Physicians Assistant's

  1. We don't have Physicians Assistant's (PA's) inthe UK yet but there are plans to bring them into the work force. i am happy that such a good idea has been implemented in the US but arent you gguys annoyed that they get paid more than the Nurses, just because they are working more closely with the Doctors. I hope upon hope that when they come to the UK, that they are either paid on parity with the Nursing Staff or less. i certainly dont think that they should be paid more. even if they do prescribe in the US which i dont think they should. i am a modern thinker, but to me it should be Doctors and Nurses.
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  2. 16 Comments

  3. by   Darlene K.
    We use PA's in our Pediatric Urgent Care Practice. The role they serve (for us) is not much different than if they were a Physician. They exam patients, make diagnosis, prescribe medications, suture and do minor surgeries. This is something that would not be in a Nurses scope of practice. They do not work instead of a physician, but along with. We see on average 70 to 85 children in 10 hours. There is no way that one physician can see that many sick kids. I believe our PA's make ~ $50 per hour.
  4. by   sjoe
    PAs that I have dealt with are trained at the master's level, like a NP, so it is neither surprising nor inappropriate that their pay scale is higher than that of RNs who may be diploma, associate, or bachelor's trained.
    Last edit by sjoe on Feb 16, '03
  5. by   deespoohbear
    PA's scope of practice is different than a nurse's scope of practice. Like the other posters before me, PA's have a Master's Degree and diagnose, treat, and prescribe meds (in some states). Does not bother me one bit that they are paid more, they are performing a different service than nurses (with the exception of NP's...which I am not totally sure what the differences are between PA's and NP's). I am sure there are posters who can explain the differences in practice between a PA and a NP...
  6. by   tony summers
    PA do exist in the UK if you look at what they do and then compare them to someone like an ENP. I see, diagnose and treat a patient without them being seen by a doctor. I also prescribe drugs, suture, plaster, do some limited minor ops as the case needs. I also run traumas and cardiac arrests. I am paid on the general nursing scale not equated to doctors and often earn less than they do and certainly less than some of senior ward based colleagues who do not have these extended roles.

    Despite this I still perform the basic nursing care that I orignally trained to do when needed.
  7. by   MrsK1223
    I know for a fact in KY, the masters PA has only been in place a shor time. I work a couple who are bachelor trained PA's...and in the office I work in, they don't do much more than the nurses...our office manager even says they are glorified nurses...but thats in my settting...outside in other areas I know they do a lot more. But they lack the nursing model and work on a medical model which is what they are trained to do. I like PA's but would rather see a nurse practicioner which is just my preference.
  8. by   jemb
    Most physician assistant programs require applicants to have previous health care experience and some college education. The typical applicant already has a bachelor's degree and over 4 years of health care experience.
    The average PA program curriculum is 111 weeks, compared with 155 weeks for medical school. Education consists of classroom and laboratory instruction in the basic medical and behavioral sciences (such as anatomy, pharmacology, pathophysiology, clinical medicine, and physical diagnosis), followed by clinical rotations in internal medicine, family medicine, surgery, pediatrics, obstetrics and gynecology, emergency medicine, and geriatric medicine.

    information obtained from
    http://www.aapa.org/
  9. by   MICU RN
    A four year PA program is one of the best deals around. Just think about it for the amount of time you invest to become a BSN you could become a PA. That means more respect, more money, no dirty work i.e., cleaning poop, ect.; and I would not be surprised if PA school is not as harsh as nursing school ( rigid nursing instructors who put you through hell and focus on so much nonessential BS).
  10. by   Darlene K.
    Anthony, you are probably right.
  11. by   NurseGirlKaren
    I know of one associate's level PA program here in MD.
  12. by   fab4fan
    Every PA I ever worked with had bachelor's only; one had his degree in accounting. None of them inspired much confidence in me, and wow, talk about treating nurses like handmaidens...they were some of the worst abusers in this category.

    There was one that was so bad that I didn't accept any orders from him...period.
  13. by   emily_mom
    You have to ask what they have a degree in....some in fact do have a degree in something like accounting.

    Personally, our family sees a PA as our primary. He is wonderful. He's only about 6 years older than me and so easy to talk to. I trust his judgement, and he's not quick to make decisions for you. We work together and decide what's best. He is wonderful with Emily. He's super busy yet I never have a problem getting in to see him when needed and NEVER have to wait more than 5 minutes. To me, that means a lot.

    Kristy
  14. by   fiestynurse
    Physian's Assistants were a creation of the AMA in the 1960's, when Military Corpsmen began coming home after the Vietnam War, wanting to continue on in their medical roles. It was a way for men to go into nursing without having to be called nurses.

    Brief timeline:

    1961 Dr. Charles Hudson, in the Journal of the American Medical Association, calls for a "mid-level" provider from the ranks of former military corpsmen.

    1962 Dr. Henry McIntosh, cardiologist at Duke University, trains local fireman in emergency procedures for the community; in exchange, off-duty firemen staff the cardiac catheterization laboratory; former Navy hospital corpsmen are hired for similar roles and are classified as physician's assistants by Duke's payroll department.

    1964 Dr. Eugene Stead, Jr., disillusioned by organized nursing, decides that ex-military corpsmen with their previous training and experience would be suitable candidates for his two-year experimental program that he describes in a letter to one of his Duke colleagues, Dr. Charles H. Frenzel.

    Dr. Richard A. Smith is assigned to Pacific Northwest by Surgeon General William Stewart to develop physician assistant training program. He develops the MEDEX (Med-icine Ex-tension) model with a strong emphasis on the deployment of students and graduates into medically underserved communities.

    1965 Academic Committee chaired by Dr. Andrew Wallace approves Dr. Stead's proposed PA curriculum and the National Heart Institute funds Dr. Herbert Saltsman's grant to train hyperbaric chamber operators and physician's assistant. This clears the way for the first four physician assistant (PA) students, all ex-Navy hospital corpsmen, to begin training at the Duke University Medical Center in Durham, NC.

    Reader's Digest article about jobs in health care industry mentions the development of the PA program at Duke University causing a flood of inquires from ex-military corpsmen.

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