportion of female PAs is currently 60% and growing.

PAs are deployed in virtually every health care setting including inpatient and outpatient.

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Primary Work Setting

The settings with the largest proportions of PAs include single and multi-specialty group practices, solo practice physician offices, hospital operating rooms, emergency rooms, and inpatient and outpatient units of hospitals. A larger proportion of new graduate reported working in solo practice physician offices (16% v 13%) and inpatient units of hospitals (13% v 9%).

Specialty

The specialty fields with the largest proportion of clinically practicing PAs are family/general practice (30%), surgical subspecialties (21%), emergency medicine (10%), subspecialties of internal medicine (10%), and general internal medicine (8%). New graduates are considerably more likely to work in the surgical subspecialties (26%) and less likely to work in family/general practice (24%).

Types of Patient's Seen

Sixty-seven percent of clinically practicing PAs see outpatients only at their primary clinical job, while 7 percent see inpatients only, 25 percent see multiple patient types, and 1 percent see nursing home patients only. New graduates were less likely to see outpatients only (59%) and more likely to see multiple patient types (32%).

Patient Visits by Select Disorder/Condition

The AAPA estimates that during 2004, PAs treated 18.8 million patients for respiratory/ENT infections; 18.6 million patients for musculoskeletal disorders/injuries, 15.5 million patients for allergic disorders, and 14.6 million patients for hypertension.

Number of PAs in Clinical Practice

According to the AAPA, the number of PAs in clinical practice has doubled in the last 10 years. To date, the US health care system appears to have accommodated the increased number of PAs:

  • According to AAPA estimates, the total number of people in clinical practice as PAs has grown from 27,105 to 55,061 (103%) in the last 10 years.
  • In each year since 1991, more than 79 percent of the people eligible to practice as PAs at the time have in fact been in clinical practice.

These findings demonstrate that society’s investments in the production of PAs continue to return dividends and suggest that PAs are generally satisfied with their choice of profession.

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