The Perceptions of US Physician Assistants Regarding Physician Assistant-to-Physician Bridge Programs

Abstract

Since Dr. Stead first envisioned the physician assistant (PA) profession, there has been discussion of an accelerated PA-to-physician "bridge" program. Despite some conversations in the 1960s and the creation of other professional programs, such as the paramedic-registered nurse bridge, no formal long-term PA-to-physician programs were created in the United States, and the discourse faded over the years. With recent consideration of creating a clinical doctorate PA program of study, discussion has been revived about the need, efficacy, and propriety of a bridge program. The purpose of this study was to determine the perceptions of PAs on the creation of a PA-to-physician bridge program; whether they would support a bridge program, its feasibility, and generally whether or not bridge programs should be initiated. An online survey was sent to a cross-sectional, random sampling of PAs in the United States. The survey used a 5-point Likert scale to assess the perceptions of a PA-to-physician bridge program. A chi-squared analysis was performed to determine significant relationships. PA respondents were strongly supportive of the bridge program concept; however, knowledge level about such a program was low. The chi-square analysis revealed that gender was the only variable with a significant relationship, with females being most in agreement about the concept. The results of the study may help the PA and medical communities evaluate the applicability, feasibility, and practicality of a PA-to-physician bridge program. There is an overall tendency for PAs to support such a program.