Abstract

Allied Health Graduate Medical Education (GME) residency programs struggle to meet the supply of graduates due to pressures to control costs, competitive learning environments, and faculty/staffing shortages at residency sites. Using a large system of teaching hospitals, we utilize a mixed methods approach to assess the economic value of an Emergency Medicine Physician Assistant (EMPA) residency program, in terms of extrinsic and intrinsic benefits. An optimal student-to-staff ratio is also illuminated. The cost-construction model indicated an optimal faculty-resident ratio of 4:5. The extrinsic benefit of the EMPA residency program was $3,157,440, while the intrinsic benefit was $835,572. Our results suggest that the Emergency Medicine Physician Assistant residency program demonstrates economic value. Teaching hospitals should consider adoption of Allied Health Graduate Medical Education programs and align student-to-staff ratios with Graduate Medical Educational benchmarks for optimal performance.

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